Repository logo
 
Publication

Healthcare use in patients with multimorbidity

2019-06-25Journal article Restricted access
Simple item page
dc.contributor.authorRomana, Guilherme Quinaz
dc.contributor.authorKislaya, Irina
dc.contributor.authorGonçalves, Susana Cunha
dc.contributor.authorSalvador, Mário Rui
dc.contributor.authorNunes, Baltazar
dc.contributor.authorDias, Carlos Matias
dc.date.accessioned2019-07-10T12:10:53Z
dc.date.available2019-07-10T12:10:53Z
dc.date.issued2019-06-25
dc.description.abstractBackground: The existence of multiple chronic conditions in the same patient is a public health problem increasingly recognized as relevant to health systems. Individuals with multimorbidity have additional health needs, which imply a heavy burden in healthcare use. It is estimated that between 70% and 80% of the total health expenditure is used with chronic conditions. Patients with multimorbidity are responsible for up to 75% of primary care appointments. These patients are also high hospital users, with up to 14.6 times more risk of hospitalization. Methods: This study analyses the association between healthcare use and multimorbidity in the Portuguese population aged 25–74 years old. The association between socioeconomic variables and healthcare use was studied, based on data from the first Portuguese Health Examination Survey using a logistic regression model, stratified by sex and adjusted for socioeconomic confounding variables. Results: In patients with multimorbidity, there was a greater use of primary healthcare consultations, medical or surgical specialist consultations and hospitalizations. An association was established between female, older age groups and lower educational levels, and increased healthcare use. When adjusted to socioeconomic variables, the likelihood of using healthcare services can be as high as 3.5 times, when compared to patients without chronic conditions. Conclusion: Our results show a greater healthcare use in multimorbidity patients, both in primary and hospital care. The availability of scientific evidence regarding the use of healthcare services by multimorbidity patients may support health policy changes, which could allow a more efficient management of these patients.pt_PT
dc.description.sponsorshipO primeiro Inquérito Nacional de Saúde com Exame Físico foi desenvolvido como parte integrante do projeto “Improvement of epidemiological health information to support public health decision and management in Portugal. Towards reduced inequalities, improved health, and bilateral cooperation”, que beneficiou de um apoio financeiro de 1.500.000€ concedido pela Islândia, Liechtenstein e Noruega, através do Programa Iniciativas em Saúde Pública (PT06) financiado pelas EEA Grants 2009-2014.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Public Health. 2019 Jun 25. doi:10.1093/eurpub/ckz118. [Epub ahead of print]pt_PT
dc.identifier.doi10.1093/eurpub/ckz118pt_PT
dc.identifier.issn1101-1262
dc.identifier.urihttp://hdl.handle.net/10400.18/6440
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherxford University Press/ European Public Health Associationpt_PT
dc.relation.publisherversionhttps://academic.oup.com/eurpub/advance-article-abstract/doi/10.1093/eurpub/ckz118/5522961?redirectedFrom=fulltextpt_PT
dc.subjectConsultationpt_PT
dc.subjectChronic Diseasept_PT
dc.subjectPrimary Health Carept_PT
dc.subjectSocioeconomic Factorspt_PT
dc.subjectSurgical Procedures, Operativept_PT
dc.subjectHealth Care Systemspt_PT
dc.subjectHealth Care Usept_PT
dc.subjectPortuguesept_PT
dc.subjectMultimorbiditypt_PT
dc.subjectEstados de Saúde e de Doençapt_PT
dc.subjectCuidados de Saúdept_PT
dc.subjectMultimorbilidadept_PT
dc.subjectInquérito Nacional de Saúde com Exame Físicopt_PT
dc.subjectINSEFpt_PT
dc.titleHealthcare use in patients with multimorbiditypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage7pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleEuropean Journal of Public Healthpt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Romana et al 2019.pdf
Size:
443.88 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

DEP - Artigos em revistas internacionais