Association Between Work Absence and Health Services Utilization and Costs Among Employed Individuals With Arthritis

Salkar, Monika; Gangan, Nilesh; Yang, Yi

doi:10.1097/jom.0000000000001836

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…Previous study found individuals with arthritis had greater odds of having a hospitalization event and higher number of ambulatory care visits [30] . Another study also found older adults with arthritis were signi cantly more likely to have a physician visit, hospital admission, outpatient surgery and home health care [31] .…”

Section: Discussionmentioning

confidence: 90%

Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China

Zhong

Qin

et al. 2022

Preprint

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Background: Multimorbidity has become one of the main challenges in health care system. The association between prevalence, patterns of multimorbidity and health care utilization is less often discussed in China. The purpose of this study is to examine this association among Chinese middle-aged and older adults and take in account several sociodemographic characteristics.Methods: This study consists of 19559 individuals aged 45 and older from the wave 4 of the China Health and Retirement Longitudinal Study (CHARLS) in 2018. Multimorbidity was defined as the co-occurrence of two or more chronic medical condition of a list of fourteen chronic diseases in one person. Health care utilization include whether the individuals received outpatient service last month and inpatient service in the past year. LCA (Latent Class Analysis) was conducted to identify the clustering pattern of chronic diseases. Logistic regressions were employed to explore the association between prevalence, patterns of multimorbidity and health care utilization. Analyses were weighted using individual sample weights, adjusted for non-response of individual and household.Results: Among all participants, 23.10% were aged above 70 years and 52.42% were female. The mean number of chronic disease was 2.17 and the prevalence of multimorbidity was 56.73%. Four patterns were identified: relatively healthy class, respiratory class, stomach-arthritis class and vascular class. Multimorbid individuals used more outpatient services (OR=1.87, 95%CI=1.63-2.14) and more inpatient services (OR=2.50, 95%CI=2.20-2.83) compared to their no-multimorbid counterparts. The individuals classified into respiratory class, stomach-arthritis class and vascular class used more health service.Conclusions: Our study provided evidence that multimorbidity is high among Chinese older adults and is associated substantially higher health care utilization in China. Policy should prioritize improving the management of individuals with multimorbidity to increase healthcare efficiency. Further research is necessary with special emphasis on the trajectory of multimorbidity and the role of health system in satisfying needs of multimorbid individuals.

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Section: Discussionmentioning

confidence: 90%

Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China

Zhong

Qin

et al. 2022

Preprint

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“…This is reinforced by a previous study, which reported that older people in India with three or more conditions were 1.5 times more likely to utilize healthcare, including both inpatient and outpatient care [ 8 ]. Furthermore, studies have indicated that age-related musculoskeletal disorders, such as arthritis, are associated with increased functional disability and a higher probability of seeking medical attention, undergoing outpatient surgeries, experiencing hospitalization events, and requiring more ambulatory care [ 47 – 49 ]. Moreover, when combined with other health conditions like hypertension and gastrointestinal disorders, the situation becomes more complex, potentially increasing the demand for medical care.…”

Section: Discussionmentioning

confidence: 99%

Exploring multimorbidity clusters in relation to healthcare use and its impact on self-rated health among older people in India

Ansari,

Anand,

Hossain

2023

PLOS Glob Public Health

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The conventional definition of multimorbidity may not address the complex treatment needs resulting from interactions between multiple conditions, impacting self-rated health (SRH). In India, there is limited research on healthcare use and SRH considering diverse disease combinations in individuals with multimorbidity. This study aims to identify multimorbidity clusters related to healthcare use and determine if it improves the self-rated health of individuals in different clusters. This study extracted information from cross-sectional data of the first wave of the Longitudinal Ageing Study in India (LASI), conducted in 2017–18. The study participants were 31,373 people aged ≥ 60 years. A total of nineteen chronic diseases were incorporated to identify the multimorbidity clusters using latent class analysis (LCA) in the study. Multivariable logistic regression was used to examine the association between identified clusters and healthcare use. A propensity score matching (PSM) analysis was utilised to further examine the health benefit (i.e., SRH) of using healthcare in each identified cluster. LCA analysis identified five different multimorbidity clusters: relatively healthy’ (68.72%), ‘metabolic disorder (16.26%), ‘hypertension-gastrointestinal-musculoskeletal’ (9.02%), ‘hypertension-gastrointestinal’ (4.07%), ‘complex multimorbidity’ (1.92%). Older people belonging to the complex multimorbidity [aOR:7.03, 95% CI: 3.54–13.96] and hypertension-gastrointestinal-musculoskeletal [aOR:3.27, 95% CI: 2.74–3.91] clusters were more likely to use healthcare. Using the nearest neighbor matching method, results from PSM analysis demonstrated that healthcare use was significantly associated with a decline in SRH across all multimorbidity clusters. Findings from this study highlight the importance of understanding multimorbidity clusters and their implications for healthcare utilization and patient well-being. Our findings support the creation of clinical practice guidelines (CPGs) focusing on a patient-centric approach to optimize multimorbidity management in older people. Additionally, finding suggest the urgency of inclusion of counseling and therapies for addressing well-being when treating patients with multimorbidity.

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Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China

Zhong

Qin

et al. 2023

BMC Public Health

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Background Multimorbidity has become one of the main challenges in health care system. The association between prevalence, patterns of multimorbidity and health care utilization is less often discussed in China. The purpose of this study is to examine this association among Chinese middle-aged and older adults and take into account different sociodemographic, behavioral and health characteristics. Based on this, implications of current evidence and effective intervention on multimorbidity and health care utilization can be identified and put into practice. Methods The wave 4 in 2018 of the China Health and Retirement Longitudinal Study (CHARLS) was used in the study. Multimorbidity was defined as the co-occurrence of two or more chronic medical condition of a list of fourteen chronic diseases in one person. The presence of chronic diseases was assessed through self-report. Health care utilization include whether the respondents received outpatient service last month and inpatient service in the past year. Latent Class Analysis was conducted to identify the clustering pattern of chronic diseases. Logistic regressions were employed to explore the association between prevalence, patterns of multimorbidity and health care utilization. Analyses were weighted using individual sample weights, adjusted for non-response of individual and household. Results Among 19,559 participants aged 45 and older, 23.10% were aged above 70 years and 52.42% were female. The prevalence of multimorbidity was 56.73%. Four patterns were identified: relatively healthy class, respiratory class, stomach-arthritis class and vascular class. Multimorbid individuals used more outpatient services (OR = 1.89, 95%CI = 1.65–2.17) and more inpatient services (OR = 2.52, 95%CI = 2.22–2.86) compared to their no-multimorbid counterparts. Compared to relatively healthy class, the respondents classified into respiratory class, stomach-arthritis class and vascular class used more outpatient services (OR = 1.90, 95%CI = 1.57–2.30; OR = 2.39, 95%CI = 2.06–2.78; OR = 1.53, 95%CI = 1.32–1.79 respectively) and more inpatient services (OR = 2.19, 95%CI = 1.83–2.62; OR = 2.93, 95%CI = 2.53–3.40; OR = 1.90, 95%CI = 1.65–2.19 respectively). Conclusion Our study provided evidence that multimorbidity is high among Chinese older adults and is associated substantially higher health care utilization in China. Four multimorbidity patters were identified. Policy should prioritize improving the management of individuals with multimorbidity to increase healthcare efficiency. Further research is necessary with special emphasis on the trajectory of multimorbidity and the role of health system in satisfying needs of multimorbid individuals.

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Association Between Work Absence and Health Services Utilization and Costs Among Employed Individuals With Arthritis

Cited by 3 publications

References 30 publications

Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China

Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China

Exploring multimorbidity clusters in relation to healthcare use and its impact on self-rated health among older people in India

Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China

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