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SUMMARY:The association between multimorbidity\, healthcare utilisation an
 d out-of-pocket spending in 22 countries: evidence from WHO SAGE and SHARE
  - Dr John Tayu Lee\, health economist\, Research Design Service\, Imperia
 l College London.
DTSTART:20150304T123000Z
DTEND:20150304T133000Z
UID:TALK58166@talks.cam.ac.uk
CONTACT:Signe Wulund
DESCRIPTION:BACKGROUND: With ageing populations and increasing exposure to
  risk factors of chronic diseases\, the prevalence of chronic disease mult
 imorbidity is rising globally. There is little evidence on the determinant
 s of multimorbidity and its impact on healthcare utilisation and out-of-po
 cket spending using nationally representative data from multiple middle in
 come and European countries.\nMETHODS: Secondary analyses of cross-section
 al data from adult participants in the WHO Study on Global Ageing and Adul
 t Health (SAGE)\, and Survey of Health\, Ageing and Retirement in Europe (
 SHARE). We used multiple logistic regression to determine socio-demographi
 c correlates of multimorbidity. Associations between the number of chronic
  diseases and healthcare utilisation as well as out-of-pocket spending wer
 e assessed using logistic\, negative binominal and log-linear models.\nRES
 ULTS: Among the participants who were aged over 50\, more than 30% in the 
 SAGE\, and over 50% in the SHARE\, had reported multimorbidity. The number
  of chronic conditions was associated with greater health care utilisation
  in both primary and secondary care settings. Multimorbidity was associate
 d with higher out-of-pocket expenditures per outpatient visit in India and
  China. Medication costs constituted the largest proportion of out-of-pock
 et expenditures in persons with multimorbidity (88∙3% for outpatient\, 5
 5∙9% for inpatient visit in China) in most SAGE countries analysed.\nCON
 CLUSION: Multimorbidity is associated with higher levels of healthcare uti
 lisation and greater financial burden for individuals in both developed an
 d developing countries. Our study supports the WHO call for universal heal
 th insurance and health service coverage\, particularly for vulnerable gro
 ups such as the elderly who are more likely to have multimorbidity.
LOCATION:Meeting rooms\, Level 4 Institute of Metabolic Sciences\, Addenbr
 ooke’s Treatment Centre (ATC)
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