The association between types of regular primary care and hospitalization among people with and without multimorbidity: A household survey on 25,780 Chinese

Chung, R. Y. et al. (2016) The association between types of regular primary care and hospitalization among people with and without multimorbidity: A household survey on 25,780 Chinese. Scientific Reports, 6, 29758. (doi:10.1038/srep29758)

[img]
Preview
Text
121504.pdf - Published Version
Available under License Creative Commons Attribution.

380kB

Abstract

Using data collected from 25,780 Hong Kong citizens in a household survey, this study aimed to investigate the association between having regular source of primary care and hospitalization amongst people with and without multimorbidity (two or more chronic conditions). Potential interaction effects of regular primary care with multimorbidity were also examined. Results revealed a significant association between having regular source of primary care from General Practitioners and reduced hospitalization amongst respondents with multimorbidity (RR = 0.772; 95% CI = 0.667–0.894), adjusting for other potential confounding factors (i.e., socio-demographic factors and medical insurance and benefits). In contrast, having regular Specialist care was significantly associated with increased risk of hospitalization among both people with multimorbidity (RR = 1.619; 95% CI = 1.256–2.087) and without multimorbidity (RR = 1.981; 95% CI = 1.246–3.149), adjusting for potential confounders. A dose-response relationship between the number of chronic diseases and hospitalization was also observed, regardless of whether participants had regular source of primary care or not; relative risks and predicted probabilities for hospitalization were generally greater for those without regular source of primary care. Further studies are warranted to explore the role of healthcare system, informatics, organizational and practice-related factors on healthcare and functional outcomes.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Mercer, Professor Stewart
Authors: Chung, R. Y., Mercer, S. W., Yip, B. H. K., Chan, S. W. C., Lai, F. T. T., Wang, H. H. X., Wong, M. C. S., Wong, C. K. M., Sit, R. W. S., Yeoh, E.-K., and Wong, S. Y. S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
Journal Name:Scientific Reports
Publisher:Nature Publishing Group
ISSN:2045-2322
ISSN (Online):2045-2322
Published Online:20 July 2016
Copyright Holders:Copyright © 2016 Chung, R. Y. et al
First Published:First published in Scientific Reports 6:29758
Publisher Policy:Reproduced under a Creative Commons License

University Staff: Request a correction | Enlighten Editors: Update this record