Analysis of factors associated with health care burden in older adults with chronic conditions based on typical multimorbidity patterns
10.3969/j.issn.1674-2982.2024.11.005
- VernacularTitle:典型共病模式下老年慢性病患者医疗负担影响因素分析
- Author:
Yue-hui YU
1
;
Ya-xuan MAO
1
Author Information
1. 中国人民大学公共管理学院 北京 100872;中国人民大学健康保障研究中心 北京 100872
- Publication Type:Journal Article
- Keywords:
Older adults;
Chronic disease management;
Multimorbidity patterns;
Health care burden;
Influencing factors
- From:
Chinese Journal of Health Policy
2024;17(11):35-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze factors associated with health care burden in older adults with chronic conditions based on typical multimorbidity patterns,in order to provide references for optimizing health management policies. Methods:Using data from the China Health and Retirement Longitudinal Study 2020,we counted the basic profiles of older adults aged 60 and over,identified typical multimorbidity patterns using latent category analysis,and then analyzed the factors associated with health care burden in different multimorbidity subgroups using regression models. Results:A total of 8310 participants were included,with an average of 2.81 chronic conditions and a high multimorbidity rate of 69.60％. Participants were categorized into multisystem morbidity,respiratory,cardiovascular-metabolic,gastro-arthritis and low multimorbidity groups. Compared to the low multimorbidity group,all other multimorbidity patterns were associated with medical burden. Factors such as age,gender,income,health insurance and geographical location were all associated with health care burden in older adults,but the effect varied according to multimorbidity patterns. Conclusions:Future health policies should focus more on the issue of multimorbidity and allocate resources according to some common and burdensome multimorbidity patterns among the older population.
