Effects of Changes in Multiple Chronic Conditions on Medical Costs among Older Adults in South Korea

Park, Soojin; Nam, Jin Young

doi:10.3390/healthcare10040742

Cited by 7 publications

(5 citation statements)

References 32 publications

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“…23 This might be due to multiple medical conditions elderly people face such as chronic disease and different musculoskeletal diseases. 25,26 The results of the study also showed that male patients had a significantly higher requirement for palliative care compared to female patients, which was five times that of their counterpart (AOR=5.31, 95% CI=1.68-11.79). This result is quite different from the study done at Tikur Anbessa (Black Lion) Hospital with the finding that none of socio-demographic characteristics were determinant factors of pain.…”

Section: Discussionmentioning

confidence: 83%

The Prevalence of Cancer Patients Requiring Palliative Care and Its Associated Factors at St. Paul Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study

Amare,

Gintamo,

Tukeni

et al. 2023

RMHP

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Background Cancer has been the leading cause of death worldwide with its various enormous socio-economic impacts. Hence, early palliative care implementation is a potent addition to oncology for the treatment of physical, mental, and psychological pain in cancer patients. Therefore, this article aims to assess the prevalence of patients requiring palliative care and its associated factors among admitted cancer patients. Methods A cross-sectional study was conducted among cancer patients who were admitted to oncology wards during the data collection period at St. Paul Hospital, Ethiopia. The Palliative Care Indicators Tool in Low-Income Settings (SPICT-LIS) was used to determine the need for palliative care. The collected data was entered into EpiData version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 26 for analysis. A multivariable logistic regression was used to analyze the predictors of palliative care need. Results A total of 301 cancer patients were included in this study, with a mean age of 42 years (SD=1.38). The prevalence of palliative care needs among the patients in this study was 10.6% (n=32). The study revealed that the need for palliative care increases as the age of the patient increases and suggested that cancer patients who were above 61 years old were two times (AOR=2.39 95% CI=0.34–16.55) more likely to need palliative care than others. Male patients had a significantly higher requirement for palliative care compared to female patients (AOR=5.31, 95% CI=1.68–11.79). Conclusion The manuscript describes the palliative care needs of patients with cancer admitted to St. Paul Hospital in Ethiopia. The study revealed that the health status of a significant number of cancer patients in the hospital was deteriorating. Hence, the hospital administrators and the oncology ward staff are recommended to pay attention to the identified factors.

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Section: Discussionmentioning

confidence: 83%

The Prevalence of Cancer Patients Requiring Palliative Care and Its Associated Factors at St. Paul Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study

Amare,

Gintamo,

Tukeni

et al. 2023

RMHP

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“…Referring to existing studies, 11 , 33 , 34 we controlled for a number of variables that influence the utilization and cost of health care services for the older adults, including age, gender (male = 0, female = 1), residence (rural = 0, urban = 1), education level (primary and below = 0, middle and above = 1), marital status (other = 0, cohabited = 1), health insurance coverage (no = 0, yes = 1), comorbidity (no = 0, yes = 1), smoking status (none = 1, quit = 2, still = 3), drinking status (none = 1, quit = 2, still = 3), body mass index (BMI) (underweight = 1, normal weight = 2, overweight = 3, obesity = 4), activities of daily living (ADL) score, annual household income per capita.…”

Section: Methodsmentioning

confidence: 99%

Individual-Level Health Care Costs Attributable to Noncommunicable Diseases: A Longitudinal Study Based on the Older Adults in China

Zhao,

et al. 2023

INQUIRY

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Noncommunicable chronic diseases among the elderly population represent a significant economic burden in China. However, previous disease-related health cost studies lacked representation of older adults and comparability of the burden of multiple chronic diseases. The objective of this study was to determine the fraction of health care costs attributable to the 6 most prevalent chronic diseases and comorbidities in the sample of older adults. This study employed data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), with 3 waves in 2011, 2014, and 2018, and included 18 349 observations in total. Outpatient costs, inpatient costs, and total health care costs were included in this study. Based on a 2-part random effects model, the effect of chronic disease on health service utilization was first explored by constructing a dummy variable for whether or not to utilize health care, followed by estimation of attributable costs in the population with health care utilization. Among the older adults in the sample, hypertension, heart disease, cataracts, arthritis, stroke or Cerebrovascular disease (CVD) and chronic lung disease are the 6 most prevalent chronic conditions. The costs attributable to the 6 chronic diseases mentioned above were 36.00% of outpatient costs, 55.92% of inpatient costs, and 45.05% of total health care costs for older adults. Of these, heart disease, stroke or CVD, and chronic lung disease accounted for 22.11%, 13.24%, and 10.56% of total health care costs, respectively. Moreover, the proportion of health care costs attributable to chronic diseases was higher for older adults who were male, lived in urban areas, and had a lower level of education. The proportion of health care costs attributable to chronic diseases is substantial among older adults in China. Health care costs associated with chronic diseases can be decreased with well-targeted interventions and comprehensive access to health services.

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“…Referring to existing studies [12,19,20], we controlled for a number of variables that in uence the utilization and cost of healthcare services for the elderly in the model, including age, gender (male = 0, female = 1), residence (rural = 0, urban = 1), education level (primary and below = 0, middle and above = 1), marital status (other = 0, cohabited = 1), health insurance coverage (no = 0, yes = 1), smoking status (none = 1, quit = 2, still = 3), drinking status (none = 1, quit = 2, still = 3), body mass index (BMI) (underweight = 1, normal weight = 2, overweight = 3, obesity = 4), activities of daily living (ADL), annual household income per capita.…”

Section: Covariatesmentioning

confidence: 99%

Healthcare costs attributable to noncommunicable diseases: a longitudinal study based on the elderly population in China

Zhao

et al. 2022

Preprint

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BackgroundThe burden of disease and economic losses caused by aging populations and non-communicable chronic diseases (NCD) are significant public health concerns. Estimates of healthcare costs attributed to chronic diseases in the senior population can inform the creation of disease preventive and control policies. This study therefore utilized an econometric method to estimate the chronic disease attributable fraction (CDAF) of yearly per capita healthcare costs in older persons, which includes all potential costs.MethodsThis study employed the three waves of panel data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The data evaluate the annual per capita utilization and cost of outpatient and inpatient healthcare for the elderly. A two-part model was utilized to estimate outpatient, inpatient, and healthcare costs associated to the six selected chronic conditions.ResultsThe top six chronic diseases of the surviving elderly in China are hypertension, arthritis, heart disease, cataract, chronic lung disease, stroke or cardiovascular disease (CVD). The CDAF for outpatient costs, inpatient costs, and healthcare costs were 44.99%, 64.73%, and 55.18%, respectively. Among them, the CDAFs of hypertension in outpatient costs and total healthcare costs were 12.53% and 12.50%; the CDAF of arthritis in outpatient costs was 5.95%; the CDAFs of heart disease in outpatient costs, hospitalization costs and healthcare costs were 17.85 %, 33.84%, and 24.49% respectively; the CDAFs of cataract in outpatient costs and healthcare costs were 4.60% and 5.67%; the CDAFs of chronic lung disease in outpatient costs, inpatient costs, and healthcare costs were 7.50%, 17.03%, and 11.96%; CDAFs of stroke or CVD in outpatient cost, inpatient cost, and healthcare cost were 7.96%, 23.54%, and 16.94%. In addition, gender, place of residence, and degree of education affect the cost attribute to chronic disease in older persons.ConclusionIn the healthcare service cost of the elderly, the attributed cost of chronic diseases has significant differences, mainly reflected in the elderly's gender, living environment, and preference for outpatient or inpatient treatment. Based on this, the prevention and treatment policies formulated for specific chronic diseases can help reduce the health and economic burden of the society.

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Effects of Changes in Multiple Chronic Conditions on Medical Costs among Older Adults in South Korea

Cited by 7 publications

References 32 publications

The Prevalence of Cancer Patients Requiring Palliative Care and Its Associated Factors at St. Paul Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study

The Prevalence of Cancer Patients Requiring Palliative Care and Its Associated Factors at St. Paul Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study

Individual-Level Health Care Costs Attributable to Noncommunicable Diseases: A Longitudinal Study Based on the Older Adults in China

Healthcare costs attributable to noncommunicable diseases: a longitudinal study based on the elderly population in China

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