ArticleInternational journal for equity in health2015
Social inequalities in patient-reported outcomes among older multimorbid patients--results of the MultiCare cohort study.
Article in International journal for equity in health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Socioeconomic inequalities in patient-reported outcome measures among total hip and knee arthroplasty patients: a comprehensive analysis of instruments and domains.International journal for equity in health · 2025Article
- Association of neighborhood level socioeconomic status and patient reported clinical improvement following total shoulder arthroplasty.JSES international · 2025Article
- Social determinants of health and emergency department visits among older adults with multimorbidity: insight from 2010 to 2018 National Health Interview Survey.BMC public health · 2024Article
- Influence of social determinants of health on quality of life in patients with multimorbidity and polypharmacy.PloS one · 2024Observational
- Associations Between Social Risks and Primary Care Utilization Among Medically Complex Veterans.Journal of general internal medicine · 2023Article
- Predictors and Interrelationship of Patient-Reported Outcomes in Antiphospholipid Syndrome: A Cross-Sectional Study.ACR open rheumatology · 2023Article
- Specific Measures of Quality of Life in Patients with Multimorbidity in Primary Healthcare: A Systematic Review on Patient-Reported Outcome Measures' Adequacy of Measurement.Patient related outcome measures · 2020Review
- Multimorbidity Development in Working People.International journal of environmental research and public health · 2019Article
- Household Income Relationship With Health Services Utilization and Healthcare Expenditures in People Aged 75 Years or Older in Japan: A Population-Based Study Using Medical and Long-term Care Insurance Claims Data.Journal of epidemiology · 2019Article
- Is Transient and Persistent Poverty Harmful to Multimorbidity?: Model Testing Algorithms.International journal of environmental research and public health · 2019Article
- [Socioeconomic inequalities in health in later life].Zeitschrift fur Gerontologie und Geriatrie · 2019Review
- Distinct attentional function profiles in older adults receiving cancer chemotherapy.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2018Article
- Patient-Reported Outcomes in Functioning Following Nursing Home or Inpatient Rehabilitation.Journal of the American Medical Directors Association · 2018Article
- Burden of disease associated with lower levels of income among US adults aged 65 and older.BMJ open · 2017Article
- Medication Lists and Brown Bag Reviews: Potential Positive and Negative Impacts on Patients Beliefs about Their Medicine.BioMed research international · 2015Article
- TILE-12 index: an interpretable instrument for identifying older adults at risk for transitions in living environment within the next 12-months.Home health care services quarterlyArticle
- Health behaviour, social support, socio-economic status and the 5-year progression of multimorbidity: Results from the MultiCare Cohort Study.Journal of comorbidityArticle
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15 authors.
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Abstract
introductionIn this article three research questions are addressed: (1) Is there an association between socioeconomic status (SES) and patient-reported outcomes in a cohort of multimorbid patients? (2) Does the association vary according to SES indicator used (income, education, occupational position)? (3) Can the association between SES and patient-reported outcomes (self-rated health, health-related quality of life and functional status) be (partly) explained by burden of disease?
methodsAnalyses are based on the MultiCare Cohort Study, a German multicentre, prospective, observational cohort study of multimorbid patients from general practice. We analysed baseline data and data from the first follow-up after 15 months (N = 2,729). To assess burden of disease we used the patients' morbidity data from standardized general practitioner (GP) interviews based on a list of 46 groups of chronic conditions including the GP's severity rating of each chronic condition ranging from marginal to very severe.
resultsIn the cross-sectional analyses SES was significantly associated with the patient-reported outcomes at baseline. Associations with income were more consistent and stronger than with education and occupational position. Associations were partly explained (17% to 44%) by burden of disease. In the longitudinal analyses only income (but not education and occupational position) was significantly related to the patient-reported outcomes at follow-up. Associations between income and the outcomes were reduced by 18% to 27% after adjustment for burden of disease.
conclusionsResults indicate social inequalities in self-rated health, functional status and health related quality of life among older multimorbid patients. As associations with education and occupational position were inconsistent, these inequalities were mainly due to income. Inequalities were partly explained by burden of disease. However, even among patients with a similar disease burden, those with a low income were worse off in terms of the three patient-reported outcomes under study.
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