ArticleBMC health services research2020
Trends in the use of health services and their relationship with multimorbidity in Brazil, 1998-2013.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 34 citations in OpenAlex.
- Chronic disease comorbidity and its impact on healthcare utilization among older adults in China: a cross-sectional and longitudinal analysis.BMC geriatrics · 2026Article
- Article
- Multimorbidity and use of health services in a population diagnosed with COVID-19 in a municipality in the Southern Region of Brazil, 2020-2021: a cross-sectional study.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2024Article
- Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system.BMC public health · 2023Article
- Hospitalizations in Brazil according to National Health Survey estimates, 2013 and 2019.Revista de saude publica · 2023Article
- Multimorbidity and the use of health services in the Brazilian population: National Health Survey 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2023Article
- Multimorbidity and catastrophic health expenditure: Evidence from the China Health and Retirement Longitudinal Study.Frontiers in public health · 2022Article
- Education and income-related inequalities in multimorbidity among older Brazilian adults.PloS one · 2022Article
- Effect of multimorbidity on utilisation and out-of-pocket expenditure in Indonesia: quantile regression analysis.BMC health services research · 2021Article
- Incidence of multimorbidity and associated factors during the COVID-19 pandemic in Brazil: a cohort study.Sao Paulo medical journal = Revista paulista de medicinaArticle
- Multimorbidity matters in low and middle-income countries.Journal of multimorbidity and comorbidityReview
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2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic non-communicable diseases (NCDs) are the leading cause of multimorbidity. Access to effective and equitable health services that meet NCDs' needs is still limited in many countries. This constitutes the main barrier to coping with NCDs, especially in minimising the suffering of those who are already sick. The present study aimed to identify the relationship between multimorbidity and the use of different health services in Brazil from 1998 to 2013.
methodsThis is a panel study using data from the health supplement of the National Household Sample Survey of 1998, 2003 and 2008 and data from the National Health Survey carried out in 2013. Three health service utilization outcomes were considered: 1. search for health services in the last 15 days (excluding dental services), 2. medical consultation in the previous 12 months and 3. hospitalisations over the last 12 months. Multimorbidity was assessed by counting the number of morbidities from a list of 10 morbidities. Poisson regression models stratified by sex were used to estimate the crude and adjusted prevalence ratios and their respective 95% confidence intervals for each outcome of health service use and multimorbidity, per year.
resultsThere was an increase in the prevalence of demand for health services and medical consultations in the last 12 months between 1998 and 2013, regardless of the multimorbidity classification. The prevalence of hospitalisations has decreased over the study period and increased twofold in individuals with multimorbidity. Having multimorbidity increased the use of health services for the three outcomes under the study, being more expressive among men.
conclusionsThis study found that individuals with multimorbidity have higher levels of use of health services. Better understand the multimorbidity epidemiology and the associated impacts on the use and costs of health services can increase the quality of care provided to these patients and reduce rising health care costs.
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