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.
关键词
老年群体/慢性病管理/共病模式/医疗负担/影响因素
Key words
Older adults/Chronic disease management/Multimorbidity patterns/Health care burden/Influencing factors
维普
万方数据