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Multimorbidity and Health Care Service Utilization in the Australian Workforce


Wang, L and Palmer, AJ and Otahal, P and Cocker, F and Sanderson, K, Multimorbidity and Health Care Service Utilization in the Australian Workforce, Journal of Occupational and Environmental Medicine, 59, (8) pp. 795-802. ISSN 1076-2752 (2017) [Refereed Article]

Copyright Statement

Copyright 2017 American College of Occupational and Environmental Medicine

DOI: doi:10.1097/JOM.0000000000001089


Objectives: The aim of this study was to understand the patterns of health care service utilization in employees with multimorbidity.

Methods: Data were obtained from the 2011 to 2012 cross-sectional Australian National Health Survey. Past-month health care service utilization was collected for each chronic condition from a pre-specified list. Descriptive, logistic, and Poisson regression analyses were used. The data were weighted to produce nationally representative estimates.

Results: Multimorbid employees with arthritis had higher adjusted arthritis-specific general practitioner (GP) visit rates [rate ratio (RR) 1.7, 95% confidence interval (95% CI) 1.1 to 2.2, P < 0.001] than employees with arthritis alone. Similarly, multimorbid employees with cardiovascular disease (CVD) had higher adjusted CVDspecific specialist visit rates (RR 1.6, 95% CI 1.1 to 2.5, P < 0.05) and 2.5 times (95% CI 1.5 to 4.0, P < 0.001) more CVD-specific other health professional visits than employees with CVD alone.

Conclusions: Given the increasing number of employees managing work and chronic illnesses, these findings have implications for health services and employers.

Item Details

Item Type:Refereed Article
Keywords:multimorbidity, health service use
Research Division:Health Sciences
Research Group:Public health
Research Field:Health promotion
Objective Division:Health
Objective Group:Specific population health (excl. Indigenous health)
Objective Field:Occupational health
UTAS Author:Wang, L (Ms Lilli Wang)
UTAS Author:Palmer, AJ (Professor Andrew Palmer)
UTAS Author:Otahal, P (Mr Petr Otahal)
UTAS Author:Cocker, F (Dr Fiona Cocker)
UTAS Author:Sanderson, K (Associate Professor Kristy Sanderson)
ID Code:119886
Year Published:2017
Web of Science® Times Cited:3
Deposited By:Medicine
Deposited On:2017-08-07
Last Modified:2018-09-11
Downloads:6 View Download Statistics

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