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 © 2017 American College of Occupational and Environmental Medicine
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)¼ 1.7, 95% confidence interval (95% CI) ¼ 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 ¼ 1.6, 95% CI ¼ 1.1 to 2.5, P < 0.05) and 2.5 times (95% CI ¼ 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 Type:||Refereed Article|
|Keywords:||multimorbidity, health service use|
|Research Division:||Health Sciences|
|Research Group:||Public health|
|Research Field:||Health promotion|
|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)|
|Web of Science® Times Cited:||2|
|Downloads:||6 View Download Statistics|
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