Effect of multimorbidity on health service utilisation and health care experiences.
INTRODUCTION: Multimorbidity, the co-existence of two or more long-term conditions, is associated with poor quality of life, high health care costs and contributes to ethnic health inequality in New Zealand (NZ). Health care delivery remains largely focused on management of single diseases, creating...
| Publicado en: | Journal of Primary Health Care Vol. 10; no. 1; pp. 44 - 54 |
|---|---|
| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
CSIRO Publishing
Mar2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128773407&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128773407 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11726164 92I9 jtl: Journal of Primary Health Care issn: 11726164 maglogo: N pubinfo: dt: Mar2018 vid: 10 iid: 1 pid: 1568 pub: CSIRO Publishing place: Canberra ACT, <Blank> artinfo: ui: 128773407 128773407 128773407 10.1071/HC17074 128773407 ppf: 44 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effect of multimorbidity on health service utilisation and health care experiences. aug: au: Millar, Elinor Stanley, James Gurney, Jason Stairmand, Jeannine Davies, Cheryl Semper, Kelly Dowell, Anthony Lawrenson, Ross Mangin, Dee Sarfati, Diana affil: Cancer and Chronic Conditions (C3) Research Group, University of Otago, Wellington, New Zealand sug: subj: Health Resource Utilization Health Care Delivery Evaluation Morbidity Adverse Effects Quality of Life Evaluation Health Care Costs Ethnic Groups Healthcare Disparities New Zealand Geographic Locations Questionnaires Physicians, Family Health Services Accessibility Comorbidity Long Term Care Data Analysis Software ab: INTRODUCTION: Multimorbidity, the co-existence of two or more long-term conditions, is associated with poor quality of life, high health care costs and contributes to ethnic health inequality in New Zealand (NZ). Health care delivery remains largely focused on management of single diseases, creating major challenges for patients and clinicians. AIM: To understand the experiences of people with multimorbidity in the NZ health care system. METHODS: A questionnaire was sent to 758 people with multimorbidity from two primary health care organisations (PHOs). Outcomes were compared to general population estimates from the NZ Health Survey. RESULTS: Participants (n = 234, 31% response rate) reported that their general practitioners (GPs) respected their opinions, involved them in decision-making and knew their medical history well. The main barriers to effective care were short GP appointments, availability and affordability of primary and secondary health care, and poor communication between clinicians. Access issues were higher than for the general population. DISCUSSION: Participants generally had very positive opinions of primary care and their GP, but encountered structural issues with the health system that created barriers to effective care. These results support the value of ongoing changes to primary care models, with a focus on patient-centred care to address access and care coordination. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|