Abstract:
BACKGROUND:Multimorbidity is a growing concern for healthcare systems, with many countries experiencing demographic transition to older population profiles. A simple multisource comorbidity score (MCS) has been recently developed and validated. A very large real-world investigation was conducted with the aim of measuring inequalities in the MCS distribution across Italy. METHODS:Beneficiaries of the Italian National Health Service aged 50-85 years who in 2018 were resident in one of the 10 participant regions formed the study population (15.7 million of the 24.9 million overall resident in Italy). MCS was assigned to each beneficiary by categorizing the individual sum of the comorbid values (i.e. the weights corresponding to the comorbid conditions of which the individual suffered) into one of the six categories denoting a progressive worsening comorbidity status. MCS distributions in women and men across geographic partitions were compared. RESULTS:Compared with beneficiaries from northern Italy, those from centre and south showed worse comorbidity profile for both women and men. MCS median age (i.e. the age above which half of the beneficiaries suffered at least one comorbidity) ranged from 60 (centre and south) to 68 years (north) in women and from 63 (centre and south) to 68 years (north) in men. The percentage of comorbid population was lower than 50% for northern population, whereas it was around 60% for central and southern ones. CONCLUSION:MCS allowed of capturing geographic variability of multimorbidity prevalence, thus showing up its value for addressing health policy in order to guide national health planning.
journal_name
Eur J Public Healthjournal_title
European journal of public healthauthors
Corrao G,Rea F,Carle F,Di Martino M,De Palma R,Francesconi P,Lepore V,Merlino L,Scondotto S,Garau D,Spazzafumo L,Montagano G,Clagnan E,Martini N,working group “Monitoring and assessing care pathways (MAP)” of the Italian Minidoi
10.1093/eurpub/ckaa063subject
Has Abstractpub_date
2020-10-01 00:00:00pages
916-921issue
5eissn
1101-1262issn
1464-360Xpii
5841175journal_volume
30pub_type
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