Sanghamitra Pati|Sutapa Agrawal|Subhashisa Swain|John Tayu Lee|Sukumar Vellakkal|Akhtar Hussain|Christopher Millett
Non communicable disease multimorbidity and associated health care utilization and expenditures in India: cross-sectional study
Public Health Foundation of India|Institute of Public Health|Public Health Foundation of India|Public Health Foundation of India|Institute of Public Health|Imperial College London|Public Health Foundation of India|University of Queensland|Imperial College London
non communicable disease ncd multimorbidity increasingly becoming common high income settings little known epidemiology associated impacts citizens health systems low middleincome countries lmics aim examine sociodemographic distribution ncd multimorbidity 2 diseases implications health care utilization outofpocket expenditure oope indiawe analyzed crosssectional nationally representative data world health organisaion study global ageing adult health whosage conducted india 2007 multiple logistic regression used determine sociodemographic predictors selfreported multimorbidity two part model used assess relationship number ncds health care utilization including oope285 sample population least one ncd 89 ncd multimorbidity prevalence multimorbidity increased 13 1829 year olds 306 aged 70 years mean outpatient visits preceding 12 months increased 22 62 percentage reporting overnight hospital stay past 3 years increased 9 29 ncd 2 ncds respectively p 0001oope incurred last outpatient visit increased inr 2721 95 ci 24902952 respondents ncds inr 4541 95 ci 40785004 respondents 2 ncds however find increase oope last inpatient visit number ncds 78659 inr zero ncds compared 73013 2 ncds outpatient inpatient oope medicine constitutes largest proportion spending 707 outpatient 536 inpatient visit followed spending health care provider 140 outpatient 122 inpatient visitncd multimorbidity common indian adult population associated substantially higher healthcare utilization oope strategies address growing burden ncds lmics include efforts improve management patients multimorbidity reduce associated financial burden individuals households