From: Economic burden of multimorbidity among older adults: impact on healthcare and societal costs
 | Service users | Total study sample | 2 or more chronic conditions | 1 chronic condition | No chronic conditions | ||||
---|---|---|---|---|---|---|---|---|---|
Healthcare services | n (%) | Contacts | Costs | Contacts | Costs | Contacts | Costs | Contacts | Costs |
Direct Medical Care | Â | Â | Â | Â | Â | Â | Â | Â | Â |
  Primary care (polyclinic doctor) | 1,082 (42 %) | 2.4 (0.2) | S$231 (19) | 3.0 (0.2) | S$303 (29) | 2.3 (0.5) | S$202 (42) | 1.1 (0.5) | S$81 (12) |
  Restructured hospital doctor | 749 (29 %) | 2.3 (0.2) | S$692 (55) | 3.2 (0.3) | S$1019 (96) | 1.3 (0.2) | S$357 (57) | 1.6 (0.6) | S$329 (86) |
  Other restructured hospital health worker | 121 (40 %) | 0.5 (0.5) | S$31 (7) | 0.7 (0.2) | S$47 (13) | 0.3 (0.1) | S$19 (7) | 0.1 (0.1) | S$5 (3) |
  Private hospital/clinic doctor | 655 (27 %) | 1.7 (0.1) | S$208 (66) | 1.9 (0.1) | S$254 (108) | 1.8 (0.2) | S$224 (121) | 1.1 (0.2) | S$63 (13) |
  Other private health worker | 29 (2 %) | 0.3 (0) | S$72 (38) | 0.5 (0.2) | S$60 (26) | 0.2 (0.1) | S$123 (121) | 0.2 (0.1) | S$29 (18) |
  Dentist | 215 (12 %) | 0.7 (0.1) | S$369 (151) | 0.8 (0.1) | S$146 (36) | 0.7 (0.1) | S$940 (511) | 0.5 (0.1) | S$101 (45) |
  Traditional healer | 144 (10 %) | 1.8 (0.3) | S$59 (12) | 2.4 (0.5) | S$75 (21) | 1.3 (0.3) | S$49 (15) | 0.8 (0.2) | S$33 (11) |
  Hospital days | 156 (4 %) | 1.6 (0.3) | S$1,692 (339) | 2.7 (0.6) | S$2,920 (638) | 0.5 (0.2) | S$587 (263) | 0.1 (0) | S$93 (46) |
  A&E | 135 (4 %) | n/a | S$128 (40) | n/a | S$153 (46) | n/a | S$152 (109) | n/a | S$23 (13) |
  Medication | 2,109 (81 %) | n/a | S$478 (47) | n/a | S$675 (89) | n/a | S$345 (34) | n/a | S$153 (19) |
Intermediate and Long-Term Care | Â | Â | Â | Â | Â | Â | Â | Â | Â |
  Day care centre | 19 (1 %) | 1.1 (0.4) | S$49 (16) | 1.7 (0.6) | S$75 (29) | 0.9 (0.6) | S$34 (22) | 0 | 0 |
  Respite care, Nursing home | 24 (1 %) | 1.8 (0.5) | S$381 (107) | 2.2 (0.8) | S$484 (169) | 1.4 (0.9) | S$298 (188) | 1.1 (0.7) | S$231 (155) |
Indirect Medical Care | Â | Â | Â | Â | Â | Â | Â | Â | Â |
  Travelling | 104 (0 %) | n/a | S$94 (10) | n/a | S$131 (18) | n/a | S$66 (13) | n/a | S$36 (9) |
  Accompanying | 104 (0 %) | n/a | S$240 (20) | n/a | S$325 (36) | n/a | S$181 (24) | n/a | S$102 (15) |
Social Care | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 ADL (hours) Informal Care |  |  |  |  |  |  |  |  |  |
  Dressing | 166 (3 %) | 13.7 (1.9) | S$248 (34) | 22.1 (3.5) | S$398 (63) | 4.1 (1.2) | S$83 (26) | 5.8 (2.6) | S$101 (44) |
  Feeding | 248 (5 %) | 24.7 (2.8) | S$451 (50) | 38.3 (5.1) | S$692 (90) | 10.1 (2.3) | S$190 (45) | 10.8 (3.6) | S$203 (69) |
  Grooming | 130 (2 %) | 11.7 (2.1) | S$207 (37) | 20.6 (4.1) | S$360 (70) | 2.2 (0.9) | S$43 (18) | 2.5 (1.1) | S$47 (20) |
  Toileting | 151 (3 %) | 15.2 (2.5) | S$275 (44) | 25.4 (4.7) | S$462 (83) | 3.9 (1.3) | S$75 (26) | 4.9 (2.3) | S$82 (39) |
  Bathing | 167 (3 %) | 16 (2.4) | S$298 (48) | 23.7 (4.4) | S$441 (87) | 9 (2.5) | S$165 (45) | 6.1 (2.9) | S$114 (58) |
 IADL (hours) Informal Care |  |  |  |  |  |  |  |  |  |
  Communication | 292 (6 %) | 60.2 (9.1) | S$1111 (164) | 94.1 (17) | S$1,744 (308) | 28.5 (7.5) | S$505 (128) | 18.1 (5) | S$340 (93) |
  Transportation | 94 (2 %) | 14.8 (2.7) | S$271 (49) | 25.6 (5.2) | S$467 (92) | 4.7 (1.6) | S$88 (29) | 1.2 (0.7) | S$23 (13) |
  Supervision | 151 (3 %) | 57.1 (14.9) | S$1076 (282) | 98.6 (28.5) | S$1,856 (540) | 14.6 (6.3) | S$266 (112) | 10.5 (6.3) | S$222 (141) |
Paid Care | Â | Â | Â | Â | Â | Â | Â | Â | Â |
  Paid care (during day time) | 309 (0 %) | 21.2 (1.7) | S$852 (69) | 32.6 (3.1) | S$1,312 (125) | 11.3 (2.3) | S$455 (94) | 5.6 (1.7) | S$227 (67) |
  Paid care (during night time) | 189 (0 %) | 11.5 (1.3) | S$464 (53) | 18.6 (2.5) | S$747 (99) | 4 (1.1) | S$162 (46) | 4.2 (1.2) | S$168 (49) |