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Table 4 Number of service users, annual number of contacts and costs per person for all individuals among everyone in the sample and by multimorbidity group

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

         

  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

         

  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

         

  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

         

 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

         

  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)

  1. All differences in service use between groups were statistically significant, apart from contacts to private health worker, dentist, and respite care
  2. All differences in costs between groups were statistically significant, apart from costs of private doctor, private health worker, dentist, traditional healer, A&E, and respite care
  3. ADL Activities of Daily Living, IADL Instrumental Activities of Daily Living