Auswirkungen von Multimorbidität auf die Inanspruchnahme medizinischer Versorgungsleistungen und die Versorgungskosten
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Auswirkungen von Multimorbidität auf die Inanspruchnahme medizinischer Versorgungsleistungen und die Versorgungskosten. / Lehnert, Thomas; König, Hans-Helmut.
in: BUNDESGESUNDHEITSBLA, Jahrgang 55, Nr. 5, 5, 05.2012, S. 685-692.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Auswirkungen von Multimorbidität auf die Inanspruchnahme medizinischer Versorgungsleistungen und die Versorgungskosten
AU - Lehnert, Thomas
AU - König, Hans-Helmut
PY - 2012/5
Y1 - 2012/5
N2 - Multiple chronic conditions (multimorbidity) are common among elderly patients; however, little is known about the specific effects of multimorbidity on health care utilization and health care costs. This article reviews empirical studies from the international literature that investigated the relationship between multiple chronic conditions and health care utilization (e.g. ambulatory care, stationary care, pharmacotherapy) and/or health care costs in elderly general populations. Although synthesis of studies was complicated, especially because of ambiguous definitions and measurements of multimorbidity, almost all studies observed a positive association of multimorbidity and utilization and costs. Many studies found that utilization and costs significantly increased with each additional chronic condition. In light of these findings coupled with the fear that current care arrangements may be inappropriate for many multimorbid patients, important implications for research and policy are presented and discussed.
AB - Multiple chronic conditions (multimorbidity) are common among elderly patients; however, little is known about the specific effects of multimorbidity on health care utilization and health care costs. This article reviews empirical studies from the international literature that investigated the relationship between multiple chronic conditions and health care utilization (e.g. ambulatory care, stationary care, pharmacotherapy) and/or health care costs in elderly general populations. Although synthesis of studies was complicated, especially because of ambiguous definitions and measurements of multimorbidity, almost all studies observed a positive association of multimorbidity and utilization and costs. Many studies found that utilization and costs significantly increased with each additional chronic condition. In light of these findings coupled with the fear that current care arrangements may be inappropriate for many multimorbid patients, important implications for research and policy are presented and discussed.
KW - Comorbidity
KW - Germany
KW - Humans
KW - Health Care Costs/statistics & numerical data
KW - National Health Programs/economics
KW - Chronic Disease/economics/epidemiology
KW - Delivery of Health Care/economics
KW - Health Care Rationing/economics
KW - Utilization Review
KW - Comorbidity
KW - Germany
KW - Humans
KW - Health Care Costs/statistics & numerical data
KW - National Health Programs/economics
KW - Chronic Disease/economics/epidemiology
KW - Delivery of Health Care/economics
KW - Health Care Rationing/economics
KW - Utilization Review
U2 - 10.1007/s00103-012-1475-6
DO - 10.1007/s00103-012-1475-6
M3 - SCORING: Zeitschriftenaufsatz
C2 - 22526857
VL - 55
SP - 685
EP - 692
JO - BUNDESGESUNDHEITSBLA
JF - BUNDESGESUNDHEITSBLA
SN - 1436-9990
IS - 5
M1 - 5
ER -
