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Comorbidity and healthcare use for individuals with CVD in the Ireland: a cross-sectional, population-based study

Karyn Morrissey1

  • 1European Centre for Environment and Human Health, University of Exeter Medical School, Exeter, Devon, UK.

BMJ Open
|January 17, 2019
PubMed

Insights

Comorbidity significantly increases healthcare utilization for individuals with cardiovascular disease (CVD). Even after accounting for socioeconomic factors, those with additional conditions access services more frequently.

Area of Science:

  • Public Health
  • Health Services Research
  • Epidemiology

Background:

  • Cardiovascular disease (CVD) is a leading cause of morbidity and mortality globally.
  • Comorbidity, the presence of one or more additional conditions alongside a primary diagnosis, is common in patients with CVD.
  • Understanding factors influencing healthcare service use in this population is crucial for resource allocation and patient management.

Purpose of the Study:

  • To investigate the association between comorbidity and health service utilization among individuals with cardiovascular disease (CVD) in Ireland.
  • To determine if CVD-related and non-CVD-related comorbidities differentially impact healthcare access.

Main Methods:

  • Analysis of a nationally representative cross-sectional survey (2010 Quarterly National Household Survey).
  • Inclusion of 791 individuals with doctor-diagnosed CVD.
  • Examination of four outcome variables related to CVD and comorbidity status.

Main Results:

  • 77% of individuals with CVD reported at least one additional morbidity.
  • Comorbidity, both CVD-related and non-CVD-related, substantially increased the use of general practitioner services and inpatient public hospital care.
  • These associations remained significant after controlling for demographic and socioeconomic factors.

Conclusions:

  • Comorbidity is a significant driver of increased health service utilization for individuals with CVD in Ireland.
  • Healthcare providers and policymakers should consider the impact of comorbidity when planning services for CVD patients.
  • Further research into specific comorbidity patterns and their impact on different types of healthcare services is warranted.
Abstract

Keywords:
health service utilisationnon communicable diseasespublic health

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