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Temporal trends and correlates in multiple hospitalizations among older adults: findings from a nationally
Ziyin Zhao1, Huining Li1, Xing Xing1
1School of Public Health, Peking University, Beijing 100191, China.
Insights
Multiple hospitalizations among older adults in China are increasing. Factors like age, male sex, low education, and multimorbidity are linked to higher hospitalization rates, straining healthcare resources.
Area of Science:
- Gerontology
- Public Health
- Health Services Research
Background:
- Multiple hospitalizations pose a significant challenge to healthcare systems globally.
- Understanding trends and risk factors for multiple hospitalizations in older adults is crucial for effective healthcare planning.
Purpose of the Study:
- To investigate the trends in multiple hospitalizations among Chinese older adults (≥60 years) from 2011 to 2018.
- To identify demographic, socioeconomic, and health-related correlates associated with multiple hospitalizations in this population.
Main Methods:
- Utilized data from the China Health and Retirement Longitudinal Study (CHARLS).
- Employed a generalized ordered logit model (GOLM) for statistical analysis.
- Analyzed data for individuals aged 60 years and older.
Main Results:
- A significant increasing trend in multiple hospitalizations was observed between 2011 and 2018 (p=0.014).
- Correlates of increased odds for multiple hospitalizations included older age, male sex, illiteracy, residing in middle/western regions, higher household expenditure, health insurance, multimorbidity, and depression.
Conclusions:
- Older adults experiencing multiple hospitalizations represent a growing burden on the Chinese healthcare system.
- Enhancing health insurance coverage and strengthening primary healthcare services are recommended to mitigate avoidable hospitalizations.
Objective:
This study aims to examine the trends and correlates in multiple hospitalizations among older adults in China.
Methods:
The data were from the China Health and Retirement Longitudinal Study (CHARLS), and generalized ordered logit model (GOLM) was used to identify the correlates of multiple hospitalizations among older adults aged≥60 years old.
Results:
Between 2011 and 2018, the proportion of older adults having multiple hospitalizations in the past year showed an increasing trend in the total sample (p value for trend = 0.014). Being older, male, illiterate, living in the middle/western region, having higher annual per capita household expenditure, health insurance, multimorbidity, and being depressed were associated with increased odds of multiple hospitalizations.
Conclusions:
Our findings indicated that older adults with multiple hospitalizations may expect an increasing burden on healthcare system. More efforts are needed to improve health insurance and primary healthcare to reduce avoidable hospitalizations.
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