Health-related quality of life and healthcare utilization in multimorbidity: results of a cross-sectional survey
We assessed the associations between multimorbidity and health-related quality of life (HRQL), and healthcare utilization, based on 16 common self-reported chronic conditions.
A cross-sectional questionnaire survey including the EQ-5D was conducted in a sample of the general population of adults (≥18 years) living in Alberta, Canada. Multiple linear and logistic regressions were used to assess the association between multiple chronic conditions and HRQL, hospitalization and emergency department (ED) use.
A total of 4,946 respondents reported their HRQL, noting problems mostly with pain or discomfort (48.0 %). All chronic conditions were associated with a clinically important reduction in HRQL, the highest burden with anxiety or depression (−0.19, 95 % CI −0.21, −0.16) and chronic pain (−0.19, 95 % CI −0.21, −0.17). Multimorbidity was associated with a clinically important reduction in the EQ-5D index score (−0.12, 95 % CI −0.14, −0.11) and twice the likelihood of being hospitalized (OR = 2.2, 95 % CI 1.7, 2.9) or having an ED visit (OR = 1.8, 95 % CI 1.4, 2.2).
Pain or discomfort is a common problem in people living with chronic conditions, and the existence of multimorbidity in these individuals is associated with a reduction in the HRQL as well as frequent hospitalization and emergency department visits.
KeywordsChronic conditions Multimorbidity Quality of life Hospitalization
- 8.The World Health Organization Quality of Life Assessment (WHOQOL). (1998). Development and general psychometric properties. Social Science & Medicine, 46(12), 1569–1585.Google Scholar
- 10.Wang, H.-M., Beyer, M., Gensichen, J., & Gerlach, F. M. (2008). Health-related quality of life among general practice patients with differing chronic diseases in Germany: Cross sectional survey. BMC Public Health, 8, 246.Google Scholar
- 17.van Nispen, R. M., de Boer, M. R., Hoeijmakers, J. G., Ringens, P. J., & van Rens, G. H. (2009). Co-morbidity and visual acuity are risk factors for health-related quality of life decline: Five-month follow-up EQ-5D data of visually impaired older patients. Health Quality of Life Outcomes, 7, 18.CrossRefGoogle Scholar
- 19.Hunger, M., Thorand, B., Schunk, M., Doring, A., Menn, P., Peters, A., et al. (2011). Multimorbidity and health-related quality of life in the older population: Results from the German KORA-Age study. Health Quality of Life Outcomes, 18, 9–53.Google Scholar
- 20.HQCA. (2010). Satisfaction and experience with health care services: A survey of Albertans (Technical Report 2010). Calgary: Health Quality Council of Alberta.Google Scholar