Journal article

Impact of Noncommunicable Disease Multimorbidity on Healthcare Utilisation and Out-Of-Pocket Expenditures in Middle-Income Countries: Cross Sectional Analysis

John Tayu Lee, Fozia Hamid, Sanghamitra Pati, Rifat Atun, Christopher Millett

PLoS One | PUBLIC LIBRARY SCIENCE | Published : 2015


BACKGROUND: The burden of non-communicable disease (NCDs) has grown rapidly in low- and middle-income countries (LMICs), where populations are ageing, with rising prevalence of multimorbidity (more than two co-existing chronic conditions) that will significantly increase pressure on already stretched health systems. We assess the impact of NCD multimorbidity on healthcare utilisation and out-of-pocket expenditures in six middle-income countries: China, Ghana, India, Mexico, Russia and South Africa. METHODS: Secondary analyses of cross-sectional data from adult participants (>18 years) in the WHO Study on Global Ageing and Adult Health (SAGE) 2007-2010. We used multiple logistic regression to..

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Awarded by Wellcome Trust

Awarded by National Institute for Health Research

Funding Acknowledgements

CM is funded by the Higher Education Funding Council for England and the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care scheme. The South Asia Network for Chronic Disease (CM) is supported by a Wellcome Trust strategic award 084674/Z/08/Z. Funding sources had no role in the design of the study, analysis, interpretation of the results or writing of the manuscript.