Effect of multimorbidity on health service utilisation and health care experiences

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dc.contributor.authorMillar, Elinoren_NZ
dc.contributor.authorStanley, Jamesen_NZ
dc.contributor.authorGurney, Jasonen_NZ
dc.contributor.authorStairmand, Jeannineen_NZ
dc.contributor.authorDavies, Cherylen_NZ
dc.contributor.authorSemper, Kellyen_NZ
dc.contributor.authorDowell, Anthonyen_NZ
dc.contributor.authorLawrenson, Rossen_NZ
dc.contributor.authorMangin, Deeen_NZ
dc.contributor.authorSarfati, Dianaen_NZ
dc.date.accessioned2018-05-31T04:30:22Z
dc.date.available2018-03-01en_NZ
dc.date.available2018-05-31T04:30:22Z
dc.date.issued2018en_NZ
dc.description.abstractIntroduction: Multimorbidity, the co-existence of two or more long-term conditions, is associated with poor quality of life, high health care costs and contributes to ethnic health inequality in New Zealand (NZ). Health care delivery remains largely focused on management of single diseases, creating major challenges for patients and clinicians. Aim: To understand the experiences of people with multimorbidity in the NZ health care system. Methods: A questionnaire was sent to 758 people with multimorbidity from two primary health care organisations (PHOs). Outcomes were compared to general population estimates from the NZ Health Survey. RESULTS Participants (n = 234, 31% response rate) reported that their general practitioners (GPs) respected their opinions, involved them in decision-making and knew their medical history well. The main barriers to effective care were short GP appointments, availability and affordability of primary and secondary health care, and poor communication between clinicians. Access issues were higher than for the general population. DISCUSSION Participants generally had very positive opinions of primary care and their GP, but encountered structural issues with the health system that created barriers to effective care. These results support the value of ongoing changes to primary care models, with a focus on patient-centred care to address access and care coordination.en_NZ
dc.format.mimetypeapplication/pdf
dc.identifier.citationMillar, E., Stanley, J., Gurney, J., Stairmand, J., Davies, C., Semper, K., … Sarfati, D. (2018). Effect of multimorbidity on health service utilisation and health care experiences. Journal of Primary Health Care, 10(1), 44–53. https://doi.org/10.1071/HC17074en
dc.identifier.doi10.1071/HC17074en_NZ
dc.identifier.eissn1172-6156en_NZ
dc.identifier.issn1172-6164en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/11873
dc.language.isoen
dc.relation.isPartOfJournal of Primary Health Careen_NZ
dc.relation.urihttp://www.publish.csiro.au/HC/HC17074en_NZ
dc.rightsThis is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
dc.subjectMultimorbidity
dc.subjectcomorbidity
dc.subjecthealth care utilisaiton
dc.subjectlong term conditions
dc.subjectprimary care
dc.subjectsecondary care
dc.subjectcare coordination
dc.subjecthealth care access
dc.titleEffect of multimorbidity on health service utilisation and health care experiencesen_NZ
dc.typeJournal Article
pubs.begin-page44
pubs.elements-id221490
pubs.end-page53
pubs.issue1en_NZ
pubs.organisational-group/Waikato
pubs.organisational-group/Waikato/2018 PBRF
pubs.organisational-group/Waikato/VICH
pubs.organisational-group/Waikato/VICH/2018 PBRF_VICH
pubs.publication-statusPublisheden_NZ
pubs.publisher-urlhttp://www.publish.csiro.au/HC/HC17074en_NZ
pubs.user.infoLawrenson, Ross (rlawrens@waikato.ac.nz)
pubs.volume10en_NZ
uow.verification.statusunverified
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