Multimorbity in brazilian elderly and the relationship with the use of health services

Authors : Danielle BORDİN, Juliana MICHALSKI, Juliana LİGESKİ IUNG BARBOSA, Rodrigo BORDİN, Maria De Lourdes BERNARTT, Melina LOPES LİMA

Pages : 102-113

Doi:10.25279/sak.1088575

View : 36 | Download : 57

Publication Date : 2023-04-01

Article Type : Research Paper

Abstract :The presence of multimorbidity is considered a public health problem, responsible for a great pressure on health services. The present study aimed to assess the prevalence of multimorbidity and its association to the use of health services by Brazilian elderly people. Method: A cross-sectional, quantitative study with population-based survey data insert ignore into journalissuearticles values(PNS-2013);. The sample consisted of 11,177 Brazilians aged 60 years or older. Multimorbidity was considered as a dependent variable and the use of health services as independent. The results were analyzed by the chi-square test. The sample consisted mostly of individuals aged among 60 and 69 years insert ignore into journalissuearticles values(55.8%);, men insert ignore into journalissuearticles values(59.2%);, white insert ignore into journalissuearticles values(47.5%);, married insert ignore into journalissuearticles values(43.0%);, who studied up to primary education insert ignore into journalissuearticles values(37.6%); and with an income of less than 1 minimum wage insert ignore into journalissuearticles values(45.5%);. The prevalence of multimorbidity was 46.9%. Elderly people with multimorbidity used health services significantly more, having attended 4 or more medical appointments insert ignore into journalissuearticles values(p<0.001);, required hospitalization insert ignore into journalissuearticles values(p<0.001); and needed emergency care at home insert ignore into journalissuearticles values(p<0.001);. Brazilian elderly people have a high prevalence of multimorbidity and this condition significantly affects the demand for health services, whether primary and secondary, such as medical consultations and emergency and tertiary care, such as hospitalization.
Keywords : Saúde do Idoso, Indicadores de Serviços, Serviços de Saúde, Necessidades e Demandas de Serviços de Saúde