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Factors Affecting Health-Related Quality of Life in Multimorbidity

We investigated the effect of predisposing, enabling, need factors, and health behaviors on health-related quality of life (HRQoL) of patients with multimorbidity according to Andersen’s model. This study is a secondary analysis of population-based cross-sectional surveys. Data from 328 patients wit...

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Autores principales: Lee, Eunmi, Cha, Sunkyung, Kim, Geun Myun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001381/
https://www.ncbi.nlm.nih.gov/pubmed/33809631
http://dx.doi.org/10.3390/healthcare9030334
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author Lee, Eunmi
Cha, Sunkyung
Kim, Geun Myun
author_facet Lee, Eunmi
Cha, Sunkyung
Kim, Geun Myun
author_sort Lee, Eunmi
collection PubMed
description We investigated the effect of predisposing, enabling, need factors, and health behaviors on health-related quality of life (HRQoL) of patients with multimorbidity according to Andersen’s model. This study is a secondary analysis of population-based cross-sectional surveys. Data from 328 patients with multimorbidity (≥3 co-occurring chronic diseases) from the 6th/7th Korea National Health and Nutrition Examination Surveys were analyzed using logistic regression. Patients ≥65 years, without private insurance, with poor subjective health, unmet medical needs, and/or limited activity were more likely to experience mobility problems. Self-care problems were more likely among those without private insurance and/or with limited activity. Patients lacking living security, with poor subjective health, limited activity, and/or who smoked were more likely to experience problems performing usual activities. Pain/discomfort was more likely among females, Medicaid beneficiaries, and patients with limited activity and/or with poor subjective health. Patients with poor subjective health, limited activity, and/or unmet medical needs were more likely to experience anxiety/depression. The investigation of HRQoL in multimorbidity should consider predisposing, enabling, need factors, and health behaviors. Interventions addressing movement restrictions and personalized care based on HRQoL domains should be prioritized.
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spelling pubmed-80013812021-03-28 Factors Affecting Health-Related Quality of Life in Multimorbidity Lee, Eunmi Cha, Sunkyung Kim, Geun Myun Healthcare (Basel) Article We investigated the effect of predisposing, enabling, need factors, and health behaviors on health-related quality of life (HRQoL) of patients with multimorbidity according to Andersen’s model. This study is a secondary analysis of population-based cross-sectional surveys. Data from 328 patients with multimorbidity (≥3 co-occurring chronic diseases) from the 6th/7th Korea National Health and Nutrition Examination Surveys were analyzed using logistic regression. Patients ≥65 years, without private insurance, with poor subjective health, unmet medical needs, and/or limited activity were more likely to experience mobility problems. Self-care problems were more likely among those without private insurance and/or with limited activity. Patients lacking living security, with poor subjective health, limited activity, and/or who smoked were more likely to experience problems performing usual activities. Pain/discomfort was more likely among females, Medicaid beneficiaries, and patients with limited activity and/or with poor subjective health. Patients with poor subjective health, limited activity, and/or unmet medical needs were more likely to experience anxiety/depression. The investigation of HRQoL in multimorbidity should consider predisposing, enabling, need factors, and health behaviors. Interventions addressing movement restrictions and personalized care based on HRQoL domains should be prioritized. MDPI 2021-03-16 /pmc/articles/PMC8001381/ /pubmed/33809631 http://dx.doi.org/10.3390/healthcare9030334 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Lee, Eunmi
Cha, Sunkyung
Kim, Geun Myun
Factors Affecting Health-Related Quality of Life in Multimorbidity
title Factors Affecting Health-Related Quality of Life in Multimorbidity
title_full Factors Affecting Health-Related Quality of Life in Multimorbidity
title_fullStr Factors Affecting Health-Related Quality of Life in Multimorbidity
title_full_unstemmed Factors Affecting Health-Related Quality of Life in Multimorbidity
title_short Factors Affecting Health-Related Quality of Life in Multimorbidity
title_sort factors affecting health-related quality of life in multimorbidity
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001381/
https://www.ncbi.nlm.nih.gov/pubmed/33809631
http://dx.doi.org/10.3390/healthcare9030334
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