Prevalence of Chronic Diseases and Patterns of Multimorbidity Among Older Adults in Zhejiang, China: A Cross-Sectional Analysis Utilizing Electronic Health Records.

IF 2 3区社会学 Q2 GERONTOLOGY

Journal of Aging & Social Policy Pub Date : 2025-03-24 DOI:10.1080/08959420.2025.2475267

Yanrong Zhao, Tianxiang Lin, Xuewen Jiang, Qing Yang, Wei Wang, Le Xu, Xinyi Wang, Yinwei Qiu

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Abstract

China has implemented national essential public health services (NEPHS) to strengthen its primary health care system. These services are continuously adjusted in accordance with factors such as public health service requirements. Previous research has indicated significant variability in the prevalence and patterns of multimorbidity. This study utilizes the Electronic Health Records in 2021 (N = 4,045,684) to describe the prevalence of major chronic diseases and explore common patterns of multimorbidity among older adults in Zhejiang, China. Results show that the prevalence of multimorbidity was 36.04%, with the most common pattern of multimorbidity being hypertension and dyslipidemia (12.66%), followed by hypertension and diabetes (5.46%), and hypertension, dyslipidemia, and diabetes (3.95%). The NEPHS should consider embracing the strategic management framework of the Guided Care Model, shifting the focus from a purely disease-oriented to a more holistic patient-oriented model.

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中国浙江省老年人慢性病患病率和多病模式：利用电子健康记录的横断面分析

中国实施国家基本公共卫生服务，加强初级卫生保健体系建设。这些服务将根据公共卫生服务需求等因素不断调整。以前的研究表明，在患病率和模式的多病显著差异。本研究利用2021年的电子健康记录（N = 4,045,684）来描述主要慢性疾病的流行情况，并探索中国浙江省老年人多重发病的常见模式。结果：多病患病率为36.04%，其中以高血压合并血脂异常最为常见（12.66%），其次为高血压合并糖尿病（5.46%），高血压合并血脂异常合并糖尿病（3.95%）。NEPHS应考虑采用指导性护理模式的战略管理框架，将重点从纯粹的疾病导向转向更全面的以患者为导向的模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging & Social Policy GERONTOLOGY-

CiteScore

13.00

自引率

3.90%

发文量

期刊介绍： The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.