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NTU 620 HEPI Lab
Home
Team Members
Research Grant
Publications
Research Projects
AI and Machine learning
Physical-mental multimorbidity
Economics of Multimorbidity
Chronic condition in Singapore
Cost effectiveness analysis of intervention
Pay-for-performance
NHS Health checks
Health Workforce Planning Model
Quality of care in India
Other Research Projects
Minority health
Reproductive, Maternal, and Child health
Physical Activitiyes
Out-of-pocket expenditure for medicine
Disability and Multimorbidity
Innovative Health Financing
Health system performance evaluation
Multimorbidity and comorbidity
Indonesia Health system reform and JKN
User fee and patient cost sharing
Economic recession and health
Economics of Tobacco
Cancer screening
Media Coverage
Educational Program
NTU 620 HEPI Lab
Home
Team Members
Research Grant
Publications
Research Projects
AI and Machine learning
Physical-mental multimorbidity
Economics of Multimorbidity
Chronic condition in Singapore
Cost effectiveness analysis of intervention
Pay-for-performance
NHS Health checks
Health Workforce Planning Model
Quality of care in India
Other Research Projects
Minority health
Reproductive, Maternal, and Child health
Physical Activitiyes
Out-of-pocket expenditure for medicine
Disability and Multimorbidity
Innovative Health Financing
Health system performance evaluation
Multimorbidity and comorbidity
Indonesia Health system reform and JKN
User fee and patient cost sharing
Economic recession and health
Economics of Tobacco
Cancer screening
Media Coverage
Educational Program
More
Home
Team Members
Research Grant
Publications
Research Projects
AI and Machine learning
Physical-mental multimorbidity
Economics of Multimorbidity
Chronic condition in Singapore
Cost effectiveness analysis of intervention
Pay-for-performance
NHS Health checks
Health Workforce Planning Model
Quality of care in India
Other Research Projects
Minority health
Reproductive, Maternal, and Child health
Physical Activitiyes
Out-of-pocket expenditure for medicine
Disability and Multimorbidity
Innovative Health Financing
Health system performance evaluation
Multimorbidity and comorbidity
Indonesia Health system reform and JKN
User fee and patient cost sharing
Economic recession and health
Economics of Tobacco
Cancer screening
Media Coverage
Educational Program
Physical-mental multimorbidity
The moderating effect of mental health and health insurance ownership on the relationships between physical multimorbidity and healthcare utilisation and catastrophic health expenditure in India - BMC Geriatrics
Background The current demographic transition has resulted in the growth of the older population in India, a population group which has a higher chance of being affected by multimorbidity and its subsequent healthcare and economic consequences. However, little attention has been paid to the dual effect of mental health conditions and physical multimorbidity in India. The present study, therefore, aimed to analyse the moderating effects of mental health and health insurance ownership in the association between physical multimorbidity and healthcare utilisation and catastrophic health expenditure (CHE). Methods We analysed the Longitudinal Aging Study in India, wave 1 (2017–2018). We determined physical multimorbidity by assessing the number of physical conditions. We built multivariable logistic regression models to determine the moderating effect of mental health and health insurance ownership in the association between the number of physical conditions and healthcare utilisation and CHE. Wald tests were used to evaluate if the estimated effects differ across groups defined by the moderating variables. Results Overall, around one-quarter of adults aged 45 and above had physical multimorbidity, one-third had a mental health condition and 20.5% owned health insurance. Irrespective of having a mental condition and health insurance, physical multimorbidity was associated with increased utilisation of healthcare and CHE. Having an additional mental condition strengthened the adverse effect of physical multimorbidity on increased inpatient service use and experience of CHE. Having health insurance, on the other hand, attenuated the effect of experiencing CHE, indicating a protective effect. Conclusions The coexistence of mental health conditions in people with physical multimorbidity increases the demands of healthcare service utilisation and can lead to CHE. The findings point to the need for multidisciplinary interventions for individuals with physical multimorbidity, ensuring their mental health needs are also addressed. Our results urge enhancing health insurance schemes for individuals with mental and physical multimorbidity.
Interrelationships between physical multimorbidity, depressive symptoms and cognitive function among older adults in China, India and Indonesia: A four-way decomposition analysis
This paper explores the role of depressive symptoms (mediator/moderator) in the association between physical multimorbidity (exposure) and cognitive f…
The association between mental-physical multimorbidity and disability, work productivity, and social participation in China: a panel data analysis - BMC Public Health
Background The co-occurrence of mental and physical chronic conditions (mental-physical multimorbidity) is a growing and largely unaddressed challenge for health systems and wider economies in low-and middle-income countries. This study investigated the independent and combined (additive or synergistic) effects of mental and physical chronic conditions on disability, work productivity, and social participation in China. Methods Panel data study design utilised two waves of the China Health and Retirement Longitudinal Study (2011, 2015), including 5616 participants aged ≥45 years, 12 physical chronic conditions and depression. We used a panel data approach of random-effects regression models to assess the relationships between mental-physical multimorbidity and outcomes. Results After adjusting for socio-economic and demographic factors, an increased number of physical chronic conditions was independently associated with a higher likelihood of disability (Adjusted odds ratio (AOR) = 1.39; 95% CI: 1.33, 1.45), early retirement (AOR = 1.37 [1.26, 1.49]) and increased sick leave days (1.25 days [1.16, 1.35]). Depression was independently associated with disability (AOR = 3.78 [3.30, 4.34]), increased sick leave days (2.18 days [1.72, 2.77]) and a lower likelihood of social participation (AOR = 0.57 [0.47, 0.70]), but not with early retirement (AOR = 1.24 [0.97, 1.58]). There were small and statistically insignificant interactions between physical chronic conditions and mental health on disability, work productivity and social participation, suggesting an additive effect of mental-physical multimorbidity on productivity loss. Conclusion Mental-physical multimorbidity poses substantial negative health and economic effects on individuals, health systems, and societies. More research that addresses the challenges of mental-physical multimorbidity is needed to inform the development of interventions that can be applied to the workplace and the wider community in China.
The impact of depression and physical multimorbidity on health-related quality of life in China: a national longitudinal quantile regression study - Scientific Reports
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The Joint Effect of Physical Multimorbidity and Mental Health Conditions Among Adults in Australia
The prevalence of chronic physical and mental health conditions is rising globally. Little evidence exists on the joint effect of physical and mental health conditions on health care use, work productivity, and health-related quality of life in ...
Associations between mental health disorder and management of physical chronic conditions in China: a pooled cross-sectional analysis - Scientific Reports
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