7304MED Healthcare Systems: Reading Log and Analysis of Multimorbidity

This assignment is a reading log analyzing a research paper by Picco et al. (2016) on the economic burden of multimorbidity among older adults in Singapore. The student summarizes the paper's thesis, methodology (cross-sectional survey), and findings (high prevalence of multimorbidity and associated costs). The log addresses how the authors ensured accuracy, reliability, and validity. The student agrees with the paper's conclusions on the serious concerns multimorbidity poses to healthcare systems, emphasizing the need for evolution to meet financial and resource challenges. The paper is deemed useful for its insights into increased societal costs and resource utilization, particularly for the elderly. The assignment includes proper citations and a reflection on the paper's relevance to healthcare systems.

7304MED HEALTH CARE SYSTEMS - READING LOG TEMPLATE
Student Name:
Student Number:
Criterion Response to Criterion
Correct
Citation (in
APA6 format)
Picco, L., Achilla, E., Abdin, E., Chong, S. A., Vaingankar, J.
A., McCrone, P., & Prince, M. (2016). Economic burden of
multimorbidity among older adults: impact on healthcare
and societal costs. BMC health services research, Vol:
16(1), pp: 173, doi: 10.1186/s12913-016-1421-7.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4862090/
What is the
main thesis of
the paper
The thesis states that multimorbidity in Singapore poses
an economic burden to society and healthcare systems.
What
methodology
and method
was used and
are the main
findings of the
work?
A single phase, cross sectional survey was carried out
among 2565 Singapore residents aged > 60 years. Care
classified into direct, intermediate, long term, indirect
and social. Costs calculated and generalized linear
models used. Multimorbidity was 51.5% and required
more societal and healthcare resources.
How are you
assured of
accuracy
within the
paper
Data for this article obtained from Well-being of the
Singapore Elderly (WiSE) study. Healthcare utilization
information obtained from Client Service Receipt
Inventory (CSRI).
How are you
assured of
Reliability of
the
measurements
used in the
paper
Statistically significant differences were obtained with a p
value less than 0.05 using two tailed t-test.

Criterion Response to Criterion
How are you
assured of the
Validity of the
results
Costs were calculated using UK unit costs and converted
to Singapore dollars. Data collected from WHO-CHOICE
database. Statistical softwares used were SAS 9.2 and
STATA 13.0.
Can the
findings be
generalized to
the wider
community?
Yes, multimorbidity places a serious concern and impacts
the healthcare resources and costs.
Describe what
you agree with
and/or what
you disagree
with in the
paper.
Yes, I agree that multimorbidity places a serious concern
to healthcare systems of the World. It is prevalent among
older generation and causes increased utilization of
resources and increases the cost burden (Prince et al.,
2015). It is necessary for the healthcare systems to
evolve in order to address the necessary financial and
resource challenges associated with multimorbidity
(Banerjee, 2015).
How useful (or
not) was the
paper and why
have you
reached this
conclusion?
The article was useful as it provides for the first-time
valuable information about the increase in societal costs
and resource utilization in association with multimorbidity
among elderly people in Singapore. More than half the
elderly population of Singapore have multimorbidity
issues. Healthcare systems need to evolve in order to
provide specific need based long term care for patients
with multimorbidities.
*Use the definitions provided in the assessment instructions for each criteria listed in the left hand
criterion column of this template to guide your response to the criterion.
**To calculate your word limit, please be advised that this template contains 100 words when blank
Banerjee, S. (2015). Multimorbidity—older adults need health care that can
count past one. The Lancet, Vol: 385(9968), pp: 587-589, doi:
10.1016/S0140-6736(14)61596-8
Prince, M. J., Wu, F., Guo, Y., Robledo, L. M. G., O'Donnell, M., Sullivan, R., &
Yusuf, S. (2015). The burden of disease in older people and
implications for health policy and practice. The Lancet, Vol: 385(9967),
pp: 549-562, doi: 10.1016/S0140-6736(14)61347-7.