Cited by 357Chronic Disease Management StrategiesHealth and Medical StudiesHealthcare Policy and Management

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Seven chronic conditions: their impact on US adults' activity levels and use of medical services

Verbrugge, L M, Patrick, D L·1995·American Journal of Public Health

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Abstract

OBJECTIVES. This paper analyzes the impact of seven chronic conditions (three nonfatal: arthritis, visual impairment, hearing impairment; four fatal: ischemic heart disease, chronic obstructive pulmonary disease, diabetes mellitus, malignant neoplasms) on US adults aged 18 and older. Impact refers to how readily a condition prompts activity limitations, physician visits, and hospital stays. METHODS. Data come from three national health surveys and vital statistics. For comparability, a single disease classification scheme was applied, and new rates were estimated. Frequency, impact, and prominence of the target conditions are studied via rates, ratios of rates, and ranks, respectively. RESULTS. In young adulthood, the nonfatal conditions prompt limitations less readily than do the fatal ones, but by older ages, arthritis and visual impairment have a limiting impact equivalent to that of fatal conditions. Despite high prevalence and limitations, nonfatal conditions stand well below fatal conditions for health services use. CONCLUSIONS. Although statistics on frequency, impact, and prominence all indicate conditions "importance," they give only weak clues about specific service needs of affected persons. The persistent finding that nonfatal conditions do not receive health services care commensurate with their prevalence and impact reflects long-standing imbalanced attention on fatal conditions in research and medical care.

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Authors: Verbrugge, L. M., & Patrick, D. L.
Affiliations: University of Michigan (US)
ORCID: Patrick, D L
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 1995-02
Volume: 85
Issue: 2
Pages: 173-182
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.85.2.173
OpenAlex: W2121521872
Cited by: 356
References: 25
Citations by year: 2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 6 · 2021: 4 · 2020: 3 · 2019: 8 · 2018: 7 · 2017: 5 · 2016: 8 · 2015: 15 · 2014: 4 · 2013: 12 · 2012: 13
FWCI: 14.82
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Public Health (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Studies
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords: chronic disease, activity limitation, health care utilization, physician visits, length of hospital stay, arthritis, visual impairment, hearing loss, ischemic heart disease, chronic obstructive pulmonary disease, diabetes mellitus, cancer, health care disparities
MeSH terms: Adolescent, Adult, Aged, Aging, Chronic Disease, Physical Exertion, Female, Health Services, Health Surveys, Hospitalization, Humans, Male, Middle Aged, Sex Factors, United States, Prevalence

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Seven chronic conditions: their impact on US adults' activity levels and use of medical services

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