Abstract
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC? Chronic disease multimorbidity is prevalent among older Chinese people, seriously affecting their well-being and quality of life. WHAT IS ADDED BY THIS REPORT? This study estimated the impact of multimorbidity on the risk of health state transitions and health expectancy among older adults in China. It used population-representative, long-term longitudinal data and multi-state Markov modeling along with microsimulation methods. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE? The study results suggest that the Chinese government should strengthen the prevention and management of multimorbidity and accelerate the transition from chronic disease management to multimorbidity management.