Abstract
Background and objectives
Street-based clinics provide general practice services to marginalised and homeless persons. The objective of this study was to examine prevalence, patterns and severity of multimorbidity in patients attending one such service.
Method
A retrospective cohort study (2006-15), comprising medical record review of patients (n = 4285), was undertaken. A Cumulative Illness Rating Scale (CIRS) was used to assess multimorbidity.
Results
Average age of patients was 38.2 +/- 17.9 years. Of 31.5% Aboriginal patients, 50.8% were female (37.6% in non-Aboriginal patients). Of all patients, 53% had multimorbidity. Aboriginal patients had higher rates of multimorbidity than non-Aboriginal patients (58.0% vs 50.6%, P
Discussion
Street-based general practice services are critical to facilitate easy access to primary and secondary management of chronic multimorbid conditions in marginalised (especially Aboriginal) patients.
| Original language | English |
|---|---|
| Pages (from-to) | 181-+ |
| Number of pages | 9 |
| Journal | Australian journal of general practice |
| Volume | 47 |
| Issue number | 4 |
| Publication status | Published - Apr 2018 |
Cite this
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Increasing multimorbidity in an Australian street health service A 10-year retrospective cohort study. / Arnold-Reed, Diane; Troeung, Lakkhina; Brett, Tom; Ping-Delfos, Wendy Chan She; Strange, Cecily; Geelhoed, Elizabeth; Fisher, Colleen; Preen, David.
In: Australian journal of general practice, Vol. 47, No. 4, 04.2018, p. 181-+.Research output: Contribution to journal › Article
TY - JOUR
T1 - Increasing multimorbidity in an Australian street health service A 10-year retrospective cohort study
AU - Arnold-Reed, Diane
AU - Troeung, Lakkhina
AU - Brett, Tom
AU - Ping-Delfos, Wendy Chan She
AU - Strange, Cecily
AU - Geelhoed, Elizabeth
AU - Fisher, Colleen
AU - Preen, David
PY - 2018/4
Y1 - 2018/4
N2 - Background and objectivesStreet-based clinics provide general practice services to marginalised and homeless persons. The objective of this study was to examine prevalence, patterns and severity of multimorbidity in patients attending one such service.MethodA retrospective cohort study (2006-15), comprising medical record review of patients (n = 4285), was undertaken. A Cumulative Illness Rating Scale (CIRS) was used to assess multimorbidity.ResultsAverage age of patients was 38.2 +/- 17.9 years. Of 31.5% Aboriginal patients, 50.8% were female (37.6% in non-Aboriginal patients). Of all patients, 53% had multimorbidity. Aboriginal patients had higher rates of multimorbidity than non-Aboriginal patients (58.0% vs 50.6%, PDiscussionStreet-based general practice services are critical to facilitate easy access to primary and secondary management of chronic multimorbid conditions in marginalised (especially Aboriginal) patients.
AB - Background and objectivesStreet-based clinics provide general practice services to marginalised and homeless persons. The objective of this study was to examine prevalence, patterns and severity of multimorbidity in patients attending one such service.MethodA retrospective cohort study (2006-15), comprising medical record review of patients (n = 4285), was undertaken. A Cumulative Illness Rating Scale (CIRS) was used to assess multimorbidity.ResultsAverage age of patients was 38.2 +/- 17.9 years. Of 31.5% Aboriginal patients, 50.8% were female (37.6% in non-Aboriginal patients). Of all patients, 53% had multimorbidity. Aboriginal patients had higher rates of multimorbidity than non-Aboriginal patients (58.0% vs 50.6%, PDiscussionStreet-based general practice services are critical to facilitate easy access to primary and secondary management of chronic multimorbid conditions in marginalised (especially Aboriginal) patients.
KW - EMERGENCY-DEPARTMENT USE
KW - HOMELESS PEOPLE
KW - PRIMARY-CARE
KW - PREVALENCE
UR - http://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=5&SID=D2qUFePyNwLM9EtTQj7&page=1&doc=1
M3 - Article
VL - 47
SP - 181-+
JO - Australian journal of general practice
JF - Australian journal of general practice
SN - 2208-794X
IS - 4
ER -