Increasing multimorbidity in an Australian street health service A 10-year retrospective cohort study

Diane Arnold-Reed; Lakkhina Troeung; Tom Brett; Wendy Chan She Ping-Delfos; Cecily Strange; Elizabeth Geelhoed; Colleen Fisher; David Preen

doi:10.31128/AFP-10-17-4370

Increasing multimorbidity in an Australian street health service A 10-year retrospective cohort study

Diane Arnold-Reed, Lakkhina Troeung, Tom Brett, Wendy Chan She Ping-Delfos, Cecily Strange, Elizabeth Geelhoed, Colleen Fisher, David Preen

School of Population and Global Health

Research output: Contribution to journal › Article › peer-review

4 Citations (Web of Science)

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
DOIs	https://doi.org/10.31128/AFP-10-17-4370
Publication status	Published - Apr 2018

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title = "Increasing multimorbidity in an Australian street health service A 10-year retrospective cohort study",

abstract = "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.",

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author = "Diane Arnold-Reed and Lakkhina Troeung and Tom Brett and Ping-Delfos, {Wendy Chan She} and Cecily Strange and Elizabeth Geelhoed and Colleen Fisher and David Preen",

year = "2018",

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doi = "10.31128/AFP-10-17-4370",

language = "English",

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publisher = "The Royal Australian College of General Practitioners",

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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 › peer-review

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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

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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.

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Increasing multimorbidity in an Australian street health service A 10-year retrospective cohort study

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