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

Research output: Contribution to journalArticle


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.


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.


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


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 languageEnglish
Pages (from-to)181-+
Number of pages9
JournalAustralian journal of general practice
Issue number4
Publication statusPublished - Apr 2018

Cite this