Utilisation of Medicare-funded schemes for people with cardiovascular disease
Autor: | Nicholas Zwar, Clara K Chow, Anushka Patel, Tim Usherwood, Qiang Li, Julie Redfern, David Peiris, Emily Atkins, Bindu Patel, Tom Briffa, Karice Hyun |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male Mental Health Services Pediatrics medicine.medical_specialty Native Hawaiian or Other Pacific Islander National Health Programs General Practice Subgroup analysis Comorbidity Population health Disease 030204 cardiovascular system & hematology Body Mass Index Decision Support Techniques Cohort Studies 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine Humans 030212 general & internal medicine Myocardial infarction Medical prescription Aged Aged 80 and over Primary Health Care business.industry Health Policy Public health Public Health Environmental and Occupational Health Middle Aged Patient Acceptance of Health Care medicine.disease Logistic Models Cardiovascular Diseases Cohort Emergency medicine Female New South Wales business |
Zdroj: | Australian Journal of Primary Health. 23:482 |
ISSN: | 1448-7527 |
Popis: | The aim of this study is to investigate the utilisation of Medicare Benefit Scheme items for chronic disease in the management of cardiovascular disease (CVD) in general practice and to compare characteristics of CVD patients with and without a General Practice Management Plan (GPMP). Subgroup analysis of Treatment of Cardiovascular Risk using Electronic Decision Support (TORPEDO) baseline data was collected in a cohort comprising 6123 patients with CVD. The mean age (s.d.) was 71 (±13) years, 55% were male, 64% had a recorded diagnosis of coronary heart disease, 31% also had a diagnosis of diabetes and the mean number of general practice (GP) visits (s.d.) was 11 (±9) in 12 months. A total of 1955/6123 (32%) received a GPMP in the 12 months before data extraction; 1% received a Mental Health Plan. Factors associated with greater likelihood of receiving a GPMP were: younger age, had a diagnosis of diabetes, BMI > 30kgm–2, prescription of blood pressure-lowering therapy and more than ten general practice visits. Enhancing utilisation of existing schemes could augment systematic follow up and support of patients with CVD. |
Databáze: | OpenAIRE |
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