Variation in health service use by veterans with an accepted disability of post-traumatic stress disorder who had a service record post 1975: a cluster analysis
| Autor: | L M Kalisch Ellett, A Khoo, Emmae N. Ramsay, Nicole L. Pratt, A Moffatt, Elizabeth E. Roughead |
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| Přispěvatelé: | Roughead, Elizabeth Ellen, Ramsay, EN, Kalisch Ellett, LM, Khoo, A, Moffatt, A, Pratt, NL |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
health services administration & management Primary care behavioral disciplines and activities Stress Disorders Post-Traumatic 03 medical and health sciences Health services 0302 clinical medicine anxiety disorders Health care mental disorders Medicine Cluster Analysis Humans 030212 general & internal medicine Psychiatry health care economics and organizations Original Research Veterans Service (business) business.industry Traumatic stress Australia General Medicine Government department Health Services Patient Acceptance of Health Care medicine.disease Comorbidity humanities Cohort trauma management adult psychiatry business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Military Health |
| ISSN: | 2633-3775 2633-3767 |
| Popis: | BackgroundThe use of health services is likely to vary among veterans with an accepted disability of post-traumatic stress disorder (PTSD), however, the extent of variation is not known. We aimed to determine the extent and type of health services used by veterans with an accepted disability of PTSD.MethodsThe cohort included veterans who served post 1975, were eligible for all Australian Government Department of Veterans’ Affairs funded health services, had PTSD as an accepted disability prior to July 2015 and were alive at the 30 June 2016. Veterans were assigned to groups based on their use of health services using K-means cluster analysis.ResultsThe cohort comprised five clusters involving 2286 veterans. The largest cluster (43%) were a younger, general practitioner (GP) managed cluster who saw their GP quarterly and the psychiatrist twice a year. The second GP cluster (30%) had higher levels of physical comorbidity. The psychiatrist managed cluster (14%) had a mean of 12 psychiatrist visits and one PTSD hospitalisation in the year. The remaining two clusters involved GP and allied healthcare, but no psychologist care. High levels of antidepressant use occurred in all clusters, ranging from 44% up to 69%. The psychiatrist managed cluster had 47% on antipsychotics and 58% on anxiolytics.ConclusionOur study highlights the heterogeneity in health service use. These results identify the significant health utilisation required for up to one-sixth of veterans with PTSD and the significant role of primary care physicians in supporting veterans with PTSD. |
| Databáze: | OpenAIRE |
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