Age-Related Variation in the Provision of Primary Care Services and Medication Prescriptions for Patients with Cardiovascular Disease
Year: 2022
Type: article
Study design: Observational Study
Abstract: As population aging progresses, demands of patients with cardiovascular diseases (CVD) on the primary care services is inevitably increased. However, the utilisation of primary care services across varying age groups is unknown. The study aims to explore age-related variations in provision of chronic disease management plans, mental health care, guideline-indicated cardiovascular medications and influenza vaccination among patients with CVD over differing ages presenting to primary care. Data for patients with CVD were extracted from 50 Australian general practices. Logistic regression, accounting for covariates and clustering effects by practices, was used for statistical analysis. Of the 14,602 patients with CVD (mean age, 72.5 years), patients aged 65–74, 75–84 and ≥85 years were significantly more likely to have a GP management plan prepared (adjusted odds ratio (aOR): 1.6, 1.88 and 1.55, respectively, p < 0.05), have a formal team care arrangement (aOR: 1.49, 1.8, 1.65, respectively, p < 0.05) and have a review of either (aOR: 1.63, 2.09, 1.93, respectively, p < 0.05) than those < 65 years. Patients aged ≥ 65 years were more likely to be prescribed blood-pressure-lowering medications and to be vaccinated for influenza. However, the adjusted odds of being prescribed lipid-lowering and antiplatelet medications and receiving mental health care were significantly lowest among patients ≥ 85 years. There are age-related variations in provision of primary care services and pharmacological therapy. GPs are targeting care plans to older people who are more likely to have long-term conditions and complex needs.
Institutions: The University of Sydney, Concord Repatriation General Hospital, UNSW Sydney, South Western Sydney Local Health District, The University of Notre Dame Australia, Western Sydney Local Health District, The University of Western Australia, Curtin University, Monash University, The University of Melbourne, Austin Health, Bond University, The George Institute for Global Health, The George Institute for Global Health, Imperial College London, University of South Australia, University of Wollongong
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,618
Awards: G1052949489, G1122991650, G1165650986, G1205407118, G1258240180, G1295599607, G1386769819, G1440747266, QUality improvement in primary care to prevent hospitalisations and improve Effectiveness and efficiency of care for people Living with heart disease (QUEL), G1743844297, G1910932569, G2209435776, G2356775992, G2410673926, G274363729, G2787043745, G286879451, G2928367703, G3067616358, G3510921268, G3539771249, G3561063661, G3609650384, G3667643312, G3732817802, G3954538164, G403228956, G4128114046, Implementation of innovative strategies for CVD secondary prevention, G4232257378, G4335190675, G4360387765, G443393636, G4736521411, G4772718723, G4778985894, G4906697202, G4914016530, Clinical approaches to preventing cardiovascular disease, Clinical, public health and policy interventions to combat cardiovascular diseases, G5338122449, G5346128189, G5394037368, G5632877714, G5741635388, G5826969914, G5914300966, G59642317, G6156658470, G6242937414, G6408089381, G6545538221, G6683580107, G6801858989, G6859620429, G6910600900, G7018963823, G712619791, Exploiting existing data sources to improve the prevention and treatment of cardiovascular disease, G7224377087, Improving the Prevention, Treatment and Management of Cardiovascular & Chronic Disease in the Community, G7312296577, G7761617815, G7904840831, G7936553571, G8199220865, G8200032217, G8291272506, G847719696, G8533190676, G8647368317, G932271420
OpenAlex ID: W4293724182