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Age-Related Variation in the Provision of Primary Care Services and Medication Prescriptions for Patients with Cardiovascular Disease

Author

Listed:
  • Qiang Tu

    (Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney 2050, Australia)

  • Karice Hyun

    (Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney 2050, Australia
    Department of Cardiology, Concord Hospital, Sydney 2139, Australia)

  • Nashid Hafiz

    (Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney 2050, Australia)

  • Andrew Knight

    (The Primary and Integrated Care Unit, South Western Sydney Local Health District, Sydney 2170, Australia
    School of Population Health, University of New South Wales, Sydney 2052, Australia)

  • Charlotte Hespe

    (School of Medicine, The University of Notre Dame, Sydney 2010, Australia)

  • Clara K. Chow

    (Research Education Network, Western Sydney Local Health District, Sydney 2151, Australia
    Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead 2154, Australia)

  • Tom Briffa

    (School of Population and Global Health, The University of Western Australia, Perth 6009, Australia)

  • Robyn Gallagher

    (Faculty of Medicine and Health, Sydney Nursing School, University of Sydney, Sydney 2006, Australia)

  • Christopher M. Reid

    (School of Population Health, Curtin University, Perth 6102, Australia
    School of Public Health and Preventive Medicine, Monash University, Melbourne 3004, Australia)

  • David L. Hare

    (Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne 3010, Australia
    Department of Cardiology, Austin Health, Heidelberg 3084, Australia)

  • Nicholas Zwar

    (School of Population Health, University of New South Wales, Sydney 2052, Australia
    Faculty of Health Sciences & Medicine, Bond University, Gold Coast 4226, Australia)

  • Mark Woodward

    (The George Institute for Global Health, University of New South Wales, Sydney 2046, Australia
    The George Institute for Global Health, School of Public Health, Imperial College London, London NW9 7PA, UK)

  • Stephen Jan

    (The George Institute for Global Health, University of New South Wales, Sydney 2046, Australia)

  • Emily R. Atkins

    (Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead 2154, Australia
    The George Institute for Global Health, University of New South Wales, Sydney 2046, Australia)

  • Tracey-Lea Laba

    (Pharmacy Program, Clinical and Health Sciences Unit, University of South Australia, Adelaide 5001, Australia)

  • Elizabeth Halcomb

    (School of Nursing, University of Wollongong, Wollongong 2522, Australia)

  • Tim Usherwood

    (Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead 2154, Australia
    The George Institute for Global Health, University of New South Wales, Sydney 2046, Australia)

  • Laurent Billot

    (The George Institute for Global Health, University of New South Wales, Sydney 2046, Australia)

  • Julie Redfern

    (Faculty of Medicine and Health, School of Health Sciences, The University of Sydney, Sydney 2050, Australia
    The George Institute for Global Health, University of New South Wales, Sydney 2046, Australia)

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.

Suggested Citation

  • Qiang Tu & Karice Hyun & Nashid Hafiz & Andrew Knight & Charlotte Hespe & Clara K. Chow & Tom Briffa & Robyn Gallagher & Christopher M. Reid & David L. Hare & Nicholas Zwar & Mark Woodward & Stephen J, 2022. "Age-Related Variation in the Provision of Primary Care Services and Medication Prescriptions for Patients with Cardiovascular Disease," IJERPH, MDPI, vol. 19(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10761-:d:900990
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    References listed on IDEAS

    as
    1. Tian-Tian Ma & Ian C K Wong & Kenneth K C Man & Yang Chen & Thomas Crake & Muhiddin A Ozkor & Ling-Qing Ding & Zi-Xuan Wang & Lin Zhang & Li Wei, 2019. "Effect of evidence-based therapy for secondary prevention of cardiovascular disease: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-18, January.
    2. Ming Tsuey Lim & Yvonne Mei Fong Lim & Seng Fah Tong & Sheamini Sivasampu, 2019. "Age, sex and primary care setting differences in patients’ perception of community healthcare seeking behaviour towards health services," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-18, October.
    3. Duckett, Stephen, 2018. "Expanding the breadth of Medicare: learning from Australia," Health Economics, Policy and Law, Cambridge University Press, vol. 13(3-4), pages 344-368, July.
    Full references (including those not matched with items on IDEAS)

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