Prevalence of Chronic Conditions in Australia
Prevalence of Chronic Conditions in Australia
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DOI：
10.1371/journal.pone.0067494
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发表时间：
2013-07-23
期刊：
影响因子：
3.7
通讯作者：
Henderson, Joan
中科院分区：
文献类型：
--
作者：
Harrison, Christopher;Britt, Helena;Henderson, Joan
目的：为了估计慢性疾病的患病率在患者中看到一个全科医生（GP），患者参加全科实践至少一次，在一年中，和Australian population.Design，设置和参与者：一个子研究的海滩（更好的评估和护理健康）计划，一个连续的全国性研究的全科实践活动之间进行2008年7月和2009年5月。290名全科医生中的每一位都提供了大约30名连续患者的数据（共计8，707人），使用他们对患者的了解、患者自我报告和患者的健康记录，表明诊断的慢性病。主要结果指标：被调查患者中慢性病患病率的估计，当年至少参加过一次全科医疗的患者的调整患病率，以及全国人口患病率。三分之二（66.3%）的受调查患者至少患有一种慢性疾病：最常见的是高血压（26.6%）、高血脂症（18.5%）、骨关节炎（17.8%）、抑郁症（13.7%）、胃食管反流病（11.6%）、哮喘（9.5%）和2型糖尿病（8.3%）。对于至少参加过一次全科医疗的患者，我们估计58.8%的患者至少有一种慢性疾病。在进一步调整后，我们估计50.8%的澳大利亚人口至少有一种慢性疾病：高血压。（17.4%），糖尿病（12.7%），骨关节炎（11.1%），抑郁症（10.5%）和哮喘（8.0%）为最常见。这项研究利用全科医生从他们的知识、病人和健康记录中收集信息，提供患病率估计值，以克服仅使用患者自我报告或健康记录审计的研究的弱点。我们的研究结果有助于检查初级保健资源的使用管理的慢性疾病和测量的患病率在澳大利亚。
Objectives: To estimate prevalence of chronic conditions among patients seeing a general practitioner (GP), patients attending general practice at least once in a year, and the Australian population.Design, setting and participants: A sub-study of the BEACH (Bettering the Evaluation and Care of Health) program, a continuous national study of general practice activity conducted between July 2008 and May 2009. Each of 290 GPs provided data for about 30 consecutive patients (total 8,707) indicating diagnosed chronic conditions, using their knowledge of the patient, patient self-report, and patient's health record.Main outcome measures: Estimates of prevalence of chronic conditions among patients surveyed, adjusted prevalence in patients who attended general practice at least once that year, and national population prevalence.Results: Two-thirds (66.3%) of patients surveyed had at least one chronic condition: most prevalent being hypertension (26.6%), hyperlipidaemia (18.5%), osteoarthritis (17.8%), depression (13.7%), gastro-oesophageal reflux disease (11.6%), asthma (9.5%) and Type 2 diabetes (8.3%). For patients who attended general practice at least once, we estimated 58.8% had at least one chronic condition. After further adjustment we estimated 50.8% of the Australian population had at least one chronic condition: hypertension (17.4%), hyperlipidaemia (12.7%), osteoarthritis (11.1%), depression (10.5%) and asthma (8.0%) being most prevalent.Conclusions: This study used GPs to gather information from their knowledge, the patient, and health records, to provide prevalence estimates that overcome weaknesses of studies using patient self-report or health record audit alone. Our results facilitate examination of primary care resource use in management of chronic conditions and measurement of prevalence of multimorbidity in Australia.