Prevalence and patterns of multimorbidity in Australia
Prevalence and patterns of multimorbidity in Australia
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DOI：
10.5694/j.1326-5377.2008.tb01919.x
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发表时间：
2008-07-21
影响因子：
11.4
通讯作者：
Knox, Stephanie A.
中科院分区：
文献类型：
--
作者：
Britt, Helena C.;Harrison, Christopher M.;Knox, Stephanie A.
目的：估计多发病的患病率和模式，在一个样本的病人参加全科诊所，在人口谁参加全科诊所在2005年，并在澳大利亚人口。设计，设置和参与者：二次分析的数据，从一项研究的患病率选定的条件（海滩（改善健康评估和护理）计划的子研究）;数据由305名全科医生提供，涉及2005年7月至11月就诊的9156名患者，基于对患者的了解、患者自我报告和医疗记录。根据累积疾病评定量表的发病领域对所列疾病进行分类。主要结果测量：每个领域的发病率;（定义为在两个或两个以上领域中存在发病率）。据估计，2005年接受调查的患者中有37.1%的人患有多发性硬化症，29.0%的人接受了全科医生的治疗，25.5%的澳大利亚人口患有多发性硬化症。患病率和复杂性（存在的领域数量）随着年龄的增长而增加：83.2%的75岁或以上的受调查患者患有多发性硬化症，58.2%的患者在三个或更多个领域发病，33.4%的患者在四个或更多个领域发病。多发性硬化症的患病率没有性别差异。最常见的疾病组合是关节炎/慢性背痛+血管疾病（115.0%的样本），心理问题+血管疾病（10.6%）和关节炎/慢性背痛+心理问题（10.6%）。我们估计，10.6%的人参加全科医生在2005年和9.3%的人口有关节炎/慢性背痛+血管疾病（其他发病类型的研究），这组占约15.2万医疗保险声称的一般做法在2005.Conclusions：这项研究提供了第一个洞察的患病率和模式的multinnormalization在澳大利亚。了解多种维生素的常见组合可能有助于规划未来人口老龄化所需的卫生服务，同时增加多种维生素的负担。
Objectives: To estimate the prevalence and patterns of multimorbidity in a sample of patients attending general practice, in the population who attended general practice in 2005, and in the Australian population.Design, setting and participants: Secondary analyses of data from a study of prevalence of selected conditions (a substudy of the BEACH (Bettering the Evaluation And Care of Health) program); data were provided by 305 general practitioners for 9156 patients seen in July-November 2005, based on knowledge of the patient, patient selfreport, and medical records. Listed conditions were classified according to the Cumulative Illness Rating Scale morbidity domains.Main outcome measures: Prevalence of morbidity in each domain; prevalence of specific patterns of multimorbidity (defined as presence of morbidity in two or more domains).Results: Prevalence of multimorbidity was estimated as 37.1% of surveyed patients, 29.0% of people who attended a GP in 2005, and 25.5% of the Australian population. Prevalence and complexity (number of domains present) increased with age: 83.2% of surveyed patients aged 75 years or older had multimorbidity, 58.2% had morbidity in three or more domains, and 33.4% in four or more. Prevalence of multimorbidity did not differ between the sexes. The most common morbidity combinations were arthritis/chronic back pain + vascular disease (115.0% of sample), a psychological problem + vascular disease (10.6%) and arthritis/chronic back pain + a psychological problem (10.6%). We estimate that 10.6% of people attending a GP in 2005 and 9.3% of the population have arthritis/ chronic back pain + vascular disease ( other morbidity types studied), and this group accounted for about 15.2 million Medicare-claimed general practice encounters in 2005.Conclusions: This study provides the first insight into prevalence and patterns of multinnorbidity in Australia. Knowledge of the common combinations of multimorbidity may help in planning the health services needed in the future by an ageing population with an increasing burden of multimorbidity.