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南澳大利亚州老年人慢性身心健康状况的患病率及其对全科医生就诊的独立影响。

The Prevalence of Chronic Physical and Mental Health Conditions in Older Adults Across South Australia and Their Independent Effects on General Practitioner Visits.

作者信息

Asante Dennis, McLachlan Craig S, Isaac Vivian

机构信息

College of Medicine & Public Health, Rural and Remote Health, 198094Flinders University, Renmark, SA, Australia.

Health Vertical, Centre for Healthy Futures, 509271Torrens University, Sydney, NSW, Australia.

出版信息

J Appl Gerontol. 2022 Apr;41(4):962-970. doi: 10.1177/07334648211049709. Epub 2021 Oct 12.

Abstract

Rural older adults (≥60), compared to their urban counterparts, are identified as higher users of general practitioner (GP) services. However, whether this pattern of health seeking is influenced more so by physical or mental conditions is unclear. We explore the independent effect of chronic physical and mental health conditions on GP use in Australia. Datasets on population health was available from the South Australia's Department of health in 2013-2017 ( = 20,522). We examined prevalence of common physical and mental conditions and GP use by the Modified Monash Model of remoteness. Physical and mental health burden was similar across South Australia. General practitioner visits with suicidal ideation for rural and remote locations were 4.7 (95% CI, 1.6-13.6) and 4.8 (95% CI, 1.9-11.7), respectively, compared to urban Adelaide 1.5 (95% CI, 1.0-2.3). While there is equal burden of mental health across South Australia, access to mental health resources for nonurban Australians remains a significant challenge.

摘要

与城市老年人相比,农村老年人(≥60岁)被认为是全科医生(GP)服务的更高使用者。然而,这种寻求医疗服务的模式受身体状况还是心理状况影响更大尚不清楚。我们探讨了慢性身心健康状况对澳大利亚全科医生服务使用的独立影响。2013 - 2017年南澳大利亚卫生部提供了人口健康数据集(n = 20,522)。我们根据改良的莫纳什偏远地区模型研究了常见身体和心理状况的患病率以及全科医生服务的使用情况。南澳大利亚各地的身心健康负担相似。农村和偏远地区有自杀意念的患者看全科医生的比例分别为4.7(95%可信区间,1.6 - 13.6)和4.8(95%可信区间,1.9 - 11.7),而阿德莱德市区为1.5(95%可信区间,1.0 - 2.3)。虽然南澳大利亚各地的心理健康负担相同,但非城市澳大利亚人获得心理健康资源仍然是一项重大挑战。

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