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

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 Jan, Emily R. Atkins, Tracey-Lea Laba, Elizabeth Halcomb, Tim Usherwood, Laurent Billot and Julie Redfern
Additional contact information
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
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
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
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
David L. Hare: Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne 3010, Australia
Nicholas Zwar: School of Population Health, University of New South Wales, Sydney 2052, Australia
Mark Woodward: The George Institute for Global Health, University of New South Wales, Sydney 2046, Australia
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
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
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

IJERPH, 2022, vol. 19, issue 17, 1-13

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.

Keywords: cardiovascular disease; age; secondary prevention; primary care; risk factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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