Factors associated with successful chronic disease treatment plans for older Australians: implications for rural and Indigenous Australians
Holdsworth, Stuart, Corscadden, Lisa, Levesque, Jean-Frederic, and Russell, Grant (2019) Factors associated with successful chronic disease treatment plans for older Australians: implications for rural and Indigenous Australians. Australian Journal of Rural Health, 27 (4). pp. 290-297.
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Abstract
Objective: To identify factors associated with having a successful treatment plan for managing chronic conditions.
Design: Secondary analysis of the Commonwealth Fund's 2014 International Health Policy Survey.
Setting: Australia 2014.
Participants: A total of 3310 Australian adults over 55 years old.
Main outcome measures: Whether respondents: (i) had a treatment plan for their chronic condition; and (ii) believed that the plan was helpful in managing their condition.
Methods: We used multiple logistic regressions to assess the association between individual factors (age, income, remoteness, Australian Aboriginal or Torres Strait Islander status) and patient reports of the outcomes of interest.
Results: Most respondents reported having a treatment plan for their chronic condition(s); the majority reported that it was helpful in managing their health. Treatment plan provision was associated with age over 75 years, above-average income, Australian Aboriginal or Torres Strait Islander status and multiple chronic conditions. Plans were less likely for residents of outer regional and remote areas. Indigenous respondents were far less likely than non-Indigenous respondents to report that their treatment plan helped a lot. Respondents with providers who 'always' explained things were far more likely to say that a treatment plan helped.
Conclusion: While the patient–provider relationship influenced the perceived success of treatment plans, inequities in treatment plan provision seemed linked with rurality and income. The higher frequency of treatment plans for Indigenous respondents might reflect access to Australian Aboriginal or Torres Strait Islander health checks, while the plan's perceived lack of efficacy suggests a gap in cultural acceptability.
| Item ID: | 62044 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 1440-1584 |
| Keywords: | Australian Aboriginal health, chronic disease, delivery of health care, health care disparities, primary health care |
| Copyright Information: | © 2019 National Rural Health Alliance Ltd. |
| Funders: | Canadian Institute of Health Research (CIHR), Fonds de recherche du Québec - Sante, Australian Primary Health Care Research Institute, Australian Government Department of Health |
| Projects and Grants: | Innovative Models Promoting Access to Care Transformation (IMPACT) Centre of Research Excellence |
| Date Deposited: | 25 May 2020 02:44 |
| FoR Codes: | 45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450422 Aboriginal and Torres Strait Islander theory of change models for health @ 35% 42 HEALTH SCIENCES > 4203 Health services and systems > 420301 Aged health care @ 35% 42 HEALTH SCIENCES > 4204 Midwifery > 420402 Models of care and place of birth @ 30% |
| SEO Codes: | 92 HEALTH > 9203 Indigenous Health > 920301 Aboriginal and Torres Strait Islander Health - Determinants of Health @ 50% 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health @ 50% |
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