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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View at Publisher Website: https://doi.org/10.1111/ajr.12461
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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: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 35%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111702 Aged Health Care @ 35%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 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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