Brett, T., Arnold-Reed, D., Troeung, L., Bulsara, M., Williams, A., & Moorhead, R. G. (2014). Multimorbidity in a marginalised, street-health Australian population: a retrospective cohort study. BMJ Open, 4 (8), e005461.
Demographic and presentation profile of patients using an innovative mobile outreach clinic compared with mainstream practice.
Retrospective cohort study.
Primary care mobile street health clinic and mainstream practice in Western Australia.
2587 street health and 4583 mainstream patients.
MAIN OUTCOME MEASURES:
Prevalence and patterns of chronic diseases in anatomical domains across the entire age spectrum of patients and disease severity burden using Cumulative Illness Rating Scale (CIRS).
Multimorbidity (2+ CIRS domains) prevalence was significantly higher in the street health cohort (46.3%, 1199/2587) than age-sex-adjusted mainstream estimate (43.1%, 2000/4583), p=0.011. Multimorbidity prevalence was significantly higher in street health patients(37.7%, 615/1649) compared with age-sex-adjusted mainstream patients (33%, 977/2961), p=0.003 but significantly lower if 65+ years (62%, 114/184 vs 90.7%, 322/355, p
Age-sex-adjusted multimorbidity prevalence and disease severity is higher in the street health cohort. Earlier onset (23-34 years) multimorbidity is found in the street health cohort but prevalence is lower in 65+ years than in mainstream patients. Multimorbidity prevalence is higher for Aboriginal patients of all ages.
primary care, chronic disease, multimorbidity