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Low Prevalence of Use of Allied Health and Community Services for Patients with Cirrhosis in Australia: A Need for Greater Engagement.
Powell, Elizabeth E; Stuart, Katherine A; Finnigan, Simon; Hinson, Jan; Bernardes, Christina M; Hartel, Gunter; Valery, Patricia C.
Afiliación
  • Powell EE; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
  • Stuart KA; Centre for Liver Disease Research, Faculty of Medicine, the University of Queensland, Woolloongabba, Queensland, Australia.
  • Finnigan S; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
  • Hinson J; Community and Oral Health, Metro North Health, Chermside, Queensland, Australia.
  • Bernardes CM; Faculty of Health Sciences, School of Allied Health, Australian Catholic University, Banyo, Queensland, Australia.
  • Hartel G; Population Health Department, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
  • Valery PC; Statistics, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Patient Prefer Adherence ; 17: 1117-1130, 2023.
Article en En | MEDLINE | ID: mdl-37102126
Background: Psychosocial, lifestyle and practical needs are not routinely attended to during outpatient hepatology management, and little is known about the type and effectiveness of support services accessed by patients with cirrhosis. We quantified the type and use of community and allied health services in patients with cirrhosis. Methods: The study included 562 Australian adults with a diagnosis of cirrhosis. Health service use was assessed via questionnaire and via linkage to the Australian Medicare Benefits Schedule. Patient needs were assessed using the Supportive Needs Assessment tool for Cirrhosis (SNAC). Results: Although most patients (85.9%) used at least one community/allied health service for support with their liver disease, many reported requiring additional help with psychosocial (67.4%), lifestyle (34.3%) or practical needs (21.9%) that were not met by available services, or patients did not access services. A multidisciplinary care plan or case conference (in the 12 months prior to recruitment) was accessed by 48% of patients, 56.2% reported the use of a general practitioner for support with cirrhosis, and a dietician was the allied health clinician most accessed by patients (45.9%). Despite the high prevalence of psychosocial needs, there was relatively limited use of mental health and social work services (14.1% of patients reported the use of a psychologist), confirmed by a low prevalence of use of mental health services (17.7%) in the linked data. Conclusion: Patients with cirrhosis who have unmet complex physical and psychosocial needs require better strategies to increase their engagement with allied health and community services.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prevalence_studies / Risk_factors_studies Idioma: En Revista: Patient Prefer Adherence Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Nueva Zelanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prevalence_studies / Risk_factors_studies Idioma: En Revista: Patient Prefer Adherence Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Nueva Zelanda