دورية أكاديمية
Foot, ankle, and leg problems in Australian primary care: consultation patterns, management practices, and costs.
| العنوان: | Foot, ankle, and leg problems in Australian primary care: consultation patterns, management practices, and costs. |
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| المؤلفون: | Menz HB; Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia., Williams CM; School of Primary and Allied Health Care, Monash University, Frankston, VIC 3199, Australia., Lazzarini PA; School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland 4059, Australia.; Allied Health Research Collaborative, The Prince Charles Hospital, Brisbane, Queensland 4032, Australia., Gordon J; WHO-CC for Strengthening Rehabilitation Capacity in Health Systems, School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia., Harrison C; Menzies Centre for Health Policy, School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia. |
| المصدر: | Family practice [Fam Pract] 2024 Aug 14; Vol. 41 (4), pp. 426-433. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 8500875 Publication Model: Print Cited Medium: Internet ISSN: 1460-2229 (Electronic) Linking ISSN: 02632136 NLM ISO Abbreviation: Fam Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford : Oxford University Press, [c1983- |
| مواضيع طبية MeSH: | Primary Health Care*/economics , Practice Patterns, Physicians'*/economics , Practice Patterns, Physicians'*/statistics & numerical data , Referral and Consultation*/economics , Referral and Consultation*/statistics & numerical data, Humans ; Australia ; Male ; Female ; Middle Aged ; Aged ; Adult ; Adolescent ; Young Adult ; Child ; Child, Preschool ; Leg ; Infant ; Foot Diseases/therapy ; Foot Diseases/economics ; Ankle |
| مستخلص: | Objective: To explore consultation patterns, management practices, and costs of foot, ankle, and leg problems in Australian primary care. Study Design: We analyzed data from the Bettering the Evaluation and Care of Health program, April 2000 to March 2016. Foot, ankle, and leg problems were identified using the International Classification of Primary Care, Version 2 PLUS terminology. Data were summarized using descriptive statistics examining general practitioner (GP) and patient characteristics associated with a foot, ankle, or leg problem being managed. Cost to government was estimated by extracting fees for GP consultations, diagnostic imaging, and pathology services from the Medicare Benefits Schedule (MBS) database. Costs for prescription-only medicines were extracted from the Pharmaceutical Benefits Schedule and for nonprescribed medications, large banner discount pharmacy prices were used. Results: GPs recorded 1,568,100 patient encounters, at which 50,877 foot, ankle, or leg problems were managed at a rate of 3.24 (95% confidence intervals [CIs] 3.21-3.28) per 100 encounters. The management rate of foot, ankle, or leg problems was higher for certain patient characteristics (older, having a health care card, socioeconomically disadvantaged, non-Indigenous, and being English speaking) and GP characteristics (male sex, older age, and Australian graduate). The most frequently used management practice was the use of medications. The average cost (Australian dollars) per encounter was A$52, with the total annual cost estimated at A$256m. Conclusions: Foot, ankle, and leg problems are frequently managed by GPs, and the costs associated with their management represent a substantial economic impact in Australian primary care. (© The Author(s) 2022. Published by Oxford University Press.) |
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| معلومات مُعتمدة: | AstraZeneca Pty Ltd; Australian Government Department of Health; Novartis Pharmaceuticals Australia Pty Ltd; bioCSL (Australia) Pty Ltd; Sanofi-Aventis Australia Pty Ltd; Australian Government Department of Veterans' Affairs; AbbVie Pty Ltd; Merck, Sharpe and Dohme (Australia) Pty Ltd; Pfizer Australia; National Prescribing Service; GlaxoSmithKline Australia Pty Ltd; Bayer Australia Ltd; Janssen-Cilag Pty Ltd; Abbott Australasia Pty Ltd; Wyeth Australia Pty Ltd; Roche Products Pty Ltd; Aventis Pharma Pty Ltd |
| فهرسة مساهمة: | Keywords: diabetic foot; foot; foot diseases; foot injuries; general practice; health care costs; primary health care |
| تواريخ الأحداث: | Date Created: 20221102 Date Completed: 20240814 Latest Revision: 20240816 |
| رمز التحديث: | 20240816 |
| مُعرف محوري في PubMed: | PMC11324318 |
| DOI: | 10.1093/fampra/cmac122 |
| PMID: | 36321909 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1460-2229 |
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| DOI: | 10.1093/fampra/cmac122 |