Prevention of cardiovascular disease in rural Australian primary care: an exploratory study of the perspectives of clinicians and high-risk men

Journal article


Kinsman, Leigh, Tham, Rachel, Symons, Julie, Jones, Mike, Campbell, Stephen and Allenby, Ann. (2016) Prevention of cardiovascular disease in rural Australian primary care: an exploratory study of the perspectives of clinicians and high-risk men. Australian Journal of Primary Health. 22(6), pp. 510 - 516. https://doi.org/10.1071/PY15091
AuthorsKinsman, Leigh, Tham, Rachel, Symons, Julie, Jones, Mike, Campbell, Stephen and Allenby, Ann
Abstract

Rural primary care services have the potential to play a major role in reducing the gap in cardiovascular disease (CVD) outcomes between rural and metropolitan Australians, particularly in men at high risk of CVD. The aim of this study was to explore the self-reported behaviours and satisfaction with their general practice/practitioner of men at high risk of CVD, and attitudes of rural primary care clinicians regarding the role of primary care in CVD prevention. This observational research was addressed through survey questionnaires with rural men at high risk of CVD and semi-structured interviews with rural primary care clinicians. Fourteen rural primary care practices from towns with populations less than 25 000 participated. One hundred and fifty-eight high-risk men completed the questionnaire. Their responses demonstrated poorly controlled risk factors despite a willingness to change. Alternatively, rural primary care clinicians (n = 20) reported that patients were unlikely to change and that illness-based funding models inhibited cardiovascular preventive activities. Australians living in rural areas have worse CVD outcomes. In addition, there is a disparity in the assumptions of health providers and male patients at high risk of CVD in rural areas. This necessitates innovative rural primary care models that include a blended payment system that incentivises or funds preventive care alongside an emphasis on lifestyle advice, as well as an explicit strategy to influence clinician and patient behaviour to help address the disparity.

Keywordshealth policy; health services research; primary health care; primary prevention; rural health
Year2016
JournalAustralian Journal of Primary Health
Journal citation22 (6), pp. 510 - 516
PublisherCSIRO Publishing
ISSN1448-7527
Digital Object Identifier (DOI)https://doi.org/10.1071/PY15091
Scopus EID2-s2.0-85006437578
Page range510 - 516
Research GroupMary MacKillop Institute for Health Research
Place of publicationAustralia
Permalink -

https://acuresearchbank.acu.edu.au/item/886wy/prevention-of-cardiovascular-disease-in-rural-australian-primary-care-an-exploratory-study-of-the-perspectives-of-clinicians-and-high-risk-men

Restricted files

Publisher's version

  • 0
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Outdoor fungal spores and acute respiratory effects in vulnerable individuals
Tham, Rachel, Erbas, Bircan, Dharmage, Shyamali Chandrika, Tang, Mimi L. K., Aldakheel, Fahad, Lodge, Caroline J., Thomas, Paul S., Taylor, Philip E., Abramson, Michael J. and Lowe, Adrian J.. (2019) Outdoor fungal spores and acute respiratory effects in vulnerable individuals. Environmental Research. 178, pp. 1 - 9. https://doi.org/10.1016/j.envres.2019.108675
Association between fire smoke fine particulate matter and asthma-related outcomes: Systematic review and meat-analysis
Arriagada, Nicolas Borchers, Horsley, Joshua A., Palmer, Andrew J., Morgan, Geoffrey G., Tham, Rachel and Johnston, Fay H.. (2019) Association between fire smoke fine particulate matter and asthma-related outcomes: Systematic review and meat-analysis. Environmental Research. 179, pp. 1 - 11. https://doi.org/10.1016/j.envres.2019.108777
High ambient levels of grass, weed and other pollen are associated with asthma admissions in children and adolescents: A large 5-year case-crossover study
Shrestha, Som K., Katelaris, C. H., Dharmage, S. C., Burton, Pamela, Vicendese, Don, Tham, Rachel, Abramson, Michael J. and Erbas, B.. (2018) High ambient levels of grass, weed and other pollen are associated with asthma admissions in children and adolescents: A large 5-year case-crossover study. Clinical and Experimental Allergy. 48(11), pp. 1421 - 1428. https://doi.org/10.1111/cea.13225
Outdoor pollen is a trigger of child and adolescent asthma emergency department presentations: A systematic review and meta-analysis
Erbas, Bircan, Jazayeri, Mitra, Lambert, Katrina A., Katelaris, Constance H., Prendergast, Luke A., Tham, Rachel, Parrodi, M.J., Davies, Janet M., Newbigin, Ed J., Abramson, Michael J. and Charmage, Shyamali C.. (2018) Outdoor pollen is a trigger of child and adolescent asthma emergency department presentations: A systematic review and meta-analysis. Allergy. 73(8), pp. 1632 - 1641. https://doi.org/10.1111/all.13407
Air pollution and otitis media in children: A systematic review of literature
Bowatte, Gayan, Tham, Rachel, Perret, Jennifer L., Bloom, Michael S., Dong, Guanghui, Waidyatillake, Nilakshi, Bui, Dinh, Morgan, Geoffrey G., Jalaludin, Bin, Lodge, Caroline J. and Dharmage, Shyamali C.. (2018) Air pollution and otitis media in children: A systematic review of literature. International Journal of Environmental Research and Public Health. 15(2), pp. 1 - 19. https://doi.org/10.3390/ijerph15020257
Greenspace and atopic sensitization in children and adolescents: A systematic review
Lambert, Katrina A., Bowatte, Gayan, Tham, Rachel, Lodge, Caroline J., Prendergast, Luke A., Heinrich, Joachim, Abramson, Michael J., Dharmage, Shyamali C. and Erbas, Bircan. (2018) Greenspace and atopic sensitization in children and adolescents: A systematic review. International Journal of Environmental Research and Public Health. 15(11), pp. 1 - 12. https://doi.org/10.3390/ijerph15112539
Associations between outdoor fungal spores and childhood and adolescent asthma hospitalizations
Tham, Rachel, Vicendese, Don, Dharmage, S. C., Hyndman, Rob J., Newbigin, E., Lewis, Emma, O'Sullivan, Molly, Lowe, Adrian J., Taylor, Philip, Bardin, Philip, Tang, Mimi L. K., Abramson, Michael J. and Erbas, B.. (2017) Associations between outdoor fungal spores and childhood and adolescent asthma hospitalizations. Journal of Allergy and Clinical Immunology. 139(4), pp. 1140 - 1147. https://doi.org/10.1016/j.jaci.2016.06.046
Effect of season of birth on cord blood IgE and IgE at birth: a systematic review and meta-analysis
Susanto, Nugrobo Harry, Vicendese, Don, Salim, Agus, Lowe, Adrian J., Dharmage, S. C., Tham, Rachel, Lodge, Caroline, Garden, Frances L., Allen, Katie, Svanes, Cecilie, Heinrich, Joachim, Abramson, Michael J. and Erbas, B.. (2017) Effect of season of birth on cord blood IgE and IgE at birth: a systematic review and meta-analysis. Environmental Research. 157, pp. 198 - 205. https://doi.org/10.1016/j.envres.2017.05.026
Residential greenness and allergic respiratory diseases in children and adolescents - a systematic review and meta-analysis
Lambert, K. A., Bowatte, G., Tham, Rachel, Lodge, C., Prendergast, L., Heinrich, J., Abramson, Michael J., Dharmage, S. C. and Erbas, B.. (2017) Residential greenness and allergic respiratory diseases in children and adolescents - a systematic review and meta-analysis. Environmental Research. 159, pp. 212 - 221. https://doi.org/10.1016/j.envres.2017.08.002
The role of outdoor fungi on asthma hospital admissions in children and adolescents: a 5-year time stratified case-crossover analysis
Tham, Rachel, Katelaris, Constance H., Vicendese, Don, Dharmage, Shyamali C., Lowe, Adrian J., Bowatte, Gayan, Taylor, Philip, Burton, Pamela, Abramson, Michael J. and Erbas, B.. (2017) The role of outdoor fungi on asthma hospital admissions in children and adolescents: a 5-year time stratified case-crossover analysis. Environmental Research. 154, pp. 42 - 49. https://doi.org/10.1016/j.envres.2016.12.016
The quality of cardiovascular disease prevention in rural primary care
Allenby, Ann, Kinsman, Leigh, Tham, Rachel, Symons, Julie, Jones, Mike and Campbell, Stephen. (2016) The quality of cardiovascular disease prevention in rural primary care. Australian Journal of Rural Health. 24(2), pp. 92 - 98. https://doi.org/10.1111/ajr.12224
Oral health-related knowledge, attitudes and self-efficacy of Australian rural older adults
Marino, Rodrigo Jose, Hopcraft, Matthew, Ghanim, Aghareed, Tham, Rachel, Khew, Chee-Wah and Stevenson, Christine. (2016) Oral health-related knowledge, attitudes and self-efficacy of Australian rural older adults. Gerodontology: an international journal. 33(4), pp. 530 - 538. https://doi.org/10.1111/ger.12202
Breastfeeding and the risk of dental caries: a systematic review and meta-analysis
Tham, Rachel, Bowatte, G., Dharmage, S. C., Tan, D. J., Lau, M. X.Z., Dai, Xiaochen, Allen, K J. and Lodge, C. J.. (2015) Breastfeeding and the risk of dental caries: a systematic review and meta-analysis. Acta Paediatrica. 104(467), pp. 62 - 84. https://doi.org/10.1111/apa.13118
Breastfeeding and asthma and allergies: A systematic review and meta-analysis
Lodge, Caroline J., Tan, D. J., Lau, M. X. Z., Dai, Xiaochen, Tham, Rachel, Lowe, Adrian J., Bowatte, Gayan, Allen, K. J. and Dharmage, Shyamali Chandrika. (2015) Breastfeeding and asthma and allergies: A systematic review and meta-analysis. Acta Paediatrica. 104(467), pp. 38 - 53. https://doi.org/10.1111/apa.13132
Breastfeeding and childhood acute otitis media: A systematic review and meta-analysis
Bowatte, G., Tham, R., Allen, K. J., Tan, D. J., Lau, M. X. Z., Dai, X. and Lodge, C. J.. (2015) Breastfeeding and childhood acute otitis media: A systematic review and meta-analysis. Acta Paediatrica. 104(467), pp. 85 - 95. https://doi.org/10.1111/apa.13151
Reporting dental trauma and its inclusion in an injury surveillance system in Victoria, Australia
Dang, K. M., Day, P. F., Calache, H., Tham, R. and Parashos, P.. (2015) Reporting dental trauma and its inclusion in an injury surveillance system in Victoria, Australia. Australian Dental Journal. 60(1), pp. 88 - 95. https://doi.org/10.1111/adj.12273
Investing in longitudinal studies of primary healthcare: what can we learn about service performance, sustainability and quality?
Ward, Bernadette M., Buykx, P. F., Tham, Rachel, Kinsman, Leigh and Humphreys, John S.. (2014) Investing in longitudinal studies of primary healthcare: what can we learn about service performance, sustainability and quality? Rural and Remote Health. 14(4), pp. 1 - 6.
Staff perceptions of primary healthcare service change: Influences on staff satisfaction
Tham, Rachel, Buykx, Penny, Kinsman, Leigh, Ward, Bernadette, Humphreys, John S., Asaid, Adel, Tuohey, Kathy and Jenner, Rohan. (2014) Staff perceptions of primary healthcare service change: Influences on staff satisfaction. Australian Health Review. 38(5), pp. 580 - 583. https://doi.org/10.1071/AH14015
Outdoor fungi and child asthma health service attendances
Tham, Rachel, Dharmage, Shyamali C., Taylor, Philip E., Katelaris, Constance H., Vicendese, Don, Abramson, Michael J. and Erbas, Bircan. (2014) Outdoor fungi and child asthma health service attendances. Pediatric Allergy and Immunology. 25(5), pp. 439 - 449. https://doi.org/10.1111/pai.12257
Pattern and factors associated with utilization of dental services among older adults in rural Victoria
MariƱo, Rodrigo Jose, Khan, A. R., Tham, Rachel, Khew, Chee-Wah and Stevenson, Christine. (2014) Pattern and factors associated with utilization of dental services among older adults in rural Victoria. Australian Dental Journal. 59(4), pp. 504 - 510. https://doi.org/10.1111/adj.12216
The role of seasonal grass pollen on childhood asthma emergency department presentations
Erbas, B., Akram, M., Dharmage, S. C., Tham, R., Dennekamp, M., Newbigin, E., Taylor, P., Tang, M. L. K. and Abramson, M. J.. (2012) The role of seasonal grass pollen on childhood asthma emergency department presentations. Clinical and Experimental Allergy. 42(5), pp. 799 - 805. https://doi.org/10.1111/j.1365-2222.2012.03995.x