University of Adelaide Library

Adelaide Research and Scholarship : Schools and Disciplines : School of Population Health & Clinical Practice : Public Health : Public Health Publications

Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/73473

Type: Journal article
Title: A model-based evaluation of collaborative care in management of patients with type 2 diabetes in Australia: an initial report
Author: Hajiali Afzali, Hossein
Karnon, Jonathan Daniel
Gray, Jodi Patricia
Beilby, Justin John
Citation: Australian Health Review, 2012; 36(3):258-263
Publisher: Australian Healthcare Association
Issue Date: 2012
ISSN: 0156-5788
School/Discipline: School of Population Health and Clinical Practice : Public Health
Statement of
Responsibility: 
Hossein Haji Ali Afzali, Jonathan Karnon, Jodi Gray and Justin Beilby
Abstract: OBJECTIVES: To analyse the short- and long-term costs and benefits of alternative models of primary care for the management of patients with type 2 diabetes in Australia. The models of care reflect differential uptake of primary care-based incentive programs, including reminder systems and involvement of practice nurses in management. This paper describes our study protocol and its progress. METHODS: We are undertaking an observational study using a cluster sample design that links retrospective patient data from a range of sources to estimate costs and intermediate outcomes (such as the level of glycosylated haemoglobin (HbA1c)) over a 3-year time horizon.Weuse the short-term data as a basis to estimate lifetime costs and benefits of alternative models of care using a decision analytic model. INITIAL REPORT: We recruited 15 practices from a metropolitan area (Adelaide) and allocated them to three models of care. Three hundred and ninety-nine patients agreed to participate. We use multilevel analysis to evaluate the association between different models of care and patient-level outcomes, while controlling for several covariates. DISCUSSION/CONCLUSIONS: Given the large amount of funding currently used to maintain primary care-based incentives in general practices in Australia, the results of this study generate the knowledge required to promote investment in the most cost-effective incentives.
Rights: © AHHA 2012
RMID: 0020121819
DOI: 10.1071/AH11084
Appears in Collections:Public Health Publications
View citing articles in: Google Scholar
Scopus

There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

© 2008 The University of Adelaide
library@adelaide.edu.au
CRICOS Provider Number 00123M
Service Charter | Copyright | Privacy | Disclaimer