Rural Clinical School

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Browsing Rural Clinical School by Author "Battersby, M."

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    Health reform through coordinated care: SA HealthPlus
    (British Med Journal Publ Group, 2005) Battersby, M.; McDonald, P.; Frith, P.; Harvey, P.; Pols, R.; McGowan, C.
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    SA HealthPlus: A controlled trial of a statewide application of a generic model of chronic illness care
    (Blackwell Publishers, 2007) Battersby, M.; Harvey, P.; Mills, P.; Kalucy, E.; Pols, R.; Frith, P.; McDonald, P.; Esterman, A.; Tsourtos, G.; Donato, R.; Pearce, R.; McGowan, C.
    SA HealthPlus, one of nine national Australian coordinated care trials, addressed chronic illness care by testing whether coordinated care would improve health outcomes at the cost of usual care. SA HealthPlus compared a generic model of coordinated care for 3,115 intervention patients with the usual care for 1,488 controls. Service coordinators and the behavioral and care-planning approach were new. The health status (SF-36) in six of eight projects improved, and those patients who had been hospitalized in the year immediately preceding the trial were the most likely to save on costs. A mid-trial review found that health benefits from coordinated care depended more on patients’ self-management than the severity of their illness, a factor leading to the Flinders Model of Self-Management Support.
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    Self-management support and training for patients with chronic and complex conditions improves health-related behaviour and health outcomes
    (Australian Healthcare Association, 2008) Harvey, P.; Petkov, J.; Misan, G.; Cayetano, T.; Warren, K.; Fuller, J.; Battersby, M.; Holmes, P.
    The Sharing Health Care SA chronic disease self-management (CDSM) project in rural South Australia was designed to assist patients with chronic and complex conditions (diabetes, cardiovascular disease and arthritis) to learn how to participate more effectively in the management of their condition and to improve their self-management skills. Participants with chronic and complex conditions were recruited into the Sharing Health Care SA program and offered a range of education and support options (including a 6-week peer-led chronic disease self-management program) as part of the Enhanced Primary Care care planning process. Patient self-reported data were collected at baseline and subsequent 6-month intervals using the Partners in Health (PIH) scale to assess self-management skill and ability for 175 patients across four data collection points. Health providers also scored patient knowledge and self-management skills using the same scale over the same intervals. Patients also completed a modified Stanford 2000 Health Survey for the same time intervals to assess service utilisation and health-related lifestyle factors. Results show that both mean patient self-reported PIH scores and mean health provider PIH scores for patients improved significantly over time, indicating that patients demonstrated improved understanding of their condition and improved their ability to manage and deal with their symptoms. These results suggest that involvement in peer-led self-management education programs has a positive effect on patient self-management skill, confidence and health-related behaviour.