Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/107248
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dc.contributor.author | Iles, R.A. | - |
dc.contributor.author | Eley, D.S. | - |
dc.contributor.author | Hegney, D.G. | - |
dc.contributor.author | Patterson, E. | - |
dc.contributor.author | Young, J. | - |
dc.contributor.author | Del Mar, C. | - |
dc.contributor.author | Synnott, R. | - |
dc.contributor.author | Scuffham, P.A. | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | Australian Health Review, 2014; 38(4):363-369 | - |
dc.identifier.issn | 0156-5788 | - |
dc.identifier.issn | 1449-8944 | - |
dc.identifier.uri | http://hdl.handle.net/2440/107248 | - |
dc.description | Published online 8 July 2014 | - |
dc.description.abstract | OBJECTIVE: To determine the economic feasibility in Australian general practices of using a practice nurse (PN)-led care model of chronic disease management. METHODS: A cost-analysis of item numbers from the Medicare Benefit Schedule (MBS) was performed in three Australian general practices, one urban, one regional and one rural. Patients (n =254; >18 years of age) with chronic conditions (type 2 diabetes, hypertension, ischaemic heart disease) but without unstable or major health problems were randomised into usual general practitioner (GP) or PN-led care for management of their condition over a period of 12 months. After the 12-month intervention, total MBS item charges were evaluated for patients managed for their stable chronic condition by usual GP or PN-led care. Zero-skewness log transformation was applied to cost data and log-linear regression analysis was undertaken. RESULTS: There was an estimated A$129 mean increase in total MBS item charges over a 1-year period (controlled for age, self-reported quality of life and geographic location of practice) associated with PN-led care. The frequency of GP and PN visits varied markedly according to the chronic disease. CONCLUSIONS: Medicare reimbursements provided sufficient funding for general practices to employ PNs within limits of workloads before the new Practice Nurse Incentive Program was introduced in July 2012. | - |
dc.description.statementofresponsibility | Richard A. Iles, Diann S. Eley, Desley G. Hegney, Elizabeth Patterson, Jacqui Young, Christopher Del Mar, Robyn Synnott, Paul A. Scuffham | - |
dc.language.iso | en | - |
dc.publisher | CSIRO Publishing | - |
dc.rights | Journal compilation © AHHA 2014. Open Access. For any reuse or distribution, you must make clear to others the license terms of this work. The best way to do this is with a link to http://creativecommons.org/licenses/by-nc-nd/3.0/ | - |
dc.source.uri | http://dx.doi.org/10.1071/ah13171 | - |
dc.subject | Chronic Disease | - |
dc.title | Revenue effects of practice nurse-led care for chronic diseases | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1071/AH13171 | - |
dc.relation.grant | http://purl.org/au-research/grants/arc/DP110102439 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Hegney, D.G. [0000-0003-1267-1760] | - |
Appears in Collections: | Aurora harvest 3 Nursing publications |
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hdl_107248.pdf | Published version | 229.99 kB | Adobe PDF | View/Open |
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