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|Title:||A model-based evaluation of collaborative care in management of patients with type 2 diabetes in Australia: an initial report|
|Author:||Hajiali Afzali, H.|
|Citation:||Australian Health Review, 2012; 36(3):258-263|
|Publisher:||Australian Healthcare Association|
|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.|
|Keywords:||Humans; Diabetes Mellitus, Type 2; Cluster Analysis; Retrospective Studies; Cooperative Behavior; Models, Organizational; Adolescent; Adult; Aged; Middle Aged; Patient Care Management; South Australia; Young Adult; General Practice|
|Rights:||© AHHA 2012|
|Appears in Collections:||Public Health publications|
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