Please use this identifier to cite or link to this item:
|Scopus||Web of Science®||Altmetric|
|Title:||Chronic disease management: Does the disease affect likelihood of care planning?|
|Citation:||Australian Health Review, 2012; 36(4):419-423|
|Publisher:||Australian Healthcare Association|
|Agnes I. Vitry, Elizabeth E. Roughead, Emmae N. Ramsay, Philip Ryan, Gillian E. Caughey, Adrian Esterman, Sepehr Shakib, Andrew L. Gilbert and Robyn McDermott|
|Abstract:||OBJECTIVE. To compare the demographic, socioeconomic, and medical characteristics of patients who had a General Practitioner Management Plan (GPMP) with those for patients without GPMP. METHODS. Cohort study of patients with chronic diseases during the time period 1 July 2006 to 30 June 2008 using the Australian Department of Veterans’ Affairs (DVA) claims database. RESULTS. Of the 88 128 veterans with chronic diseases included in the study, 23 015 (26%) veterans had a GPMP and 11 089 (13%) had a Team Care Arrangement (TCA). Those with a GPMP had a higher number of comorbidities (P < 0.001), and a higher use of services such as health assessment and medicine review (P < 0.001) than did those without GPMP. Diabetes was associated with a significantly increased use of GPMP compared with all other chronic diseases except heart failure. CONCLUSIONS. GPMPs are used in a minority of patients with chronic diseases. Use is highest in people with diabetes. WHAT IS KNOWN ABOUT THE TOPIC? Despite the fact that the Chronic Disease Management (CDM) program is appreciated by patients and allied health professionals, limited research has assessed how it is used in practice. WHAT DOES THIS PAPER ADD? In the Veteran population, use of a General Practitioner Management Plan (GPMP) was associated with a higher number of comorbidities and of prior hospitalisations. Across chronic diseases use of GPMPs was low but was higher in people with diabetes. WHAT ARE THE IMPLICATIONS FOR PRACTITIONERS? Further research into the effect of CDM program on improvement of health outcomes is required.|
|Keywords:||Humans; Chronic Disease; Confidence Intervals; Probability; Cohort Studies; Social Class; Databases, Factual; Aged; Aged, 80 and over; Veterans; Patient Care Management; Australia; Female; Male; General Practitioners|
|Rights:||Copyright status unknown|
|Appears in Collections:||Public Health publications|
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.