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Type: Journal article
Title: Chronic disease management: Does the disease affect likelihood of care planning?
Author: Vitry, A.
Roughead, E.
Ramsay, E.
Ryan, P.
Caughey, G.
Esterman, A.
Shakib, S.
Gilbert, A.
McDermott, R.
Citation: Australian Health Review, 2012; 36(4):419-423
Publisher: Australian Healthcare Association
Issue Date: 2012
ISSN: 0156-5788
Statement of
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
Cohort Studies
Social Class
Databases, Factual
Aged, 80 and over
Patient Care Management
General Practitioners
Rights: Copyright status unknown
DOI: 10.1071/AH11100
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