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https://hdl.handle.net/2440/107248
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Type: | Journal article |
Title: | Revenue effects of practice nurse-led care for chronic diseases |
Author: | Iles, R.A. Eley, D.S. Hegney, D.G. Patterson, E. Young, J. Del Mar, C. Synnott, R. Scuffham, P.A. |
Citation: | Australian Health Review, 2014; 38(4):363-369 |
Publisher: | CSIRO Publishing |
Issue Date: | 2014 |
ISSN: | 0156-5788 1449-8944 |
Statement of Responsibility: | Richard A. Iles, Diann S. Eley, Desley G. Hegney, Elizabeth Patterson, Jacqui Young, Christopher Del Mar, Robyn Synnott, Paul A. Scuffham |
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. |
Keywords: | Chronic Disease |
Description: | Published online 8 July 2014 |
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/ |
DOI: | 10.1071/AH13171 |
Grant ID: | http://purl.org/au-research/grants/arc/DP110102439 |
Published version: | http://dx.doi.org/10.1071/ah13171 |
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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