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https://hdl.handle.net/2440/73473
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dc.contributor.author | Hajiali Afzali, H. | - |
dc.contributor.author | Karnon, J. | - |
dc.contributor.author | Gray, J. | - |
dc.contributor.author | Beilby, J. | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | Australian Health Review, 2012; 36(3):258-263 | - |
dc.identifier.issn | 0156-5788 | - |
dc.identifier.issn | 1449-8944 | - |
dc.identifier.uri | http://hdl.handle.net/2440/73473 | - |
dc.description.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. | - |
dc.description.statementofresponsibility | Hossein Haji Ali Afzali, Jonathan Karnon, Jodi Gray and Justin Beilby | - |
dc.language.iso | en | - |
dc.publisher | Australian Healthcare Association | - |
dc.rights | © AHHA 2012 | - |
dc.source.uri | http://dx.doi.org/10.1071/ah11084 | - |
dc.subject | Humans | - |
dc.subject | Diabetes Mellitus, Type 2 | - |
dc.subject | Cluster Analysis | - |
dc.subject | Retrospective Studies | - |
dc.subject | Cooperative Behavior | - |
dc.subject | Models, Organizational | - |
dc.subject | Adolescent | - |
dc.subject | Adult | - |
dc.subject | Aged | - |
dc.subject | Middle Aged | - |
dc.subject | Patient Care Management | - |
dc.subject | South Australia | - |
dc.subject | Young Adult | - |
dc.subject | General Practice | - |
dc.title | A model-based evaluation of collaborative care in management of patients with type 2 diabetes in Australia: an initial report | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1071/AH11084 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Hajiali Afzali, H. [0000-0002-0198-8394] | - |
dc.identifier.orcid | Karnon, J. [0000-0003-3220-2099] | - |
dc.identifier.orcid | Gray, J. [0000-0002-1119-7078] | - |
Appears in Collections: | Aurora harvest Public Health publications |
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