Chronic disease management: does the disease affect likelihood of care planning?

Vitry, Agnes I., Roughead, Elizabeth E., Ramsay, Emmae N., Ryan, Philip, Caughey, Gillian E., Esterman, Adrian, Shakib, Sepehr, Gilbert, Andrew L., and McDermott, Robyn (2012) Chronic disease management: does the disease affect likelihood of care planning? Australian Health Review, 36 (4). pp. 419-423.

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View at Publisher Website: http://dx.doi.org/10.1071/AH11100
 
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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.

Item ID: 35774
Item Type: Article (Research - C1)
ISSN: 1449-8944
Funders: National Health and Medical Research Council (NHMRC), Australian Research Council (ARC)
Projects and Grants: NHMRC/ARC Ageing Well Ageing Productively Program grant APP ID 401832
Date Deposited: 15 Oct 2014 16:48
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 100%
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