Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/42183
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Type: Journal article
Title: SA HealthPlus: A controlled trial of a statewide application of a generic model of chronic illness care
Author: Battersby, M.
Harvey, P.
Mills, P.
Kalucy, E.
Pols, R.
Frith, P.
McDonald, P.
Esterman, A.
Tsourtos, G.
Donato, R.
Pearce, R.
McGowan, C.
Citation: Milbank Quarterly, 2007; 85(1):37-67
Publisher: Blackwell Publishers
Issue Date: 2007
ISSN: 0887-378X
1468-0009
Statement of
Responsibility: 
Malcolm Battersby, Peter Harvey, P. David Mills, Elizabeth Kalucy, R.G. Pols, Peter A. Frith, Peter McDonald, Adrian Esterman, George Tsourtos, Ronald Donato, Rodney Pearce, and Christopher McGowan
Abstract: SA HealthPlus, one of nine national Australian coordinated care trials, addressed chronic illness care by testing whether coordinated care would improve health outcomes at the cost of usual care. SA HealthPlus compared a generic model of coordinated care for 3,115 intervention patients with the usual care for 1,488 controls. Service coordinators and the behavioral and care-planning approach were new. The health status (SF-36) in six of eight projects improved, and those patients who had been hospitalized in the year immediately preceding the trial were the most likely to save on costs. A mid-trial review found that health benefits from coordinated care depended more on patients’ self-management than the severity of their illness, a factor leading to the Flinders Model of Self-Management Support.
Keywords: Humans
Chronic Disease
Pilot Projects
Health Status
Models, Organizational
Health Care Reform
Adult
Aged
Middle Aged
Health Care Costs
Health Services Research
Health Services Needs and Demand
Patient Satisfaction
Patient-Centered Care
Continuity of Patient Care
Delivery of Health Care, Integrated
Australia
Female
Male
Outcome Assessment, Health Care
Description: Copyright © 2007 Milbank Memorial Fund and Cambridge University Press
DOI: 10.1111/j.1468-0009.2007.00476.x
Appears in Collections:Aurora harvest
Rural Clinical School publications

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