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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 |
Published version: | http://dx.doi.org/10.1111/j.1468-0009.2007.00476.x |
Appears in Collections: | Aurora harvest Rural Clinical School publications |
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