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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
Statement of
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
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
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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