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Randomized Controlled Trial
. 2007;85(1):37-67.
doi: 10.1111/j.1468-0009.2007.00476.x.

SA HealthPlus: a controlled trial of a statewide application of a generic model of chronic illness care

Malcolm Battersby  1 , Peter Harvey, P David Mills, Elizabeth Kalucy, R G Pols, Peter A Frith, Peter McDonald, Adrian Esterman, George Tsourtos, Ronald Donato, Rodney Pearce, Christopher McGowan
Affiliations
Randomized Controlled Trial

SA HealthPlus: a controlled trial of a statewide application of a generic model of chronic illness care

Malcolm Battersby et al. Milbank Q. 2007.

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.

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References

    1. Australian Government Department of Health and Ageing. Sharing HealthCare Initiative. [accessed May 2006]. Available at, http://www.health.gov.au/internet/wcms/Publishing.nsf/Content/chronicdis....
    1. Australian Government Department of Health and Ageing. New Medicare Chronic Disease Management Items Replace Enhanced Primary Care (EPC) Care Planning Items from 1 July 2005. [accessed June 2005]. Available at, http://www.health.gov.au/internet/wcms/publishing.nsf/Content/pcd-progra....
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