Title

Uptake of Medicare chronic disease management incentives - a study into service providers' perspectives

Date of this Version

12-1-2012

Document Type

Journal Article

Publication Details

Published version

Holden, L., Williams, I.D., Patterson, E., Smith, J., Scuffham, P.A., Cheung, L., Chambers, R., Golenko, X.A., & Weare, R. (2012). Uptake of Medicare chronic disease management incentives - a study into service providers' perspectives. Australian Family Physician, 41(12), 973-977

Access the journal

© Copyright The Royal Australian College of General Practitioners, 2012

ISSN

0300-8495

Abstract

Background: Chronic disease is responsible for 80% of the burden of disease in Australia. The Australian Government Medicare Benefits Schedule (MBS) provides incentives through specific Medicare items to optimise chronic disease management (CDM), yet little is known about factors that influence their uptake.

Methods: Exploratory qualitative research was used, which incorporated focus groups and interviews with 26 staff from nine general practices in southeast Queensland, together with review of practice-specific data on CDM income. Content analysis of qualitative data was undertaken to identify barriers, enablers and service models associated with MBS CDM item uptake. Triangulation of methods and data sources facilitated confirmation of findings.

Results: Time pressures and unreliable MBS information were common barriers to uptake for general practitioners. Employing a nurse, team-based approaches, recall systems and using only selected MBS CDM item numbers were associated with best uptake.

Conclusion: Improved systems within general practice and Medicare may increase the uptake of MBS CDM item numbers.

 

This document has been peer reviewed.