Title

Revenue effects of practice nurse-led care for chronic diseases

Date of this Version

1-1-2014

Document Type

Journal Article

Publication Details

Citation only

Iles, R., Eley, D., Hegney, D., Patterson, E., Young, J., Del Mar, C., Synnott, R. L. Scuffham, P. (2014). Revenue effects of practice nurse-led care for chronic diseases. Australian Health Review, 38(4), 363-369.

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© Copyright, AHHA, 2014

2014 HERDC Submission

ISSN

0156-5788

Abstract

Objective To determine the economic feasibility in Australian general practices of using a practice nurse (PN)-led care model of chronic disease management. Methods A cost-analysis of item numbers from the Medicare Benefit Schedule (MBS) was performed in three Australian general practices, one urban, one regional and one rural. Patients (n ?254; >18 years of age) with chronic conditions (type 2 diabetes, hypertension, ischaemic heart disease) but without unstable or major health problems were randomised into usual general practitioner (GP) or PN-led care for management of their condition over a period of 12 months. After the 12-month intervention, total MBS item charges were evaluated for patients managed for their stable chronic condition by usual GP or PN-led care. Zero-skewness log transformation was applied to cost data and log-linear regression analysis was undertaken.

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This document has been peer reviewed.