Revenue effects of practice nurse-led care for chronic diseases

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Journal Article

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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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2014 HERDC Submission




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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