Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency
The objective of this study was to assess the impact of Enhanced Primary Care service utilisation on subsequent GP service regularity and frequency. The study involved a retrospective population-based longitudinal cohort using linked administrative health records of hospital and primary care service...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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The Australian Journal of Primary Health, La Trobe University
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/47488 |
| _version_ | 1848757846670311424 |
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| author | Gibson, D. Moorin, Rachael Preen, D. Emery, J. Holman, C. |
| author_facet | Gibson, D. Moorin, Rachael Preen, D. Emery, J. Holman, C. |
| author_sort | Gibson, D. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | The objective of this study was to assess the impact of Enhanced Primary Care service utilisation on subsequent GP service regularity and frequency. The study involved a retrospective population-based longitudinal cohort using linked administrative health records of hospital and primary care services for people over the age of 65 years. Multinomial logistic regression modelling was used to evaluate changes in the relative likelihood of increased primary care service regularity and frequency in exposed and unexposed individuals adjusting for age, sex and recent chronic disease hospitalisation history. Enhanced Primary Care services significantly and substantially increased the relative likelihood of increased regularity with no corresponding higher likelihood of increased frequency of GP contact. Increased regularity was more likely with increasing age except for the oldest age group (90+ years). Some chronic disease histories (e.g. diabetes) showed a higher likelihood of improved regularity while others were less likely to produce an increased regularity (e.g. hypertension). The study suggests a capacity for modification of physician and patient behaviour using incentivised services within the current fee-for-service system in Australia. |
| first_indexed | 2025-11-14T09:34:35Z |
| format | Journal Article |
| id | curtin-20.500.11937-47488 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:34:35Z |
| publishDate | 2012 |
| publisher | The Australian Journal of Primary Health, La Trobe University |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-474882017-09-13T16:05:31Z Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency Gibson, D. Moorin, Rachael Preen, D. Emery, J. Holman, C. chronic disease Enhanced Primary Care GP service regularity linked administrative health records population-based longitudinal cohort hypertension diabetes multinomial logistic regression modelling The objective of this study was to assess the impact of Enhanced Primary Care service utilisation on subsequent GP service regularity and frequency. The study involved a retrospective population-based longitudinal cohort using linked administrative health records of hospital and primary care services for people over the age of 65 years. Multinomial logistic regression modelling was used to evaluate changes in the relative likelihood of increased primary care service regularity and frequency in exposed and unexposed individuals adjusting for age, sex and recent chronic disease hospitalisation history. Enhanced Primary Care services significantly and substantially increased the relative likelihood of increased regularity with no corresponding higher likelihood of increased frequency of GP contact. Increased regularity was more likely with increasing age except for the oldest age group (90+ years). Some chronic disease histories (e.g. diabetes) showed a higher likelihood of improved regularity while others were less likely to produce an increased regularity (e.g. hypertension). The study suggests a capacity for modification of physician and patient behaviour using incentivised services within the current fee-for-service system in Australia. 2012 Journal Article http://hdl.handle.net/20.500.11937/47488 10.1071/PY11050 The Australian Journal of Primary Health, La Trobe University fulltext |
| spellingShingle | chronic disease Enhanced Primary Care GP service regularity linked administrative health records population-based longitudinal cohort hypertension diabetes multinomial logistic regression modelling Gibson, D. Moorin, Rachael Preen, D. Emery, J. Holman, C. Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency |
| title | Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency |
| title_full | Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency |
| title_fullStr | Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency |
| title_full_unstemmed | Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency |
| title_short | Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency |
| title_sort | enhanced primary care improves gp service regularity in older patients without impacting on service frequency |
| topic | chronic disease Enhanced Primary Care GP service regularity linked administrative health records population-based longitudinal cohort hypertension diabetes multinomial logistic regression modelling |
| url | http://hdl.handle.net/20.500.11937/47488 |