Revenue effects of practice nurse-led care for chronic diseases
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 urb...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
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CSIRO Publishing
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/47894 |
| _version_ | 1848757959578877952 |
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| author | Iles, R. Eley, D. Hegney, Desley Patterson, E. Young, J. Del Mar, C. Synnott, R. Scuffham, P. |
| author_facet | Iles, R. Eley, D. Hegney, Desley Patterson, E. Young, J. Del Mar, C. Synnott, R. Scuffham, P. |
| author_sort | Iles, R. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. Results: There was an estimated A$129 mean increase in total MBS item charges over a 1-year period (controlled for age, self-reported quality of life and geographic location of practice) associated with PN-led care. The frequency of GP and PN visits varied markedly according to the chronic disease. Conclusions: Medicare reimbursements provided sufficient funding for general practices to employ PNs within limits of workloads before the new Practice Nurse Incentive Program was introduced in July 2012. |
| first_indexed | 2025-11-14T09:36:23Z |
| format | Journal Article |
| id | curtin-20.500.11937-47894 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:36:23Z |
| publishDate | 2014 |
| publisher | CSIRO Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-478942017-09-13T15:57:40Z Revenue effects of practice nurse-led care for chronic diseases Iles, R. Eley, D. Hegney, Desley Patterson, E. Young, J. Del Mar, C. Synnott, R. Scuffham, P. 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. Results: There was an estimated A$129 mean increase in total MBS item charges over a 1-year period (controlled for age, self-reported quality of life and geographic location of practice) associated with PN-led care. The frequency of GP and PN visits varied markedly according to the chronic disease. Conclusions: Medicare reimbursements provided sufficient funding for general practices to employ PNs within limits of workloads before the new Practice Nurse Incentive Program was introduced in July 2012. 2014 Journal Article http://hdl.handle.net/20.500.11937/47894 10.1071/AH13171 CSIRO Publishing fulltext |
| spellingShingle | Iles, R. Eley, D. Hegney, Desley Patterson, E. Young, J. Del Mar, C. Synnott, R. Scuffham, P. Revenue effects of practice nurse-led care for chronic diseases |
| title | Revenue effects of practice nurse-led care for chronic diseases |
| title_full | Revenue effects of practice nurse-led care for chronic diseases |
| title_fullStr | Revenue effects of practice nurse-led care for chronic diseases |
| title_full_unstemmed | Revenue effects of practice nurse-led care for chronic diseases |
| title_short | Revenue effects of practice nurse-led care for chronic diseases |
| title_sort | revenue effects of practice nurse-led care for chronic diseases |
| url | http://hdl.handle.net/20.500.11937/47894 |