General practice utilisation of Medicare Benefits Schedule items to support the care of older patients: Findings from the REDIRECT study

© La Trobe University 2018. Medicare Benefits Schedule (MBS) items designed to support the wellbeing of older people may reduce unnecessary emergency department utilisation, however it is unclear to what extent such items are used. This study examined general practitioner (GP) utilisation of these...

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Main Authors: Turner, L., Pearce, C., Brijnath, Bianca, Browning, C., Lowthian, J., Shearer, M., Mazza, D.
Format: Journal Article
Published: C S I R O Publishing 2018
Online Access:http://hdl.handle.net/20.500.11937/67621
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author Turner, L.
Pearce, C.
Brijnath, Bianca
Browning, C.
Lowthian, J.
Shearer, M.
Mazza, D.
author_facet Turner, L.
Pearce, C.
Brijnath, Bianca
Browning, C.
Lowthian, J.
Shearer, M.
Mazza, D.
author_sort Turner, L.
building Curtin Institutional Repository
collection Online Access
description © La Trobe University 2018. Medicare Benefits Schedule (MBS) items designed to support the wellbeing of older people may reduce unnecessary emergency department utilisation, however it is unclear to what extent such items are used. This study examined general practitioner (GP) utilisation of these MBS items through an analysis of the Melbourne East Monash General Practice Database (MAGNET), which contains information collected from GP clinics within the inner east Melbourne region. Sociodemographic and MBS claim data were extracted for patients aged ≥75 years attending a GP between 2005 and 2012. Utilisation of 75+ Health Assessments, General Practitioner Management Plans (GPMP), Team Care Arrangements (TCAs) or reviews, or Medication Management Reviews (MMRs) was assessed. There were 12962 (60.6%) patients assigned at least one of the MBS items. The highest level of claiming was for GPMPs (n≤4754; 35.8%) and TCAs (n≤4476; 33.7%), with MMRs having the lowest use (n≤1023; 6.8%). Examination of GP and patient barriers to the uptake of these items is needed, along with a greater understanding as to whether those most at risk of hospitalisation are receiving these services. Strategies that support capacity to implement these items are also required.
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spelling curtin-20.500.11937-676212018-05-18T08:04:22Z General practice utilisation of Medicare Benefits Schedule items to support the care of older patients: Findings from the REDIRECT study Turner, L. Pearce, C. Brijnath, Bianca Browning, C. Lowthian, J. Shearer, M. Mazza, D. © La Trobe University 2018. Medicare Benefits Schedule (MBS) items designed to support the wellbeing of older people may reduce unnecessary emergency department utilisation, however it is unclear to what extent such items are used. This study examined general practitioner (GP) utilisation of these MBS items through an analysis of the Melbourne East Monash General Practice Database (MAGNET), which contains information collected from GP clinics within the inner east Melbourne region. Sociodemographic and MBS claim data were extracted for patients aged ≥75 years attending a GP between 2005 and 2012. Utilisation of 75+ Health Assessments, General Practitioner Management Plans (GPMP), Team Care Arrangements (TCAs) or reviews, or Medication Management Reviews (MMRs) was assessed. There were 12962 (60.6%) patients assigned at least one of the MBS items. The highest level of claiming was for GPMPs (n≤4754; 35.8%) and TCAs (n≤4476; 33.7%), with MMRs having the lowest use (n≤1023; 6.8%). Examination of GP and patient barriers to the uptake of these items is needed, along with a greater understanding as to whether those most at risk of hospitalisation are receiving these services. Strategies that support capacity to implement these items are also required. 2018 Journal Article http://hdl.handle.net/20.500.11937/67621 10.1071/PY17047 C S I R O Publishing restricted
spellingShingle Turner, L.
Pearce, C.
Brijnath, Bianca
Browning, C.
Lowthian, J.
Shearer, M.
Mazza, D.
General practice utilisation of Medicare Benefits Schedule items to support the care of older patients: Findings from the REDIRECT study
title General practice utilisation of Medicare Benefits Schedule items to support the care of older patients: Findings from the REDIRECT study
title_full General practice utilisation of Medicare Benefits Schedule items to support the care of older patients: Findings from the REDIRECT study
title_fullStr General practice utilisation of Medicare Benefits Schedule items to support the care of older patients: Findings from the REDIRECT study
title_full_unstemmed General practice utilisation of Medicare Benefits Schedule items to support the care of older patients: Findings from the REDIRECT study
title_short General practice utilisation of Medicare Benefits Schedule items to support the care of older patients: Findings from the REDIRECT study
title_sort general practice utilisation of medicare benefits schedule items to support the care of older patients: findings from the redirect study
url http://hdl.handle.net/20.500.11937/67621