Uptake of medicare chronic disease management incentives: a study into service providers' perspectives

Holden, Libby, Williams, Ian D., Patterson, Elizabeth, Smith, Jane, Scuffham, Paul A., Cheung, Lily, Chambers, Robyn, Golenko, Xanthe A. and Weare, Robyn (2012) Uptake of medicare chronic disease management incentives: a study into service providers' perspectives. Australian Family Physician, 41 12: 973-977.

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Author Holden, Libby
Williams, Ian D.
Patterson, Elizabeth
Smith, Jane
Scuffham, Paul A.
Cheung, Lily
Chambers, Robyn
Golenko, Xanthe A.
Weare, Robyn
Title Uptake of medicare chronic disease management incentives: a study into service providers' perspectives
Journal name Australian Family Physician   Check publisher's open access policy
ISSN 0300-8495
Publication date 2012-12
Sub-type Article (original research)
Volume 41
Issue 12
Start page 973
End page 977
Total pages 5
Place of publication South Melbourne, VIC., Australia
Publisher Royal Australian College of General Practitioners
Collection year 2013
Language eng
Formatted abstract
BACKGROUND Chronic disease is responsible for 80% of the burden of disease in Australia. The Australian Government Medicare Benefits Schedule (MBS) provides incentives through specific Medicare items to optimise chronic disease management (CDM), yet little is known about factors that influence their uptake.
METHODS Exploratory qualitative research was used, which incorporated focus groups and interviews with 26 staff from nine general practices in southeast Queensland, together with review of practice-specific data on CDM income. Content analysis of qualitative data was undertaken to identify barriers, enablers and service models associated with MBS CDM item uptake. Triangulation of methods and data sources facilitated confirmation of findings.
RESULTS Time pressures and unreliable MBS information were common barriers to uptake for general practitioners. Employing a nurse, team-based approaches, recall systems and using only selected MBS CDM item numbers were associated with best uptake.
CONCLUSION Improved systems within general practice and Medicare may increase the uptake of MBS CDM item numbers.
Keyword Chronic disease/therapy
General practice
Delivery of health care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Public Health Publications
UQ Business School Publications
 
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