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    Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency

    188414_188414.pdf (1.000Mb)
    Access Status
    Open access
    Authors
    Gibson, D.
    Moorin, Rachael
    Preen, D.
    Emery, J.
    Holman, C.
    Date
    2012
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Gibson, David A.J. and Moorin, Rachael E. and Preen, David and Emery, Jon and Holman, C. D'arcy J. 2012. Enhanced Primary Care improves GP service regularity in older patients without impacting on service frequency. Australian Journal of Primary Health. 18 (4): pp. 295-303.
    Source Title
    Australian Journal of Primary Health
    DOI
    10.1071/PY11050
    ISSN
    1448-7527
    Remarks

    Copyright © 2012 CSIRO

    URI
    http://hdl.handle.net/20.500.11937/47488
    Collection
    • Curtin Research Publications
    Abstract

    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.

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