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dc.contributor.authorIles, R.
dc.contributor.authorEley, D.
dc.contributor.authorHegney, Desley
dc.contributor.authorPatterson, E.
dc.contributor.authorYoung, J.
dc.contributor.authorDel Mar, C.
dc.contributor.authorSynnott, R.
dc.contributor.authorScuffham, P.
dc.identifier.citationIles, R. and Eley, D. and Hegney, D. and Patterson, E. and Young, J. and Del Mar, C. and Synnott, R. et al. 2014. Revenue effects of practice nurse-led care for chronic diseases. Australian Health Review. 38 (4): pp. 363-369.

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.

dc.publisherCSIRO Publishing
dc.titleRevenue effects of practice nurse-led care for chronic diseases
dc.typeJournal Article
dcterms.source.titleAustralian Health Review

This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License Please refer to the licence to obtain terms for any further reuse or distribution of this work.

curtin.departmentSchool of Nursing and Midwifery
curtin.accessStatusOpen access

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