Small-scale rural pilot programs in chronic illness management - what next?

Harvey, P.W., Mills, P.D., Misan, G. and Warren, K. 2003, Small-scale rural pilot programs in chronic illness management - what next?, Australian journal of primary health, vol. 9, no. 2-3, pp. 114-118, doi: 10.1071/PY03034.

Attached Files
Name Description MIMEType Size Downloads

Title Small-scale rural pilot programs in chronic illness management - what next?
Author(s) Harvey, P.W.ORCID iD for Harvey, P.W.
Mills, P.D.
Misan, G.
Warren, K.
Journal name Australian journal of primary health
Volume number 9
Issue number 2-3
Start page 114
End page 118
Total pages 5
Publisher CSIRO Publishing
Place of publication Clayton, Vic.
Publication date 2003
ISSN 1448-7527
Keyword(s) rural pilot programs
primary care
chronic illness
Summary In recent years, rural SA has been the recipient of significant funding to support a range of new primary health care initiatives. Much of this funding, additional to normal recurrent budgets in our health system, has facilitated effective change and development through demonstration and research projects across the state. The resultant work involves programs such as: ? coordinated care trials (COAG) ? more allied health services (MAHS) ? Commonwealth regional health service initiatives (CRHS) ? quality use of medicines (QUM) ? community packages for aged care services ? Indigenous chronic disease self-management pilot programs (CDSM) ? chronic disease self-management (CDSM) programs - Sharing Health Care SA ? chronic disease self-management (CDSM) programs in Indigenous communities. In addition to the resources listed above, funding was also provided by the Commonwealth to establish the South Australian Centre for Rural and Remote Health (SACRRH) and develop the University Department of Rural Health in Whyalla. While this new funding has led to substantial developmental work in chronic illness management in particular, one needs to ask whether the time might not be right now for these hitherto small-scale change initiatives to be transformed into ongoing mainstream programs, informed and guided by research outcomes to date. Is it time to move beyond tentative chronic illness programs and into mainstream reform? We have shown that there is much to be gained, both for patients and for the system, from improved coordination of primary care services and initiatives such as self-management programs for patients with chronic conditions. Better management leads to improved patient health outcomes and can reduce demand for unplanned hospital and emergency services. Many admissions to rural hospitals requiring expensive services, in terms of infrastructure and staffing, could be either prevented, or patients could be managed more effectively in the community as part of a wider primary health care program.
Language eng
DOI 10.1071/PY03034
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2003, La Trobe University
Persistent URL

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Connect to link resolver
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 1 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 237 Abstract Views, 1 File Downloads  -  Detailed Statistics
Created: Wed, 01 Jun 2016, 11:35:14 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact