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SA HealthPlus : a controlled trial of a statewide application of a generic model of chronic illness care

journal contribution
posted on 2007-01-01, 00:00 authored by M Battersby, P Harvey, P D Mills, E Kalucy, R G Pols, P A Frith, P McDonald, A Esterman, G Tsourtos, R Donato, R Pearce, C McGowan
SA HealthPlus, one of nine national Australian coordinated care trials, addressed chronic illness care by testing whether coordinated care would improve health outcomes at the cost of usual care. SA HealthPlus compared a generic model of coordinated care for 3,115 intervention patients with the usual care for 1,488 controls. Service coordinators and the behavioral and care-planning approach were new. The health status (SF-36) in six of eight projects improved, and those patients who had been hospitalized in the year immediately preceding the trial were the most likely to save on costs. A mid-trial review found that health benefits from coordinated care depended more on patients' self-management than the severity of their illness, a factor leading to the Flinders Model of Self-Management Support.

History

Journal

Milbank quaterly

Volume

85

Issue

1

Pagination

37 - 67

Publisher

Wiley-Blackwell

Location

Hoboken, N.J.

ISSN

0887-378X

eISSN

1468-0009

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2007, Milbank Memorial Fund

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