Reforming funding for chronic illness: Medicare - CDM

Australian Health Review

Volumn 32, Issue 1, 2008, Pages 76-84

  Swerissen, Hal ^a   Taylor, Michael J ^a  

^a LA TROBE UNIVERSITY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; AUSTRALIA; CHRONIC DISEASE; DISEASE MANAGEMENT; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE QUALITY; HUMAN; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PRIMARY HEALTH CARE; PUBLIC HEALTH;

AUSTRALIA; CHRONIC DISEASE; DISEASE MANAGEMENT; FINANCING, GOVERNMENT; HUMANS; NATIONAL HEALTH PROGRAMS; ORGANIZATIONAL INNOVATION; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE;

EID: 42449152076     PISSN: 01565788     EISSN: 14498944     Source Type: Journal    
DOI: 10.1071/AH080076     Document Type: Article

References (39)

1. Australian Institute of Health and Welfare. Chronic diseases and associated risk factors in Australia, 2006. Canberra: AIHW, 2006. (AIHW cat. no. PHE 81.)
2. Productivity Commission. Economic implications of an ageing Australia: research report. Canberra: Productivity Commission, 2005.
3. Furler JS, Harris E, Chondros P, et al. The inverse care law revisited: impact of disadvantaged location on accessing longer GP consultation times. Med J Aust 2002; 177: 80-3.
4. Wilkinson D, McElroy H, Beilby J, et al. Are socioeconomically disadvantaged Australians making more or less use of the Enhanced Primary Care Medicare Benefit Schedule item numbers? Aust Health Rev 2003; 26(3): 43-9. Available at: http://www.aushealthreview.com.au/publications/articles/issues/ ahr_26_3_151203/ahr_26_3_43-49.asp (accessed Nov 2007).
5. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003; 348: 2635-45.
6. Bell RA, Camacho F, Goonan K, et al. Quality of diabetes care among low-income patients in North Carolina. Am J Prev Med 2001; 21: 124-31.
7. Hein L. NPCC update: collaborative program sustains improvement in chronic disease. PHC RIS Infonet 2006; 11(2): 4.
8. Wagner EH, Austin BT, Davis C, et al. Improving chronic illness care: translating evidence into action. Health Aff (Millwood) 2001; 20: 64-78.
9. Si D, Bailie R, Connors C, et al. Assessing health centre systems for guiding improvement in diabetes care. BMC Health Serv Res 2005; 5: 56.
10. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q 2005; 83: 457-502.
11. Ham C, York N, Sutch S, Shaw R. Hospital bed utilisation in the NHS, Kaiser Permanente, and the US Medicare programme: analysis of routine data. BMJ 2003; 327: 1257.
12. Goetzel RZ, Ozminkowski RJ, Villagra VG, Duffy J. Return on investment in disease management: a review. Health Care Financ Rev 2005; 26: 1-19.
13. Scotton R. Managed competition: the policy context. Aust Health Rev 1999; 22(2): 103-21. Available at: http://www.aushealthreview.com.au/publications/articles/issues/ ahr_22_2_010499/ahr_22_2_103-121.asp (accessed Nov 2007).
14. Segal L, Donato R, Richardson J, Peacock S. Strengths and limitations of competitive versus non-competitive models of integrated capitated fundholding. J Health Serv Res Policy 2002; 7 Suppl 1: S56-64.
15. New Matilda. A health policy for Australia: reclaiming universal health care. NewMatilda.com [online magazine and policy portal]. 2006. Available at: http://www.newmatilda.com//page/default.asp?PageID=53 (accessed Feb 2007).
16. Medicare Australia. Annual Report 2005-06. Canberra: Commonwealth of Australia, 2006.
17. Medicare Australia Statistical Reporting [website]. 2007. Available at: http://www.medicareaustralia.gov.au/providers/health_statistics/ statistical_reporting.shtml (accessed Feb 2007).
18. Shortus T, Rose V, Comino E, Zwar N. Patients' views on chronic illness and its care in general practice. Aust Fam Physician 2005; 34: 397-9.
19. Wilkinson D, McElroy H, Beilby J, et al. Uptake of health assessments, care plans and case conferences by general practitioners through the Enhanced Primary Care program between November 1999 and October 2001. Aust Health Rev 2002; 25(4): 1-11. Available at: http://www.aushealthreview.com.au/publications/articles/issues/ ahr_25_4_120802/ahr_25_4_01-11.asp (accessed Nov 2007).
20. Blakeman TM, Harris MF, Comino EJ, Zwar NA. Evaluating general practitioners' views about the implementation of the Enhanced Primary Care Medicare items. Med J Aust 2001; 175: 95-8.
21. Productivity Commission. General practice administrative and compliance costs: research report. Canberra: Productivity Commission, 2003.
22. Chew M. Battling red tape. Med J Aust 2004; 181: 60.
23. Professional Services Review. Report to the professions 2005-06. Canberra: Commonwealth of Australia, 2006.
24. Zwar NA, Hermiz O, Comino EJ, et al. Do multidisciplinary care plans result in better care for patients with type 2 diabetes? Aust Fam Physician 2007; 36: 85-9.
25. Newland J, Zwar N. General practice and the management of chronic conditions - where to now? Aust Fam Physician 2006; 35: 16-9.
26. Australian General Practice Network. Medicare audit of chronic disease management items. AGPN News 2007; 30 Jan: 6.
27. Anastasopoulos C. Chronic disease items blow budget. Australian Doctor 2006; 14 July: 1.
28. Australian Institute of Health and Welfare. Health expenditure: Australia 2004-05. Canberra: AIHW; 2006. (AIHW cat. no. HWE 35.)
29. Smith PC, York N. Quality incentives: the case of UK general practitioners. Health Aff (Millwood) 2004; 23: 112-8.
30. Department of Health (UK). Investing in general practice: the new general medical services contract. London: UK Department of Health, 2003.
31. Christianson JB, Knutson DJ, Mazze RS. Physician pay-for-performance. Implementation and research issues. J Gen Intern Med 2006; 21 Suppl 2: S9-S13.
32. Marshall M, Smith P. Rewarding results: using financial incentives to improve quality. Qual Saf Health Care 2003; 12: 397-8.
33. Millenson ML. Pay for performance: the best worst choice. Qual Saf Health Care 2004; 13: 323-4.
34. Robinson JC. Theory and practice in the design of physician payment incentives. Milbank Q 2001; 79: 149-77.
35. Epstein AM. Paying for performance in the United States and abroad. N Engl J Med 2006; 355: 406-8.
36. Spooner A, Chapple A, Roland M. What makes British general practitioners take part in a quality improvement scheme? J Health Serv Res Policy 2001; 6: 145-50.
37. Doran T, Fullwood C, Gravelle H, et al. Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med 2006; 355: 375-84.
38. Hudson B. Sea change or quick fix? Policy on long-term conditions in England. Health Soc Care Community 2005; 13(4): 378-85.
39. Department of Veterans' Affairs. Veterans' home care guidelines. 2006. Available at: http://www.dva.gov.au/health/homecare/guidelines/ index.htm (accessed Mar 2007).