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P. David Mills
Peter A. Frith
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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.
Author(s): Malcolm Battersby; Peter Harvey; P. David Mills; Elizabeth Kalucy; R.G. Pols; Peter A. Frith; Peter McDonald; Adrian Esterman; George Tsourtos; Ronald Donato; Rodney Pearce; Christopher McGowan
Keywords: chronic disease; coordinated care; care plan; self-management; health outcomes
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Volume 85, Issue 1 (pages 37–67) DOI: 10.1111/j.1468-0009.2007.00476.x Published in 2007
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