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dc.contributor.authorCant, Robyn
dc.contributor.authorBall, Lauren
dc.date.accessioned2017-06-09T02:27:19Z
dc.date.available2017-06-09T02:27:19Z
dc.date.issued2015
dc.identifier.issn1446-6368
dc.identifier.doi10.1111/1747-0080.12175
dc.identifier.urihttp://hdl.handle.net/10072/101363
dc.description.abstractAim: To review changes in utilisation of dietetics services through the Medicare Chronic Disease Management program over the last decade and describe patient uptake in 2013. Methods: Dietetics service data were extracted from published Medicare statistics for the periods (i) January 2004 to December 2013 and (ii) January to December 2013. Data comprised individual dietetics services by state and patient demography, and group services data for provider professions regarding type 2 diabetes: dietitians, diabetes educators and exercise physiologists. t-test was used to investigate the association of dietetics' individual service utilisation and workforce statistics. Results: Individual dietetics Chronic Disease Management consultations in private practice have increased annually since 2004. Dietetics has remained the third largest provider. In 2013, a total of 302 910 individual consultations were conducted; 7% of allied health consultations. Likewise, individual services for Indigenous Australians increased since 2008. Utilisation of group services for type 2 diabetes comprised <2% of dietetics services. Dietitians provided more group services than diabetes educators but considerably fewer than exercise physiologists. Middle-aged and older patients were common, with highest uptake by those aged 55–74 years. Overall, total and per capita utilisation rates were considerably higher in NSW, Victoria and Queensland compared to less populous states, although this disparity has reduced since 2010. Conclusions: As 10 years has elapsed since the program's inception, further evaluation of the policy is needed to examine large variations in dietetics' Chronic Disease Management uptake by state and territory in both individual and group services.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofpagefrom284
dc.relation.ispartofpageto290
dc.relation.ispartofissue3
dc.relation.ispartofjournalNutrition and Dietetics
dc.relation.ispartofvolume72
dc.subject.fieldofresearchClinical Sciences not elsewhere classified
dc.subject.fieldofresearchFood Sciences
dc.subject.fieldofresearchNutrition and Dietetics
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode110399
dc.subject.fieldofresearchcode0908
dc.subject.fieldofresearchcode1111
dc.subject.fieldofresearchcode1117
dc.titleDecade of Medicare: The contribution of private practice dietitians to chronic disease management and diabetes group services
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2015 Dietitians Association of Australia. This is the peer reviewed version of the following article: Decade of Medicare: The contribution of private practice dietitians to chronic disease management and diabetes group services, Nutrition & Dietetics, 72(3), 284–290, 2015 which has been published in final form at http://doi.org/10.1111/1747-0080.12175. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorBall, Lauren E.


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