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dc.contributor.authorBrown, Jessica A
dc.contributor.authorLee, Patricia
dc.contributor.authorBall, Lauren
dc.date.accessioned2017-06-20T04:10:14Z
dc.date.available2017-06-20T04:10:14Z
dc.date.issued2016
dc.identifier.issn1446-6368
dc.identifier.doi10.1111/1747-0080.12223
dc.identifier.urihttp://hdl.handle.net/10072/173526
dc.description.abstractAim: To better understand the income of dietitians delivering Medicare Chronic Disease Management services by comparing the amount of time dietitians spend on activities with remuneration received. Methods: Data were collected on time invested and remuneration received for 179 consultations provided by 20 dietitians through the Medicare Chronic Disease Management initiative. Descriptive statistics and t-tests were used to compare time spent and remuneration received. A mixed effects model was performed to assess the significant factors in predicting the mean hourly rate received for consultations. Results: Consultations accrued an average of $67.32 ± $24.38 (range $0–$150) in remuneration, and required an average of 44 ± 20 minutes (range 14–136 minutes) including over 10 minutes of administration time. The average calculated gross rate of pay was $102.62/hour. Set-fee consultations were longer than bulk-billed consultations (51 minutes vs 39 minutes, P = 0.002), but resulted in greater remuneration ($83.20 vs $52.95, P < 0.001). Initial consultations resulted in greater remuneration than review consultations ($76.52 vs $60.75, P < 0.001). Dietitians without administration assistance spent more total time on consultations compared with dietitians with administration support (54 minutes vs 42 minutes, P = 0.001), but there was no difference in fees charged (P > 0.005). Conclusions: The hourly income received by dietitians providing services under Medicare appears high; however, practice expenditures have not been considered in the present study. Dietitians should consider the logistical and financial outcomes of their practices in order to enhance financial sustainability.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing Asia
dc.relation.ispartofpagefrom296
dc.relation.ispartofpageto302
dc.relation.ispartofissue3
dc.relation.ispartofjournalNutrition & Dietetics
dc.relation.ispartofvolume73
dc.subject.fieldofresearchFood sciences
dc.subject.fieldofresearchNutrition and dietetics
dc.subject.fieldofresearchNutrition and dietetics not elsewhere classified
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3006
dc.subject.fieldofresearchcode3210
dc.subject.fieldofresearchcode321099
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleTime and financial outcomes of private practice dietitians providing care under the Australian Medicare program: A longitudinal, exploratory study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Public Health
gro.rights.copyright© 2016 Dietitians Association of Australia. This is the peer reviewed version of the following article: Time and financial outcomes of private practice dietitians providing care under the Australian Medicare program: A longitudinal, exploratory study, Nutrition & Dietetics, Volume 73, Issue 3, July 2016, Pages 296–302, which has been published in final form at https://doi.org/10.1111/1747-0080.12223. 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.authorLee, Patricia T.
gro.griffith.authorBall, Lauren E.
gro.griffith.authorBrown, Jessica A.


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