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  • 'The onus is on me': Primary care patient views of Medicare-funded team care in chronic disease management in Australia

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    FosterPUB71.pdf (123.9Kb)
    Author(s)
    Foster, Michele
    Mitchell, Geoffrey
    Griffith University Author(s)
    Foster, Michele M.
    Year published
    2013
    Metadata
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    Abstract
    Background and objective This study investigated the views of primary care patients in receipt of Medicare‐funded team care for chronic disease management (CDM) in Australia. Design A qualitative study using a repeat in‐depth interview design. Participants and setting Twenty‐three patients (17 female), aged 32–89, were recruited over a six‐month period from two purposively selected general practices: one urban and one regional practice in Queensland, Australia. Data collection procedure Semi‐structured interviews were conducted with participants 6 months apart. An interview guide was used to ensure consistency of topics ...
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    Background and objective This study investigated the views of primary care patients in receipt of Medicare‐funded team care for chronic disease management (CDM) in Australia. Design A qualitative study using a repeat in‐depth interview design. Participants and setting Twenty‐three patients (17 female), aged 32–89, were recruited over a six‐month period from two purposively selected general practices: one urban and one regional practice in Queensland, Australia. Data collection procedure Semi‐structured interviews were conducted with participants 6 months apart. An interview guide was used to ensure consistency of topics explored. Interviews were recorded and transcribed, and a thematic analysis was conducted. Results Patients in this study viewed the combined contributions of a GP and other health professionals in team care as thorough and reassuring. In this case of Medicare‐funded team care, patients also saw obligations within the structured care routine which cultivated a personal ethics of CDM. This was further influenced by how patients viewed their role in the health‐care relationship. Aside from personal obligations, Medicare funding got patients engaged in team care by providing financial incentives. Indeed, this was a defining factor in seeing allied health professionals. However, team care was also preferential due to patients' valuations of costs and benefits. Conclusion Patients are likely to engage with a structured team care approach to CDM if there is a sense of personal obligation and sufficient financial incentive. The level of engagement in team care is likely to be optimized if patient expectations and preferences are considered in decisions.
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    Journal Title
    Health Expectations
    Volume
    18
    Issue
    5
    DOI
    https://doi.org/10.1111/hex.12061
    Copyright Statement
    © 2013 The Authors. Health Expectations Published by John Wiley & Sons Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Subject
    Public Health and Health Services not elsewhere classified
    Nursing
    Public Health and Health Services
    Psychology
    Allied health services
    Australia
    Chronic disease management
    Patient experience
    Primary care
    Team care
    Publication URI
    http://hdl.handle.net/10072/173550
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    • Journal articles

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