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dc.contributor.authorFoster, Michele
dc.contributor.authorMitchell, Geoffrey
dc.date.accessioned2019-03-07T06:15:05Z
dc.date.available2019-03-07T06:15:05Z
dc.date.issued2013
dc.identifier.issn1369-6513
dc.identifier.doi10.1111/hex.12061
dc.identifier.urihttp://hdl.handle.net/10072/173550
dc.description.abstractBackground 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing
dc.relation.ispartofpagefrom879
dc.relation.ispartofpageto891
dc.relation.ispartofissue5
dc.relation.ispartofjournalHealth Expectations
dc.relation.ispartofvolume18
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4205
dc.subject.keywordsAllied health services
dc.subject.keywordsAustralia
dc.subject.keywordsChronic disease management
dc.subject.keywordsPatient experience
dc.subject.keywordsPrimary care
dc.subject.keywordsTeam care
dc.title'The onus is on me': Primary care patient views of Medicare-funded team care in chronic disease management in Australia
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
gro.rights.copyright© 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.
gro.hasfulltextFull Text
gro.griffith.authorFoster, Michele M.


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