Chronic disease management: does the disease affect likelihood of care planning?

Aust Health Rev. 2012 Nov;36(4):419-23. doi: 10.1071/AH11100.

Abstract

Objective: To compare the demographic, socioeconomic, and medical characteristics of patients who had a General Practitioner Management Plan (GPMP) with those for patients without GPMP.

Methods: Cohort study of patients with chronic diseases during the time period 1 July 2006 to 30 June 2008 using the Australian Department of Veterans' Affairs (DVA) claims database.

Results: Of the 88 128 veterans with chronic diseases included in the study, 23 015 (26%) veterans had a GPMP and 11 089 (13%) had a Team Care Arrangement (TCA). Those with a GPMP had a higher number of comorbidities (P<0.001), and a higher use of services such as health assessment and medicine review (P<0.001) than did those without GPMP. Diabetes was associated with a significantly increased use of GPMP compared with all other chronic diseases except heart failure.

Conclusions: GPMPs are used in a minority of patients with chronic diseases. Use is highest in people with diabetes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Australia
  • Chronic Disease / therapy*
  • Cohort Studies
  • Confidence Intervals
  • Databases, Factual
  • Female
  • General Practitioners
  • Humans
  • Male
  • Patient Care Management / statistics & numerical data*
  • Probability*
  • Social Class
  • Veterans