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Incentives & Disincentives  in General Practice  Chronic Disease Management Dr. Ian Williams 1 Libby Holden2, Lily Cheung2,  Prof Liz Patterson2, Dr Jane Smith3,  Xanthe Golenko2,, Robyn Chambers 1 1: Camp Hill Medical Centre, 2: Griffith University,  3: Mudgeeraba Medical Centre South East Queensland Research Network
Aims & Rationale ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
Methods – study design ,[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
Methods: Sampling frame ,[object Object],[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
Methods: study participants ,[object Object],[object Object],[object Object],South East Queensland Research Network
Results:  Study sample for phase 2 ,[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
Results: Study Sample (cont) South East Queensland Research Network age sex Yrs in GP Yrs in this practice Qualifications Practice Principal /GP All >45 yr except  1 @ 35-44 5 males  4 females All >10 yr except 1 3: <5yrs 4: 6-20yr 2: >20yrs 5 FRACGP All MBBS Practice Nurse 1: <35yr 2: 35-44yr 3: 45-54yr 2: >55yr 9 females All <10 yr except 2 All < 5 yrs except 2 6: RN 2: EN 1 unrecorded Practice Manager 4: 35-44yr 3: 45-54yr 2: > 55yr 9 females 1: <10yr 6: 10-20yr 2: >20yr 6: < 10yr 3: 10-20yr 3: nil   1: EN,1:RN 1 Cert,  1: Dip, 1: BComm 1:FAAPM
Results: Overall issues mapped South East Queensland Research Network
Results: key themes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
Medical (level 2) South East Queensland Research Network
Financial viability (level 2) South East Queensland Research Network
Patient outcomes/impacts (level 2) South East Queensland Research Network
Training & support (level 2) South East Queensland Research Network
Service Models (level 2) South East Queensland Research Network
Discussion: key messages ,[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
Discussion: key messages (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
Discussion: key messages  (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
Discussion: key messages (cont) ,[object Object],[object Object],[object Object],South East Queensland Research Network
Implications & Recommendations:  Medicare to consider:  ◊  the value of CDM MBS items based on nursing care only e.g. education, preventative health care & monitoring role e.g. hypertension  ◊  that systems & training is required before implement new Medicare items  South East Queensland Research Network
Implications & Recommendations: Public / policy level debate on: The funding of general practice  based on quality of care outcomes rather than episodic care  South East Queensland Research Network
Acknowledgements: ,[object Object],[object Object],[object Object],[object Object],South East Queensland Research Network
References ,[object Object],[object Object],[object Object],South East Queensland Research Network

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Incentives and Disincentives in General Practice Chronic Disease Management

  • 1. Incentives & Disincentives in General Practice Chronic Disease Management Dr. Ian Williams 1 Libby Holden2, Lily Cheung2, Prof Liz Patterson2, Dr Jane Smith3, Xanthe Golenko2,, Robyn Chambers 1 1: Camp Hill Medical Centre, 2: Griffith University, 3: Mudgeeraba Medical Centre South East Queensland Research Network
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Results: Study Sample (cont) South East Queensland Research Network age sex Yrs in GP Yrs in this practice Qualifications Practice Principal /GP All >45 yr except 1 @ 35-44 5 males 4 females All >10 yr except 1 3: <5yrs 4: 6-20yr 2: >20yrs 5 FRACGP All MBBS Practice Nurse 1: <35yr 2: 35-44yr 3: 45-54yr 2: >55yr 9 females All <10 yr except 2 All < 5 yrs except 2 6: RN 2: EN 1 unrecorded Practice Manager 4: 35-44yr 3: 45-54yr 2: > 55yr 9 females 1: <10yr 6: 10-20yr 2: >20yr 6: < 10yr 3: 10-20yr 3: nil 1: EN,1:RN 1 Cert, 1: Dip, 1: BComm 1:FAAPM
  • 8. Results: Overall issues mapped South East Queensland Research Network
  • 9.
  • 10. Medical (level 2) South East Queensland Research Network
  • 11. Financial viability (level 2) South East Queensland Research Network
  • 12. Patient outcomes/impacts (level 2) South East Queensland Research Network
  • 13. Training & support (level 2) South East Queensland Research Network
  • 14. Service Models (level 2) South East Queensland Research Network
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. Implications & Recommendations: Medicare to consider: ◊ the value of CDM MBS items based on nursing care only e.g. education, preventative health care & monitoring role e.g. hypertension ◊ that systems & training is required before implement new Medicare items South East Queensland Research Network
  • 20. Implications & Recommendations: Public / policy level debate on: The funding of general practice based on quality of care outcomes rather than episodic care South East Queensland Research Network
  • 21.
  • 22.