Chronic Disease Outcomes and Enhanced Primary Care in Seniors: A Cross-Jurisdictional Linkage Project

慢性病结果和加强老年人初级保健：跨辖区联系项目

• 批准号: nhmrc : 403928
• 负责人: A/Pr Chris Kelman
• 金额: $ 71.87万
• 依托单位: The University of Western Australia
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2006
• 资助国家: 澳大利亚
• 起止时间: 2006-01-01 至 2009-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/chronic-disease-outcomes-linkage-project/99091
• 关键词: Chronic; Disease; Outcomes; Enhanced; Primary

This project will provide evidence on how best to use the efforts of Australian GPs to obtain better outcomes in patients aged 65+ years who suffer from chronic diseases such as diabetes, heart disease and high blood pressure, asthma and emphysema, seizures and stomach disorders. It will also examine the best way that GP visits can promote healthier ageing in all older seniors, aged 75+ years. For each disease and in older seniors, the study will be able to detect which of the following factors are the most important for better patient health: (i) seeing a GP more times, (ii) seeing a GP at more even intervals, (iii) seeing the same GP, or (iv) seeing a GP with a lot of experience in chronic diseases. Separate investigations will be made in older people living in hostels and nursing homes, because their needs may be different. The study will also evaluate the benefits of a major change that occurred to Medicare in 1999, when GPs were paid to perform health assessments and to prepare health plans (with other health workers) for patients with chronic health problems. The results will enable this important initiative to be further improved. The study will use a unique and new Australian research facility, which has brought together health data on the entire population of WA from both the State and Commonwealth levels, including information on Medicare use, pharmaceuticals, hospital stays and deaths. The facility works in such a way as to preserve patient and GP privacy. A strong feature of this research will be the degree of involvement of a representative and voluntary group of older Australian patients who attend GP clinics, and the GPs themselves, in advising the researchers on what's important to consumers and GPs.

该项目将提供证据，说明如何最好地利用澳大利亚全科医生的努力，为患有糖尿病、心脏病和高血压、哮喘和肺气肿、癫痫和胃病等慢性疾病的65岁以上患者获得更好的结果。它还将研究全科医生就诊的最佳方式，以促进所有75岁以上的老年人更健康地老龄化。对于每种疾病和老年患者，这项研究将能够检测出以下哪些因素对患者更好的健康最重要：(I)看医生的次数更多，(Ii)看医生的时间间隔更均匀，(Iii)看同样的医生，或(Iv)看有丰富慢性病经验的医生。将对住在宿舍和养老院的老年人进行单独调查，因为他们的需求可能不同。这项研究还将评估1999年发生的一项重大变化对医疗保险的好处，当时向全科医生支付费用，让他们进行健康评估，并(与其他卫生工作者一起)为患有慢性健康问题的患者制定健康计划。结果将使这一重要倡议得到进一步改进。这项研究将使用澳大利亚一种独特的新研究设施，该设施汇集了西澳各州和联邦各级全体人口的健康数据，包括医疗保险使用、药品、住院时间和死亡等信息。该设施的工作方式是保护患者和全科医生的隐私。这项研究的一个重要特点是，前往全科医生诊所就诊的具有代表性的自愿老年澳大利亚患者以及全科医生本身在向研究人员提供对消费者和全科医生重要的建议方面的参与程度。