Uptake of health assessments, care plans and case conferences by general practitioners through the Enhanced Primary Care program between November 1999 and October 2001

We aimed to describe the uptake of the Enhanced Primary Care (EPC) item numbers listed on the Medicare Benefits Schedule for health assessment (HA), care plan (CP) and case conference (CC) between November 1999 (when these items first became available) and October 2001. We used data provided by the Commonwealth Department of Health and Ageing. General practitioners rendered 371,409 EPC services in all. Most services were HA (225,353;61%), most of the remainder were CP (134,688;36%), and CC comprised the rest (11,368;3%). The number of HA done increased steadily and has stabilised at around 13,000 HA per month. Most CP done (80%) were in the community and with the GP preparing the plan. From a slow start, the number of CP done increased rapidly in 2001 to about 15,000 per month. There has been a slow and steady increase in the number of CC done each month, reaching 8-900 per month. Uptake of the EPC item numbers in the first two years of their availability has been rapid and has reached substantial levels, especially for HA and CP. The uptake of CC has been slower.

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Characteristics of general practitioners that provided health assessments, care plans or case conferences, as part of the Enhanced Primary Care program

Australian Health Review ◽

10.1071/ah020121a ◽

2002 ◽

Vol 25 (6) ◽

pp. 121 ◽

Cited By ~ 1

Author(s):

David Wilkinson ◽

Heather McElroy ◽

Justin Beilby ◽

Kathy Mott ◽

Kay Price ◽

...

Keyword(s):

Primary Care ◽

General Practitioners ◽

Care Program ◽

First Year ◽

Care Plans ◽

Primary Care Program ◽

Wide Range ◽

Health Assessments ◽

Case Conferences ◽

Second Year

We aimed to describe the characteristics of general practitioners (GPs) who provided health assessments (HA), care plans (CP) or case conferences (CC) as part of the Enhanced Primary Care (EPC) program between November 1999 and October 2001.While the gender distribution of EPC-active GPs is similar to that of non-EPC-active GPs, EPC-active GPs tend to be younger (72% vs 58% aged 35-54 years). Among EPC-active GPs, males account for about 66% of providers and about 80%of services. There is a very wide range in the number of EPC services provided per GP. In all, 1591 (14%)have rendered a single service while 919 (8.1%)have rendered over 100 services each (accounting for almost half of all EPC activity in Australia). The number of GPs providing any EPC service each month gradually increased to around 5000 in October 2001.Most patients (80-90%)that received multiple EPC services did so from the same GP. Across Divisions of General Practice the proportion of practices registered for the Practice Incentive Program (PIP) that have provided EPC services ranges from 100 to 0%. In the first year at least 50% of all practices in 84 Divisions rendered at least one EPC service while in the second year 108 did. Across Australia 58% of PIP practices rendered at least one service in the first year and 76% did in the second year. A little over half the GP workforce rendered at least one EPC service in the first year of the program, but there was a very wide range in the number of services provided per GP. Most GPs provide very few and a small number provide very many. There is wide variation in the proportion of practices providing EPC services, but this is increasing.

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Characteristics of patients receiving health assessments, care plans or case conferences by general practitioners, as part of the Enhanced Primary Care program between November 1999 and October 2001

Australian Health Review ◽

10.1071/ah020120 ◽

2002 ◽

Vol 25 (6) ◽

pp. 120

Author(s):

David Wilkinson ◽

Heather McElroy ◽

Justin Beilby ◽

Kathy Mott ◽

Kay Price ◽

...

Keyword(s):

Primary Care ◽

Older People ◽

Indigenous People ◽

Care Program ◽

The Elderly ◽

Care Plans ◽

Department Of Health ◽

Health Assessments ◽

Case Conferences ◽

Gender Patterns

We aimed to describe the characteristics of patients receiving health assessments (HA), care plans (CP) or case conferences (CC) through the Enhanced Primary Care (EPC) program between November 1999 and October 2001. The Commonwealth Department of Health and Ageing provided data. In all, 43%of non-Indigenous people who had a HA were aged 75-79 years and 32%were aged 80-84 years. Those having a HA at home were older (30.3% aged 85 years and above) than those having a HA in GP's rooms (20.2%85 years and above). For Indigenous people, between 12 and 17%of all HAs were done among each five-year age group between 55 and 84 years. As a group, CPs were mostly done among older people, with a higher proportion done among older women (74.2%among those 55 years and above) than older men (66.4%). Most CCs were also done among older people (60.4%55 years and above). Of the 286,250 people that had at least one EPC service, most (219,210; 76.6%)had only one. Of these, 153,624 (70.1%)had a HA. Of those having at least one EPC service, 95.7%had two services (most often a HA plus a CP). To date EPC activity has been concentrated among the elderly, gender patterns are similar, and few patients have received more than a single EPC service, which is usually a HA.

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Meeting the Mental Health Needs of the Homebound: A Psychiatric Consult Service Within a Home-Based Primary Care Program

Care Management Journals ◽

10.1891/1521-0987.16.3.122 ◽

2015 ◽

Vol 16 (3) ◽

pp. 122-128 ◽

Cited By ~ 4

Author(s):

Jennifer M. Reckrey ◽

Linda V. DeCherrie ◽

Micheline Dugue ◽

Anna Rosen ◽

Theresa A. Soriano ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Care Program ◽

Routine Care ◽

Psychiatric Services ◽

Depression And Anxiety ◽

Care Plans ◽

Home Based Primary Care ◽

Home Based ◽

Primary Care Program

The growing population of homebound adults increasingly receives home-based primary care (HBPC) services. These patients are predominantly frail older adults who are homebound because of multiple medical comorbidities, yet they often also have psychiatric diagnoses requiring mental health care. Unfortunately, in-home psychiatric services are rarely available to homebound patients. To address unmet psychiatric need among the homebound patients enrolled in our large academic HBPC program, we piloted a psychiatric in-home consultation service. During our 16-month pilot, 10% of all enrolled HBPC patients were referred for and received psychiatric consultation. Depression and anxiety were among the most common reasons for referral. To better meet patients’ medical and psychiatric needs, HBPC programs need to consider strategies to incorporate psychiatric services into their routine care plans.

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Variation between Divisions of General Practice in the uptake of health assessments, care plans and case conferences through the Enhanced Primary Care program

Australian Health Review ◽

10.1071/ah020119a ◽

2002 ◽

Vol 25 (6) ◽

pp. 119

Author(s):

David Wilkinson ◽

Heather McElroy ◽

Justin Beilby ◽

Kathy Mott ◽

Kay Price ◽

...

Keyword(s):

Primary Care ◽

General Practice ◽

Total Population ◽

Care Program ◽

Care Plans ◽

Eligible Population ◽

Primary Care Program ◽

Health Assessments ◽

Case Conferences ◽

Second Year

We aimed to describe the variation in rates of uptake of the enhanced primary care (EPC) Medicare Benefits Schedule items for health assessments (HA), care plans (CP) and case conferences (CC), between Divisions of General Practice from November 1999 (when these items first became available) to October 2001.There was substantial variation in uptake of the various EPC services between Divisions of General Practice, ranging from very low to high. For HA the rate in the highest uptake Division was 496 per 1000 eligible population, and the lowest was zero. There are seven Divisions with high and six with very low uptake, with the rest ranging between 100 and 400/1000.Five Divisions had CP rates over 15/1000 total population; most Divisions had fewer than 10/1000,and many had less than 5/1000.A similar pattern is observed for CC. The levels of uptake for HA increased in the second year of the program for all but eight Divisions of General Practice, and the levels of uptake for CP increased in all but two Divisions. In the first two years of availability, uptake has been highly variable across Divisions of General Practice. Uptake has however increased substantially and consistently in the second year of the program.

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Improving Chronic Pain Management in Primary Care: Program Evaluation

PsycEXTRA Dataset ◽

10.1037/e661582012-001 ◽

2012 ◽

Author(s):

Rebecca M. Floyd ◽

Delilah O. Noronha ◽

Steven Lindley

Keyword(s):

Primary Care ◽

Chronic Pain ◽

Program Evaluation ◽

Pain Management ◽

Care Program ◽

Chronic Pain Management ◽

Primary Care Program

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THE TEN-YEAR EXPERIENCE OF THE PALO ALTO VETERANS AFFAIRS HOME-BASED PRIMARY CARE PROGRAM

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.1999.tb07251.x ◽

1999 ◽

Vol 47 (4) ◽

pp. 496-497 ◽

Cited By ~ 2

Author(s):

Susan E. Quaglietti ◽

Melen R. McBride ◽

RN Jon D. Fuller

Keyword(s):

Primary Care ◽

Care Program ◽

Veterans Affairs ◽

Palo Alto ◽

Home Based Primary Care ◽

Home Based ◽

Primary Care Program

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Mental Illness in Primary Care Settings

Bulletin of the Royal College of Psychiatrists ◽

10.1192/pb.9.1.12 ◽

1985 ◽

Vol 9 (1) ◽

pp. 12-13 ◽

Cited By ~ 1

Author(s):

Greg Wilkinson

Keyword(s):

Primary Care ◽

Mental Illness ◽

General Practice ◽

Social Security ◽

General Practitioners ◽

Research Unit ◽

Practice Research ◽

Policy Makers ◽

Department Of Health ◽

Primary Care Settings

A Conference on the above topic took place at the Institute of Psychiatry, London, on 17 and 18 July 1984. The Conference was sponsored by the Department of Health and Social Security and was organized by the General Practice Research Unit. Over 100 invited clinicians, research workers and policy-makers took part. The majority of the participants were either psychiatrists or general practitioners, but representatives of all relevant disciplines attended.

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