scholarly journals Allied health are key to improving health for people with chronic disease: but where are the outcomes and where is the strategy?

2021 ◽  
Author(s):  
Sarah Dennis ◽  
Lauren Ball ◽  
Mark Harris ◽  
Kathryn Refshauge
Keyword(s):  
Chronic Disease ◽  
Allied Health

Capricornia Allied Health Partnership (CAHP): a case study of an innovative model of care addressing chronic disease through a regional student-assisted clinic

2014 ◽  
Vol 38 (5) ◽  
pp. 483 ◽  
Author(s):  
Kerrie-anne Frakes ◽  
Sharon Brownie ◽  
Lauren Davies ◽  
Janelle B. Thomas ◽  
Mary-Ellen Miller ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Service Delivery ◽  
Allied Health ◽  
Clinical Placement ◽  
Model Of Care ◽  
Future Health ◽  
Clinical Model ◽  
Clinical Placements ◽  
Health Partnership

Faced with significant health and workforce challenges, the Central Queensland Hospital and Health Service commenced an innovative student-assisted clinical model of care ‐ The Capricornia Allied Health Partnership (CAHP) in 2010. The clinic supports pre-entry allied health student clinical placements to: (1) address service delivery gaps for previously underserved people with chronic disease; (2) facilitate hospital avoidance and early discharge from the local hospital; (3) provide an attractive clinical placement opportunity for allied health students that will potentially lead to future recruitment success, and (4) demonstrate leadership in developing interprofessional skills of future health workforce trainees. This case study details the conceptual background of the initial model, the key features of the clinical placement and service delivery model, and discusses the current and future evaluation of the clinic.

Feasibility of the PHYZ X 2U program: a mobile and cloud-based outreach service to improve chronic disease outcomes in underserviced rural communities

2019 ◽  
Vol 25 (6) ◽  
pp. 539
Author(s):  
Serene S. Paul ◽  
Tania Gardner ◽  
Angela Hubbard ◽  
Justin Johnson ◽  
Colleen G. Canning ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Disease ◽  
Rural Communities ◽  
Chronic Diseases ◽  
Behaviour Change ◽  
Access To Health Care ◽  
Allied Health ◽  
Health Coaching ◽  
Mobile Clinic

Chronic disease is prevalent in rural communities, but access to health care is limited. Allied health intervention, incorporating behaviour change and exercise, may improve health outcomes. PHYZ X 2U is a new service delivery model incorporating face-to-face consultations via a mobile clinic and remote health coaching, delivered by physiotherapy and exercise physiology clinicians and university students on clinical placement, to provide exercise programs to people living with chronic disease in rural New South Wales, Australia. This pilot study evaluated the feasibility and acceptability of PHYZ X 2U by evaluating participants’ goal attainment, exercise, quality of life and behaviour change following participation in the 12-week program, and amount of health coaching received. Sixty-two participants with one or more chronic diseases set a total of 123 goals. Thirty-nine (63%) participants completed the program, with 59% of these achieving their goals and 43% progressing in their attitudes and behaviour towards exercise. Weekly exercise increased by 1h following program participation (P=0.02), but quality of life remained unchanged (P=0.24). Participants who completed the program received more health coaching than those lost to follow up. PHYZ X 2U can increase access to allied health for people with chronic disease living in rural and remote areas. Refining the service to maximise program adherence and optimally manage a broad range of chronic diseases is required.

scholarly journals The CDM-Net Project: The Development, Implementation and Evaluation of a Broadband-Based Network for Managing Chronic Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-7
Author(s):  
Kay Jones ◽  
Trisha Dunning ◽  
Beth Costa ◽  
Kristine Fitzgerald ◽  
Akuh Adaji ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Health Professionals ◽  
Allied Health ◽  
Chronic Disease Management ◽  
Management Service ◽  
Health Providers ◽  
Allied Health Professionals ◽  
Before And After ◽  
The Impact

Background. In Australia most chronic disease management is funded by Medicare Australia through General Practitioner Management Plans (GPMPs) and Team Care Arrangements (TCAs). Identified barriers may be reduced effectively using a broadband-based network known as the Chronic Disease Management Service (CDMS). Aims. To measure the uptake and adherence to CDMS, test CDMS, and assess the adherence of health providers and patients to GPMPs and TCAs generated through CDMS. Methods. A single cohort before and after study. Results. GPMPs and TCAs increased. There was no change to prescribed medicines or psychological quality of life. Attendance at allied health professionals increased, but decreased at pharmacies. Overall satisfaction with CDMS was high among GPs, allied health professionals, and patients. Conclusion. This study demonstrates proof of concept, but replication or continuation of the study is desirable to enable the impact of CDMS on diabetes outcomes to be determined.

scholarly journals Effect of health insurance on the utilisation of allied health services by people with chronic disease: a systematic review and meta-analysis

2014 ◽  
Vol 20 (1) ◽  
pp. 9 ◽  
Author(s):  
Elizabeth H. Skinner ◽  
Michele Foster ◽  
Geoffrey Mitchell ◽  
Michele Haynes ◽  
Martin O'Flaherty ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Insurance ◽  
Chronic Disease ◽  
Health Services ◽  
Chronic Diseases ◽  
Odds Ratio ◽  
Allied Health ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Meta Analyses

Allied health services benefit the management of many chronic diseases. The effects of health insurance on the utilisation of allied health services has not yet been established despite health insurance frequently being identified as a factor promoting utilisation of medical and hospital services among people with chronic disease. The objective of this systematic review and meta-analysis was to establish the effects of health insurance on the utilisation of allied health services by people with chronic disease. Medline (Ovid Medline 1948 to Present with Daily Update), EMBASE (1980 to 1 April 2011), CINAHL, PsychINFO and the Cochrane Central Register of Controlled Trials were searched to 12 April 2011 inclusive. Studies were eligible for inclusion if they were published in English, randomised controlled trials, quasi-experimental trials, quantitative observational studies and included people with one or more chronic diseases using allied health services and health insurance. A full-text review was performed independently by two reviewers. Meta-analyses were conducted. One hundred and fifty-eight citations were retrieved and seven articles were included in the meta-analyses. The pooled odds ratio (95% CI) of having insurance (versus no insurance) on the utilisation of allied health services among people with chronic disease was 1.33 (1.16−1.52; P < 0.001). There was a significant effect of insurance on the utilisation of non-physiotherapy services, pooled odds ratio (95% CI) 4.80 (1.46−15.79; P = 0.01) but having insurance compared with insurance of a lesser coverage was not significantly associated with an increase in physiotherapy utilisation, pooled odds ratio (95% CI) 1.53 (0.81−2.91; P = 0.19). The presence of co-morbidity or functional limitation and higher levels of education increased utilisation whereas gender, race, marital status and income had a limited and variable effect, according to the study population. The review was limited by the considerable heterogeneity in the research questions being asked, sample sizes, study methodology (including allied health service), insurance type and dependent variables analysed. The presence of health insurance was generally associated with increased utilisation of allied health services; however, this varied depending on the population, provider type and insurance product.

scholarly journals Os determinantes sociais e a mortalidade prematura por doença crônica não transmissível: um scoping review/Social determinants and premature mortality for non-communicable chronic disease: a scoping review

2020 ◽  
Vol 19 ◽  
Author(s):  
Carla Regina de Souza Teixeira ◽  
Plinio Tadeu Istilli ◽  
Luiz Henrique Arroyo ◽  
Ricardo Alexandre Arcêncio ◽  
Rafael Aparecido Dias Lima ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Social Determinants ◽  
Scoping Review ◽  
Allied Health ◽  
Retrieval System ◽  
Web Of Science ◽  
Premature Mortality ◽  
Literature Analysis ◽  
Electronic Library ◽  
Cumulative Index

Objetivo: identificar as evidências científicas disponíveis sobre os determinantes sociais da saúde, relacionados à mortalidade prematura por doenças crônicas não transmissíveis. Método: trata-se de um estudo de revisão da literatura utilizando o método scoping review, o qual foi realizado no período de 10 de abril a 12 de julho de 2020, nas seguintes bases de dados:Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index to Nursing and Allied Health literature (CINAHL), e Web of Science e nas bibliotecas Scientific Electronic Library Online (SciELO) e Biblioteca Virtual em Saúde (BVS). Foram utilizadas as etapas de identificação e seleção dos estudos; mapeamento dos dados; confrontação e discussão dos resultados. Resultados: evidenciou-se, pelos 13 artigos analisados,que a mortalidade prematura por doença crônica não transmissível está fortemente relacionada aos determinantes sociais da saúde, com destaque ao sexo masculino, escolaridade e renda. Conclusão: os resultados impõem novos desafios aos profissionais de saúde para implementação de políticas públicas e contribuem para a vigilância em saúde, em relação a mortalidade prematura por doenças crônicas não transmissíveis.

Health for all? Patterns and predictors of allied health service use in Australia

2013 ◽  
Vol 37 (3) ◽  
pp. 389 ◽  
Author(s):  
Michele Foster ◽  
Martin O'Flaherty ◽  
Michele Haynes ◽  
Geoffrey Mitchell ◽  
Terrence P. Haines
Keyword(s):  
Chronic Disease ◽  
Health Service ◽  
Health Services ◽  
Best Practice ◽  
Allied Health ◽  
Service Use ◽  
Unmet Need ◽  
Health Service Use ◽  
Australian Population ◽  
The Impact

Objective To examine patterns and predictors of allied health service use among the Australian population. Methods Data from the 2007–08 longitudinal National Health Survey conducted by the Australian Bureau of Statistics in Australia were used to examine differences in use of allied health services among the population. The survey is based on 15 779 adult respondents. Multivariate logistic regression models were used to model the probability of visiting an allied health service contingent on multiple factors of interest. Results Men, less educated people and people from non-English speaking backgrounds were low users compared with other groups. Interestingly, people with type 2 diabetes were substantially higher users compared with people with other chronic diseases, or no reported chronic disease, and ancillary health insurance had a strong positive effect on use. Discussion Further investigation of the social and economic circumstances surrounding allied health service use is required to determine areas of under use or unmet need. High use among people with diabetes might indicate the impact of policy incentives to enhance use. Yet, whether all those in need are able to access services is unknown. Further investigation of use among groups with different health needs and by type of financing will enhance policy. What is known about the topic? Inequities and variations in access to allied health services are commonplace. Effective policy initiatives to improve access, particularly among patients with chronic disease, will depend on improving the knowledge base about patterns of use of allied health services, and what determines use. What does this paper add? This paper reveals the high and low users of allied health services among the Australian population, those population groups who might be missing out and what might explain these patterns. This information will enable policy makers to target areas of potential unmet need. What are the implications for practitioners? Multidisciplinary team care is advocated in the management of chronic disease. Practitioners have a vital role in framing the benefits of allied health services to patients and in developing the evidence base about best practice in the management of chronic disease for diverse patient groups.

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