title: Chronic disease coordinated care planning: flexible, task-centered decision support.
abstract: SA HealthPlus is a trial of coordinated care enrolling 4000 high-use patients in South Australia in 10 groups including diabetes, cardiac, aged care and lung disease. These patients each have a designated general practitioner (GP) care coordinator who formulates an individualized care plan designed to keep them as healthy as possible. An on-line interface to SA HealthPlus has been developed for the care coordinators. The Care Plan On-Line (CPOL) system provides a single coherent source whereby the GP can review the available information on a HealthPlus patient in the context of devising a care plan of prospective services and medications. In the same application environment CPOL provides access to care guidelines tailored for SA HealthPlus.
authors.affiliation: Health Informatics Research Group, School of Computer & Information Science, University of South Australia, Mawson Lakes, Australia.
authors.forename: J R
authors.initials: JR
authors.lastname: Warren
authors.forename: G V
authors.initials: GV
authors.lastname: Beliakov
authors.forename: J T
authors.initials: JT
authors.lastname: Noone
authors.forename: H K
authors.initials: HK
authors.lastname: Frankel
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D002986:Clinical Trials as Topic; D003195:Computer Communication Networks; D003199:Computer Systems; D020000:Decision Support Systems, Clinical; D019468:Disease Management; D006302:Health Services Research; D006801:Humans; D010347:Patient Care Planning / Q000592:standards*; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D012984:Software; D013021:South Australia; D014584:User-Computer Interface