title: SA HealthPlus: a controlled trial of a statewide application of a generic model of chronic illness care.
abstract: SA HealthPlus, one of nine national Australian coordinated care trials, addressed chronic illness care by testing whether coordinated care would improve health outcomes at the cost of usual care. SA HealthPlus compared a generic model of coordinated care for 3,115 intervention patients with the usual care for 1,488 controls. Service coordinators and the behavioral and care-planning approach were new. The health status (SF-36) in six of eight projects improved, and those patients who had been hospitalized in the year immediately preceding the trial were the most likely to save on costs. A mid-trial review found that health benefits from coordinated care depended more on patients' self-management than the severity of their illness, a factor leading to the Flinders Model of Self-Management Support.
authors.affiliation: Flinders Human Behavior and Health Research Unit, Flinders University, Australia. Malcolm.Battersby@flinders.edu.au
authors.forename: Malcolm
authors.initials: M
authors.lastname: Battersby
authors.forename: Peter
authors.initials: P
authors.lastname: Harvey
authors.forename: P David
authors.initials: PD
authors.lastname: Mills
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Kalucy
authors.forename: R G
authors.initials: RG
authors.lastname: Pols
authors.forename: Peter A
authors.initials: PA
authors.lastname: Frith
authors.forename: Peter
authors.initials: P
authors.lastname: McDonald
authors.forename: Adrian
authors.initials: A
authors.lastname: Esterman
authors.forename: George
authors.initials: G
authors.lastname: Tsourtos
authors.forename: Ronald
authors.initials: R
authors.lastname: Donato
authors.forename: Rodney
authors.initials: R
authors.lastname: Pearce
authors.forename: Christopher
authors.initials: C
authors.lastname: McGowan
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia; D002908:Chronic Disease / Q000191:economics / Q000628:therapy*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D017048:Health Care Costs; D018166:Health Care Reform / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration*; D010865:Pilot Projects