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Management or missed opportunity? Mental health care planning in Australian general practice

Banfield, Michelle; Farrer, Louise; Harrison, Christopher

Description

General practice care plans are designed to improve the management of chronic illness, facilitating multidisciplinary care and enabling GPs and consumers to work collaboratively. Evidence suggests that they work well for chronic physicalillnesses, butitis unclear ifthey operate asintended for people with mental disorders. The aims ofthis study were to: (1) compare rates of creation and review of GP care plans for mental disorders and type II diabetes; and (2) examine consumer experiences....[Show more]

dc.contributor.authorBanfield, Michelle
dc.contributor.authorFarrer, Louise
dc.contributor.authorHarrison, Christopher
dc.date.accessioned2020-12-04T02:23:58Z
dc.date.available2020-12-04T02:23:58Z
dc.identifier.issn1448-7527
dc.identifier.urihttp://hdl.handle.net/1885/216698
dc.description.abstractGeneral practice care plans are designed to improve the management of chronic illness, facilitating multidisciplinary care and enabling GPs and consumers to work collaboratively. Evidence suggests that they work well for chronic physicalillnesses, butitis unclear ifthey operate asintended for people with mental disorders. The aims ofthis study were to: (1) compare rates of creation and review of GP care plans for mental disorders and type II diabetes; and (2) examine consumer experiences. Secondary analysis of 109 589 recorded encounters from a national cross-sectional study in Australian general practice (2006-16) demonstrated that encounters involving creation of a care plan for depression or anxiety were significantly higher than those for diabetes, bipolar disorder and schizophrenia. Rates of review were commensurate with creation of plans for diabetes, but not for mental disorders. Eighteen people with a GP care plan completed an online survey abouttheir experiences, reporting that care plans facilitated accessto allied health professionals, but did not improve the quality of care they received. Findings suggest that care plans are underutilised for people with low prevalence mental disorders, and while they offer financial benefits to consumers, they may not result in ongoing, collaborative care.
dc.description.sponsorshipAt the time of the study, M. Banfield was the recipient of an Australian Research Council Discovery Early Career Researcher Award (DE150100637) funded by the Australian Government.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherCSIRO Publishing
dc.rights© La Trobe University 2019
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceAustralian Journal of Primary Health
dc.subjectanxiety
dc.subjectbipolar disorder
dc.subjectdepression
dc.subjectmanagement plan
dc.subjectprimary care
dc.subjectschizophrenia
dc.titleManagement or missed opportunity? Mental health care planning in Australian general practice
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume25
dc.date.issued2019
local.identifier.absfor111714 - Mental Health
local.identifier.ariespublicationu5786633xPUB1884
local.publisher.urlhttp://www.publish.csiro.au/nid/261.htm
local.type.statusPublished Version
local.contributor.affiliationBanfield, Michelle, College of Health and Medicine, ANU
local.contributor.affiliationFarrer, Louise, College of Health and Medicine, ANU
local.contributor.affiliationHarrison, Christopher, University of Sydney
dc.relationhttp://purl.org/au-research/grants/arc/DE150100637
local.bibliographicCitation.issue4
local.bibliographicCitation.startpage332
local.bibliographicCitation.lastpage338
local.identifier.doi10.1071/PY18150
local.identifier.absseo920209 - Mental Health Services
dc.date.updated2020-07-19T08:31:24Z
local.identifier.thomsonIDWOS:000491540300006
dcterms.accessRightsOpen Access
dc.provenance© La Trobe University 2019 Open Access CC BY-NC-ND
dc.rights.licenseCC BY-NC-ND
CollectionsANU Research Publications

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