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Published VersionCC BY V4.0, Open Access
Journal article
The Cost Consequences of the Gold Coast Integrated Care Programme
International Journal of Integrated Care, Vol.21(3), pp.1-15
2021
Abstract
Introduction: The Australian Gold Coast Integrated Care programme trialled a model of care targeting those with chronic and complex conditions at highest risk of hospitalisation with the goal of producing the best patient outcomes at no additional cost to the healthcare system. This paper reports the economic findings of the trial.
Methods: A pragmatic non-randomised controlled study assessed differences between patients enrolled in the programme (intervention group) and patients who received usual care (control group), in health service utilisation, including Medicare Benefits Schedule and Pharmaceutical Benefits Scheme claims, patient-reported outcome measures, including health-related quality of life, mortality risk, and cost.
Results: A total of 1,549 intervention participants were enrolled and matched on the basis of patient level data to 3,042 controls. We found no difference in quality of life between groups, but a greater decrease in capability, social support and satisfaction with care scores and higher hospital service use for the intervention group, leading to a greater cost to the healthcare system of AUD$6,400 per person per year. In addition, the per person per year cost of being in the GCIC programme was AUD$8,700 equating to total healthcare expenditures of AUD$15,100 more for the intervention group than the control group.
Conclusion: The GCIC programme did not show value for money, incurring additional costs to the health system and demonstrating no significant improvements in health-related quality of life. Because patient recruitment was gradual throughout the trial, we had only one year of complete data for analysis which may be too short a period to determine the true cost-consequences of the program.
Details
- Title
- The Cost Consequences of the Gold Coast Integrated Care Programme
- Authors
- Lauren Ward (Author) - Griffith UniversityAnne McMurray (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyChi Kin Law (Author) - Griffith UniversityGabor Mihala (Author) - Griffith UniversityMartin Connor (Author) - Griffith UniversityPaul Anthony Scuffham (Author) - Griffith University
- Publication details
- International Journal of Integrated Care, Vol.21(3), pp.1-15
- Publisher
- Ubiquity Press Ltd.
- Date published
- 2021
- DOI
- 10.5334/ijic.5542
- ISSN
- 1568-4156
- Copyright note
- © 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99568003802621
- Output Type
- Journal article
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