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Int. J. Environ. Res. Public Health 2010, 7(4), 1841-1854; doi:10.3390/ijerph7041841

Public Health Nutrition: The Accord of Dietitian Providers in Managing Medicare Chronic Care Outpatients in Australia

Research Fellow, School of Nursing and Midwifery, Monash University, Churchill, Victoria 3842, Australia
Received: 29 March 2010 / Revised: 16 April 2010 / Accepted: 19 April 2010 / Published: 20 April 2010
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Abstract

Medicare Australia: Chronic Disease Management program subsidizes allied health consultations for eligible outpatients with chronic disease or complex needs. In an evaluation study, private practice dietitians (n = 9) were interviewed to explore their patient management strategies including consultation time-allocation and fees. Time allocation was fee-based. Short first consultations were seen as meeting patients’ needs for low-cost services but were regarded by dietitians as ineffective, however longer initial consultations increased cost to patients. No strategy in use was optimal. There is a need for change in Medicare policy to meet the needs of both dietitians and patients in achieving the behaviour change goals of patients.
Keywords: allied health; Australia; dietetics; Medicare; Medicare chronic disease management; primary care allied health; Australia; dietetics; Medicare; Medicare chronic disease management; primary care
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Cant, R.P. Public Health Nutrition: The Accord of Dietitian Providers in Managing Medicare Chronic Care Outpatients in Australia. Int. J. Environ. Res. Public Health 2010, 7, 1841-1854.

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