Older patients' attitudes to multidisciplinary care for chronic disease management in general practice
The ageing population and increasing prevalence of chronic illness has contributed to the need for significant primary health care reform, including increased use of multidisciplinary care and task substitution. This cross-sectional study aims to address the paucity of Australian data concerning older patients’ preferences in order to inform the development of patient-centred models of multidisciplinary care. Ten practices were randomly sampled from a combined RA1/ RA2 region. Survey instruments were distributed to consecutive patients aged 60 years and over in each practice. Three models of care (doctor-led, nurse-led and team-based) were constructed from the instrument’s 5-point Likert scale attitude items with five items in each model. Aggregate model scores were analysed using the SPSS 17.0 General Linear Model procedure controlling for the clustered design. The response rate was 53% (270 returned from 511 distributed) with 59% of respondents female; 78% with a chronic health problem; and 62% attending their current practice >/= five years. There was a significant difference in the mean scores for the nurse-led (3.42; SD 0.65) and doctor-led (4.02; SD 0.61) models (p
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