Quantitative evaluation of an outreach case management model of care for urban Aboriginal and Torres Strait Islander adu
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(2020) 20:917
RESEARCH ARTICLE
Open Access
Quantitative evaluation of an outreach case management model of care for urban Aboriginal and Torres Strait Islander adults living with complex chronic disease: a longitudinal study Deborah A. Askew1,2*† , Samantha J. Togni3†, Sonya Egert2, Lynne Rogers2, Nichola Potter2, Noel E. Hayman2, Alan Cass3, Alex D. H. Brown4,5 and Philip J. Schluter6,1†
Abstract Background: Chronic diseases are the leading contributor to the excess morbidity and mortality burden experienced by Aboriginal and Torres Strait Islander (hereafter, respectfully, Indigenous) people, compared to their non-Indigenous counterparts. The Home-based Outreach case Management of chronic disease Exploratory (HOME) Study provided person-centred, multidisciplinary care for Indigenous people with chronic disease. This model of care, aligned to Indigenous peoples’ conceptions of health and wellbeing, was integrated within an urban Indigenous primary health care service. We aimed to determine the impact of this model of care on participants’ health and wellbeing at 12 months. Methods: HOME Study participants were Indigenous, regular patients of the primary health care service, with a diagnosis of at least one chronic disease, and complex health and social care needs. Data were collected directly from participants and from their medical records at baseline, and 3, 6 and 12 months thereafter. Variables included self-rated health status, depression, utilisation of health services, and key clinical outcomes. Participants’ baseline characteristics were described using frequencies and percentages. Generalized estimating equation (GEE) models were employed to evaluate participant attrition and changes in outcome measures over time. (Continued on next page)
* Correspondence: [email protected] † Deborah A. Askew, Samantha J. Togni and Philip J. Schluter all contributed equally to this manuscript. 1 The University of Queensland, Primary Care Clinical Unit, Royal Brisbane and Women’s Hospital, Brisbane, Queensland 4029, Australia 2 Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, Wirraway Pde, Inala, Queensland 4077, Australia Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from t
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