Evidence map›Paper›PMID 33023589›Full record

ArticleBMC health services research2020

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 Askew, Samantha J Togni, Sonya Egert, Lynne Rogers, Nichola Potter, Noel E Hayman, Alan Cass, Alex D H Brown, Philip J Schluter

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Deborah A AskewThe University of Queensland, Primary Care Clinical Unit, Royal Brisbane and Women's Hospital, Brisbane, Queensland, 4029, Australia. d.askew@uq.edu.au.ORCID http://orcid.org/0000-0003-3943-620X
Samantha J TogniMenzies School of Health Research, Charles Darwin University, Darwin, Australia.
Sonya EgertSouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, Wirraway Pde, Inala, Queensland, 4077, Australia.
Lynne RogersSouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, Wirraway Pde, Inala, Queensland, 4077, Australia.
Nichola PotterSouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, Wirraway Pde, Inala, Queensland, 4077, Australia.
Noel E HaymanSouthern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Queensland Health, Wirraway Pde, Inala, Queensland, 4077, Australia.
Alan CassMenzies School of Health Research, Charles Darwin University, Darwin, Australia.
Alex D H BrownSouth Australian Health and Medical Research Institute, North Terrace, Adelaide, Australia.
Philip J SchluterThe University of Queensland, Primary Care Clinical Unit, Royal Brisbane and Women's Hospital, Brisbane, Queensland, 4029, Australia.
Queensland Health · AUCharles Darwin University · AUAustralian Institute of Aboriginal and Torres Strait Islander Studies · AUSouth Australian Health and Medical Research Institute · AUThe University of Queensland · AU

Funding

Australian Primary Health Care Research Institute, Australian National University N/ADepartment of Health, Queensland N/A
6 · The paper itself

Abstract

backgroundChronic 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.

methodsHOME 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.

results60 participants were enrolled into the study and 37 (62%) completed the 12-month assessment. After receiving outreach case management for 12 months, 73% of participants had good, very good or excellent self-rated health status compared with 33% at baseline (p < 0.001) and 19% of participants had depression compared with 44% at baseline (p = 0.03). Significant increases in appointments with allied health professionals (p < 0.001) and medical specialists other than general practitioners (p = 0.001) were observed at 12-months compared with baseline rates. Mean systolic blood pressure decreased over time (p = 0.02), but there were no significant changes in mean HbA1c, body mass index, or diastolic blood pressure.

conclusionsThe HOME Study model of care was predicated on a holistic conception of health and aimed to address participants' health and social care needs. The positive changes in self-rated health and rates of depression evinced that this aim was met, and that participants received the necessary care to support and improve their health and wellbeing.

Indexed as

AgedCase ManagementChronic DiseaseFemaleHealth Services, IndigenousHealth StatusHumansLongitudinal StudiesMaleMiddle AgedPatient Acceptance of Health CarePrimary Health CareSocial SupportUrban Health ServicesAboriginal and Torres Strait IslanderChronic diseaseIndigenous AustralianOutreach case managementPrimary health care

Identifiers

PMID33023589
PMCPMC7539491
OpenAlexW3092299485

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.