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Impact on diabetes management of General Practice Management Plans, Team Care Arrangements and reviews

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The prevalence of diabetes is increasing worldwide, placing a major burden on individuals, communities and health services. In meeting this challenge, evidence suggests that the Chronic Care Model (CCM)1 leads to improved patient care and better health outcomes.2 The importance of the CCM delivery system — longitudinal planned care, regular follow-up and review, and multidisciplinary team care — is well established.3 Studies have shown that delivery system interventions are associated with improvements in clinical processes and outcomes,4 including glycated haemoglobin (HbA1c) and low-density lipoprotein (LDL) cholesterol levels5 and glycaemic control6 in patients with diabetes.

In Australia, Chronic Disease Management Medicare items were introduced to increase support for the management of chronic illness.7 These items provide rebates for General Practice Management Plans (GPMPs) to improve care planning, Team Care Arrangements (TCAs) to foster multidisciplinary care, and GPMP and TCA…