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Public health nutrition: the accord of dietitian providers in managing medicare chronic care outpatients in Australia

, : Public health nutrition: the accord of dietitian providers in managing medicare chronic care outpatients in Australia. International Journal of Environmental Research and Public Health 7(4): 1841-1854

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.


PMID: 20617063

DOI: 10.3390/ijerph7041841

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