Burcetti, Anne

Chaffey, Jan

Chambers, Robyn

Foster, Michele

Freeman, Chris

Henwood, Tim

Mitchell, Geoffrey

Senior, Hugh

Williams, Ian

University of Queensland eSpace

Geoffrey Mitchell 1, Hugh Senior 1, Michele Foster 2, 
Ian Williams 3, Tim Henwood 4, Chris Freeman 3, Jan Chaffey 3, 
Robyn Chambers 3 Anne Bucetti 1 
1 Discipline of General Practice, The University of Queensland • 
2  Social Policy Unit, School of Social Work & Human 
Services, The University of Queensland • 3 Camp Hill Healthcare • 4  UQ/Blue 
Care Research & Practice Development Centre
Describing how multidisciplinary care 
planning works in practice from the 
allied health perspective : The Camp Hill 
Allied Health Roles in a Multidisciplinary Setting Study 
Aim
To conduct a comprehensive examination of the role 
and impact of Allied Health professionals in the care of 
chronic conditions at Camp Hill Healthcare.
Rationale
 f Chronic disease is the primary reason for 36% of GP consultations (1) 
 f Multidisciplinary approach is best practice (2)
 f Enhanced Primary Care Program (EPC) for chronic disease management 
limits allied health visits to 5 per year. This can result in: 
•  Patients not being offered best practice treatment (3)
•  Alternative service pathways which may not be cost effective or 
equitable (4)
 f Medicare rebates do not cover aspects of multidisciplinary care which don’t 
involve patient contact (5)
Objectives
 f Describe the journey of patients with a chronic illness who received services 
from Allied Health professionals within the multidisciplinary team
 f Describe the role of Allied Health professionals in providing care for patients 
with chronic illness as part of the multidisciplinary team
 f Identify the policy settings enabling Allied Health professionals to influence 
patient outcomes
 f Identify the promoters and barriers to care of patients with chronic illness 
from Allied Health professionals on the multidisciplinary team
References
1. Britt H, Miller G, Charles J, Henderson J, Bayram C, Pan Y, et al. General practice activity in Australia 2008–09. Canberra: 
 AIHW2010.
2. Harris M, Zwar N. Care of patients with chronic disease. Medical Journal of Australia. 2004;187(2):104-7.
3. Foster MM, Mitchell G, Haines T, Tweedy S, Cornwell P, Fleming J. Does Enhanced Primary Care enhance primary care? 
 Policy-induced dilemmas for allied health professionals. Med J Aust. 2008 Jan 7;188(1):29-32.
4. Haines TP, Foster MM, Cornwell P, Fleming J, Tweedy S, Hart A, et al. Impact of Enhanced Primary Care on equitable 
 access to and economic efficiency of allied health services: a qualitative investigation. Aust Health Rev. 2010  
 Mar;34(1):30-5.
5. Foster M, Cornwell P, Fleming J, Mitchell GK, Tweedy S, Hart A, et al. Better than nothing? Restrictions and realities of 
 enhanced primary care for allied health practitioners: [Paper in Special Issue Part 2: Partnerships in Primary Health Care.]. 
 Australian Journal of Primary Health. 2009;15(4):326-34.
Methods
 f  Case studies using a mixed methods approach - Quantitative 
analysis with Qualitative Description
Purposive sampling of patients 75 years and over who: 
 f are cared for by Allied Health Professional(s) from the  
multidisciplinary team
 f have at least one of the following conditions: 
 > Diabetes Mellitus Type 2 
 > Osteoarthritis 
 > Urinary Incontinence
 f Sample includes a mix of
  > Gender
  > Age range
  > Presence/absence of co-morbidities
  > Varying funding paths – private insurance, Medicare,  
   DVA, self-funding
Data Collection and Analysis
 f  Descriptive analysis of the total population using the 
 Camp Hill Healthcare 75 years and over Health Assessments 
 database – contains 7 years of data
 f  Longitudinal analysis of key indicators
 f  Semi-structured interviews of patients and their 
 healthcare providers. Analysis using a thematic  
 framework approach
 f  Triangulation of data to provide an in-depth 
 description of the patient journey
Benefits to the community
The multidisciplinary approach is acknowledged as best practice for 
management of chronic disease yet current policy does not encourage 
true multidisciplinary teamwork. This project aims to provide an 
understanding of the role of Allied Health in sustainable and existing 
multidisciplinary primary care centres and inform policy on the 
provision of multidisciplinary management of chronic disease in the 
general practice setting.
This research project is conducted on behalf of the 
Australian Primary Health Care Research Institute which is 
supported by a grant from the Commonwealth of Australia 
as represented by the Department of Health and Ageing
Camp Hill Healthcare
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4th February 2010


Describing how multidisciplinary care planning works in practice from the allied health perspective: The Camp Hill Allied Health Roles in a Multidisciplinary Setting Study

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Describing how multidisciplinary care planning works in practice from the allied health perspective: The Camp Hill Allied Health Roles in a Multidisciplinary Setting Study

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