References
- 1Sarkies M, Long JC, Pomare C, Wu W, Clay-Williams R, Nguyen HM, et al. Avoiding unnecessary hospitalisation for patients with chronic conditions: a systematic review of implementation determinants for hospital avoidance programmes. Implementation Science. 2020; 15(1): 91. DOI: 10.1186/s13012-020-01049-0
- 2Edwards ST, Peterson K, Chan B, Anderson J, Helfand M. Effectiveness of Intensive Primary Care Interventions: A Systematic Review. J Gen Intern Med. 2017; 32(12): 1377–86. DOI: 10.1007/s11606-017-4174-z
- 3Peterson K, Helfand M, Humphrey L, Christensen V, Carson S.
VA Evidence Synthesis Program Reports Evidence Brief: Effectiveness of Intensive Primary Care Programs . VA Evidence Synthesis Program Evidence Briefs. Washington, DC: Department of Veterans Affairs (US); 2011. - 4Leach MJ, Segal L, Esterman A, Armour C, McDermott R, Fountaine T. The Diabetes Care Project: an Australian multicentre, cluster randomised controlled trial [study protocol]. BMC Public Health. 2013; 13(1): 1212. DOI: 10.1186/1471-2458-13-1212
- 5Department of Health and Aged Care. Evaluation of the Health Care Home Program 2021 [updated 27 April 2021]. Available from:
https://www1.health.gov.au/internet/main/publishing.nsf/Content/Evaluation-of-the-Health-Care-Homes-Program . - 6Fountaine T, Bennett C. Health care homes: lessons from the Diabetes Care Project. Medical Journal of Australia. 2016; 9: 389–91. DOI: 10.5694/mja16.00681
- 7McMurray A, Ward L, Yang LR, Connor M, Scuffham P. The Gold Coast Integrated Care Programme: The Perspectives of Patients, Carers, General Practitioners and Healthcare Staff. Int J Integr Care. 2021; 21(2): 18. DOI: 10.5334/ijic.5550
- 8Billot L, Corcoran K, McDonald A, Powell-Davies G, Feyer A-M. Impact Evaluation of a System-Wide Chronic Disease Management Program on Health Service Utilisation: A Propensity-Matched Cohort Study. PLoS Med. 2016; 13(6):
e1002035 . DOI: 10.1371/journal.pmed.1002035 - 9Davie GS, Baker MG, Hales S, Carlin JB. Trends and determinants of excess winter mortality in New Zealand: 1980 to 2000. 2007; 7(BMC Public Health). DOI: 10.1186/1471-2458-7-263
- 10Fullerton KJ, Crawford VLS. The winter bed crisis—quantifying seasonal effects on hospital bed usage. QJM: An International Journal of Medicine. 1999; 92(4): 199–206. DOI: 10.1093/qjmed/92.4.199
- 11NSW Department of Planning and Environment. 2016 NSW population and household projections 2018. Available from:
https://www.planning.nsw.gov.au/Research-and-Demography/Population-projections . - 12PHIDU Torrens University Australia. Social Health Atlas of Australia: Local Government Areas 2018. Available from:
http://phidu.torrens.edu.au/current/data/shaaust/phn_lga_parts/phidu_data_phn_lga_aust.xls . - 13Billings J, Dixon J, Mijanovich T, Wennberg D. Case finding for patients at risk of readmission to hospital: development of algorithm to identify high risk patients. BMJ (Clinical research ed). 2006; 333(7563): 327. DOI: 10.1136/bmj.38870.657917.AE
- 14Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014; 12(6): 573–6. DOI: 10.1370/afm.1713
- 15Royal Australian College of General Practitioners (RACGP). Vision for General Practice and a sustainable healthcare system; 2019.
- 16Australian Institute of Health and Welfare. National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2018. [Available from:
https://meteor.aihw.gov.au/content/658499 . - 17D’Agostino RB,
Jr . Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group. Stat Med. 1998; 17(19): 2265–81. DOI: 10.1002/(SICI)1097-0258(19981015)17:19<;2265::AID-SIM918>3.0.CO;2-B - 18Cleveland WS, Devlin SJ. Locally Weighted Regression: An Approach to Regression Analysis by Local Fitting. Journal of the American Statistical Association. 1988; 83(403): 596–610. DOI: 10.1080/01621459.1988.10478639
- 19R Core Team.
R: A Language and Environment for Statistical Computing . Vienna, Austria: R Foundation for Statistical Computing; 2014. - 20Wickham H, François R, Henry L, Müller K. dplyr: A Grammar of Data Manipulation. R package version 107. 2021.
- 21Wickham H, Averick M, Bryan J, Chang W, McGowan LDA, François R, et al. Welcome to the {tidyverse}. Journal of Open Source Software. 2019; 4: 1686. DOI: 10.21105/joss.01686
- 22Auguie B. gridExtra: Miscellaneous Functions for “Grid” Graphics. R package version 23. 2017.
- 23Bodenheimer T, Ghorob A, Willard-Grace R, Grumbach K. The 10 building blocks of high-performing primary care. Ann Fam Med. 2014; 12(2): 166–71. DOI: 10.1370/afm.1616
- 24Australian Institute of Health and Welfare.
Patient experiences in Australia by small geographic areas in 2017–18 . Cat. no. HPF 52. Canberra: AIHW; 2020. - 25Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013; 13:
e010 . DOI: 10.5334/ijic.886 - 26Coorey G, Campain A, Mulley J, Usherwood T, Redfern J, Harris M, et al. Utilisation of government-subsidised chronic disease management plans and cardiovascular care in Australian general practices. BMC Primary Care. 2022; 23(1): 157. DOI: 10.1186/s12875-022-01763-2
- 27Huang PT, Kung PT, Kuo WY, Tsai WC. Impact of family physician integrated care program on decreasing utilization of emergency department visit and hospital admission: a population-based retrospective cohort study. BMC health services research. 2020; 20(1): 470. DOI: 10.1186/s12913-020-05347-7
- 28Sansoni J, Grootemaat P, Seraji M, Blanchard M, Snoek M. Targeting integrated care to those most likely to need frequent health care: A review of social and clinical risk factors. Centre for Health Service Development, Australian Health Services Research Institute, University of Wollongong; 2015.
- 29Stokes J, Kristensen SR, Checkland K, Bower P. Effectiveness of multidisciplinary team case management: difference-in-differences analysis. BMJ Open. 2016; 6(4):
e010468 . DOI: 10.1136/bmjopen-2015-010468 - 30Wu CX, Hwang CH, Tan WS, Tai KP, Kwek LSL, Chee TG, et al. Effectiveness of a chronic obstructive pulmonary disease integrated care pathway in a regional health system: a propensity score matched cohort study. BMJ Open. 2018; 8(3):
e019425 . DOI: 10.1136/bmjopen-2017-019425 - 31NSW Health.
Influenza Monthly Epidemiology Report, NSW . December 2017 (including a summary for the year 2017). NSW Government; 2017. - 32NSW Health. Influenza Annual Epidemiology Report 2018, NSW. NSW Covernment; 2018.
- 33Briffa TG, Jorm L, Jackson RT, Reid C, Chew DP. Nationally linked data to improve health services and policy. Med J Aust. 2019; 211(9): 397–8.e1. DOI: 10.5694/mja2.50368
- 34Jorm L. Routinely collected data as a strategic resource for research: priorities for methods and workforce. Public Health Res Pract. 2015; 25(4):
e2541540 . DOI: 10.17061/phrp2541540