Developing and Implementing a Vision for Chronic Disease Prevention and Management in South Australia Iolanda Principe Director, Primary Health Care Branch Outline South Australia Strategic Plan SA chronic disease framework An example of NSIF use in SA Systems of Care issues Models of Care
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Director, Primary Health Care Branch
South Australia’s Strategic Plan (March 2004) clearly articulates key objectives for this State over the next decade.
The plan makes specific commitment to implement recommendations of the Generational Health Review including:
Objectives 2 and 6 provide specific targets for the health system.
Objective 2 – Improving Wellbeing
Objective 6 – Expanding Opportunity
Adopt a clustered approach to chronic disease
prevention and management
1. Increase system coordination and integration
2. Increase the availability of a system for self- management
3. Increase primary health care capacity for prevention, early detection, early intervention, and chronic disease management
StatewideCancer Control Plan:CancerNSIF into action
We know what is required to improve our systems of care and patient health
we don’t apply what we already know.
The Radar Syndrome
“Health plans that do not systematically support members’ efforts to improve health related behaviours may be incurring significant short-term health care charges that may be at least partly preventable.” JAMA. 1999; 282: 2235-9
…….from typical (radar care) to achievable Innovative Care
Wagner Chronic Care Model 1997
Resources and Policies
Health Care Organizations
Community Resources & Services
Family / Carer
Health Care Organisation
Improved health outcomes
For people with chronic diseaseNSWChronicCare Model 2004
Reference: Modified from World Health Organisation and Wagner and Colleagues