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RESEARCH ARTICLE
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Utilisation of Medicare chronic disease management item numbers for people with cancer in Queensland, Australia

Md Mijanur Rahman A # * , Shafkat Jahan B # , Bogda Koczwara C D , Mahesh Iddawela E , Raymond J. Chan F G , Elysia Thornton-Benko H I J , Gail Garvey B and Nicolas H. Hart F G K L M
+ Author Affiliations
- Author Affiliations

A The Daffodil Centre, University of Sydney and Cancer Council NSW, NSW, Australia.

B School of Public Health, Faculty of Medicine, The University of Queensland, Qld, Australia.

C Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, SA, Australia.

D Flinders Centre for Innovation in Cancer, Flinders Medical Centre, SA, Australia.

E Alfred Health & Latrobe Regional Hospital, Vic, Australia.

F Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia.

G Cancer and Palliative Care Outcomes Centre, Faculty of Health, Queensland University of Technology (QUT), Qld, Australia.

H School of Clinical Medicine, Faculty of Medicine, University of New South Wales, NSW, Australia.

I Kids Cancer Centre, Sydney Children’s Hospital, Sydney, NSW, Australia.

J Bondi Road Doctors, Sydney, NSW, Australia.

K Human Performance Research Centre, INSIGHT Research Institute, University of Technology Sydney (UTS), NSW, Australia.

L Exercise Medicine Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.

M Institute for Health Research, University of Notre Dame Australia, WA, Australia.

* Correspondence to: m.m.rahman@sydney.edu.au
# These authors contributed equally to this paper

Australian Health Review https://doi.org/10.1071/AH24121
Submitted: 9 January 2024  Accepted: 10 September 2024  Published: 1 October 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Objective

Chronic disease is common in people with cancer. However, the utilisation of Medicare chronic disease management (CDM) items for cancer patients in Australia remains unexplored. This study investigates Medicare CDM item numbers relating to people with cancer, including general practitioner (GP) and allied health CDM item numbers, and any associated sociodemographic factors.

Methods

Data from 86,571 people with cancer registered in the Queensland Cancer Registry between July 2011 and June 2015 and the CDM items codes from Medical Benefits Scheme records until 2018 were analysed. This includes utilisation of General Practitioner Management Plans (GPMP) and Team Care Arrangements (TCAs), reviews of GPMPs and TCAs, and engagement with allied health services until June 2018 following a cancer diagnosis.

Results

In total 47,615 (55%) and 43,286 (50%) people with cancer initiated at least one GPMP and TCA, respectively, with 31,165 (36%) receiving at least one review, and 36,359 (42%) utilising at least one allied health service (e.g. physiotherapists (41%), podiatrists (27%), exercise physiologists (19%)) with variations by cancer type. While people with cancer from disadvantaged socioeconomic groups had a higher likelihood of receiving GPMP (odds ratio, OR: 1.16, 95% confidence interval, CI: 1.11–1.21) and TCA (OR: 1.12, 95% CI: 1.07–1.16), they were less likely to utilise allied health services (OR: 0.89, 95% CI: 0.85–0.93). People with cancer living in remote areas were less likely to receive TCA (OR: 0.84, 95% CI: 0.80–0.88) or utilise allied health services (OR: 0.63, 95% CI: 0.60–0.67) than those in metropolitan areas.

Conclusion

Our findings underscore the need to examine uptake and implementation patterns of CDM items, especially in relation to clinical, social, and service provider-level factors and related potential barriers. Further exploration is warranted to understand whether people with cancer’s care needs are being met and ways to optimise the supportive care of these people.

Keywords: allied health, data linkage, general practice, oncology, people with cancer, Team Care Arrangements.

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