Aish Harley, Didsbury Peter, Cressey Paul, Grigor Janice, Gribben Barry
Primary Options for Acute Care, Auckland, New Zealand.
N Z Med J. 2003 Feb 21;116(1169):U326.
To enroll 600 primary care "avoidable admission" patients in a programme that utilised general practitioners to manage those patients in the community.
The Primary Options for Acute Care (POAC) programme ran from 26 February to 31 December 2001. Using networks already established, primary care teams were invited to manage patients using any resources they required, up to a cost of approximately $266 per patient. If needed, a Service Coordinator was available to arrange investigations, care, or treatment.
From 26 February to 31 December 2001, 707 patients were enrolled in POAC by 100 GPs. 104 patients (15%) were eventually admitted to hospital. An average of $200.73 per patient per episode was spent (not including administrative costs). A wide variety of patients and diseases were managed. Patients and general practitioners reported high levels of satisfaction with the programme.
POAC demonstrated the ability and willingness of primary care providers to successfully manage patients who traditionally would be sent to hospital, within a defined budget
