Evaluation of a General Practitioner with Special Interest model: lessons learned from staff experiences.
Background: The integration of general practitioners into specialist outpatient clinics is associated with improved access to care; however, little is understood about the organisation-level factors that affect successful implementation. We aimed to identify factors that were facilitators or barrier...
| Publicado en: | Australian Journal of Primary Health Vol. 28; no. 4; pp. 330 - 338 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
CSIRO Publishing
2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158510779&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158510779 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14487527 1DXM jtl: Australian Journal of Primary Health issn: 14487527 maglogo: N pubinfo: dt: 2022 vid: 28 iid: 4 pid: 1568 pub: CSIRO Publishing place: Canberra ACT, <Blank> artinfo: ui: 158510779 158510779 158510779 10.1071/PY21065 158510779 ppf: 330 ppct: 8 formats: tig: atl: Evaluation of a General Practitioner with Special Interest model: lessons learned from staff experiences. aug: au: Purtell, L. Whiting, E. Muller, K. McSherry, C. Gillespie, K. Havas, K. Bonner, A. affil: School of Nursing and Midwifery, Griffith University, Parklands Drive, Southport, Qld 4222, Australia. sug: subj: Health Services Accessibility Evaluation Health Care Delivery, Integrated Process Assessment (Health Care) Physicians, Family Psychosocial Factors Physician Attitudes Evaluation Work Experiences Evaluation Specialties, Medical Primary Health Care Implementation Science Program Implementation Quality Improvement Human Qualitative Studies Semi-Structured Interview Queensland Content Analysis Workload Waiting Lists Self-Efficacy Professional Knowledge Funding Source Outpatients ab: Background: The integration of general practitioners into specialist outpatient clinics is associated with improved access to care; however, little is understood about the organisation-level factors that affect successful implementation. We aimed to identify factors that were facilitators or barriers to the implementation of a General Practitioner with Special Interest (GPwSI) model of care across a range of specialties. Methods: Semi-structured, in-depth interviews were conducted with 25 stakeholders at 13 GPwSI clinics in operation within a Queensland public health service. A deductive content analysis was conducted using the Consolidated Framework for Implementation Research (CFIR). Results: Stakeholders generally supported the GPwSI model and saw advantages to patients and specialist medical practitioners in terms of waiting lists, workload, and improving clinician self-efficacy and knowledge. A number of factors were identified as being crucial to the success of the program, such as adequate support and planning for the implementation, appropriate funding and advocacy. Conclusions: Our evaluation indicates that a GPwSI model can be a beneficial resource for improving care to patients and reducing wait lists, dependent upon adequate planning, training, and support. Long waiting lists are a major challenge for patients referred to specialist medical services in Australia. General practitioners who have an extended scope of practice may work within public hospitals to help increase capacity to provide care in specialist clinics; we found that staff generally had a positive view of working in such a clinic and identified that adequate planning, structured support and training were important in establishing the service. Integrated primary/specialist care models should be co-designed with both GPs and hospital staff. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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