Collaborative care: Primary health workforce and service delivery in Western New South Wales—A case study

Ramsden, Robyn; Davies, Sarah; Colbran, Richard; Haigh, Amelia; Connors, Meegan; Nott, Shannon; Lowe, Estrella; Edwards, Marilyn; Clegg, Richard; Bagnulo, Sharif; Pit, Sabrina

doi:10.1111/ajr.12796

Cited by 5 publications

(7 citation statements)

References 26 publications

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“…Allied health professionals working near health practitioners from other professions (physicians and nurses) regularly interacted with hospitalized patients for improved satisfaction and outcomes [ 39 , 57 ]. Interprofessional practices in PHC emphasized the benefits of occupational health services by developing tools or guidelines for successful implementation [ 55 , 56 , 61 ]. In the Netherlands, maternity care providers such as midwives' interactions with physicians and their interprofessional relations enhanced primary care in urban areas [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…In Australia, collaborative approaches of Indigenous community organizations streamlined flexible care delivery, patient-centred care and support processes, timely communication, and information exchange [ 50 ]. Such community engagement approaches enhanced building health workforce literacy, town-based planning for improvement for the continuity, care coordination primary care and hospitals services (PHC service and treatment) [ 50 , 55 ]. In Nigeria, the health facility committee’s decision involved coordination to co-produce formal health services, facilitation of referrals from informal to formal providers, and reduction of the market share controlled by regulating informal providers, making competitive formal providers, leveraging the authority and resources available within their community [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Multisectoral coordination for health service management worked based on a shared philosophy, financial considerations, leadership strategies, power, and hierarchy [ 42 , 57 ]. Multiple sectors were involved at the management level for collaborative health policy/planning and funding, community engagement, private sector engagement (to provide specialized care), building health workforce, and system changes across services and settings [ 36 , 50 , 55 , 63 ].…”

Section: Resultsmentioning

confidence: 99%

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Continuity and care coordination of primary health care: a scoping review

Khatri

Endalamaw

Erku

et al. 2023

BMC Health Serv Res

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Background Healthcare coordination and continuity of care conceptualize all care providers and organizations involved in health care to ensure the right care at the right time. However, systematic evidence synthesis is lacking in the care coordination of health services. This scoping review synthesizes evidence on different levels of care coordination of primary health care (PHC) and primary care. Methods We conducted a scoping review of published evidence on healthcare coordination. PubMed, Scopus, Embase, CINAHL, Cochrane, PsycINFO, Web of Science and Google Scholar were searched until 30 November 2022 for studies that describe care coordination/continuity of care in PHC and primary care. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines to select studies. We analysed data using a thematic analysis approach and explained themes adopting a multilevel (individual, organizational, and system) analytical framework. Results A total of 56 studies were included in the review. Most studies were from upper-middle-income or high-income countries, primarily focusing on continuity/care coordination in primary care. Ten themes were identified in care coordination in PHC/primary care. Four themes under care coordination at the individual level were the continuity of services, linkage at different stages of health conditions (from health promotion to rehabilitation), health care from a life-course (conception to elderly), and care coordination of health services at places (family to hospitals). Five themes under organizational level care coordination included interprofessional, multidisciplinary services, community collaboration, integrated care, and information in care coordination. Finally, a theme under system-level care coordination was related to service management involving multisectoral coordination within and beyond health systems. Conclusions Continuity and coordination of care involve healthcare provisions from family to health facility throughout the life-course to provide a range of services. Several issues could influence multilevel care coordination, including at the individual (services or users), organizational (providers), and system (departments and sectors) levels. Health systems should focus on care coordination, ensuring types of care per the healthcare needs at different stages of health conditions by a multidisciplinary team. Coordinating multiple technical and supporting stakeholders and sectors within and beyond health sector is also vital for the continuity of care especially in resource-limited health systems and settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Continuity and care coordination of primary health care: a scoping review

Khatri

Endalamaw

Erku

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Models of care are often based on what was in place historically, and over time become less responsive to the changing needs of the person with MDR/RR-TB and to health system constraints 64. Models of care are also often developed to bridge service delivery gaps rather than as a planned strategic response to an identified local need 65 66. The development of models of care is commonly an iterative process,67 68 shaped by sociopolitical, economic, cultural, environmental and legal drivers 69 70…”

Section: Discussionmentioning

confidence: 99%

Organisation of care for people receiving drug-resistant tuberculosis treatment in South Africa: a mixed methods study

Dickson,

Le Roux,

Mitrani

et al. 2023

BMJ Open

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ObjectivesTreatment for multidrug-resistant/rifampicin-resistant tuberculosis (MDR/RR-TB) is increasingly transitioning from hospital-centred to community-based care. A national policy for decentralised programmatic MDR/RR-TB care was adopted in South Africa in 2011. We explored variations in the implementation of care models in response to this change in policy, and the implications of these variations for people affected by MDR/RR-TB.DesignA mixed methods study was done of patient movements between healthcare facilities, reconstructed from laboratory records. Facility visits and staff interviews were used to determine reasons for movements.Participants and settingPeople identified with MDR/RR-TB from 13 high-burden districts within South Africa.Outcome measuresGeospatial movement patterns were used to identify organisational models. Reasons for patient movement and implications of different organisational models for people affected by MDR/RR-TB and the health system were determined.ResultsAmong 191 participants, six dominant geospatial movement patterns were identified, which varied in average hospital stay (0–281 days), average patient distance travelled (12–198 km) and number of health facilities involved in care (1–5 facilities). More centralised models were associated with longer delays to treatment initiation and lengthy hospitalisation. Decentralised models facilitated family-centred care and were associated with reduced time to treatment and hospitalisation duration. Responsiveness to the needs of people affected by MDR/RR-TB and health system constraints was achieved through implementation of flexible models, or the implementation of multiple models in a district.ConclusionsUnderstanding how models for organising care have evolved may assist policy implementers to tailor implementation to promote particular patterns of care organisation or encourage flexibility, based on patient needs and local health system resources. Our approach can contribute towards the development of a health systems typology for understanding how policy-driven models of service delivery are implemented in the context of variable resources.

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“…Further, they recognise that rurally based academics may have different metrics to their metropolitan counterparts; for example, community engagement may be more highly regarded. Ramsden et al 21 note the benefits of collaboration between health professional also increase accessibility and sustainability of rural health services.…”

Section: The Grand Challengesmentioning

confidence: 99%

Return of the unexpected: Rural workforce recruitment and retention in the era of COVID‐19

Jones

Versace

Lyle

et al. 2021

Australian J Rural Health

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Collaborative care: Primary health workforce and service delivery in Western New South Wales—A case study

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmerc ial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 5 publications

References 26 publications

Continuity and care coordination of primary health care: a scoping review

Continuity and care coordination of primary health care: a scoping review

Organisation of care for people receiving drug-resistant tuberculosis treatment in South Africa: a mixed methods study

Return of the unexpected: Rural workforce recruitment and retention in the era of COVID‐19

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