General practice work and workforce: Interdependencies between demand, supply and quality

Sturmberg, Joachim P.; O'Halloran, Di; McDonnell, Geoff; Martin, Carmel M.

doi:10.31128/ajgp-03-18-4515

Cited by 13 publications

(13 citation statements)

References 15 publications

(19 reference statements)

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“…Further to this, time pressures and business needs within general practice have been identified in other research as factors that influence GP service delivery. 25 , 27 – 29 In the current study, financial and business pressures were also found to influence GP delivery of telehealth services.…”

Section: Discussionmentioning

confidence: 56%

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GP perceptions of telehealth services in Australia: a qualitative study

et al. 2021

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BackgroundPrimary care providers have been rapidly transitioning from in-person to telehealth care during the 2019 coronavirus (COVID-19) pandemic. There is an opportunity for new research in a rapidly evolving area, where evidence for telehealth services in primary care in the Australian setting remains limited.AimTo explore general practitioner (GP) perceptions on providing telehealth (telephone and videoconsultation) services in primary care in Australia.Design & settingA qualitative study using semi-structured interviews to gain an understanding of GP perceptions on telehealth use in Australia.MethodsGPs across Australia were purposively sampled. Semi-structured interviews were conducted, recorded, and transcribed verbatim for analysis. Transcripts were analysed using inductive thematic analysis to identify initial codes, which were then organised into themes.ResultsFourteen GPs were interviewed. Two major themes that described GP perceptions of telehealth were 1) Existence of business and financial pressures in general practice and 2) providing quality of care in Australia. These two themes interacted with four minor themes: 3) consumer-led care, 4) COVID-19 as a driver for telehealth reimbursement and adoption, 5) refining logistical processes and 6) GP experiences shape telehealth use.ConclusionThis study found that multiple considerations influence GP choice of in-person, videoconference, or telephone consultation mode. For telehealth to be used routinely within primary care settings, evidence that supports the delivery of higher quality care to patients through telehealth and sustainable funding models will be required.

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Section: Discussionmentioning

confidence: 56%

“…GPs described how shorter consultations and rushed care delivery hinders the ability to meet complex clinical needs. This is supported by Sturmberg et al, 29 which discussed how reduced consultation time threatens high quality care.…”

Section: Discussionmentioning

confidence: 84%

GP perceptions of telehealth services in Australia: a qualitative study

et al. 2021

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“…Although longer consultations are associated with better decision making and resource usage, fee-for-service funding may incentivise throughput and inadequately support team-based care. 25,26 Further, GPs often saw themselves as managing asthma without significant input from non-GP specialist colleagues. Consistent with other research, the present study showed that cost and long waiting lists inhibited referral to private and hospital non-GP specialists.…”

Section: Discussionmentioning

confidence: 99%

Have we got the right focus in asthma care in general practice? A qualitative study

Rupasinghe¹,

Reath²,

Cvetkovski³

et al. 2021

Aust J Gen Pract

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Background and objectiveAsthma presentations are common in general practice, but opportunities to control asthma are often missed. The aim of this study was to explore how general practitioners (GPs) and practice nurses (PNs) deliver asthma care, with particular attention to perceived roles and challenges, and ways to improve management. MethodsUsing a qualitative approach, semistructured interviews were conducted with GPs and PNs working in an area of cultural diversity and socioeconomic disadvantage in western Sydney. Inductive thematic analysis was undertaken. ResultsNineteen interviews were conducted, with nine GPs and 10 PNs. The main focus of asthma care was on acute presentations, with less emphasis on follow-up and preventive care and underuse of general practice chronic disease models of care. PN roles were generally limited to acute asthma assessment and triage. GPs did not commonly use spirometry or access non-GP specialist input. DiscussionAsthma care in general practice may be improved by a greater focus on prevention and control, including through follow-up after acute presentations, enhanced collaboration between GPs and PNs, and supportive practice models.Have we got the right focus in asthma care in general practice? A qualitative study Research

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“…The articles presented in this edition of Australian Journal of General Practice raise issues that will determine the future role and function for the general practice/primary care workforce in Australia. [1][2][3][4][5] In order to maintain some of the best population health outcomes in the world, what type of workforce should we aspire to? Do we need primary care?…”

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confidence: 99%

“…Sturmberg and his co-authors argue for considering health as a complex adaptive system, requiring a more sophisticated approach to balancing issues of supply, demand and quality. 5 If our workforce training curricula ensure standardisation and efficacy across a defined range of competencies, how do we concurrently develop primary care practitioners who are 'fit for purpose' across the diversity of Australian workplace environments? Should we plan for workforce adequacy or for a redundancy that ensures competition between providers?…”

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confidence: 99%

Building a fit-for-purpose Australian primary healthcare workforce

Willcock¹

2018

Aust J Gen Pract

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General practice work and workforce: Interdependencies between demand, supply and quality

Cited by 13 publications

References 15 publications

GP perceptions of telehealth services in Australia: a qualitative study

GP perceptions of telehealth services in Australia: a qualitative study

Have we got the right focus in asthma care in general practice? A qualitative study

Building a fit-for-purpose Australian primary healthcare workforce

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