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Type: Journal article
Title: Providing healthcare for people with chronic illness: the views of Australian GPs
Author: Oldroyd, J.
Proudfoot, J.
Infante, F.
Davies, G.
Bubner, T.
Holton, C.
Beilby, J.
Harris, M.
Citation: Medical Journal of Australia, 2003; 179(1):30-33
Publisher: Australasian Med Publ Co Ltd
Issue Date: 2003
ISSN: 0025-729X
Statement of
John Oldroyd, Judith Proudfoot, Fernando A Infante, Gawaine Powell Davies, Tanya Bubner, Chris Holton, Justin J Beilby and Mark F Harris
Abstract: OBJECTIVES: To explore general practitioners' views on chronic-disease care: the difficulties and rewards, the needs of patients, the impact of government incentive payments, and the changes needed to improve chronic-disease management. DESIGN: Qualitative study, involving semi-structured questions administered to 10 focus groups of GPs, conducted from April to October 2002. PARTICIPANTS AND SETTING: 54 GPs from both urban and rural practices in New South Wales and South Australia. RESULTS: Consistent themes emerged about the complex nature of chronic-disease management, the tension between patients' and GPs' goals for care, the time-consuming aspects of care (exacerbated by federal government requirements), and the conflicting pressures that prevent GPs engaging in structured multidisciplinary care (ie, team-based care involving systems for patient monitoring, recall, and care planning). CONCLUSIONS: Structured multidisciplinary care for people with chronic conditions can be difficult to provide. Barriers include the lack of fit between systems oriented towards acute care and the requirements of chronic-disease care, and between bureaucratic, inflexible structures and the complex, dynamic nature of GP–patient relationships. These problems are exacerbated by administrative pressures associated with federal government initiatives to improve chronic-illness management. Changes are needed in both policies and attitudes to enable GPs to move from episodic care to providing structured long-term care as part of a multidisciplinary team.
Keywords: Humans
Acute Disease
Chronic Disease
Focus Groups
Cross-Sectional Studies
Attitude of Health Personnel
Health Knowledge, Attitudes, Practice
Physician's Role
Physician-Patient Relations
Middle Aged
Physicians, Family
Health Planning
Patient Care Team
New South Wales
South Australia
Description: The document attached has been archived with permission from the editor of the Medical Journal of Australia (26 April 2007). An external link to the publisher’s copy is included.
DOI: 10.5694/j.1326-5377.2003.tb05414.x
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General Practice publications

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