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dc.contributor.authorOldroyd, J.-
dc.contributor.authorProudfoot, J.-
dc.contributor.authorInfante, F.-
dc.contributor.authorDavies, G.-
dc.contributor.authorBubner, T.-
dc.contributor.authorHolton, C.-
dc.contributor.authorBeilby, J.-
dc.contributor.authorHarris, M.-
dc.identifier.citationMedical Journal of Australia, 2003; 179(1):30-33-
dc.descriptionThe document attached has been archived with permission from the editor of the Medical Journal of Australia (26 April 2007).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.-
dc.description.abstractOBJECTIVES: 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.-
dc.description.statementofresponsibilityJohn Oldroyd, Judith Proudfoot, Fernando A Infante, Gawaine Powell Davies, Tanya Bubner, Chris Holton, Justin J Beilby and Mark F Harris-
dc.publisherAustralasian Med Publ Co Ltd-
dc.subjectAcute Disease-
dc.subjectChronic Disease-
dc.subjectFocus Groups-
dc.subjectCross-Sectional Studies-
dc.subjectAttitude of Health Personnel-
dc.subjectHealth Knowledge, Attitudes, Practice-
dc.subjectPhysician's Role-
dc.subjectPhysician-Patient Relations-
dc.subjectMiddle Aged-
dc.subjectPhysicians, Family-
dc.subjectHealth Planning-
dc.subjectPatient Care Team-
dc.subjectNew South Wales-
dc.subjectSouth Australia-
dc.titleProviding healthcare for people with chronic illness: the views of Australian GPs-
dc.typeJournal article-
Appears in Collections:Aurora harvest
General Practice publications

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