Developing and evaluating interventions for primary care - a focus on consultations in general practice

Jiwa, M., O'Shea, C., McKinley, R. K., Mitchell, G., Girgis, A., Sibbritt, D., Burridge, L., Smith, Marthe, Chan She Ping Delfos, W. and Halkett, Georgia (2009) Developing and evaluating interventions for primary care - a focus on consultations in general practice. Australasian Medical Journal, 1 7: 3-7.

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Author Jiwa, M.
O'Shea, C.
McKinley, R. K.
Mitchell, G.
Girgis, A.
Sibbritt, D.
Burridge, L.
Smith, Marthe
Chan She Ping Delfos, W.
Halkett, Georgia
Title Developing and evaluating interventions for primary care - a focus on consultations in general practice
Journal name Australasian Medical Journal   Check publisher's open access policy
ISSN 1836-1935
Publication date 2009-08-04
Year available 2009
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 1
Issue 7
Start page 3
End page 7
Total pages 6
Place of publication Perth, WA., Australia
Publisher Australasian Medical Journal
Collection year 2010
Language eng
Subject 111717 Primary Health Care
920204 Evaluation of Health Outcomes
C1
Formatted abstract
The deployment of decision support aids, electronic referral tools or other novel processes to improve diagnostic or therapeutic performance may also disrupt the flow of the consultation in general practice. Therefore "innovations" or interventions that may result in changes to the structure of the consultation need to be tested in controlled conditions if they are not to harm patient care in practice. We describe a method for conducting "Phase 1" studies of such interventions illustrated by a consultation from one of four studies using actor-patient consultations. The recording of actor-patient consultations is technically challenging. There are some limitations in using volunteers whose skills may be unknown. However, the method allows lay and professional observation about the performance of doctors using new tools which may help to refine the innovations or offer insights into how and why some clinical scenarios impact on the doctor-patient consultation. This method is not a substitute for adequately powered clinical trials; however, it offers a practical approach to developing a complex intervention for subsequent formal evaluation.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
2010 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Fri, 23 Apr 2010, 13:19:18 EST by Lisa Hennell on behalf of General Practice SOMC