Chronic disease management through a Hospital-GP Shared Care model for endrocrinology in rural Australia: The Physician in Practice Clinic

Moffatt, Jennifer, Hussain, Delwar and Hansford, Garry (2011). Chronic disease management through a Hospital-GP Shared Care model for endrocrinology in rural Australia: The Physician in Practice Clinic. In: 18th WONCA Regional Conference for the Asia Pacific, 10th WONCA Rural Health World Conference, Golden Anniversary of the Philippine Academy of Family Physicians, 25th Anniversary of the Foundation for Family Medicine Educators, Cebu, Philippines, (). 20-24 February 2011.

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Name Description MIMEType Size Downloads
Author Moffatt, Jennifer
Hussain, Delwar
Hansford, Garry
Title of paper Chronic disease management through a Hospital-GP Shared Care model for endrocrinology in rural Australia: The Physician in Practice Clinic
Conference name 18th WONCA Regional Conference for the Asia Pacific, 10th WONCA Rural Health World Conference, Golden Anniversary of the Philippine Academy of Family Physicians, 25th Anniversary of the Foundation for Family Medicine Educators
Conference location Cebu, Philippines
Conference dates 20-24 February 2011
Publication Year 2011
Sub-type Published abstract
Collection year 2012
Language eng
Formatted Abstract/Summary
Introduction
The incidence of chronic disease in the Australian population, in particular diabetes mellitus is increasing. Diabetes is a condition considered to be avoidable through prevention and treatment, and does respond favourably to early intervention.
For General Practitioners (GPs) diabetes is amongst their most commonly managed chronic conditions, and one frequently referred to specialists. Therefore General Practice is a key point for intervention in chronic disease management. However there are health service access barriers that include the on-going recruitment and retention issues which impact on service access.
To address these issues the Toowoomba Hospital and Toowoomba Division of General Practice are trialling a shared-care model – the Physician in Practice Clinic. The public hospital endocrinologist runs a clinic at GP surgeries with a joint patient consultation.

Methods
Semi-structured interviews were conducted with 10 GPs involved in the clinic. Interviews were digitally recorded, transcribed then thematically analysed.

Results
Interim results show that GPs value this clinic because of its educational value for themselves, primarily in the care of complex cases, but also because they can apply this new knowledge to other patients. This increases their confidence in managing endocrinology patients and reduces referrals to the endocrinologist. GPs believe that patients benefit from the shared-care model through earlier intervention, on-going shared care, convenience and it increases the patient’s confidence in their treatment.

Conclusions
This shared-care model for the delivery of chronic disease management in rural Australia has the potential to tackle a significant health problem and reduce barriers to service access.
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Conference theme: Paradigms of Family Medicine: Bridging of Old Traditions with New Concepts. Presented during Symposium on Chronic Illness: Diabetes. Oral presentation REFERENCE NUMBER: ABS-OP0208

Document type: Conference Paper
Collections: Temporary Review
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Created: Mon, 29 Aug 2011, 13:19:44 EST by Mary-Anne Marrington on behalf of School of Medicine