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ItemPatient-centred care and self-management support in primary health care(Primary Health Care Research & Information Service, 2015)Patient-centred care (PCC) is prominent in current healthcare, particularly in relation to the care of people with chronic diseases/conditions. Self-management by patients, in tandem with self-management support (SMS) provided by medical/health professionals, is a key strategy in chronic disease management. Patient-centredness is viewed as central to SMS. This RESEARCH ROUNDup discusses PCC and SMS in primary health care (PHC) settings, including a brief outline of the history, policy context, and evidence base.
ItemPay for performance: Australian landscape, international efforts, and impact on practice(Primary Health Care Research & Information Service, 2016)Fee-for-service (FFS) funding continues to dominate primary health care in Australia despite calls for reform. FFS, where providers bill for each service they provide, rewards increased activity. This may lead to over-servicing, increased costs (with no controls on prices charged), and negative impacts on quality of care. In contrast, pay-for-performance (P4P) approaches refer to payments to general practitioners (GPs) or practices, according to the number of times a certain standard of performance is met, and have been shown to improve quality.1; 2 Blended funding models have been trialled in Australia, with the 2011-14 Diabetes Care Project (DCP) incorporating P4P and flexible funding, while retaining FFS components. This RESEARCH ROUNDup will examine P4P in the Australian primary health care context and provide lessons from both systematic reviews and international experiences of P4P in primary health care.
ItemTransitions from hospital to primary care(Primary Health Care Research & Information Service, 2016)For older Australians, transitions from hospital to primary care (i.e. general practice, community and/or aged care) are frequently accompanied by discontinuities in medication management, delays in follow‐up care, duplication of tests, adverse events and readmissions to hospital. This RESEARCH ROUNDup describes factors affecting smooth transitions and provides examples of best practice.
ItemUnderstanding the policy cycle and knowledge translation for researchers (A researcher’s guide)(Primary Health Care Research & Information Service, 2015)This RESEARCH ROUNDup introduces knowledge translation, suggests avenues where research evidence can inform different stages of the policy cycle, and provides some practical tips for researchers.
ItemUse of chronic disease management software in Australia(Primary Health Care Research & Information Service, 2015)Computer based chronic disease management or clinical decision software packages are being developed partly in response to the barriers to optimal care identified by general practitioners: complexity of care regimens, administrative burden, and need for communication within multidisciplinary teams.1 The premise is that the cost of implementation may be offset by improved patient outcomes resulting in reduced complications and/or hospitalisation events. Achieving this is likely to require ongoing management and monitoring to ensure individuals receive optimal care over the long term, as well as practice support to manage the increasing numbers of patients and improve adherence to best‐practice. This RESEARCH ROUNDup summarises the latest evidence and current status of computer software use for chronic disease management in Australia.
ItemBlended funding models in primary health care(Primary Health Care Research & Information Service, 2015)This RESEARCH ROUNDup explores the application of blended funding models in primary health care. It presents a snapshot of examples and evaluations of effects and consequences of implementing blended funding models in Australia, New Zealand and Canada and the impact of these approaches on organisations, care delivery for chronic conditions and patient experience.