Assessment of general practitioners’ interests in expediting wait lists for spine surgical consultation with use of allied health professionals—results of a pilot study

2018 ◽  
Vol 2 ◽  
pp. 46-46
Author(s):  
Patrick A. Thornley ◽  
Stephan Oreskovich ◽  
Darryl Yardley ◽  
Ahmed Al-Jishi ◽  
Leah Wall ◽  
...  
Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1024 ◽  
Author(s):  
Alexis Arasu ◽  
Lisa J Moran ◽  
Tracy Robinson ◽  
Jacqueline Boyle ◽  
Siew Lim

Background: Weight and lifestyle management is advocated as the first-line treatment for polycystic ovary syndrome (PCOS) by evidence-based guidelines. Current literature describes both systems- and individual-related challenges that general practitioners (GPs) face when attempting to implement guideline recommendations for lifestyle management into clinical practice for the general population. The GPs’ perspective in relation to weight and lifestyle advice for PCOS has not been captured. Methods: Fifteen GPs were recruited to take part in semi-structured interviews. NVIVO software was used for qualitative analysis. Results: We report that GPs unanimously acknowledge the importance of weight and lifestyle management in PCOS. Practice was influenced by both systems-related and individual-related facilitators and barriers. Individual-related barriers include perceived lack of patient motivation for weight loss, time pressures, lack of financial reimbursement, and weight management being professionally unrewarding. System-related barriers include costs of accessing allied health professionals and unavailability of allied health professionals in certain locations. Individual-related facilitators include motivated patient subgroups such as those trying to get pregnant and specific communication techniques such as motivational interviewing. System-related facilitators include the GP’s role in chronic disease management. Conclusions: This study contributes to the understanding of barriers and facilitators that could be addressed to optimize weight and lifestyle management in women with PCOS in primary care.


2004 ◽  
Vol 9 (4) ◽  
pp. 125-130 ◽  
Author(s):  
Jane Pirkis ◽  
Belinda Morley ◽  
Fay Kohn ◽  
Grant Blashkl ◽  
Philip Burgess ◽  
...  

2002 ◽  
Vol 8 (1) ◽  
pp. 45 ◽  
Author(s):  
Catherine Hurley ◽  
Elizabeth Kalucy ◽  
Malcolm Battersby

In the past, a number of factors have been identified that discourage collaboration between GPs and other health professionals in providing care to patients with chronic illness. These include financing arrangements, lack of time and lack of knowledge of the role of other professions. This paper uses data from the independent evaluation of the SA HealthPlus Coordinated Care Trial to examine the factors that encourage and inhibit collaboration between general practitioners (GPs) and Service Coordinators (a role introduced by the trial and carried out by nurses and allied health professionals). Both quantitative and qualitative methods were used to evaluate the role of the GP and the Service Coordinator in the trial. These data were analysed to determine what factors encouraged and inhibited collaboration. Results indicated that effective communications, knowledge of and respect for each other's roles and responsibilities, and a clearly perceived benefit from collaboration were the most important predictors of successful collaboration for both parties. These results also suggest strategies for increasing the likelihood of collaboration between GPs and others such as the location of the Service Coordinator in the practice and ways of dealing with GP workloads and communication needs. These findings are relevant to recent policy initiatives including the MBS Enhanced Primary Care item numbers, the employment of practice nurses, and allied health staff via Divisions of General Practice.


2010 ◽  
Vol 34 (1) ◽  
pp. 25 ◽  
Author(s):  
Jemma Skeat ◽  
Angela Morgan ◽  
Tristan Nickless

Background.Allied health professionals have provided services under Enhanced Primary Care (EPC) since 2004; however, the experiences and views of AHPs about the initiative and how it has been utilised have not been well explored. Objective.We examined speech pathologists’ views and experiences under EPC. Methods.A survey of speech pathologists in private practice who provide services under EPC was undertaken. Results.Speech pathologists provide EPC services to a wide range of clients with communication and swallowing disorders. The five EPC sessions provide a ‘starting point’ for therapy for some clients, and supplement existing therapy for others. Speech pathologists expressed concern about the accessibility of the program, and its understanding and use in practice, but noted that the program can be valuable for clients who are able to negotiate the hurdles, and for themselves in terms of increased referrals and collaboration with general practitioners. Conclusions.Education around eligibility, access, and reporting requirements is needed for clients, GPs and allied health professionals in order to reduce the frustrating aspects of this program, and support its ongoing use. What is known about the topic?The Enhanced Primary Care (EPC) program relies on collaboration between general practitioners and allied health professionals, and aims to improve the management of chronic and complex conditions in the community. The experiences and views of allied health professionals (AHPs) in implementing the EPC program since 2004 are important to inform evaluation of the effectiveness, usefulness and value of the program. What does this paper add?We explored speech pathologists’ perspectives on EPC, including their experiences and views about the program. The paper informs understanding of the use of EPC in practice, for example, how sessions are provided to clients over the 12-month period, as well as how those who use it – allied health professionals – perceive the value and practicality of this program. What are the implications for practitioners?Education for GPs, clients and AHPs is needed to facilitate a more efficient and effective use of EPC. Policy makers should consider the views and experiences of AHPs when reviewing the EPC initiative, in order to understand aspects such as the accessibility of the programs for clients, and the perceived value for AHPs.


Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S8
Author(s):  
Lauren Ashley Rousseau ◽  
Nicole M. Bourque ◽  
Tiffany Andrade ◽  
Megan E.B. Antonellis ◽  
Patrice Hoskins ◽  
...  

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