The general practice response to chronic disease
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The General Practice response to Chronic Disease. 23 November 2009. Discussion points:. General Practice in Queensland General Practice contribution to the prevention and management of chronic disease Future directions for chronic disease prevention and management. General Practice.

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The General Practice response to Chronic Disease

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The General Practice response to Chronic Disease

23 November 2009


Discussion points:

  • General Practice in Queensland

  • General Practice contribution to the prevention and management of chronic disease

  • Future directions for chronic disease prevention and management


General Practice

Divisions

The General Practice Network


What is general practice?

“General practice is the provision of primary continuing comprehensive whole-patient medical care to individuals, families and their communities.”Royal Australian College of General Practitionerswww.racgp.org.au


What is the role of general practice?

  • First point of contact for many people seeking help from the health care system – 88% of people see a GP annually (4-5 times per year on average)

  • Provides a gateway to the broader health care system

  • Provides ongoing health care and coordination

  • Provides effective health promotion and early intervention strategies


General Practice

  • General practice is supported through divisions network

  • Divisions network advocates for general practice as a whole

  • A multidisciplinary team approach enhances patient care

  • IT improvements – internet/email, electronic prescribing, secure messaging, e-health records

  • A changing patient profile


Queensland Profile


Queensland Divisions

  • Statewide network

  • Responsive to local community needs

  • Provides an effective mechanism for implementing and managing health initiatives

  • Fosters relationships between and across the primary health care sector

  • Ability to lead change in the primary health care sector


Preventing and managing chronic disease:MBS Item number – Qld uptake


Preventing and managing chronic disease:Collaboratives – Chronic Heart Disease (CHD)


Preventing and managing chronic disease:Collaboratives – Diabetes (DIA)


Preventing and managing chronic disease:Chronic Disease Coordinators

  • Advance the development and implementation of the system enablers for chronic disease prevention and management through:

  • Mapping and Scoping Exercise

  • Health Summit Chronic Disease

  • Call to Action

  • 1. Advancing a whole of population approach in preventing chronic disease

  • 2. Enhancing system elements - Embedding Self Management

  • 3. Enhancing system elements - Building Workforce Capacity

  • 4. Provide effective systems for Co-ordinated Care

  • Chronic Disease Map


Preventing and managing chronic disease:Chronic Disease Coordinators

  • Partnership Development

  • Education and Training

  • Communication Strategies

  • Resource Development

  • Prevention Activities


Preventing and managing chronic disease:Future Directions

  • Prevention of Chronic Disease, address of lifestyle risks

  • Integrated, coordinated multidisciplinary care

  • Strengthened partnerships

  • Greater consumer engagement for self management

  • Enhanced systems to enable communication

  • Quality data to support evaluation

  • A whole of population approach, addressing the needs of marginalised groups


Preventing and managing chronic disease: Future Directions

  • General Practice is a significant contributor to chronic disease prevention and management as the frequent point of contact for engaging and responding to consumers, carers and the community.


Thank you


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