Patient Centred Care in the Context of Teamwork for Chronic Disease Pevention and Management in General Practice

1. Patient Centred Care in the Context of Teamwork for Chronic Disease Pevention and Management in General Practice

2. UNSW research centre for primary health care and equity The impetus for team care Evidence of a gap between the prevalence of chronic conditions and the quality of care. Evidence that multidisciplinary team work improves quality of care Evidence that patient engagement in care is associated with improved health outcomes

3. UNSW research centre for primary health care and equity Teamwork and patient involvement Evidence from systematic reviews that team care:- Improves patient adherence to management Helps patient to achieve and sustain lifestyle change especially diet, physical activity, and weight control and monitoring of their chronic condition

4. UNSW research centre for primary health care and equity Prac-Cap Qualitative Studies Consumers identified the importance of: Continuity of care, GP inter-personal skills, Time in the consultation Patient active role and access to information that was tailored to their need Linkage and referral to consumer organisations or support groups The role practice nurses and receptionists play within the practice. Infante FA, Proudfoot JG, Powell Davies G, Bubner TK, Holton CH, Beilby JJ and Harris MF. How people with chronic illnesses view their care in general practice: a qualitative study. Medical J of Australia 2004; 181 (2): 70-73

5. UNSW research centre for primary health care and equity Practice Capacity Study 2004-5 7505 chronically ill patients from 97 general practices in 6 Australian states and territories. Overall patient assessment of care using the GPAS was associated with practice and patient characteristics (multilevel analysis). Patients attending smaller practices (1–3 general practitioners) reported better access to care compared with larger practices. Patients’ assessment of the care received from their practice was associated with the team climate within the practice. Proudfoot J, Jayasinghe U, Holton C, Grimm J, Bubner T, Amoroso C, Beilby J, Harris MF. Team Climate for Innovation in Australian General Practices. Int J of Quality in Health Care. 2007 doi: 10.1093/intqhc/mzm005/. Upali W. Jayasinghe, Judy Proudfoot, Chris Holton, Gawaine Powell Davies, Cheryl Amoroso, Tanya Bubner, Justin Beilby, and Mark F. Harris Chronically ill Australians' satisfaction with accessibility and patient-centredness International Journal for Quality in Health Care Int J Qual Health Care 2008 20: 105-114

6. UNSW research centre for primary health care and equity Teamwork and Team link Studies Teamwork: Evaluate the impact of a practice-based intervention involving non-GP staff (practice managers, receptionists and nurses) in chronic disease management (type 2 diabetes and CVD) Teamlink To evaluate the impact of enhancing the working relationships between General Practice and other services and providers in care for patients with Type 2 diabetes and/or CVD. We’re going to conduct 2 studies, one for 3 years, one for 5 years. . It is the first study that I am going to talk to you about. Aims of the two studies:We’re going to conduct 2 studies, one for 3 years, one for 5 years. . It is the first study that I am going to talk to you about. Aims of the two studies:

7. UNSW research centre for primary health care and equity Other studies Patient centred care in care planning for patients with diabetes Evaluation of “Moving On” Self Management Support with Arthritis NSW HIP trial of intervention to prevent vascular disease through a Division of General practice run group and individual program