Organisational capacity and chronic disease care: an Australian general practice perspective.

Full Abstract

Although we are rapidly improving our understanding of how to manage patients with chronic illness in Australian general practice, many patients are still receiving suboptimal care. General practices have limited organisational capacity to provide the structured care that is required for managing chronic conditions:
regular monitoring, decision support, patient recall, supporting patient self management, team work, and information management. This requires a shift away from episodic, acute models. Overseas research has shown that areas such as team work, clinical information systems, decision support, linkages and leadership are also important in managing chronic illness, but we do not know which of these are most important in Australia.

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Author information

Author/s: Proudfoot, Judith (J); Infante, Fernando (F); Holton, Christine (C); Powell-Davies, Gawaine (G); Bubner, Tanya (T); Beilby, Justin (J); Harris, Mark (M);

Affiliation: Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales. j.proudfoot(-atsign-)unsw.edu.au

Journal and publication information

Publication Type: Journal Article

Journal: Australian family physician (Aust Fam Physician), published in Australia. (Language: eng)

Reference: 2007-Apr; vol 36 (issue 4) : pp 286-8

Dates: Created 2007/03/29; Completed 2007/05/10; Revised 2007/11/15;

PMID: 17392949, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Aged
Australia
Chronic Disease - therapy
Family Practice - organization & administration
Female

Humans
Interviews as Topic
Male
Middle Aged
Patient Satisfaction
Practice Management - organization & administration; statistics & numerical data

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