Australian general practitioners’ perceptions of the barriers and opportunities for community-based care of patients with viral hepatitis: a mixed methods study
Introduction Engagement of general practitioners (GPs) is essential to improving rates of diagnosis and treatment of viral hepatitis, as traditional tertiary hospital-based models of care often face challenges. Aim We investigated Australian general practitioners’ perceptions of a community-based...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
CSIRO Publishing
2022-01-01
|
| Series: | Journal of Primary Health Care |
| Subjects: | |
| Online Access: | https://www.publish.csiro.au/hc/pdf/HC22005 |
| _version_ | 1797979878603096064 |
|---|---|
| author | Paul Clark Donata Sackey Rebecca Farley Shaouli Shahid Aidan Woodward Burglind Liddle Patricia Valery Belaynew Taye |
| author_facet | Paul Clark Donata Sackey Rebecca Farley Shaouli Shahid Aidan Woodward Burglind Liddle Patricia Valery Belaynew Taye |
| author_sort | Paul Clark |
| collection | DOAJ |
| description |
Introduction
Engagement of general practitioners (GPs) is essential to improving rates of diagnosis and treatment of viral hepatitis, as traditional tertiary hospital-based models of care often face challenges.
Aim
We investigated Australian general practitioners’ perceptions of a community-based model of care for patients with viral hepatitis.
Methods
We conducted a mixed methods study using survey questionnaires (23 GPs) and an open-ended interview guide (10 GPs) at primary care clinics in Brisbane, Queensland, Australia. Quantitative data were analysed using descriptive statistics in Stata 15.1 and qualitative data were analysed using thematic analysis following an inductive approach.
Results
Patient loss to follow up and high cost of diagnostic tests were identified as the biggest challenges to providing care for patients with viral hepatitis. Most GPs interviewed believe a more community-based model of care with support to GPs may improve uptake of care and increase both GP and patient engagement. General practitioners felt a community-based model of care could also improve viral hepatitis testing and follow-up rates.
Discussion
For Australian GPs, improving patient retention and diagnostics access were key pressure points in the viral hepatitis care pathway. A broader and more profound capacity-building allows community-based viral hepatitis care to be sustainable.
|
| first_indexed | 2024-04-11T05:45:53Z |
| format | Article |
| id | doaj.art-8cc310a7076145ce94059a38ea517a70 |
| institution | Directory Open Access Journal |
| issn | 1172-6156 |
| language | English |
| last_indexed | 2024-04-11T05:45:53Z |
| publishDate | 2022-01-01 |
| publisher | CSIRO Publishing |
| record_format | Article |
| series | Journal of Primary Health Care |
| spelling | doaj.art-8cc310a7076145ce94059a38ea517a702022-12-22T04:42:14ZengCSIRO PublishingJournal of Primary Health Care1172-61562022-01-01143229236HC22005Australian general practitioners’ perceptions of the barriers and opportunities for community-based care of patients with viral hepatitis: a mixed methods studyPaul Clark0Donata Sackey1Rebecca Farley2Shaouli Shahid3Aidan Woodward4Burglind Liddle5Patricia Valery6Belaynew Taye7Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia; and Mater Research Institute-UQ, Brisbane, Qld, Australia; and Department of Gastroenterology and Hepatology, Mater Hospitals, Brisbane, Qld, Australia; and Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Qld, Australia.Mater Refugee Complex Care Clinic, Brisbane, Qld, Australia; and Refugee Health Partnership Advisory Group Qld, Brisbane, Qld, Australia.Mater Refugee Complex Care Clinic, Brisbane, Qld, Australia; and Clinical Training Department, Princess Alexandra Hospital, Brisbane, Qld, Australia.Centre for Aboriginal Studies, Curtin University, Bentley, WA, Australia.Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia; and Department of Gastroenterology and Hepatology, Mater Hospitals, Brisbane, Qld, Australia; and Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Qld, Australia.Department of Gastroenterology and Hepatology, Mater Health Services, Brisbane, Qld, Australia.Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia; and Cancer and Chronic Disease Epidemiology, QIMR Berghofer Medical Research Institute, Brisbane, Qld, Australia.Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia; and Mater Research Institute-UQ, Brisbane, Qld, Australia; and Cancer and Chronic Disease Epidemiology, QIMR Berghofer Medical Research Institute, Brisbane, Qld, Australia; and Department of Epidemiology, Bahir Dar University, Bahir Dar, Ethiopia. Introduction Engagement of general practitioners (GPs) is essential to improving rates of diagnosis and treatment of viral hepatitis, as traditional tertiary hospital-based models of care often face challenges. Aim We investigated Australian general practitioners’ perceptions of a community-based model of care for patients with viral hepatitis. Methods We conducted a mixed methods study using survey questionnaires (23 GPs) and an open-ended interview guide (10 GPs) at primary care clinics in Brisbane, Queensland, Australia. Quantitative data were analysed using descriptive statistics in Stata 15.1 and qualitative data were analysed using thematic analysis following an inductive approach. Results Patient loss to follow up and high cost of diagnostic tests were identified as the biggest challenges to providing care for patients with viral hepatitis. Most GPs interviewed believe a more community-based model of care with support to GPs may improve uptake of care and increase both GP and patient engagement. General practitioners felt a community-based model of care could also improve viral hepatitis testing and follow-up rates. Discussion For Australian GPs, improving patient retention and diagnostics access were key pressure points in the viral hepatitis care pathway. A broader and more profound capacity-building allows community-based viral hepatitis care to be sustainable. https://www.publish.csiro.au/hc/pdf/HC22005access to healthcareculturally and linguistically diverse populationsengagement of primary caregeneral practitionersmixed methodsmodels of care |
| spellingShingle | Paul Clark Donata Sackey Rebecca Farley Shaouli Shahid Aidan Woodward Burglind Liddle Patricia Valery Belaynew Taye Australian general practitioners’ perceptions of the barriers and opportunities for community-based care of patients with viral hepatitis: a mixed methods study Journal of Primary Health Care access to healthcare culturally and linguistically diverse populations engagement of primary care general practitioners mixed methods models of care |
| title | Australian general practitioners’ perceptions of the barriers and opportunities for community-based care of patients with viral hepatitis: a mixed methods study |
| title_full | Australian general practitioners’ perceptions of the barriers and opportunities for community-based care of patients with viral hepatitis: a mixed methods study |
| title_fullStr | Australian general practitioners’ perceptions of the barriers and opportunities for community-based care of patients with viral hepatitis: a mixed methods study |
| title_full_unstemmed | Australian general practitioners’ perceptions of the barriers and opportunities for community-based care of patients with viral hepatitis: a mixed methods study |
| title_short | Australian general practitioners’ perceptions of the barriers and opportunities for community-based care of patients with viral hepatitis: a mixed methods study |
| title_sort | australian general practitioners perceptions of the barriers and opportunities for community based care of patients with viral hepatitis a mixed methods study |
| topic | access to healthcare culturally and linguistically diverse populations engagement of primary care general practitioners mixed methods models of care |
| url | https://www.publish.csiro.au/hc/pdf/HC22005 |
| work_keys_str_mv | AT paulclark australiangeneralpractitionersperceptionsofthebarriersandopportunitiesforcommunitybasedcareofpatientswithviralhepatitisamixedmethodsstudy AT donatasackey australiangeneralpractitionersperceptionsofthebarriersandopportunitiesforcommunitybasedcareofpatientswithviralhepatitisamixedmethodsstudy AT rebeccafarley australiangeneralpractitionersperceptionsofthebarriersandopportunitiesforcommunitybasedcareofpatientswithviralhepatitisamixedmethodsstudy AT shaoulishahid australiangeneralpractitionersperceptionsofthebarriersandopportunitiesforcommunitybasedcareofpatientswithviralhepatitisamixedmethodsstudy AT aidanwoodward australiangeneralpractitionersperceptionsofthebarriersandopportunitiesforcommunitybasedcareofpatientswithviralhepatitisamixedmethodsstudy AT burglindliddle australiangeneralpractitionersperceptionsofthebarriersandopportunitiesforcommunitybasedcareofpatientswithviralhepatitisamixedmethodsstudy AT patriciavalery australiangeneralpractitionersperceptionsofthebarriersandopportunitiesforcommunitybasedcareofpatientswithviralhepatitisamixedmethodsstudy AT belaynewtaye australiangeneralpractitionersperceptionsofthebarriersandopportunitiesforcommunitybasedcareofpatientswithviralhepatitisamixedmethodsstudy |