Trial of structured support to enhance the role of non-GP staff in chronic disease management in general practice

尝试结构化支持以增强非全科医生在全科医疗慢性病管理中的作用

• 批准号: nhmrc : 350931
• 负责人: A/Pr Judy Proudfoot
• 金额: $ 52.05万
• 依托单位: The University of New South Wales
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2005
• 资助国家: 澳大利亚
• 起止时间: 2005-01-01 至 2007-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/trial-structured-support-general-practice/96935
• 关键词: Trial; structured; support; enhance; role

Chronic disease presents a significant burden to individuals and the health care system , contributing to both an increasing proportion of the work of primary health care practitioners and to health expenditure. A number of interventions have been shown to result in sustained improvement of health outcomes for people with chronic diseases, including: more effective use of non-physician providers of care and nurse case management; integration of self-management support programs with guideline based treatment plans; more intensive follow up and registries that provide reminders and feedback. While some of these approaches have been pursued within the Coordinated Care Trials and the Enhanced Primary Care (EPC) program in Australia, the role of non medical staff within general practice in chronic disease care has not been systematically investigated. In 2001 the Commonwealth introduced a number of initiatives to support better quality of care for diabetes and asthma in general practice and $104.2 million over four years was provided for general practices in areas of high workforce pressure to employ more Nurses. The roles of the Practice Manager and Receptionist have received much less attention. They include faclitating access to care, supporting the delivery of quality clinical care by the practitioners through the provision of expert management services (primarily information technology, staff, financial and facilities management) to the practice. With recent government initiatives expanding the role of general practice in Australia, effective management structures and processes within general practices are vital. Non-GP general practice staff may be the means by which more effective chronic disease management can be achieved at a time of increasing workforce pressure. This project aims to evaluate the impact of a program in which non-GP staff are trained and facilitated to be involved in the management of patients with chronic disease.

慢性病给个人和卫生保健系统带来了沉重的负担，导致初级卫生保健从业人员的工作比例不断增加，并增加了卫生支出。许多干预措施已被证明可以持续改善慢性病患者的健康结果，包括： 更有效地利用非医生护理提供者和护士病例管理；将自我管理支持计划与基于指南的治疗计划相结合；更深入的跟进和提供提醒和反馈的登记。虽然其中一些方法已在澳大利亚的协调护理试验和增强初级护理 (EPC) 计划中得到推行，但非医务人员在慢性病护理全科实践中的作用尚未得到系统调查。 2001 年，联邦推出了多项举措，支持提高全科医疗中糖尿病和哮喘护理质量，并在四年内为劳动力压力大的地区的全科医疗提供了 1.042 亿美元，以雇用更多护士。业务经理和接待员的角色受到的关注要少得多。它们包括促进获得护理，通过向实践提供专家管理服务（主要是信息技术、人员、财务和设施管理）来支持从业人员提供高质量的临床护理。随着最近政府采取的举措扩大了全科医学在澳大利亚的作用，全科医学中有效的管理结构和流程至关重要。在劳动力压力日益增加的情况下，非全科医生全科医生可能是实现更有效的慢性病管理的手段。该项目旨在评估一项计划的影响，该计划对非全科医生人员进行培训并促进他们参与慢性病患者的管理。