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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

GP Networks as enablers of quality of care: implementing a practice engagement framework in a General Practice Network

Christopher Pearce A , Marianne Shearer A , Karina Gardner A , Jill Kelly A B and Tony Baixian Xu A
+ Author Affiliations
- Author Affiliations

A Melbourne East General Practice Network, PO Box 127, Blackburn, Vic. 3130, Australia.

B Corresponding author. Email: jkelly@megpn.com.au

Australian Journal of Primary Health 18(2) 101-104 https://doi.org/10.1071/PY11121
Submitted: 27 September 2011  Accepted: 6 October 2011   Published: 16 December 2011

Abstract

This paper describes how the Melbourne East General Practice Network supports general practice to enable quality of care, it describes the challenges and enablers of change, and the evidence of practice capacity building and improved quality of care. Primary care is well known as a place where quality, relatively inexpensive medical care occurs. General practice is made up of multiple small sites with fragmented systems and a funding system that challenges a whole-of-practice approach to clinical care. General Practice Networks support GPs to synthesise complexity and crystallise solutions that enhance general practice beyond current capacity. Through a culture of change management, GP Networks create the link between the practice and the big picture of the whole health system and reduce the isolation of general practice. They distribute information (evidence-based learning and resources) and provide individualised support, responding to practice need and capacity.

Additional keywords: evidence-based practice, innovation, organisation.


References

Australian Institute of Health and Welfare (2008) ‘General practice activity in Australia 2006−7.’ Available at http://www.aihw.gov.au/publications/index.cfm/title/10574 [Verified 9 November 2011]

Avorn J, Soumerai SB (1983) Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based ‘detailing’. The New England Journal of Medicine 308, 1457–1463.
Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based ‘detailing’.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaL3s3hvFSrtw%3D%3D&md5=15b041dd750050d47aad15f48784855bCAS |

Bensberg M, Sutherland J, Crosbie C (2007) It takes more than a practice visit: effective general practice engagement. Dandenong District Division of General Practice. Australian Journal of Primary Health 13, 17–21.
It takes more than a practice visit: effective general practice engagement. Dandenong District Division of General Practice.Crossref | GoogleScholarGoogle Scholar |

Bloom BS (2005) Effects of continuing medical education on improving physician clinical care and patient health: a review of systematic reviews. International Journal of Technology Assessment in Health Care 21, 380–385.
Effects of continuing medical education on improving physician clinical care and patient health: a review of systematic reviews.Crossref | GoogleScholarGoogle Scholar |

Frich J, Hoye S, Lindbaek M, Straand J (2010) General practitioners and tutors’ experiences with peer group academic detailing: a qualitative study. BMC Family Practice 11, 12
General practitioners and tutors’ experiences with peer group academic detailing: a qualitative study.Crossref | GoogleScholarGoogle Scholar |

Oxman AD, Thomson MA, Davis DA, Haynes RB (1995) No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. Canadian Medical Association Journal 153, 1423–1431.

Pearce C (2009) Electronic medical records – where to from here? Australian Family Physician 38, 537–540.

Pearce C, Gardner K, Shearer M, Kelly J (2011a) A divisions worth of data. Australian Family Physician 40, 167–170.

Pearce C, Phillips C, Hall S (2011b) Following the funding trail: Financing, nurses and teamwork in Australian General Practice. BMC Health Services Research 11, 38
Following the funding trail: Financing, nurses and teamwork in Australian General Practice.Crossref | GoogleScholarGoogle Scholar |

Phillips CB, Pearce C, Hall S, Kljakovic M, Sibbald B, Dwan K, Porritt J, Yates R (2009) Enhancing care, improving quality: the six roles of the general practice nurse. The Medical Journal of Australia 191, 92–97.

Scott A, Coote W (2007) Whither Divisions of General Practice? An empirical and policy analysis of the impact of Divisions within the Australian health care system. The Medical Journal of Australia 187, 95–99.

Scott A, Coote W (2010) Do regional primary-care organisations influence primary-care performance? A dynamic panel estimation. Health Economics 19, 716–729.