The practice manager role and relevance to general practice-based research: a review of the literature
Anna Wood A B C , Jane Hocking B and Meredith Temple-Smith AA Department of General Practice, University of Melbourne, 200 Berkeley Street, Carlton, Vic. 3010, Australia.
B Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, L3, 207 Bouverie Street, Carlton, Vic. 3010, Australia.
C Corresponding author. Email: annwood@unimelb.edu.au
Australian Journal of Primary Health 22(2) 86-92 https://doi.org/10.1071/PY15070
Submitted: 13 November 2014 Accepted: 28 September 2015 Published: 11 January 2016
Abstract
Research based in Australian general practice is essential to ensure that health care provided in this setting is evidenced-based and delivered effectively. Research designed for general practice must be feasible and acceptable to general practitioners (GPs) and practice managers (PMs), who are responsible for coordinating practice activities. However, little is known about the PM role and their contribution to research undertaken in general practice. The aim of this systematic review is to examine this role and its relevance to the conduct of general practice-based research. Databases searched (Medline, PubMed, CINAHL and Scopus) identified six relevant studies. One study investigated the role of the PM in general practice-based research and five examined aspects of the PM role. Data about study design, number and type of participants and findings was extracted and managed using a matrix framework. The limited findings suggested PMs are interested in managing research at the practice level. The PM is central to practice communication and coordination but the role varies depending on qualifications, size of practice and expectations of the GPs. This paper highlights the paucity of evidence about the PM role and their contribution to the conduct of research undertaken in general practice. Further investigation is required to gain insights into establishing and managing future research in Australian general practice.
References
AAPM (2015) ‘UNE partnerships.’ (Australian Association of Practice Management: North Melbourne, Vic.). Available at http://www.aapm.org.au/Education-Events/UNE-Partnerships [Verified 5 January 2015]Askew DA, Glasziou PP, Del Mar CB (2001) Research output of Australian general practice: a comparison with medicine, surgery and public health. The Medical Journal of Australia 175, 77–80.
Askew DA, Schluter PJ, Gunn JM (2008) Research productivity in Australian general practice: what has changed since the 1990s? The Medical Journal of Australia 189, 103–104.
Baker R, Thompson J (1995) Innovation in general practice: is the gap between training and non-training practices getting wider? The British Journal of General Practice 45, 297–300.
Britt H, Miller GC, Charles J, Henderson J, Bayram C, Harrison C, Valenti L, Fahridin S, Pan Y, O’Halloran J (2008) General practice activity in Australia 1998–99 to 2007–08: 10-year data tables. Available at http://www.aihw.gov.au/publication-detail/?id=6442468155 [Verified 1 October 2015]
Brown LJ, McIntyre EL (2012) The contribution of Primary Health Care Research, Evaluation and Development-supported research to primary health care policy and practice. Australian Journal of Primary Health 20, 47–55.
| The contribution of Primary Health Care Research, Evaluation and Development-supported research to primary health care policy and practice.Crossref | GoogleScholarGoogle Scholar |
Checkland K (2004) Management in general practice: the challenge of the new General Medical Services contract. British Journal of General Practice 54, 734–739.
Dornan M, Pringle M (1991) The practice manager. BMJ (Clinical Research Ed.) 303, 146–147.
| The practice manager.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3Mzks12jsQ%3D%3D&md5=c90e059eb7374e64e1e02ad8edab4ec5CAS |
Drury M, Collin M, Fenlon O (1990) The medical secretary’s and receptionist’s handbook. (WB Saunders/Bailliere Tindall: London)
Fereday J, Muir-Cochrane E (2008) Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods 5, 80–92.
Graffy J, Stubbs K (2005) The role of the practice manager in primary care research. Primary Health Care Research and Development 6, 24–30.
| The role of the practice manager in primary care research.Crossref | GoogleScholarGoogle Scholar |
Grimshaw J, Youngs H (1994) Towards better practice management: a national survey of Scottish general practice management. Journal of Management in Medicine 8, 56–64.
| Towards better practice management: a national survey of Scottish general practice management.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2M%2FjvFCjtw%3D%3D&md5=30806311accc0c9c1a774c3bd55ed983CAS | 10137563PubMed |
Gunn JM (2002) Should Australia develop primary care research networks? The Medical Journal of Australia 177, 63–66.
Hasler J (1992) The primary health care team: history and contractual farces. BMJ 305, 232–234.
| The primary health care team: history and contractual farces.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3s%2Fgs1WgsA%3D%3D&md5=882c16f3e4c46d250262fb0df442198aCAS | 1392831PubMed |
Laing A, Marnoch G, McKee L, Joshi R, Reid J (1997) Administration to innovation: the evolving management challenge in primary care. Journal of Management in Medicine 11, 71–87.
| Administration to innovation: the evolving management challenge in primary care.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2svnsFSisQ%3D%3D&md5=ad222905b90a890cdce262791b3c9448CAS | 10173249PubMed |
Ling T, Brereton L, Conklin A, Newbould J, Roland M (2012) Barriers and facilitators to integrating care: experiences from the English Integrated Care Pilots. International Journal of Integrated Care 12, e129
May CR, Mair F, Finch T, MacFarlane A, Dowrick C, Treweek S, Rapley T, Ballini L, Ong BN, Rogers A (2009) Development of a theory of implementation and integration: Normalization Process Theory. Implementation Science; 4, 29
| Development of a theory of implementation and integration: Normalization Process Theory.Crossref | GoogleScholarGoogle Scholar | 19460163PubMed |
McAvoy BR (2005) Primary care research – what in the world is going on? The Medical Journal of Australia 183, 110–112.
Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine 151, 264–269.
| Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.Crossref | GoogleScholarGoogle Scholar | 19622511PubMed |
Mulroy R (1974) Ancillary staff in general practice. The Journal of the Royal College of General Practitioners 24, 358–361.
Nelson EG (1976) The role of practice manager – changes in attitudes promoted by the Royal College of General Practitioners. The Journal of the Royal College of General Practitioners 26, 282–291.
Newton J, Hunt J, Stirling J (1996) Human resource management in general practice: survey of current practice. The British Journal of General Practice 46, 81–85.
Owen H (1975) Administration in General Practice. (Edward Arnold Ltd: London)
Popay J, Roberts H, Sowden A, Petticrew M, Arai L, Roen K, Rodgers M, Britten N, Roen K, Duffy S (2006) Guidance on the conduct of narrative synthesis in systematic reviews. A product from the ESRC methods programme. Version 1. (Economic and Social Research Council: Swindon).
Reedy BLEC, Nelson EG (1974) The practice manager: a review and discussion of the literature. The Journal of the Royal College of General Practitioners 24, 376–394.
Rescke EM (1980) The medical office: organisation and management. (Harper & Row: Hagerstown)
Sanderson S, Tatt ID, Higgins JP (2007) Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: a systematic review and annotated bibliography. International Journal of Epidemiology 36, 666–676.
| Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: a systematic review and annotated bibliography.Crossref | GoogleScholarGoogle Scholar | 17470488PubMed |
Westland M, Grimshaw J, Maitland J, Campbell M, Ledingham E, McLeod E (1996) Understanding practice management: a qualitative study in general practice. Journal of Management in Medicine 10, 29–37.
| Understanding practice management: a qualitative study in general practice.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2s3lvVClug%3D%3D&md5=1d1a28545c7a28636b6b4dff12bb9dd6CAS | 10166030PubMed |
Yallop JJ, McAvoy BR, Croucher JL, Tonkin A, Piterman L (2006) Primary health care research – essential but disadvantaged. The Medical Journal of Australia 185, 118–120.
Yen L, Kalucy L, Ward N 2010. ‘Stocktake of primary health care research in Australia.’ (Australian Primary Health Care Research Institute: Canberra, ACT).
Zwar NA, Weller DP, McCloughan L, Traynor VJ (2006) Supporting research in primary care: are practice-based research networks the missing link? The Medical Journal of Australia 185, 110–11.
