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Shared care through divisions of general practice: moving forward.
1School of Community Medicine, University of New South Wales, Sydney. m.f.harris@unsw.edu.au
The Medical Journal of Australia
|September 4, 1999
Summary
Structured programs for shared care in general practice vary in success. Factors like local resources, funding, and partnerships influence program adoption and continuation.
Area of Science:
- General Practice
- Healthcare Management
- Primary Care Services
Background:
- Divisions of general practice have developed numerous structured programs to facilitate shared care.
- These initiatives have been implemented over the past six years.
Purpose of the Study:
- To identify factors influencing the adoption and continuation of shared care programs in general practice.
- To understand the variability in the success of these structured programs.
Main Methods:
- Analysis of structured programs established by divisions of general practice.
- Qualitative or quantitative assessment of factors affecting program implementation and sustainability.
Main Results:
- Program adoption and continuation are influenced by multiple factors.
- Key factors include local opportunities, external funding, and demands on divisions.
- Relationships and the capacity of divisions and their health service partners are also critical.
Conclusions:
- The success of shared care programs is multifactorial.
- Addressing local context, funding, and capacity is essential for effective shared care implementation.
- Strong partnerships between divisions and health services are vital for program sustainability.