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Evaluating general practitioners' views about the implementation of the Enhanced Primary Care Medicare items
T M Blakeman1, M F Harris, E J Comino
1Department of General Practice, South West Sydney Area Health Service.
Objective:
To investigate the issues for general practitioners surrounding the implementation of the Enhanced Primary Care (EPC) Medicare items for health assessments, care planning and case conferencing.
Design:
Qualitative study of GPs' responses to a semistructured face-to-face interview.
Participants And Setting:
30 GPs in the South Western Sydney Area.
Main Outcome Measures:
GPs' perceptions regarding barriers to coordination of care; use of the EPC items; difficulties with implementation; suggestions for improving EPC implementation; and coordination of care in general practice.
Results:
Five main categories of response were identified to each area of questioning: time, organisation, communication, education, and resources. GPs expressed difficulties incorporating use of the items into their daily practice without support.
Conclusions:
Implementation of the EPC items not only facilitates integration between GPs and other healthcare professionals, it also depends upon other forms of integration to succeed. A facilitator and a structured framework to address issues are required to assist their implementation.
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