Implementation of a team model for RACF care by a general practice

Area of Science:

• Geriatric Medicine
• General Practice
• Healthcare Management

Background:

• General practitioners (GPs) face challenges meeting service demands in residential aged care facilities (RACFs).
• Existing models of care in RACFs often present barriers to sustainable GP services.

Purpose of the Study:

• To describe and evaluate a novel practice nurse-led team care model for RACFs.
• To assess the impact of this model on service provision and GP experience in a rural setting.

Main Methods:

• A mixed-method case study approach was employed.
• Qualitative data from semi-structured interviews with GPs and staff were thematically analyzed.
• Quantitative data from Medicare Benefits Schedule (MBS) item analysis compared service provision pre- and post-implementation.

Main Results:

• Residents' access to standard GP consultations significantly increased (6.69 to 14.09/resident/year).
• After-hours consultations decreased (0.16 to 0.10/resident/year), alongside increased Medicare quality improvement services.
• GPs reported reduced workload and stress, with enhanced professional satisfaction.

Conclusions:

• The practice nurse-led team model offers a viable solution for improving RACF care delivery.
• This model enhances efficiency, quality of care, and GP well-being, overcoming key barriers to sustainable services.