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Community engagement in general practice: a qualitative study.

N Rowe1, R Keenan2, L Lack2

  • 1Flinders University, College of Medicine and Public Health, Adelaide, SA 5000, Australia.

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General practices struggle with community engagement due to a lack of systematic frameworks. While some initiatives exist, most practices lack a clear strategy for engaging diverse communities, including Māori.

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Area of Science:

  • Primary Health Care
  • Community Health
  • General Practice Research

Background:

  • Community engagement is recognized as vital for quality primary health care.
  • General practices often lack structured approaches to community engagement.
  • Understanding barriers to engagement is crucial for improving healthcare delivery.

Purpose of the Study:

  • To identify specific examples of community engagement in general practices.
  • To explore the barriers hindering effective community engagement.
  • To investigate community engagement strategies, particularly with Māori populations.

Main Methods:

  • Conducted 20 semi-structured interviews with 31 key informants.
  • Included participants from general practice and the wider community.
  • Employed thematic analysis to interpret interview transcripts.

Main Results:

  • Identified key themes: understanding of 'community', engagement examples, benefits, and barriers.
  • General practices often do not conceptualize 'communities' for engagement purposes.
  • Engagement initiatives were often driven by local champions but lacked systematic frameworks.

Conclusions:

  • General practices lack a systematic framework for community engagement.
  • Practices struggle with defining who to engage, how to engage, and how to evaluate engagement outcomes.
  • Developing a conceptual framework is essential for effective community-engaged general practice.