What makes Care Plus effective in a provincial Primary Health Organisation? Perceptions of primary care workers.

Show simple item record

dc.contributor.author Eggleton, Kyle en
dc.contributor.author Kenealy, Timothy en
dc.date.accessioned 2014-09-10T01:32:47Z en
dc.date.issued 2009 en
dc.identifier.citation Journal of primary health care, 2009, 1 (3), pp. 190 - 197 en
dc.identifier.issn 1172-6164 en
dc.identifier.uri http://hdl.handle.net/2292/22894 en
dc.description.abstract INTRODUCTION: Care Plus is a New Zealand chronic care initiative. It provides funding for extra primary care visits for patients with chronic diseases and aims to improve chronic care management, primary health care team work and reduce inequalities in health care. This mixed methodology study aimed to explore characteristics within practices that may contribute to improved clinical outcomes for Care Plus. METHODS: A focus group interview was conducted with a group of health professionals involved in Care Plus in a North Island Primary Health Organisation (PHO). Participants were selected because of their 'expert status'. Interview analysis used a general inductive approach. A questionnaire was sent to all practice nurses to determine prevalence of characteristics derived from the focus group. FINDINGS: Seven primary care workers involved in Care Plus participated in a focus group from which three major themes emerged: nursing factors, practice organisation factors and general practitioner (GP) factors. Sub-themes identified as patient-centredness, assertive follow-up, nursing knowledge, referral to other health professionals, dedicated appointment times, long consultation time, low cost, GP commitment and teamwork were all considered to be characteristics that could lead to improved clinical outcomes. Questionnaire responses from 18 practice nurses suggest that GPs are under-involved with Care Plus. DISCUSSION: Patients with chronic conditions have complex needs. Care Plus is a nationwide initiative providing funding for chronic care. Some characteristics of nurses, practice organisation and GPs may lead to improved clinical outcomes in Care Plus. A number of these characteristics are supported in the literature. en
dc.relation.ispartofseries Journal of primary health care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from https://www.rnzcgp.org.nz/journal-of-primary-health-care/ http://www.sherpa.ac.uk/romeo/issn/1172-6164/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.title What makes Care Plus effective in a provincial Primary Health Organisation? Perceptions of primary care workers. en
dc.type Journal Article en
pubs.issue 3 en
pubs.begin-page 190 en
pubs.volume 1 en
dc.description.version VoR - Version of Record en
dc.identifier.pmid 20690382 en
pubs.author-url https://www.rnzcgp.org.nz/assets/documents/Publications/JPHC/September-2009/JPHCOSPEggletonSept09.pdf en
pubs.end-page 197 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 95842 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
dc.identifier.eissn 1172-6156 en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 20690382 en

Files in this item

Find Full text

This item appears in the following Collection(s)

Show simple item record


Search ResearchSpace