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OBJECTIVES To review the effectiveness of chronic disease management interventions for physical health problems in the primary care setting, and to identify policy options for implementing successful interventions in Australian primary care. METHODS We conducted a systematic review with qualitative data synthesis, using the Chronic Care Model as a(More)
INTRODUCTION AND AIMS Practice nurses (PN) are an alternative workforce for cessation support in primary care, but their role and effectiveness is underdeveloped and underresearched. This study evaluated a model of smoking cessation intervention in Australian general practice based on PNs. Smokers were identified by their general practitioner (GP) and(More)
OBJECTIVES To compare the clinical diagnosis of chronic obstructive pulmonary disease (COPD) with results of post-bronchodilator spirometry in general practice, and examine practitioner, practice and patient characteristics associated with agreement between clinical and spirometric diagnoses. DESIGN, SETTING AND PARTICIPANTS General practitioners from(More)
BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of disability, hospitalization, and premature mortality. General practice is well placed to diagnose and manage COPD, but there is a significant gap between evidence and current practice, with a low level of awareness and implementation of clinical practice guidelines.(More)
INTRODUCTION AND AIMS Smoking cessation advice from doctors helps improve quit rates but the opportunity to provide this advice is often missed. Postgraduate education is one strategy to improve the amount and quality of cessation support provided. This paper describes a sample of postgraduate education programs for doctors in smoking cessation and suggests(More)
BACKGROUND The gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD) is spirometry, but there are barriers to its use in primary care. AIMS To externally validate the COPD Diagnostic Questionnaire (CDQ) as a diagnostic tool in patients at increased risk in Australian general practice and to compare its performance with other CDQ(More)
AIM The Asthma 3+ Visit Plan is an initiative to promote organised asthma care in general practice. This study aimed to identify factors associated with uptake of the plan by general practitioners, and their views on barriers and facilitators to implementation of the plan. DESIGN Postal survey sent to a random sample of GPs. PARTICIPANTS AND SETTING 315(More)
BACKGROUND Workforce shortages in Australia are occurring across a range of health disciplines but are most acute in general practice. Skill mix change such as task substitution is one solution to workforce shortages. The aim of this systematic review was to explore the evidence for the effectiveness of task substitution between GPs and pharmacists and GPs(More)
OBJECTIVES To explore the views of general practitioners and practice nurses about barriers to influenza vaccination among under 65 high-risk patients and strategies to overcome those barriers. METHODS Focus group discussions with general practitioners and practice nurses. RESULTS Barriers identified included: lack of awareness among patients about(More)
BACKGROUND The authors have previously found that multidisciplinary care plans are associated with improved processes and outcomes of care for diabetic patients. This article examines whether care plans are more likely to be implemented and have greater benefit for patients with poor metabolic control. METHODS Retrospective before and after medical record(More)