The study aims to investigate the organizational capacity of general practices for chronic diseases and to identify those features of the organization which are associated with high quality care.

Project Status

Completed Projects

Project Coordinator

Judy Proudfoot

Chief Investigators

Mark Harris, Gawaine Powell Davies, Justin Beilby, Judy Proudfoot

Associate Investigators

Jayasinghe U, Holton C

Other Team Members

Swan E, Amoroso C, Grimm J, Bubner T, Barton C

Rationale

Chronic disease represents a substantial and increasing portion of health care expenditure and workload. Often the care of patients with these conditions does not meet standards set in evidence-based guidelines. Much of the reason for the gap between evidence and practice is the limited organizational capacity of health services to provide the structured and organised care that is required for these conditions.

Aim

The study aims to investigate the organizational capacity of general practices for chronic diseases and to identify those features of the organization which are associated with high quality care.

It is hypothesised that practices with more mature IM/IT functions, business systems and practices, multi-disciplinary team working and linkages with external services will be able to engage in higher quality of care (both clinical and interpersonal) for patients with type 2 diabetes, moderate to severe asthma and/or ischaemic heart disease/hypertension.

Key Publications

1. Amoroso C, Proudfoot J, Bubner T, Swan E, Espinel P, Barton C, Beilby J, Harris M. Quality improvement activities associated with organizational capacity in general practice. Australian Family Physician 2007; 36: 81-84

2. Amoroso C, Proudfoot J, Bubner T, Jayasinghe UW, Holton C, Winstanley J, Beilby J, Harris MF. Validation of an instrument to measure inter-organisational linkages in general practice, International Journal of Integrated Care 2007 Nov 29;7 Available from http://www.ijic.org/.

3. Barton CA, Proudfoot J, Powell Davies G, Holton T, Bubner C, Amoroso C, Harris M, Beilby J. How Patient-centred is Australian General Practice. Health Issues Winter 2005; 83: 14-17

4. Beilby J. Harper C. Holton C. Proudfoot J. Harris M. Uptake of spirometry training by GPs. Australian Family Physician. 35(4):183-4, 2006 Apr.

5. Barton C, Proudfoot J, Amoroso C, Ramsay E, Holton C, Bubner T, Powell-Davies G, Harris M & Beilby J. (2006) Practice capacity is not associated with the provision of guidelines based clinical care for asthma. Respirology; 11 Suppl 2: A21.

6. Barton C, Proudfoot J, Opolski M, Ramsay E, Bubner T, Harris M, Beilby J. (2006) When do GPs modify the care they provide to patients with chronic illness? Respirology; 11 Suppl 2: A20.

7. Harris MF, Proudfoot JG, Jayasinghe UW, Holton CH, Powell Davies GP, Amoroso CL, Bubner TK, Beilby JJ. The job satisfaction of general practice staff and the team environment. MJA 2007; 186: 570-572

8. Infante FA, Proudfoot JG, Powell Davies G, Bubner TK, Holton CH, Beilby JJ and Harris MF. How people with chronic illnesses view their care in general practice: a qualitative study. Medical J of Australia 2004; 181 (2): 70-73

9. Oldroyd J, Proudfoot JG, Infante FA, Powell Davies G, Bubner T, Holton C, Beilby JJ, Harris MF. The views of Australian GPs about providing healthcare for people with chronic illness: a qualitative study. Medical J of Australia 2003; 179 (1): 30-33

10. Proudfoot, J, Swan E, Amoroso C, Grimm J, Jayasinghe U, Powell Davies G, Bubner T, Holton C, Barton C, Beilby J, Harris M. (2004) Measuring the capacity of Australian general practices to conduct quality chronic disease care. Proceedings of the 2nd Australasian Conference on Safety and Quality in Health Care. Canberra

11. Proudfoot J, Jayasinghe U, Holton C, Grimm J, Bubner T, Amoroso C, Beilby J, Harris MF. Team Climate for Innovation in Australian General Practices. Int J of Quality in Health Care. 2007 doi: 10.1093/intqhc/mzm005

12. Proudfoot J, Infante F, Holton C, Powell-Davies G, Bubner T, Beilby J, Harris M. Organisational capacity and chronic disease care - An Australian general practice perspective. Aust Fam Physician. 2007 Apr; 36 (4):286-8

13. Proudfoot J, Jayasinghe U, Infante F, Beilby J, Amoroso C, Powell Davies G, Grimm J, Holton C, Bubner T and Harris MF. Quality of chronic disease care in general practice: the development and validation of a provider interview tool BMC Family Practice 2007 8:21

14. Upali W. Jayasinghe, Judy Proudfoot, Chris Holton, Gawaine Powell Davies, Cheryl Amoroso, Tanya Bubner, Justin Beilby, and Mark F. Harris Chronically ill Australians' satisfaction with accessibility and patient-centredness International Journal for Quality in Health Care Int J Qual Health Care 2008 20: 105-114

Reports:

1. Beilby J, Holton C, Bubner T, Harris MF, Powell Davies G, Proudfoot J. Building practice capacity for chronic disease management in general practice: Policy paper for GPPAC. Sydney: UNSW and University of Adelaide; 2004.

2. Summary of Practice Capacity Research Findings CPHCE UNSW 2006.

3. Practice nurses and quality of care for chronic disease. CPHCE UNSW 2006

Summaries:

1. Summary of Findings - Overview.(Pdf - 207KB)

2. Summary of Findings - Patients.(Pdf - 174KB)

3. Summary of Findings - Team. (Pdf 535KB)

Contact

Mark Harris Email: m.f.harris@unsw.edu.au

Key Partners

Adelaide University, Divisions of General Practice across Australia

Funding

Australian Government Department of Health and Ageing

Project lead centre
CPHCE
Project stream
Prevention and Management of Long Term Conditions
Project start date
2002
Project end date
2006