ArticleInternational journal of integrated care2018
Transforming Integration through General Practice: Learning from a UK Primary Care Improvement Programme.
Article in International journal of integrated care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Application of normalisation process theory in understanding implementation processes in primary care settings in the UK: a systematic review.BMC family practice · 2020Pooled it
- Influences on Physicians' Participation in Coordinated Ambulatory Cardiology Care: A Mixed-Methods Study.International journal of integrated care · 2020Article
- The Odyssey of Integration: Is Management its Achilles' Heel?International journal of integrated care · 2020Article
- Using the Project INTEGRATE Framework in Practice in Central Coast, Australia.International journal of integrated care · 2019Article
- Making Connections that Count - a Case Study of the Family Referral Service in Schools Program on the Central Coast, New South Wales, Australia.International journal of integrated careArticle
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article addresses the challenge of how to implement integration within primary care services. It shares learning from a UK based improvement programme which reflected international interest in transferring activities from hospital and community and developing holistic primary care that responds to the needs of the local community. Programme components included additional per capita funding for involved practices, monthly learning sets between pilot leads, and a formative evaluation. Practices had flexibility in how to use the additional funding to meet local needs and were selected through a competitive process. The programme successfully delivered diagnostic and treatment activities previously provided in acute hospital. Some practices also introduces new holistic approaches which were mostly sustained at the end of the twelve month period. The programme demonstrates that transformation of primary care requires a change in the internal paradigms held by clinicians and purchasers, careful design of learning opportunities, responding to multiple levels of motivation, and deployment of relevant change infrastructures and improvement methodologies.
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Registered trials
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