Evidence map›Paper›PMID 37907917›Full record

ArticleBMC health services research2023

The Queensland Virtual Integrated Practice (VIP) partnership program pilot study: an Australian-first model of care to support rural general practice.

Breanna Lepre, Jennifer Job, Zena Martin, Natalie Kerrigan, Claire Jackson

Abstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Breanna LepreCentre for Health System Reform and Integration, University of Queensland-Mater Research Institute (UQ/MRI), Royal Brisbane Hospital, Level 8, Health Sciences Building, Herston, QLD, 4029, Australia.
Jennifer JobCentre for Health System Reform and Integration, University of Queensland-Mater Research Institute (UQ/MRI), Royal Brisbane Hospital, Level 8, Health Sciences Building, Herston, QLD, 4029, Australia.
Zena MartinHealth Workforce Queensland, Level 4, 348 Edward Street, Brisbane, QLD, 4000, Australia.
Natalie KerriganWestern Queensland Primary Health Network, 11 Barkly Hwy, Mount Isa 4825, Miles End QLD, Australia.
Claire JacksonCentre for Health System Reform and Integration, University of Queensland-Mater Research Institute (UQ/MRI), Royal Brisbane Hospital, Level 8, Health Sciences Building, Herston, QLD, 4029, Australia. c.jackson@uq.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a critical lack of medical workforce internationally, and this is particularly notable in rural and remote Australia where strategies to address workforce shortages are urgently required. This pilot study aimed to implement and evaluate a Virtual Integrated Practice (VIP) Program in the Australian rural primary care setting.

methodsThe VIP model was developed using co-creation methodology and involves an urban GP joining a rural general practice team to provide ongoing care to patients remotely via secure telehealth. The pilot study was conducted in two western Queensland general practices, commencing in October 2021 with one rural practice and extending to an additional rural practice from November 2022. Evaluation included a retrospective review of service, billing and cost data, and an online survey for patients. Ethical approval was obtained from the University of Queensland Human Research Ethics Committee (Project number: 2021/HE002434).

resultsThere were 1468 services provided through to December 2022, including general consults (n = 1197), therapeutic procedures (n = 68), mental health treatment plans (n = 68) and chronic disease management plans (n = 59). Patients were predominantly female (73.1%) and did not have their appointment at the practice (57.8%). Among 1282 occasions of service, less than 20% of consultations (n = 224) required support from staff (e.g., a nurse), and more than half were repeat patient encounters (53.0%). Survey respondents (n = 45) indicated that they were satisfied (9.3%) or highly satisfied (90.7%) with the care provided, and importantly, 95.5% of respondents reported that the service improved their access to the GP. More than 20% of respondents indicated that they would attend the Emergency Department if virtual care was not available.

conclusionsData from this pilot study has informed translation to an additional 20 vulnerable rural general practices in three further rural regions in Queensland in 2023 and evaluation is ongoing. This pilot study demonstrates the feasibility and acceptability of an innovative, digitally supported community-focussed, healthcare initiative to arrest the decline in rural general practice workforce, improve patient care access and support rural practice viability.

Indexed as

General PracticeRural Health ServicesAustraliaFemaleHumansMalePilot ProjectsQueenslandHealth services researchRural and remote healthRural GP workforceTelehealthVirtual Integrated PracticeWorkforce crisis

Identifiers

PMID37907917
PMCPMC10617120

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.