Evidence map›Paper›PMID 40552490›Full record

ArticleFamily practice2025

General practitioners' support and implementation concerns for Australia's proposed aged care primary care model: a cross-sectional survey.

Kate H Marshall, Oliver Smith, Joel J Rhee

Abstract read
In one paragraph

Article in Family practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Kate H MarshallDiscipline of General Practice, School of Clinical Medicine, Edmund Blacket Building, Prince of Wales Hospital / Randwick Campus, University of New South Wales, Sydney, NSW 2052, Australia.ORCID 0000-0002-7046-5773
Oliver SmithDiscipline of General Practice, School of Clinical Medicine, Edmund Blacket Building, Prince of Wales Hospital / Randwick Campus, University of New South Wales, Sydney, NSW 2052, Australia.
Joel J RheeDiscipline of General Practice, School of Clinical Medicine, Edmund Blacket Building, Prince of Wales Hospital / Randwick Campus, University of New South Wales, Sydney, NSW 2052, Australia.

Funding

University of New South Wales Academic General Practice Network
6 · The paper itself

Abstract

backgroundThe 2021 Royal Commission into Aged Care Quality and Safety proposed a new primary care model to address the growing healthcare needs of Australia's aging population.This study explored the views of general practitioners (GPs) working in residential aged care homes on the proposed model and identified potential implementation challenges.

methodsA cross-sectional survey was conducted between December 2023 and April 2024, recruiting GPs through professional networks and social media. The survey used a 5-point Likert scale to gauge agreement with the proposed model and an open-ended question to explore potential implementation barriers.

resultsOne hundred and fifteen GPs (48.7% male; 59.2% aged 30-49) with an average of 12.2 ± 10.4 years' experience in aged care participated. Respondants indicated broad support for extending practice accreditation to aged care-focused practices, with strong endorsement for criteria such as formal accreditation and telehealth integration. Yet, GPs expressed substantial concerns about the practical implementation of capitation payments and other systemic changes, citing underfunding and increased administrative burdens as major obstacles. Reservations were also raised about the adequacy of support for managing increasingly complex aged care needs. Notably, 46% doubted the feasibility of implementing the recommendations, highlighting challenges in funding, after-hours care, and collaboration.

conclusionsThis study highlights key factors influencing the feasibility of implementing the proposed primary care model in aged care, offering valuable insights applicable globally. Addressing GP concerns and fostering collaboration appear crucial, while further stakeholder consultation involving GPs, practice nurses, patients, and their families should guide the implementation of proposed reforms.

Indexed as

Attitude of Health PersonnelGeneral PractitionersHealth Services for the AgedHomes for the AgedPrimary Health CareAdultAgedAustraliaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesgeneral practitioners aged carehealth policyhealth services accessibilityprimary health care

Identifiers

PMID40552490
PMCPMC12215310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.