ArticleThe Australian journal of rural health2026
Implementing the Virtual Integrated Practice (VIP) Program to Support Rural General Practice Viability in Australia.
Article in The Australian journal of rural health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveWith a lack of medical workforce delaying patient access to general practitioners (GPs) in rural and remote regions, models of care are urgently needed to improve access and continuity of care. This evaluation aims to understand implementation outcomes, determinants and strategies to support broader implementation of the Virtual Integrated Practice (VIP) Program.
settingVIP provides an urban-based GP to a rural general practice in Queensland, offering ongoing care to patients remotely via telehealth.
participantsThe VIP GP joins the practice part-time for a minimum of 12-18 months and works onsite for a short period (3-5 days) every 6 months.
designThis mixed methods evaluation reviewed the service, billing, cost and patient survey data collected, and qualitative interviews were conducted with VIP GP delivery staff. The interview transcripts were coded, and thematic analysis was guided by the Consolidated Framework for Implementation Research and used to derive implementation determinants.
resultsThe service was delivered in eight rural/remote Queensland practices (2021-2024) involving 8309 episodes of care. Recurrent costs included staff wages, GP onsite visits and digital infrastructure. Qualitative interviews conducted with 15 VIP GP delivery staff highlighted determinants related to VIP GP model design and relative advantage, partnership codesign and funding, cost, infrastructure, and program staff.
conclusionThis evaluation highlighted the ongoing feasibility of the VIP model in supplementing rural workforce and improving patient access and continuity of care. Strategies key to implementation include partner and recruitment support and ensuring suitable practice staff and digital infrastructure at the practice.
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