Mitchell Geoffrey K, De Jong Inge C, Del Mar Christopher B, Clavarino Alexandra M, Kennedy Rosemary
School of Population Health, University of Queensland Medical School, Herston, QLD 4006, Australia.
Med J Aust. 2002 Jul 15;177(2):95-7. doi: 10.5694/j.1326-5377.2002.tb04680.x.
To identify general practitioners' views on the barriers to using case conferencing (as outlined in the Medical Benefits Schedule (MBS) Enhanced Primary Care package) and to develop a set of principles to encourage greater GP participation in case conferences.
Qualitative study, involving semistructured questions administered to focus groups of GPs, conducted between April and July 2001 as part of a broader study of case coordination in palliative care.
29 GPs from urban, regional, and rural areas of Queensland.
Many of the GPs' work practices militated against participation in traditionally structured case conferences. GPs thought the range of MBS item numbers should be expanded to cover alternative methods of liaison (eg, phone consultations with other service providers). The onerous bureaucratic processes required to claim reimbursement were an additional disincentive.
GPs would probably be more likely to participate in case conferences if they were initiated by specialist services and arranged more flexibly to suit GP work schedules.
确定全科医生对于使用病例讨论会（如医疗福利计划（MBS）强化初级保健套餐中所概述的）的障碍的看法，并制定一套原则以鼓励全科医生更多地参与病例讨论会。
定性研究，于2001年4月至7月间，作为姑息治疗病例协调更广泛研究的一部分，对全科医生焦点小组进行半结构化问题调查。
来自昆士兰州城市、地区和农村的29名全科医生。
许多全科医生的工作方式不利于参与传统结构的病例讨论会。全科医生认为，MBS项目编号范围应扩大，以涵盖其他联络方式（例如与其他服务提供者的电话咨询）。申请报销所需的繁琐官僚程序是另一个阻碍因素。
如果病例讨论会由专科服务发起，并更灵活地安排以适应全科医生的工作时间表，全科医生可能更愿意参与。
