Pearce Christopher, Shearer Marianne, Gardner Karina, Kelly Jill, Xu Tony Baixian
Melbourne East General Practice Network, Blackburn, Australia.
Aust J Prim Health. 2012;18(2):101-4. doi: 10.1071/PY11121.
This paper describes how the Melbourne East General Practice Network supports general practice to enable quality of care, it describes the challenges and enablers of change, and the evidence of practice capacity building and improved quality of care. Primary care is well known as a place where quality, relatively inexpensive medical care occurs. General practice is made up of multiple small sites with fragmented systems and a funding system that challenges a whole-of-practice approach to clinical care. General Practice Networks support GPs to synthesise complexity and crystallise solutions that enhance general practice beyond current capacity. Through a culture of change management, GP Networks create the link between the practice and the big picture of the whole health system and reduce the isolation of general practice. They distribute information (evidence-based learning and resources) and provide individualised support, responding to practice need and capacity.
本文描述了墨尔本东部全科医疗网络如何支持全科医疗以实现医疗质量，阐述了变革的挑战与推动因素，以及实践能力建设和医疗质量改善的证据。初级医疗作为提供优质且相对廉价医疗服务的场所广为人知。全科医疗由多个小型机构组成，其系统分散，资金体系对临床医疗的整体实践方法构成挑战。全科医疗网络支持全科医生整合复杂性并明确解决方案，以提升全科医疗水平，超越当前能力。通过变革管理文化，全科医疗网络在实践与整个卫生系统的大局之间建立联系，减少全科医疗的孤立性。它们分发信息（基于证据的知识和资源）并提供个性化支持，以满足实践需求和能力。
