Monash University, Melbourne, VIC, Australia.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241281579. doi: 10.1177/21501319241281579.
Engagement with general practice is a requirement of Australia's Primary Health Networks (PHNs). We propose a model for engagement that draws on principles of stakeholder and clinician engagement, tailored to meet the needs of PHNs and general practitioners (GPs).
A comprehensive literature review was undertaken to identify components, challenges, and approaches to optimizing clinician engagement. Interviews with GPs (n = 18), other practice staff (n = 12), PHN staff, and other stakeholders (n = 15) across 3 PHN regions in Victoria, Australia, were used to identify perceived needs of GPs and opportunities for engagement with PHNs. Interview transcripts, notes, and contact summaries were collated and organized using QSR NVivo to support the process of coding and identification of common themes and perspectives. Information from the literature and interviews was synthesized to inform development of a model for GP engagement that could guide GP strategy and engagement activities undertaken by PHNs.
PHNs engaged with GPs for accreditation, quality improvement, data sharing, continuing professional development, commissioning, and population health initiatives, among others. GPs were motivated to engage with PHNs, however, the roles of PHNs and benefits of engagement were not always clear. A model to support PHN engagement with general practice was developed comprising: (1) Organizational values for engagement; (2) Needs of GPs; (3) Areas of engagement; (4) Stages of engagement; (5) Communication planning; and (6) Monitoring and Evaluation.
The proposed model represents contemporary understanding in clinician engagement, drawing upon concepts from community and stakeholder engagement, and extending established models for engagement into the setting of general practice.
参与全科医学是澳大利亚初级卫生网络（PHN）的要求。我们提出了一种参与模式，该模式借鉴了利益相关者和临床医生参与的原则，并针对 PHN 和全科医生（GP）的需求进行了调整。
我们进行了全面的文献综述，以确定优化临床医生参与的组成部分、挑战和方法。在澳大利亚维多利亚州的 3 个 PHN 地区，对 18 名全科医生（GP）、12 名其他执业人员、PHN 工作人员和其他利益相关者进行了采访，以确定 GP 的需求和与 PHN 合作的机会。采访记录、笔记和联系摘要使用 QSR NVivo 进行整理和组织，以支持编码和确定共同主题和观点的过程。从文献和访谈中收集的信息被综合起来，为 GP 参与模型的制定提供信息，该模型可以为 GP 策略和 PHN 开展的参与活动提供指导。
PHN 与 GP 合作进行认证、质量改进、数据共享、持续专业发展、委托和人口健康计划等活动。GP 有动力与 PHN 合作，但 PHN 的角色和合作的好处并不总是明确的。我们开发了一个支持 PHN 与全科医学合作的模型，包括：（1）参与的组织价值观；（2）GP 的需求；（3）合作领域；（4）合作阶段；（5）沟通计划；和（6）监测和评估。
所提出的模型代表了对临床医生参与的当代理解，借鉴了社区和利益相关者参与的概念，并将已建立的参与模型扩展到全科医学领域。
