TY - JOUR
AU - C. Crespo-Gonzalez
AU - M. Hodgins
AU - Y. Zurynski
AU - Meyers Morris
AU - J. Le
AU - K. Wheeler
AU - S. Khano
AU - S. Germano
AU - H. Hiscock
AU - R. Lingam
A1 - 
AB - The Strengthening Care for Children (SC4C) is a general practitioner (GP)-paediatrician integrated model of care that consists of co-consulting sessions and case discussions in the general practice setting, with email and telephone support provided by paediatricians to GPs during weekdays. This model was implemented in 21 general practices in Australia (11 Victoria and 10 New South Wales). Our study aimed to identify the factors moderating the implementation of SC4C from the perspectives of GPs, general practice personnel, paediatricians and families. We conducted a qualitative study as part of the mixed-methods implementation evaluation of the SC4C trial. We collected data through virtual and in-person focus groups at the general practices and phone, virtual and in-person interviews. Data was analysed using an iterative hybrid inductive-deductive thematic analysis. Twenty-one focus groups and thirty-seven interviews were conducted. Overall, participants found SC4C acceptable and suitable for general practices, with GPs willing to learn and expand their paediatric care role. GPs cited improved confidence and knowledge due to the model. Paediatricians reported an enhanced understanding of the general practice context and the strain under which GPs work. GPs and paediatricians reported that this model allowed them to build trust-based relationships with a common goal of improving care for children. Additionally, they felt some aspects, including the lack of remuneration and the work and effort required to deliver the model, need to be considered for the long-term success of the model. Families expressed their satisfaction with the shared knowledge and quality of care jointly delivered by GPs and paediatricians and highlighted that this model of care provides easy access to specialty services without out-of-pocket costs. Future research should focus on finding strategies to ensure the long-term Implementation of this model of care with a particular focus on the individual stressors in general practices.
AD - Population Child Health Research Group, University of New South Wales, Sydney, NSW, Australia.; Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.; Sydney Local Health District, Sydney, NSW, Australia.; Murdoch Children's Research Institute, Health Services and Economics Group, Parkville, Victoria, Australia.; Central and Eastern Sydney Primary Health Network, Sydney, NSW, Australia.; North Western Melbourne Primary Health Network, Parkville, Victoria, Australia.; Professorial Fellow, Department of Paediatrics, The University of Melbourne.; Sydney Children's Hospitals Network, Sydney, New South Wales, Australia.
AN - 38771818
BT - PLoS One
C5 - Education & Workforce; Healthcare Disparities
CP - 5
DO - 10.1371/journal.pone.0302815
DP - NLM
ET - 20240521
IS - 5
JF - PLoS One
LA - eng
N2 - The Strengthening Care for Children (SC4C) is a general practitioner (GP)-paediatrician integrated model of care that consists of co-consulting sessions and case discussions in the general practice setting, with email and telephone support provided by paediatricians to GPs during weekdays. This model was implemented in 21 general practices in Australia (11 Victoria and 10 New South Wales). Our study aimed to identify the factors moderating the implementation of SC4C from the perspectives of GPs, general practice personnel, paediatricians and families. We conducted a qualitative study as part of the mixed-methods implementation evaluation of the SC4C trial. We collected data through virtual and in-person focus groups at the general practices and phone, virtual and in-person interviews. Data was analysed using an iterative hybrid inductive-deductive thematic analysis. Twenty-one focus groups and thirty-seven interviews were conducted. Overall, participants found SC4C acceptable and suitable for general practices, with GPs willing to learn and expand their paediatric care role. GPs cited improved confidence and knowledge due to the model. Paediatricians reported an enhanced understanding of the general practice context and the strain under which GPs work. GPs and paediatricians reported that this model allowed them to build trust-based relationships with a common goal of improving care for children. Additionally, they felt some aspects, including the lack of remuneration and the work and effort required to deliver the model, need to be considered for the long-term success of the model. Families expressed their satisfaction with the shared knowledge and quality of care jointly delivered by GPs and paediatricians and highlighted that this model of care provides easy access to specialty services without out-of-pocket costs. Future research should focus on finding strategies to ensure the long-term Implementation of this model of care with a particular focus on the individual stressors in general practices.
PY - 2024
SN - 1932-6203
SP - e0302815
ST - Advancing integrated paediatric care in Australian general practices: Qualitative insights from the SC4C GP-paediatrician model of care
T1 - Advancing integrated paediatric care in Australian general practices: Qualitative insights from the SC4C GP-paediatrician model of care
T2 - PLoS One
TI - Advancing integrated paediatric care in Australian general practices: Qualitative insights from the SC4C GP-paediatrician model of care
U1 - Education & Workforce; Healthcare Disparities
U3 - 10.1371/journal.pone.0302815
VL - 19
VO - 1932-6203
Y1 - 2024
ER -