Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Establishing a new model of integrated primary and secondary care based around general practice: a case study of lessons learned and challenges

Claire L. Jackson A E , Maria Donald A , Anthony W. Russell B C and H. David McIntyre D

A Primary Care Clinical Unit, Faculty of Medicine, Level 8 Health Sciences Building, Royal Brisbane and Women’s Hospital, The University of Queensland, Herston, Qld 4006, Australia. Email: m.donald@uq.edu.au

B Department of Diabetes and Endocrinology, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, Qld 4102, Australia. Email: Anthony.Russell2@health.qld.gov.au

C PAH-Southside Clinical Unit, Faculty of Medicine, University of Queensland, Level 2, Translational Research Institute, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Qld 4102, Australia.

D Mater-Southside Clinical Unit, Faculty of Medicine, Mayne Medical Building, The University of Queensland, 288 Herston Road, Herston, Qld 4006, Australia. Email: h.d.mcintyre@uq.edu.au

E Corresponding author. Email: c.jackson@uq.edu.au

Australian Health Review - https://doi.org/10.1071/AH16147
Submitted: 4 July 2016  Accepted: 14 March 2017   Published online: 9 May 2017

Abstract

This case study describes the development and implementation of an innovative integrated primary–secondary model of care for people with complex diabetes. The aim of the paper is to present the experiences of clinicians and researchers involved in implementing the ‘Beacon’ model by providing a discussion of the contextual factors, including lessons learned, challenges and solutions. Beacon-type models of community care for people with chronic disease are well placed to deliver on Australia’s health care reform agenda, and this commentary provides rich contextual information relevant to the translation of such models into policy and practice.

What is known about the topic? Better integrated clinical models of care with close cooperation between hospital-based specialists and general practitioners (GPs) is fundamental to chronic disease management.

What does this paper add? A real world example of the challenges faced in implementing models of integrated care across diverse settings and business models.

What are the implications for clinicians? Practice, organisational and external factors including energy clinician leadership and resourcing are critical for translation of evidence into ongoing practice.


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