Register      Login
Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Role of the GP liaison nurse in a community health program to improve integration and coordination of services for the chronically ill

Justin McNab A E , Janis Paterson B , Joanne Fernyhough C and Rod Hughes D
+ Author Affiliations
- Author Affiliations

A Menzies Centre for Health Policy, D02 Victor Coppleson Building, University of Sydney, NSW 2006, Australia.

B HealthOne, Mount Druitt Community Health Centre, Buran Close, Mount Druitt, NSW 2770, Australia.

C WentWest, Level 1, 85 Flushcombe Road, Blacktown, NSW 2148, Australia.

D Primary Care and Community Health Services, 288–292 Macquarie Road (PO Box 593), Springwood, NSW 2777, Australia.

E Corresponding author. Email: justin.mcnab@sydney.edu.au

Australian Journal of Primary Health 22(2) 123-127 https://doi.org/10.1071/PY14089
Submitted: 4 June 2014  Accepted: 27 October 2014   Published: 23 February 2015

Abstract

This paper explores the role of the General Practitioner Liaison Nurse (GPLN) in improving integration and coordination of services within Primary Health Care. This position can play a major role in care coordination and cultural change. The GPLN within HealthOne Mt Druitt (HOMD) identifies patients’ needs and facilitates communication, case conferencing and care coordination between health and other providers. The priority areas of children and their families at risk or with significant unmet needs, and chronic aged and complex care, were identified as target areas. This paper focuses on the GPLN within the chronic aged and complex care service model. The GPLN within HOMD was able to improve coordination and integration of services for patients of the facility. Activities included organising multidisciplinary services and addressing psychosocial issues. Patients and community health staff identified the importance of the role for improving coordination and integration of services. Decision and policy makers saw the position as vital to the implementation, operation and sustainability of HOMD.

Additional keywords: community health evaluation, primary health care.


References

Australian Institute of Health and Welfare (2014) Australia’s health 2014, Australia’s health series no. 14. Cat. no. AUS 178. AIHW, Canberra.

Jeon Y, Jowsey T, Yen L, Glasgow N, Essue B, Kljakovic M, Pearce-Brown C, Mirzaei M, Usherwood T, Jan S, Kraus S, Aspin C (2010) Achieving a balanced life in the face of chronic illness. Australian Journal of Primary Health 16, 66–74.
Achieving a balanced life in the face of chronic illness.Crossref | GoogleScholarGoogle Scholar | 21133301PubMed |

Kendall M, Murray S, Carduff E, Worth A, Harris F, Lloyd A, Cavers D, Grant L, Boyd K, Sheikh A (2010) Use of multiperspective qualitative interviews to understand patients’ and carers’ beliefs, experiences, and needs. British Medical Journal 339, b4122

Kodner D, Spreeuwenberg C (2002) Integrated care: meaning, logic, applications, and implications: a discussion paper. International Journal of Integrated Care 2, e12

Lerman Y, Kara I, Porat N (2011) Nurse liaison: the bridge between the perioperative department and patient accompaniers. AORN Journal 94, 385–392.

Nolte E, McKee M (Eds) (2008) ‘Caring for people with chronic conditions: a health system perspective.’ (McGraw Hill Open University Press: Berkshire, UK)

Patton M (1990) ‘Qualitative evaluation and research methods.’ 2nd edn. (Sage: Newbury Park, CA)

Powell-Davies G, Williams A, Larsen K, Perkins D, Roland M, Harris M (2008) Coordinating primary health care: an analysis of the outcomes of a systematic review. Medical Journal of Australia 188, S65–S68.

Stake R (2005) Qualitative case studies. In ‘The Sage Handbook of Qualitative Research’, 3rd edn. (Eds N Denzin, Y Lincoln) pp. 443–466 (Sage Publications: London)

Starfield B (1998) ‘Primary care: balancing health needs, services and technology.’ (Oxford University Press: New York, NY)

Van Der Watt G (2010) Consultation-liaison nursing: a personal reflection. Contemporary Nurse 34, 167–176.
Consultation-liaison nursing: a personal reflection.Crossref | GoogleScholarGoogle Scholar |

Wand T, White K, Patching J, Dixon J, Green T (2011) An emergency department-based mental health nurse practitioner outpatient service: part 1, participant evaluation. International Journal of Mental Health Nursing 20, 392–400.
An emergency department-based mental health nurse practitioner outpatient service: part 1, participant evaluation.Crossref | GoogleScholarGoogle Scholar | 21457179PubMed |