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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
Australian Journal of Primary Health

Australian Journal of Primary Health

Volume 29 Number 5 2023

The aim of this scoping review was to identify and map the literature which discusses specifically Australian general practitioners’ (GPs) views on the qualities that make up effective discharge communication from hospital care back to primary care. The findings indicate that GPs view timeliness, completeness, readability, medication related information and diagnosis/clinical discipline specific information to be qualities that make up effective discharge communication from hospital to the community. There are opportunities for further research into perspectives of effective discharge communication, and future studies on interventions to improve discharge communication, patient safety and policy in transfers of care.

PY23026Impact of the COVID-19 pandemic on primary care delivery in a remote Aboriginal community

Yasuchiyo Hamilton, Alice Cairns and Rhondda Jones
pp. 416-421

The COVID-19 pandemic has disrupted the delivery of primary health care internationally. This research investigated the impact of the initial response to the COVID-19 pandemic on the delivery of primary health care in a remote First Nations community in Far North Queensland. It highlighted there is a risk of underutilisation of primary healthcare services during a health pandemic in remote settings and that strengthening the primary care system is required to reduce the risk of long-term impacts of service disengagement.

This paper offers insights about strategies for promoting service uptake of a health justice partnerships for young people, external workers and partner agency staff. Various methods for promotion were implemented. Practical considerations are offered to assist others when promoting HJPs.

PY22052Community health workers (Behvarz) in primary health care: a qualitative inductive content analysis of challenges

Lida Shams 0000-0002-8518-8844, Maryam Zamani Fard, Taha Nasiri 0000-0002-7236-6920 and Marita Mohammadshahi 0000-0002-6956-0327
pp. 428-436

Behvarz workers or community health workers not only play a major role in the health system, but also contribute to filling the gap between communities and high-level institutions by delivering basic healthcare services and for more complicated needs they can refer people to receive appropriate services, leading to more homogeneity in policies. Therefore, strategies are needed to emphasise Behvarz workers’ role, with a special focus on engaging local communities. The identified challenges can provide valuable information for health policymakers and the experiences of Behvarz workers can be used to inform international community health workers’ programs, which in turn provides better outcomes for treated patients.

Inadequate subsidisation of the Medicare rebate threatens the survival of bulk billing only GP services. Little is known of the socio-economic status of bulk billing only practice localities and whether they target disadvantaged populations. This research provides a current estimation of the distribution of bulk billing only GP services in Australia in relation to surrounding population socio-economic demographics.

PY22269Identifying the most common barriers to opioid agonist treatment in an Australian setting

Natasha Yvonne Hall, Long Le, Julie Abimanyi-Ochom, Maree Teesson and Cathy Mihalopoulos
pp. 445-454

The aim of this paper was to determine the most important opioid agonist treatment barriers to Australian clients via a cross-sectional survey using a Likert scale. Results found that the most important barriers to opioid agonist treatment were stigma, lack of support services, no flexibility and enjoy using opioids. Furthermore, those who used prescriptions opioids were female or non-binary, were not currently using opioid agonist treatment, were younger and had high dependence scores were impacted more by certain treatment barriers.

International healthcare systems are increasing the use of asynchronous electronic consultations (eConsults) between general practitioners and non-GP specialists. There is no current research addressing the perspectives of Australian adult medicine physicians on the introduction of an eConsultant model of care. Australian specialists practicing in adult medicine subspecialties indicated a willingness to participate in eConsulting, while also highlighting pragmatic issues that will need to be addressed by future policymakers.

PY22201Experiences of colorectal cancer survivors in returning to primary coordinated healthcare following treatment

Claudia Rutherford, Bora Kim, Kate White, Cheri Ostroff, Louise Acret, Marguerite Tracy, Janani Mahadeva and Simon M. Willcock
pp. 463-470

Colorectal cancer survivors can experience ongoing side-effects and functioning impairments long after completing treatment. This study explored how colorectal cancer survivors manage their consequences of treatment in the community. Colorectal cancer survivors were interviewed about the side-effects they experienced after treatment; their experiences of general practitioner-coordinated care; perceived care gaps; and their perception of the general practitioner role in post-treatment survivorship care.

PY22267Awareness and attitudes towards the revised National Cervical Screening Program amongst women in rural New South Wales: a cross-sectional study

Elizabeth Gosbell, Alisha Panambalana, Annabelle Stephenson, Carissa Vici, Tegan Dutton 0000-0003-2260-9004 and Jannine Bailey 0000-0003-0928-0072
pp. 471-479

The revisions to Australia’s National Cervical Cancer Screening Program provide an opportunity to revisit rural women’s attitudes towards screening, given their increased incidence and mortality from cervical cancer. In our study, only half of rural women were aware of the changes to the program. Those who were aware were more likely to have a positive attitude towards it. Lack of knowledge was a key barrier demonstrating that initiatives to further raise awareness of the changes are needed in rural communities.

PY23022Supporting healthcare professionals to offer reproductive genetic carrier screening: a behaviour change theory approach

Stephanie Best 0000-0002-1107-8976, Janet C. Long 0000-0002-0553-682X, Zoe Fehlberg 0000-0002-8449-206X, Alison D. Archibald 0000-0002-4496-8262 and Jeffrey Braithwaite 0000-0003-0296-4957
pp. 480-489

As reproductive genetic carrier screening becomes more widely accessible, ensuring uptake by primary health care professionals (HCPs) is essential to equitable service provision. We surveyed HCPs offering reproductive genetic carrier screening and identified a range of priorities to address barriers to and support for routine offering of screening. Top supports included patient resources, funding, and ongoing education. Policymakers may use these findings to direct their future efforts.

PY22067Telemonitoring for health education and self-management in South Western Sydney

Josephine Sau Fan Chow 0000-0002-8911-6856, Amanda Sykes, Joyce De Guzman, Vicki Bonfield and Nutan Maurya
pp. 490-500

Self-management is an important aspect of the management of a range of long-term conditions. This study demonstrates the feasibility of telemonitoring as a tool for health education and self-management in patients with early stages of chronic diseases. Future research on a large cohort is required to optimise this model of care.


Little is known about the health impacts of ceasing group exercise programs during the COVID-19 pandemic on rural individuals with chronic disease. This study found no clinically significant impact on physical functioning in clients with chronic diseases who were unable to attend their structured exercise groups during the COVID-19 pandemic, but many did reduce their amount of physical activity. This signals the need for further research to better understand how physical and mental health is affected in this population by such isolation.

PY22256A critical realist exploration of factors influencing engagement in diabetes prevention programs in rural settings

Britney McMullen 0000-0003-0406-6771, Kerith Duncanson, David Schmidt, Clare Collins and Lesley MacDonald-Wicks
pp. 510-519

A substantial proportion of the global population are at a high risk of developing type 2 diabetes mellitus. Diabetes prevention programs are intended to reduce progression to diabetes, but are underutilised. Engagement in diabetes prevention programs depended on individual agency factors and structural barriers that could be mapped to levels of the social-ecological model. Understanding the perceptions of people with prediabetes will inform strategies to overcome multi-level barriers to preventive health program engagement in rural settings.


One of the challenges in type 2 diabetes management is to maintain the consistent and regular monitoring care, which may be impacted by various factors. This study investigated factors associated with adherence to clinical guidelines on HbA1c testing frequency and identified key factors such as age, practice size, medication, and incentive payments. The findings can potentially be translated into the initiation of more efficient strategies and policies to improve diabetes monitoring care, and ultimately patient outcomes for diabetes patients.

PY22111Impact of the COVID-19 pandemic on Australian community health service staff’s occupational and personal lives: a longitudinal study

Sara Holton 0000-0001-9294-7872, Karen Wynter 0000-0003-4620-7691, Anna Peeters, Alexandra Georgalas, Ann Yeomanson and Bodil Rasmussen
pp. 527-536

Healthcare workers have reported concerns during the COVID-19 pandemic about their health and risk to families and colleagues; most studies have focused on hospital clinical staff. This study demonstrates the considerable impact of the COVID-19 pandemic on the work and personal lives of community health service staff; including concerns about their family’s health; managing work and family responsibilities; accessing and using personal protective equipment; redeployment; and turnover intentions. Appropriate workforce planning, including wellbeing initiatives, is crucial to support and retain staff.

PY23013Stress, burnout, and parenting: a qualitative study of general practice registrars

Rebekah Hoffman 0000-0003-0108-5539, Judy Mullan, Christine Metusela and Andrew Bonney
pp. 537-546

General practice needs to work to increase recruitment of doctors, reduce early career burnout and to retain GPs in the long term. Early career medical professionals experience stress and burnout at higher levels than the wider community. General practice may have traditionally been seen as a family friendly career option, however, unfortunately it may be no longer. This paper examines the experience of GP trainees with stress and burnout and the impact that parenting has on their experience and looks at solutions to improve conditions for early to mid career GPs, and hopefully make general practice more attractive for future doctors.

Committee on Publication Ethics

Call for Papers

We are seeking contributions for Special Issues. More

Call for Reviewers

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Call for Reviews

We welcome the submission of high quality review articles. Selected reviews will be offered free open access. More

Best Oral Paper Prize AAAPC 2023

Deidre McGowan has been awarded the Best Oral Paper Prize for 2023.

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