A survey of doctors working in two large NHS hospitals identified over 120 laboratory tests, imaging investigations and investigational procedures that they considered not to be overused. common suggestion this was more training required. And, prompted the development a list core principles for high-quality, high-value testing. The can used as framework reference source. are: (1) Base testing practices on best available evidence. (2) Apply evidence test performance with careful judgement....

The COVID-19 pandemic has resulted in multiple changes the delivery of general practice services. In response to threat and order keep their businesses safe viable, practices have rapidly moved new models care, embraced Medicare-funded telehealth responded uncertain availability personal protective equipment with innovation. These shown adaptability practice, helped patients staff safe, undoubtedly reduced community transmission mortality. pandemic, it, emphasised potential dangers existing...

The continuation of chronic disease management in primary care remains essential during the COVID-19 pandemic People with diseases are at increased risk severe illness from and vulnerable to potential worsening pre-existing conditions because disruptions their care.10-12 Strategies ensure continuous for chronically ill individuals included use telehealth modalities, ensuring supply medications other products, protecting health workers personal protective equipment (PPE), collaborating...

Abstract Objectives To assess the distribution of health care expenditure (public and private) for primary as proportions overall funding. Study design The Primary Care Spend model; estimated three tiers services by provider function. Setting model applied to Australian expenditure, public private, 2020–21, from a sector perspective, recorded Institute Health Welfare. Main outcome measures Proportions all spending essential community functions (tier A), comprehensive (services delivered in...

Australians can seek general practice care from multiple practitioners (GPs) in locations. This provides high levels of patient choice but may reduce continuity care. The aim this study was to estimate the prevalence attendance at practices Australia, and identify characteristics associated with attendances.A cross-sectional survey 2477 Australian adults conducted online July 2013. Respondents reported whether they had attended more than one past year, a usual GP. Demographic information,...

Continuity of care is considered a core component high-performing primary healthcare systems. As the population and workforce grow, burden chronic disease increases, it becoming more difficult to provide from one general practitioner.This viewpoint article identifies strategies for encouraging benefits continuity within modern health system.Seeing same doctor may not be as important an attitude consistent with therapeutic doctor–patient relationship. This care, should lost our system becomes complex.

Summary The Imperial Chemical Industries (ICI) group has developed a method, called the “environmental burden system” to rank potential environmental impacts of its emissions and wastes. method uses potency factors characterize wastes in ten major impact categories. When compared more traditional approach reporting total mass wastes, provides meaningful picture emissions: it helps identi?. most harmful emissions; public with better understanding ofthe company operations: communicate...

A key public health measure protecting the population from COVID-19 is vaccination. Unvaccinated people have higher case rates and death than those who are fully or partially vaccinated. It has, continues to be, critical optimise vaccination uptake in community.The aim of this study was identify groups were less likely be vaccinated against strategies that successful increasing these often hard-to-reach groups.Strategies successfully increased vaccine may also effective enhancing across a...

General practice in England is experiencing unprecedented levels of demand1 and GPs their teams are struggling to cope.2 Days long but time with each individual patient short. Getting on a plane place where the working conditions appear be more tolerable, weather better, may seem an attractive option for some, although only small proportion overall workforce actually do.3 Australia country need GPs, particularly rural areas, popular destination doctors leaving NHS work abroad.4 It would...

<h3>Background</h3> The 2012 Health and Social Care Act in England replaced primary care trusts with clinical commissioning groups (CCGs) as the main purchasing organisations. These new organisations are GP-led, it was claimed that this increased input would significantly improve practice. <h3>Aim</h3> To explore some of key assumptions underpinning CCGs, to examine claim GPs bring 'added value' commissioning. <h3>Design setting</h3> In-depth interviews clinicians managers across seven CCGs...

Background and objectiveUnderstanding resource allocation is important to ensure that limited health resources are spent where they bring the greatest benefit.The aim of this study was explore how much Australia's national expenditure allocated specifically general practice services, more broadly primary healthcare (PHC) services. MethodsThis used multiple Australian institutional reports -produced by Institute Health Welfare, Productivity Commission Services Australia -to classify, compare...

In 2015, the UK government plans to widen patient choice of general practitioner (GP) improve access through voluntary removal practice boundaries in English NHS. This follows a 12-month pilot four areas where volunteer GP practices accepted patients from outside their boundaries. Using evidence evaluation, we discuss likely impact this policy change on experience, responsiveness and equity access. Patients reported positive experiences but brief areas, it was not possible assess potential...

Referrals are a critical component of the Australian healthcare system, with referrals from general practitioners (GPs) to non-GP specialists making up majority medical referrals. Given key role have in primary healthcare, it is important that GPs understand their legal and professional responsibilities when providing referral ensure they refer appropriately effectively provide best health outcomes for patients.This article explores GP other professionals aims describe doctor's medicolegal...

Increasing numbers of patient complaints to regulators suggest practices need effective systems manage and address concerns. Many can often be dealt with at a practice level, but patients have difficulty reporting negative experiences directly.This article explores the benefits having system accept deal feedback within identifies barriers preventing from raising their concerns directly.Managing well level prevent them escalating, as offering insights reduce risk improve care. Understanding...