Strengthening Care for Childre
- Conditions
- Primary Paediatric HealthcarePublic Health - Health service research
- Registration Number
- ACTRN12620001299998
- Lead Sponsor
- Murdoch Children's Research Institute
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 21
To be included in the study, GP practices must:
• Be located within either the North Western Melbourne Primary Health Network or Central and Eastern Sydney Primary Health Network;
• Have Best Practice or Medical Director 3 as their electronic medical record (requirement of the data collection software);
• Be accredited or working towards accreditation
• Have > 900 active < 18-year old patients, attending their clinic in the past 12 months
GPs- Inclusion Criteria
We will include all GPs at participating GPs clinics who:
•Sign a Consent Form (Appendix B)
•Sign a MCRI/GP practice MOU (Appendix Y)
•Be accredited or working towards accreditation
•Work a minimum of 2 clinical sessions per week in the practice
•See patients < 18-years
•Must provide a minimum of one-month control pop-up referral data or retrospective control referral data
Families
All paediatric patients (<18-years) that attend a participating Practice who have been invited to attend an appointment by a participating GP will be eligible to receive a co-consultation.
All families that present to the GP practices and receive care for their child (<18-years) from a participating GP during the data collection periods will have their referral information and GP quality of care data extracted. All caregivers who attend an appointment for a paediatric patient in the month prior to the intervention commencing within the GP’s Practice and in the twelfth (and final) month of the intervention at that Practice will be eligible to participate in the family experience surveys. In order to be invited to participate in semi-structured interviews these family members must signal their consent to be contacted for a follow up interview in the family surveys and must have attended a co-consultation with a GP and paediatrician.
Exclusion criteria for GP practices:
• Less than 3 GPs working in the practice are willing to participate in the study, unless they met the inclusion threshold for active patients
Exclusion criteria for GPs:
• New GPs who join the practice during intervention and cannot provide control referral data
Exclusion criteria for family participation in the survey and interview will include:
• Children or young people who present to the GP practice without a parent/guardian
• Insufficient capabilities to complete the survey in the offered languages
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Participating GP referrals of paediatric patients (<18 years) to hospital outpatient clinics and EDs assessed by extracting referral information (including no referral made) from GP Electronic Medical Records at the conclusion of each paediatric appointment. Referral information will be extracted from the Medical Records using GRHANITE Software. [ Referral information will be recorded at the conclusion of each paediatric consultation undertaken by participating GPs i.e. is an immediate outcome.]
- Secondary Outcome Measures
Name Time Method