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A Qualitative Study of Rural and Remote Australian General Practitioners’ Involvement in High-Acuity Patients
This study aimed to understand the experiences, barriers, and facilitators of rural general practitioners’ involvement with high-acuity patients. Semi-structured interviews with rural general practitioners in South Australia who had experience delivering high-acuity care were audio-recorded, transcr...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001441/ https://www.ncbi.nlm.nih.gov/pubmed/36901557 http://dx.doi.org/10.3390/ijerph20054548 |
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author | Turner, Sinead Isaac, Vivian Lim, David |
author_facet | Turner, Sinead Isaac, Vivian Lim, David |
author_sort | Turner, Sinead |
collection | PubMed |
description | This study aimed to understand the experiences, barriers, and facilitators of rural general practitioners’ involvement with high-acuity patients. Semi-structured interviews with rural general practitioners in South Australia who had experience delivering high-acuity care were audio-recorded, transcribed verbatim, and analyzed through content and thematic approaches incorporating Potter and Brough’s capacity-building framework. Eighteen interviews were conducted. Barriers identified include the inability to avoid high-acuity work in rural and remote areas, pressure to handle complex presentations, lack of appropriate resources, lack of mental health support for clinicians, and impacts on social life. Enablers included a commitment to community, comradery in rural medicine, training, and experience. We concluded that general practitioners are a vital pillar of rural health service delivery and are inevitably involved in disaster and emergency response. While the involvement of rural general practitioners with high-acuity patients is complex, this study suggested that with the appropriate system, structure and role supports, rural general practitioners could be better empowered to manage high-acuity caseloads locally. |
format | Online Article Text |
id | pubmed-10001441 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100014412023-03-11 A Qualitative Study of Rural and Remote Australian General Practitioners’ Involvement in High-Acuity Patients Turner, Sinead Isaac, Vivian Lim, David Int J Environ Res Public Health Article This study aimed to understand the experiences, barriers, and facilitators of rural general practitioners’ involvement with high-acuity patients. Semi-structured interviews with rural general practitioners in South Australia who had experience delivering high-acuity care were audio-recorded, transcribed verbatim, and analyzed through content and thematic approaches incorporating Potter and Brough’s capacity-building framework. Eighteen interviews were conducted. Barriers identified include the inability to avoid high-acuity work in rural and remote areas, pressure to handle complex presentations, lack of appropriate resources, lack of mental health support for clinicians, and impacts on social life. Enablers included a commitment to community, comradery in rural medicine, training, and experience. We concluded that general practitioners are a vital pillar of rural health service delivery and are inevitably involved in disaster and emergency response. While the involvement of rural general practitioners with high-acuity patients is complex, this study suggested that with the appropriate system, structure and role supports, rural general practitioners could be better empowered to manage high-acuity caseloads locally. MDPI 2023-03-03 /pmc/articles/PMC10001441/ /pubmed/36901557 http://dx.doi.org/10.3390/ijerph20054548 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Turner, Sinead Isaac, Vivian Lim, David A Qualitative Study of Rural and Remote Australian General Practitioners’ Involvement in High-Acuity Patients |
title | A Qualitative Study of Rural and Remote Australian General Practitioners’ Involvement in High-Acuity Patients |
title_full | A Qualitative Study of Rural and Remote Australian General Practitioners’ Involvement in High-Acuity Patients |
title_fullStr | A Qualitative Study of Rural and Remote Australian General Practitioners’ Involvement in High-Acuity Patients |
title_full_unstemmed | A Qualitative Study of Rural and Remote Australian General Practitioners’ Involvement in High-Acuity Patients |
title_short | A Qualitative Study of Rural and Remote Australian General Practitioners’ Involvement in High-Acuity Patients |
title_sort | qualitative study of rural and remote australian general practitioners’ involvement in high-acuity patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001441/ https://www.ncbi.nlm.nih.gov/pubmed/36901557 http://dx.doi.org/10.3390/ijerph20054548 |
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