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Indicators for effective visiting primary care services: A case study

OBJECTIVE: The objective of this study was to assess the clinical utility of a model of seven principles for effective visiting primary care services and to determine how it could be conceptualised as a tool for evaluation. SETTING: The research was undertaken in the context of visiting primary care...

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Detalles Bibliográficos
Autores principales: Healy, Laura J., Beccaria, Gavin, McIlveen, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099463/
https://www.ncbi.nlm.nih.gov/pubmed/36448590
http://dx.doi.org/10.1111/ajr.12946
Descripción
Sumario:OBJECTIVE: The objective of this study was to assess the clinical utility of a model of seven principles for effective visiting primary care services and to determine how it could be conceptualised as a tool for evaluation. SETTING: The research was undertaken in the context of visiting primary care services with an agency, Outback Futures, selected as a case study. PARTICIPANTS: Three executive staff with Outback Futures participated in the research. DESIGN: The case study design involved data collection by four group interviews conducted between July and November 2021. The interview data were analysed using thematic analysis. RESULTS: This case study is additional evidence for the clinical utility of the model of seven principles. The results reinforce the importance of a community‐focussed approach to assess the impact of visiting service organisations on rural and remote communities. A comprehensive approach to evaluation is required to justify the investments made and safeguard the health and well‐being of rural and remote residents. A self‐assessment protocol has been established from the model for use by visiting services. Furthermore, three themes were drawn from the data: relationship is fundamental, the importance of co‐design, and being effective as a visiting service is challenging. CONCLUSION: The model is appropriate for the case study organisation, and has clinical utility and implications for other visiting services. A self‐assessment protocol has been developed. Future research should apply the model and protocol self‐assessment tool in an effort to construct a consistent and credible approach to evaluation of visiting primary care services.