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P179 Facilitating Implementation Of Guidelines For The Prevention Of Vascular Disease In General Practice
  1. M Harris1,
  2. J Litt2,
  3. G Russell3,
  4. D Mazza3,
  5. J Lloyd1,
  6. N Zwar4,
  7. R Taylor4,
  8. M Van Driel5,
  9. C Del Mar6,
  10. Y Krastev7,
  11. S Parker1,
  12. J Smith6
  1. 1Centre for Primary Health Care and Equity, University of New South Wales, Sydney, Australia
  2. 2Discipline of General Practice, Flinders University, Adelaide, Australia
  3. 3School of Primary Health Care, Monash University, Melbourne, Australia
  4. 4School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia
  5. 5Discipline of General Practice, University of Queensland, Brisbane, Australia
  6. 6Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia
  7. 7Ethics Secretariate, University of Technology, Sydney, Australia

Abstract

Background Although evidence based guidelines have been developed and disseminated, up to a half of patients do not receive guideline based preventive care.

Objectives This study aims to evaluate a model for the implementation of preventive care guidelines in general practice.

Methods Following a development process for the intervention involving a mixed method study and a pilot carried out in three practices a cluster randomised controlled trial is being conducted in 31 practices across four states. The intervention involves training, preventive care audit, and visits from a facilitator based in the local primary care support organisation. The facilitator assists practices to review their clinical audit and implement a practice plan structured around the 5As to improve the reach and quality of preventive care. Quantitative and qualitative evaluation methods are being used to assess impact on planned change within the practice, recalled and recorded preventive care, and patient behaviours and risk factors for cardiovascular disease.

Results Baseline data collection has been completed from practice staff and patients and the intervention is now complete. The recorded and patient recalled preventive care varied within and between practices resulting in a varied set of priorities for improvement. Early findings suggest that facilitation visits to review and plan improvements to the implementation of preventive guidelines are feasible, acceptable and can support organisational strategies to address gaps in care.

Discussion Our results may provide a model for local primary care support organisations to assist practices to improve their quality of preventive care.

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