It's not all about GPs': recognising Primary Health Care Scientists in Australia (original) (raw)

2019, Australian Journal of Primary Health

Advance care planning is a crucial issue for people with dementia and general practitioners (GPs) are ideally placed to initiate advance care planning early. However, the rates of advance care planning in Australian general practice remains low. While some international studies have shed light on the reasons behind this, research in the Australian context has been sparse. Objective: To gain a deeper understanding of the barriers and enablers of advance care planning for people with dementia among Australian GPs. Design: Qualitative research with hour-long semi-structured interviews of GPs. Deidentified audio recordings will be transcribed verbatim for thematic analysis using NVivo QSR. Setting: General practices across the south east region of metropolitan Melbourne. Participants: Practicing GPs will be recruited through the Monash Practice-Based Research Network database. Registrars will be excluded. Findings: This study is a work in progress. We expect to reach data saturation by 20 interviews. Findings will be presented under the sub-headings of: prerequisites, timely initiation, stakeholder engagement and important aspects of the advance care planning conversation. We anticipate new insights into how these factors dynamically interact with each other in the unique context of the Australian healthcare system. Implication(s) for practice: The findings of this study will identify practical ways in which advance care planning can be improved in general practice for people with dementia and lead to recommendations that will enhance advance care planning in this patient population.

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