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2007 GP & PHC Research Conference:
Pre-conference workshops
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| Six half-day workshops were offered during the morning of the conference..
Pre-Conference Workshops
Wednesday 23 May, 9am-12pm |
Workshop #1
Facilitator:
Dr Douglas IR Boyle
Prof Siaw-Teng Liaw |
Applied Health Informatics: What is not being shared that should be?
‘Imagine we had access to definitive patient medical records, gathered automatically from all corners of the Australian Health System. What pieces of clinical information would most alter and improve patient care delivery in a General Practice setting?'
Although such a ‘Medical Oracle' may not be feasible, moving patient data electronically does now happen. National IT projects are starting to achieve this, but are the National priorities the same as a GP's? These questions will be investigated, with a view to highlighting the nations most burning issues using a nominal group technique.
An example of what can be achieved through the sharing of clinical data will be demonstrated (Scottish Care Information - Diabetes Collaboration (SCI-DC).* There are substantial barriers to engaging primary care in research. Perhaps if we have a better answer to the question ‘What's in it for me?' an improved collaborative track record would result. If managed properly, data for research can be a by-product of clinical data as it moves between care providers.
*Scottish Care Information - Diabetes Collaboration (SCI-DC). SCI-DC is the Scottish National implementation of the Diabetes Audit and Research in Tayside , Scotland (DARTS) project. This collaborative venture now shares comprehensive patient prescribing and diabetes data on a daily basis across approximately 1,200 general practices and 50 hospitals in Scotland . Dr Douglas Boyle was the Technical Architect of the DARTS / SCI-DC system prior to moving to Australia in April 2006. |
Workshop #2
Facilitators:
Prof Jane Gunn
Prof Chris v Weel
Prof Nick Zwar |
PBRNs - essential to health of the nation..... Or an obscure hobby???
Primary care based research is essential to excellent health care. GPs and practice nurses recognise the value of research but struggle to commit the time and resources needed to participate. As a result important studies looking at issues of major national importance to practice and policy are rarely undertaken in Australia. This workshop will examine how Practice-Based Research Networks can provide a setting and structure to conduct this important research in general practice.
This workshop, to be conducted jointly by University of New South Wales (Prof Nick Zwar) and the University of Melbourne (Prof Jane Gunn), will draw on the extensive experience of international expert Professor Chris van Weel.
Overseas models and emerging models of PBRNs from around Australia will be discussed.
This will include consideration of:
- Network models including issues of size and generalist versus topic focus
- Structure and resources
- GPs and practice staff engagement
- Involvement of Divisions
View workshop report |
Workshop #3
Facilitators:
Jane Gray
A Prof Michael Greco |
Improving Patient and Carer Experience
Jane Gray will address the following:
- Understand how your service is currently being experienced by patients and their carers
- Identify what is already working well for patients and carers so you and your team can retain the best aspects of your service
- Identify high priority areas for improvement
In this session, you will hear about NSW Health's recent experience in interviewing patients and carers; analysing what they said; and working as a team to act on the findings and improve patient journeys.
Patients are the end users of healthcare services and it is their experience of care that often defines their response to treatment and choice of healthcare provider. In this session Assoc. Professor Michael Greco will introduce the key factors that patient value, and how these can be measured and used in feedback both to managers and clinicians to produce change. The session will explore how patients can be involved in shaping change based on the feedback from these surveys. Some examples will be drawn from the UK experience where patient surveys are an integral part of the new GP contract, and becoming more prominent in appraisal and future revalidation of all doctors. Applications in the Australian context will be explored.
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Workshop #4
Facilitator:
Prof Nicky Britten |
Meta ethnography and the synthesis of qualitative research
The necessarily focused, case-based, and smaller scale of qualitative research mitigates against the development of a cumulative evidence base. Research synthesis is an emerging approach to integrating the findings of research to provide such a cumulative resource. This workshop will explore the synthesis of qualitative research, drawing on a technique called meta-ethnography developed by Noblit and Hare. The workshop will adopt an interactive learning format based on small group work. We will work with 4 previously selected papers to identify key concepts, and begin the process of 'reciprocal translation' - comparing and developing the analytical concepts. We will then use mapping and charting techniques to display and reconsider the emerging findings. In the final part of the workshop we will consider different approaches to presenting the synthesis results, and provide an opportunity to reflect on the synthesis process. |
Workshop #5
Facilitators:
Prof Nicholas Glasgow
Prof Bonnie Sibbald |
Addressing the workforce challenge: APHCRI's Stream Six - the number of workers, optimising the workforce and the place of generalism
In Stream Six of its research program, APHCRI is focusing on developing policy options that address the pressing primary health care workforce shortages. Nine research teams (spokes) are engaged in the activity which makes use of the linkage and exchange approach APHCRI began to use in Stream Four. This brings policy advisors and researchers together in an effort to make research more relevant to policy. The workshop will include consideration of this approach with a particular focus on the systematic review and synthesis method, and consideration of the early results of the reviews to date. The workshop will be of interest to researchers, policy advisors and others addressing the workforce challenge. Professor Bonnie Sibbald will participate as an international expert in the field. |
Workshop #6
Facilitators:
Vanessa Traynor
Prof Anthony Zwi |
Writing for change
This workshop is for those interested in developing their writing skills and practice, with a focus on the place of writing and publishing in the research-practice-policy interface. The importance of peer review and current trends in publishing, such as Open Access and e-publication, will be key features of the workshop. Participants will learn about the importance of these trends to primary health care research and practice. The workshop is intended as a very practical and hands on session, divided into three parts. During the first session we will cover: the key features of good writing practice, practical tips for developing writing skills, and how these can be applied. During the second session, participants will learn about current trends in publishing, the peer review process and get some practical advice on where to publish the results of their research. During the final part of the workshop, participants will have the opportunity to work on a piece of writing they would like to develop.
All participants are required to bring along a piece of writing (ideally a draft journal article or structured abstract) to work on during the workshop.
A resource pack will be provided to participants.
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Key Dates
7 February 2007
Closing date for abstracts
2 March 2007
Closing date for sponsored delegate applications
30 March 2007
Early bird registration closes
23-25 May 2007
GP & PHC Research Conference
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Workshop Report
Practice Based Research Networks -
Essential to the health of the nation…..or an obscure hobby?
Collation of Workshop held Wednesday 23rd May 2007
Background
Primary care based research is essential to excellent health care. GPs and practice nurses recognise the value of research but struggle to commit the time and resources needed to participate. As a result important studies looking at issues of major national importance to practice and policy are rarely undertaken in Australia. This pre-conference workshop to held on Wednesday 23rd May examined how Practice-Based Research Networks can provide a setting and structure to conduct this important research in general practice.
The workshop, was facilitated by Professor Jane Gunn (University of Melbourne) and Professor Nick Zwar (University of New South Wales) and drew on the extensive experience of international expert Professor Chris van Weel (University of Nijmegen).
Workshop Program
The program covered:
- Welcome and introduction
- PBRNs - what are they and what do they do? Nick Zwar
- The Njimegen PBRN. Chris van Weel
- Questions
- Scoping PBRN development across Australia. Jane Gunn
- Small group work on models, structure, resources, GP and practice staff engagement, involvement of Divisions
- Report back
- Comments from Chris van Weel
- General discussion
- Next steps
PBRNs - what are they and what are they for?
This presentation made the point that PBRNs are structures to facilitate research occurring in general practice. There are a number of successful examples from other countries including the long established Medical Research Council General Practice Research Framework in the UK.
The Njimegen PBRN
Chris van Weel outlined the history of this long established network and how it is based on a set of comprehensive and organised practice records. Use of this longitudinal data for research has led to a large number of publications. The GPs involved in the network all have academic appointments at the University.
Scoping PBRN development across Australia
The attendees at the workshop were aware of a number of Practice Based research network in the process of development
- Australian National University has started PracNet which is a group of six urban and four rural practices who are starting off by participating in a project on antibiotic resistance in acne initiated by one of the member GPs.
- Hunter/New England / Central Coast - University of Newcastle has some support from their Faculty to develop a network. Fourteen practices are involved to date.
- VicRen - University of Melbourne Primary Care Research Unit has had a launch event in 2006 and has a part time coordinator employed to support this network. Five practices are currently involved.
- University of Queensland/Bond University/Griffith University - collaborating on developing a network to involve about 50 GPs
- Spencer Gulf - dealing with issues of isolation and rurality. Considering involvement of health professionals other than GPs
- South Australia - Flinders have a group of interested practices
- UNSW - Launch planned for later this year. Aim to involve 50 practices.
Small Group Work
Groups were asked to consider:
The reasons for involvement raised by the group were varied but focused around:
- generating evidence
- contribution to the discipline
- better patient care
- building research capacity
- intellectual interest for practitioners
- Prestige/profile
- Changing culture and attracting workforce
Achievements and barriers to date
Again there were varied but the major issues were:
- It was recognized that most networks were in their early stages so few publications to date however there is evidence of culture change e.g. within RACGP curriculum and a number of applications for funding have been developed for research to be conducted within networks
- Enablers identified included the PHCRED networks already in existence and the linkages that have been developed, and despite its problems improved IT systems in practices
- Barriers were many and included time; funding; general practices needing to function as businesses; getting whole of practice and other stakeholder engagement; varied IT systems and skills within practices; getting questions of interest to practitioners articulated as research questions; politics within practices; competition in ownership influence and power; expectations of payment for involvement in research.
- PBRN structure and functioning
The issues raised in the groups included:
- Need for capacity to support projects
- Need to limit number and nature of projects so feasible and sustainable
- Need infrastructure and governance structure
- Need incremental innovation and change
- Need for staff who can take GP ideas and generate research question/s and appropriate methods, prepare ethics' application and then support data collection, analysis and publication
Involvement of Divisions of General Practice Issues raised were:
- Divisions can act as facilitators for research and PBRNs
- Depends on interest of Divisional leadership
- Level of suspicion of academia in some Divisions
- Need to identify champions within Divisions
Summation and next steps
It was agreed that though PBRNs are developing this is occurring with very limited resources and without substantive support from funders.
It was agreed that:
- A collation of the workshop would be written up and circulated to registrants for comments within a reasonably short time frame
- That this completed collation would then be available on the PHCRIS website
- That the collation would be made available to interested stakeholders such as DoHA, Divisions, Universities, AAAGP and could be useful in further discussion and policy development.
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