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Interventions & Settings GENERAL PRACTICE

Interventions & Settings GENERAL PRACTICE. nancy.huang@vicfit.com.au. Summary . Why general practice Strengths & barriers of this setting Active Script Program Issues for general practice. Why General Practice?. Opportunity: 85% population visit GP in 12 months

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Interventions & Settings GENERAL PRACTICE

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  1. Interventions & SettingsGENERAL PRACTICE nancy.huang@vicfit.com.au

  2. Summary • Why general practice • Strengths & barriers of this setting • Active Script Program • Issues for general practice

  3. Why General Practice? • Opportunity: 85% population visit GP in 12 months • Effectiveness: 4 systematic reviews to date. ~ 10% change after brief advice • GPs’ role • Community expectations • Catalyst within the primary care sector

  4. Strengths: Capacity to influence Receptive audience Reach of higher risk groups Credible source Evolving agenda for government Evidence of effectiveness Use of practice staff, waiting room Source of referral Barriers Time Remuneration Training & expertise Consistent Information Quality Resources Practice systems GP perceptions and attitudes Patient agenda Referral structures Strengths & Barriers

  5. Increase number of GPs promoting physical activity • Train, equip and support GPs in promoting physical activity • Increase capacity of Divisions to recruit and support GPs in promoting physical activity

  6. Active Script Model Active Script program Local Government Environment Inactive population PCPs Opportunities Divisions More active population General Practice Pharmacists AHPs Information Providers of PA Support

  7. Reach and uptake • Reach: 760 GPs : Over 40% GPs in participating Divisions • Uptake: 2/3 report using ASP resources and changed practice post intervention . Improved knowledge about PA • Divisions integrated ASP into other relevant Programs and their business and strategic plans (core budget) • National release of electronic PAM

  8. Electronic script

  9. Issues for Victoria • Funding cycles / adequacy • Increasing demands • Linkages – referral to whom? • Ongoing evaluation / monitoring • Consistent quality in training of GPs • Fragmentation of strategies • Working with AHPs / practice nurses • Working with specific target groups

  10. The Future • Statewide rollout of ASP • Workable model of action established • Secure funding cycles • Build on current momentum (obesity, diabetes, walking agenda etc) • Combining individual and environmental approaches at the local level • Evaluation

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