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Evaluation of the priority primary care centre program to reduce emergency department burden in regional Victoria, Australia: a mixed-method study

Version 3 2024-08-27, 23:19
Version 2 2024-05-30, 20:40
Version 1 2023-11-15, 02:06
journal contribution
posted on 2024-08-27, 23:19 authored by Madison FrithMadison Frith, Sean RandallSean Randall, Feby SaviraFeby Savira, J Swann, N White, A Giddy, K McLean, Anna PeetersAnna Peeters, Suzanne RobinsonSuzanne Robinson
IntroductionIn Australia, the Victorian State Government has established a number of priority primary care centres (PPCCs) across the state to address the increasing demand for emergency departments (EDs). PPCCs are general practitioner-led, free-of-charge services that aim to provide care for conditions that require urgent attention but do not require the high-acuity care of an ED. This study aims to evaluate the implementation processes, outcomes and the impact of the PPCC on reducing ED demand within Barwon, Warrnambool and Grampians Health Services in the Western region of Victoria, Australia.Methods and analysisThis is a convergent mixed-method study. Qualitative data collection will be undertaken through semistructured interviews to understand the experiences of PPCC patients, PPCC clinical staff, PPCC managerial and administrative staff and ED clinical staff. A documentary analysis will be conducted on the materials relating to the implementation of the PPCC. The quantitative component will involve interrupted time series analysis of de-identified administrative data, comprising ED presentation records and PPCC clinical records. Implementation science frameworks will be integrated throughout the study. The RE-AIM framework is a guide used for the planning and evaluation of programmes through five outcomes: reach, effectiveness, adoption, implementation and maintenance. The Consolidated Framework for Implementation Research will be integrated.Ethics and disseminationThis study has received ethical approval from Deakin University HREC (Ref No. 2023-046) and Barwon Health HREC (Ref No. 94374). Findings will be disseminated as reports, presentations and peer-reviewed journal articles.

History

Journal

BMJ open

Volume

13

Article number

075773

Pagination

e075773-

Location

England

ISSN

2044-6055

eISSN

2044-6055

Language

en

Publication classification

C1 Refereed article in a scholarly journal

Issue

11

Publisher

BMJ