Developing and evaluating interventions for primary care - a focus on consultations in general practice
The deployment of decision support aids, electronic referral tools or other novel processes to improve diagnostic or therapeutic performance may also disrupt the flow of the consultation in general practice. Therefore "innovations" or interventions that may result in changes to the structu...
| Main Authors: | , , , , , , , , , |
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| Format: | Journal Article |
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Moyez Jiwa
2009
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| Online Access: | http://amj.net.au/index.php?journal=AMJ&page=article&op=viewFile&path%5B%5D=107&path%5B%5D=298 http://hdl.handle.net/20.500.11937/29706 |
| _version_ | 1848752876614057984 |
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| author | Jiwa, Moyez O'Shea, C. McKinley, R. Mitchell, G. Girgis, A. Sibbritt, D. Burridge, L. Smith, M. Chan She Ping, W. Halkett, Georgia |
| author_facet | Jiwa, Moyez O'Shea, C. McKinley, R. Mitchell, G. Girgis, A. Sibbritt, D. Burridge, L. Smith, M. Chan She Ping, W. Halkett, Georgia |
| author_sort | Jiwa, Moyez |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | The deployment of decision support aids, electronic referral tools or other novel processes to improve diagnostic or therapeutic performance may also disrupt the flow of the consultation in general practice. Therefore "innovations" or interventions that may result in changes to the structure of the consultation need to be tested in controlled conditions if they are not to harm patient care in practice. We describe a method for conducting "Phase 1" studies of such interventions illustrated by a consultation from one of four studies using actor-patient consultations. The recording of actor-patient consultations is technically challenging. There are some limitations in using volunteers whose skills may be unknown. However, the method allows lay and professional observation about the performance of doctors using new tools which may help to refine the innovations or offer insights into how and why some clinical scenarios impact on the doctor-patient consultation. This method is not a substitute for adequately powered clinical trials; however, it offers a practical approach to developing a complex intervention for subsequent formal evaluation. |
| first_indexed | 2025-11-14T08:15:35Z |
| format | Journal Article |
| id | curtin-20.500.11937-29706 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:15:35Z |
| publishDate | 2009 |
| publisher | Moyez Jiwa |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-297062017-01-30T13:14:39Z Developing and evaluating interventions for primary care - a focus on consultations in general practice Jiwa, Moyez O'Shea, C. McKinley, R. Mitchell, G. Girgis, A. Sibbritt, D. Burridge, L. Smith, M. Chan She Ping, W. Halkett, Georgia The deployment of decision support aids, electronic referral tools or other novel processes to improve diagnostic or therapeutic performance may also disrupt the flow of the consultation in general practice. Therefore "innovations" or interventions that may result in changes to the structure of the consultation need to be tested in controlled conditions if they are not to harm patient care in practice. We describe a method for conducting "Phase 1" studies of such interventions illustrated by a consultation from one of four studies using actor-patient consultations. The recording of actor-patient consultations is technically challenging. There are some limitations in using volunteers whose skills may be unknown. However, the method allows lay and professional observation about the performance of doctors using new tools which may help to refine the innovations or offer insights into how and why some clinical scenarios impact on the doctor-patient consultation. This method is not a substitute for adequately powered clinical trials; however, it offers a practical approach to developing a complex intervention for subsequent formal evaluation. 2009 Journal Article http://hdl.handle.net/20.500.11937/29706 http://amj.net.au/index.php?journal=AMJ&page=article&op=viewFile&path%5B%5D=107&path%5B%5D=298 Moyez Jiwa fulltext |
| spellingShingle | Jiwa, Moyez O'Shea, C. McKinley, R. Mitchell, G. Girgis, A. Sibbritt, D. Burridge, L. Smith, M. Chan She Ping, W. Halkett, Georgia Developing and evaluating interventions for primary care - a focus on consultations in general practice |
| title | Developing and evaluating interventions for primary care - a focus on consultations in general practice |
| title_full | Developing and evaluating interventions for primary care - a focus on consultations in general practice |
| title_fullStr | Developing and evaluating interventions for primary care - a focus on consultations in general practice |
| title_full_unstemmed | Developing and evaluating interventions for primary care - a focus on consultations in general practice |
| title_short | Developing and evaluating interventions for primary care - a focus on consultations in general practice |
| title_sort | developing and evaluating interventions for primary care - a focus on consultations in general practice |
| url | http://amj.net.au/index.php?journal=AMJ&page=article&op=viewFile&path%5B%5D=107&path%5B%5D=298 http://hdl.handle.net/20.500.11937/29706 |