ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 103
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Palliative care in regional Australian general practices:
Using collaborative QI data auditing for improved care
coordination
Dr Vitor Rocha1, Mrs Veronica Denton1, Ms Emily Buchanan2, Helen Page3, Lauren Sewell3
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Murray Primary Health Network, 2Western Victoria Primary Health Network, 3Gippsland Primary
Health Network
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One in 1000 general practice consultations in Australia are palliative care (PC) related, with prognosis
estimation fragmented.
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Regional Victoria is diverse:
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1.7 million people (6.5 million state)
19% (14% state) 65+ years
24.3% in social isolation
25% living with dementia, which is set to double by 2058.
This diversity and increasing disease burden warrants a regional, collaborative and coordinated
approach that meets the needs of the population in addressing deficits within PC.
Aim
Improve timely identification, response and management of patients living with life-limiting illnesses
accessing general practice in regional Victoria.
Methodology
Collaborative strategy between regional Victorian PHNs (Murray, Western Victoria, Gippsland) –
FY2022–24:
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Localised regional Victorian PC QI toolkit development (six months): co-production of QI toolkit for
use by general practices based on existing resources and tailored to the needs and care systems
in regional areas. Consultation and co-production with key PC and primary healthcare.
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QI intervention: 12-month outreach facilitation-based QI intervention utilising the developed toolkit
with 15 participating general practices in regional Victoria. Practice-level intervention (minimum
two PDSA cycles per month) focusing on at least one of the following core improvements goals:
– medical recording of wishes and care goals at the end-of-life
– advance care planning endorsement
– enhance identification of patients living with life-limiting illnesses and recalling for clinical
assessment
– monitor the change of practice staff death literacy knowledge and attitudes towards PC needs
of their patients.
Evaluation
1. System improvement: deidentified aggregated data auditing (POLAR, PenCS) of QI strategies at
practice level (pre- and post-PDSA implementation)
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Death literacy: coping with death scale tool at enrolment and intervention completion
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Surveys: demographics, background, PC education
Conclusion
It is hoped strategies will improve how general practices identify, manage, discuss and support the
wishes and care goals of patients and carers while improving death literacy.
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