ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 176
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Palliative care in regional Australia: Improving care access
in Victoria (the Caring Circle project)
Dr Vitor Rocha, Mrs Veronica Denton
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Murray Primary Health Network
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Background
Murray PHN (regional Victoria) ageing population (n = 122,521, 65+ years old) is currently living in social
isolation (23.5%) and at risk of triple jeopardy (living alone, with a disability, low income, 65+). The
region it is also home for the highest predicted prevalence of dementia in the State of Victoria by 2050
(Mitchell LGA – 1303%) and has observed a 24% increase in emergency department (ED) presentation
due to dementia and preventable hospitalisations between 2019 and 2020.
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Aim
To improve the end-of-life care journey of aged people living with life-limiting illness (non-cancer) in
two regional Victorian catchments (Goulburn Valley and North East Victoria) and accessing primary
care services.
Methods
The Caring Circle project will use a triad-based approach focusing on education, capacity building and
system improvement.
1.
General practices – establish QI data-driven and data-auditing approaches to implement
new models of care. Models aimed to optimise identification, recall and early care planning
discussions; embed professional development opportunities for improved capacity
2.
Community – increase death literacy by building awareness, improve knowledge and skills to
enable community members to act more effectively when someone in their community is dying;
connect community with existing services
3.
Residential aged care – promote education and capacity-building opportunities in clinical
deterioration assessment and response
Results
Evaluation will focus on three greater areas (death literacy, care outcomes and system improvement)
using the death literacy index, deidentified data extraction of population health software, surveys and
secondary outcomes measures (eg changes in staff knowledge and confidence).
Conclusion
It is assumed strategies will improve how each cohort identifies, manages, discusses and supports the
wishes and goals of care of their patients, residents, clients, relatives, community members and their
own death literacy.
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