Programme no. 465-P
Frog perspective: A general practitioner´s experience of the local implementation of national action plans for older medical patients.
Pia Therkildsen*1, Bente Overgaard Larsen2, Anders Fournaise3
1Møllegade Lægehus,Sønderborg,Denmark;The Quality Improvement Committee for General Practice,The Region of Southern Denmark,Vejle,Denmark, 2Department of Primary Care,The Region of Southern Denmark,Vejle,Denmark, 3Department of Health, Cooperation and Quality,The Region of Southern Denmark,Vejle,Denmark;Department of Geriatrics,Odense University Hospital,Odense,Denmark;Research Unit of General Practice,University of Southern Denmark,Odense,Denmark
* = Presenting author
Objectives: The aim is to describe the scene of implementation actions from the physician's daily work table. Through description of experiences with prior national plans of action addressing older medical patients, the aim is to contribute to the debate about resources allocated to quality development in general practice by questioning whether the intentions and planned actions reach the everyday work of general practice and its patients
Background: In the daily work as a general practitioner, the work often implies intersectoral collaboration and use of resources from temporarily existing projects. These actions are difficult to foresee. An audit on the prevalence and characteristics of frail, older patients in general practice show that confusion and unawareness of the local driven actions exists. This might indicate why some GPs decline participitation in quality developing initiatives through national plans of action.
Results: There are many parallel and similar initiatives targeting the same patientgroup - older medical patients. Thus, the general practitioner must balance pros and cons of each temporary project to find the initiative best suited for the single patient.
Material/Methods: Registration and descriptions of local initiatives part of the National Action Plan for Older Medical Patients 2011-2016 and successive implemented national, regional and municipal initiatives derived from other projects aimed at older patients.
Conclusion: In everyday work it seems time-consuming and difficult to grasp the many short-term actions and take advantage of the interventions part of e.g. the National Action Plan for Older Medical Patients 2011-2016.
Points for discussion:
- Do we need a coordinating platform to ensure implementation of key action plans?
- If, who will it be? Where is the representation of the receiver and the executive party. Why and how should this platform act?
- How to find and choose the individually and locally relevant offered promotions and initiatives?
- How are the doctor and the patient around in the short-term, project deals?
- How can the doctor and the patient follow up on project attempts?
- How can the relevant parts be implemented in everyday life and used more permanent in the future when the project periods expire and new focus areas are introduced?