ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 53
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Improving access to women’s health in primary care:
New models and approaches
Dr Jessica Botfield, Anisa Assifi, Ms Jessica Moulton, Dr Sharon James, Professor Danielle Mazza
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Department of General Practice, Monash University
Ensuring access to contraception and abortion care is a women’s health priority, yet inequities remain.
Better models of care are needed to utilise health workforce capacity and improve service efficiency
to promote equitable access. In this presentation, we will discuss considerations when developing
models of care for women’s health in primary care in Australia. We will draw on two national trials – the
ORIENT trial (evaluating a collaborative nurse-led model of care in general practice) and ALLIANCE trial
(evaluating a pharmacist-led model of care in community pharmacy) – and discuss through the Agency
for Clinical Innovation framework for ‘Understanding the process to develop a model of care’:
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Initiation: Introduce both trials and relevant context, including settings, collaborators and
governance structures.
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Diagnostic: Discuss the ‘problem’ that we aim to address (ie inequitable access to contraception
and abortion care).
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Solution: Discuss potential solutions through showcasing the development of the ORIENT model
of care, which used a rigorous co-design process with clinicians, consumers and stakeholders,
and reflect on the broader context (eg practice scope, legislation, funding). We will use ALLIANCE
to showcase another co-design process for development of implementation support activities.
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Implementation: Highlight how clinicians can be supported to implement new models of care
through clinical upskilling, peer and expert support (eg AusCAPPS community of practice),
educational outreach and other support activities.
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Sustainability: Focus on how to promote sustainability of new models of care, including
facilitating scale-up and informing sustainable health system changes through governance
structures, networks and collaborations.
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Through our presentation, we will share factors to consider when developing models of care
for women’s health. This will be of interest to clinicians working in this field, as well as clinicians,
researchers and policy makers designing and implementing models of care to increase access to
health services.
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