Primary care redesign for person-centred care: Delivering an international generalist revolution

Reeve, Joanne

Abstract

© La Trobe University. Person-centred primary care is a priority for patients, healthcare practitioners and health policy. Despite this, data suggest person-centred care is still not consistently achieved-and indeed, that in some areas, care may be worsening. Whole-person care is the expertise of the medical generalist-an area of clinical practice that has been neglected by health policy for some time. It is internationally recognised that there is a need to rebalance specialist and generalist primary care. Drawing on 15 years of scholarship within the science of medical generalism (the expertise of whole-person medical care), this discussion paper outlines a three-tiered approach to primary care redesign describing changes needed at the level of the consultation, practice set up and strategic planning. The changing needs of patients living with complex chronic illness has already started a revolution in our understanding of healthcare systems. This paper outlines work to support that paradigm shift from disease-focused to person-focused primary healthcare.

Citation

Reeve, J. (2018). Primary care redesign for person-centred care: Delivering an international generalist revolution. Australian journal of primary health, 24(4), 330-336. https://doi.org/10.1071/py18019

• Journal Article Type: Article
• Acceptance Date: May 31, 2018
• Online Publication Date: Aug 13, 2018
• Publication Date: Aug 13, 2018
• Deposit Date: Aug 13, 2018
• Publicly Available Date: Aug 14, 2018
• Print ISSN: 1448-7527
• Electronic ISSN: 1836-7399
• Publisher: CSIRO Publishing
• Peer Reviewed: Peer Reviewed
• Volume: 24
• Issue: 4
• Pages: 330-336
• DOI: https://doi.org/10.1071/py18019
• Keywords: Public Health, Environmental and Occupational Health; Health Policy
• Public URL: https://hull-repository.worktribe.com/output/907999
• Publisher URL: http://www.publish.csiro.au/PY/PY18019