Strategy type | Chronic disease: diabetes | Prevention: Pap test | Episodic care |
---|---|---|---|
Practice/ service reorganisation | |||
Restructure of practice | ·Multidisciplinary team care | ·Greater focus on screening | ·Changed appointment system |
·Disease specific clinic | ·Enhanced risk assessment | ·Same day appointments | |
·Group attendance | ·Nurse facilitated program | ||
Systems to support practice | ·Personalised patient call/recall systems | ·Office systems to identify | ·Telephone triaging |
·Diabetes information and decision support systems | ·compliance | ·Reminders of appointments | |
·Call/ recall/reminder systems | |||
External support for practice | ·Diabetes register | ·Establishment of condition specific registers | ·Doctor-operated after-hours telephone triage system |
·Community awareness programs | |||
·Population based programs | |||
Patient support | |||
 | ·Patient education /awareness raising | ·Education / awareness programs personalised invitation to attend | ·Telephone follow up of patients |
·Enhanced self-management | ·Culturally appropriate materials and services | ·Increased availability of same day appointments | |
·Personalized invitations | |||
New services | |||
Outreach service | ·Community based culturally specific clinic | ·Outreach clinic, | ·Outreach through home visits or phone |
·Home visit service | |||
New services to improve access | ·Diabetes screening campaign | ·Establishment of screening service | ·Walk-in centres |
·Introduction of women’s health clinic | ·After-hours care e.g. hospital based GP co-op | ||
·Nurse-led telephone triage | |||
Workforce development | |||
 | ·Education of doctors about guideline-based diabetes care | ·Education of doctors (e.g. use of screening guidelines) |  |
·Enhanced role for other health providers | ·Enhanced role for other health providers Training of lay health educators | ||
·Education of other PHC providers, e.g. Nurses | ·Culturally appropriate workforce | ||
Financial incentives | |||
 | ·Financial incentives for providers | ·Reduce costs of screening | ·Reduced cost/free service |
·Reduced cost for patients | |||
·Change in funding rules |