Priorities in integrating primary and secondary care: a multimethod study of GPs

Abstract

PurposeThroughout the world, healthcare policy has committed to delivering integrated models of care. The interface between primary–secondary care has been identified as a particularly challenging area in this regard. To that end, this study aimed to examine the issue of integrated care from general practitioners’ (GPs) perspectives in Ireland.Design/methodology/approachThis multimethod study involved a cross-sectional survey and semi-structured interviews with GPs in the Ireland East region. A total of 1,274 GPs were identified from publicly available data as practising in the region, of whom the study team were able to identify 430 GPs with email addresses. An email invite was sent to 430 potential participants asking them to complete a 34-item online questionnaire and, for those who were willing, an in-depth interview was conducted with a member of the study team.FindingsIn total, 116 GPs completed the survey. Most GPs felt that enhancing integration between primary and secondary care in Ireland was a priority (n = 109, 93.9%). Five themes concerning the state of integrated care and initiatives to improve matters were identified from semi-structured interviews with 12 GPs.Originality/valueThe uniqueness of this study is that it uses a multimethod approach to provide insight into current GP views on the state of integrated care in Ireland, as well as their perspectives on how to improve integration within the Irish healthcare system.

Staff experiences of integrating community and secondary care musculoskeletal services: A qualitative investigation

“…Integrated care has been used for different conditions including diabetes and stroke (Allen & Rixson, 2008; Busetto et al., 2016; Van Exel et al., 2005), but there is less understanding of how it works in the context of MSK care. Additionally, integration is not without documented challenges; previous studies suggest that difficulties delivering integrated care include a lack of successful cooperation, collaboration and communication between professionals (Dunlea et al., 2022), inadequate payment mechanisms (Nicholson et al., 2013) and inadequate referral pathways (Dowd et al., 2017).…”