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Seasonal Focus – Winter

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Practice-based Population Health Management Program

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Content last updated 24/08/2022

Seasonal Focus – Winter

Burden of Care

Deprescribing
https://gcphn.org.au/practice-support/support-for-general-practice/practice-based-population-health-management-program/seasonal-focus-winter/#deprescribing Copied to clipboard

Below information developed using information from RACGP Silver Book

  1. Patient Assessment
    • Complete medical and functional history from patient and/or carer
  2. Therapeutic Goals
    • Determining goals of care with patient and/or carer
  3. Medication history and correlate
    • Obtain complete history of medicines inclusive of prescriptions, over the counter and complementary medicines and match with medical history
  4. Assess medicines
    • Optimise medicines with net benefit
    • Cease medicines without net benefit
  5. Monitor
    • Achieving goals of care and repeat cycle when indicated

 

Resources
https://gcphn.org.au/practice-support/support-for-general-practice/practice-based-population-health-management-program/seasonal-focus-winter/#resources Copied to clipboard

​Primary Health Tasmania – Deprescribing Resources

Medication Management Reviews – Consider DMMR or HMMR to review patients medications

Person Centred Care

Person Centred Care
https://gcphn.org.au/practice-support/support-for-general-practice/practice-based-population-health-management-program/seasonal-focus-winter/#person-centred-care Copied to clipboard
  1. Review
    • Review current referrals and specialist and allied health appointments with patient and/or carer to assess which ones are necessary or relevant
    • Consider burdens such as time, accessibility and cost to patient
  2. Reduce
    • Reduce referrals/visits to specialists and allied health if excessive
    • Reduce unnecessary tests if appropriate
  3. Coordinate
    • Coordinate any relevant tests and/or appointments to make better use of patient time
    • Consider patient nurse review using item number 10997
Resources
https://gcphn.org.au/practice-support/support-for-general-practice/practice-based-population-health-management-program/seasonal-focus-winter/#resources Copied to clipboard

Minimally disruptive medicine for patients with complex multimorbidity 

Out-of-pocket expenditure by Australian seniors with chronic disease: the effect of specific diseases and morbidity clusters

‘You say treatment, I say hard work’: treatment burden among people with chronic illness and their carers in Australia.

Guide to Deprescribing

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