Role of Primary Care and the RACGP in Clinical Trials...e Chair RACGP Board, and NSW/ACT Faculty...

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MichaelTAM Staff Specialist Academic Primary and Integrated Care Unit SWSLHD and Ingham Institute Conjoint Senior Lecturer School of Public Health and Community Medicine UNSW Sydney [email protected] Role of Primary Care and the RACGP in Clinical Trials

Transcript of Role of Primary Care and the RACGP in Clinical Trials...e Chair RACGP Board, and NSW/ACT Faculty...

Page 1: Role of Primary Care and the RACGP in Clinical Trials...e Chair RACGP Board, and NSW/ACT Faculty Council A/Prof CharlotteHESPE Head General Practice and Primary Care Research, School

MichaelTAMStaff Specialist Academic Primary and Integrated Care Unit

SWSLHD and Ingham Institute

Conjoint Senior Lecturer School of Public Health and Community Medicine

UNSW Sydney

[email protected]

Role of Primary Care and theRACGP in Clinical Trials

Page 2: Role of Primary Care and the RACGP in Clinical Trials...e Chair RACGP Board, and NSW/ACT Faculty Council A/Prof CharlotteHESPE Head General Practice and Primary Care Research, School

eco

logy

White KL et al. The ecology of medical care. N Engl J Med 1961;265:885-892

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eco

logy

The availability of good medical care tends to vary inversely with the need

for it in the population served.

Hart J. The inverse care law. Lancet 1971;297(7696):405-412

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gras

sro

ots

?

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“GPs are asked constantly to be part of research projects or to refer patients without any particular

benefit…”

“…we don’t want to spam this community with research requests although we are all vitally supportive of

it.”

inundation

Page 6: Role of Primary Care and the RACGP in Clinical Trials...e Chair RACGP Board, and NSW/ACT Faculty Council A/Prof CharlotteHESPE Head General Practice and Primary Care Research, School

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“I am happy to participate in clinical trials if I am not heavily disadvantaged in either time or income.

I do not ever recall being approached to participate in a research project that is adequately funded to

cover my income/time spent participating.”

burden of costs

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Having said that, we have participated in the COMPASS and ACCEPT trials as we felt they were beneficial for

our patients from the outset and did not impose greatly on the running of the practice.

burden of costs

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GP researchers are also wanting to do their own research projects and so feel at a disadvantage when bigger trials with better funding are trying to also

do projects in our space.

competition

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We are not being very inspiring. I suppose this sounds like a big moan. I see only barriers.

Salaried doctors running around working diligently on research is just another world for the average G.P.

who is fee-for-service.

weariness

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inte

rpre

tati

on

don’t rely on a “deficits” framework

build relationships based on:

RespectTrustReciprocity

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A/Prof CharlotteHESPEChair RACGP Board, and NSW/ACT Faculty Council

Head General Practice and Primary Care Research, School of Medicine

University of Notre Dame, Sydney Australia

• RACGP is working with the MRFF to try and increase the amount of research funds that can flow into primary care based research

• RACGP is working with DoH and AAAPC to look at ways of strengthening GP practice based research networks (PBRNs)

• RACGP encourages a collaborative approach• with primary care researchers to achieve the goal

of increased evidence based practice• with PBRNs to assist them in recruitment

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A/Prof CharlotteHESPEChair RACGP Board, and NSW/ACT Faculty Council

Head General Practice and Primary Care Research, School of Medicine

University of Notre Dame, Sydney Australia

In turn we are more than happy to assist in ways to communicate with GPs in

general and to facilitate recruitment of appropriate patients from the GP setting.

It needs to be a win-win for everyone.

relationships

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syn

the

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“yes, but…”

respecttrust

reciprocity

ecology

collaboration

TAMMichael

[email protected]