Sharing or shuffling — realities of chronic disease care in general practice

Sue E Kirby, Joyce L Chong, Maureen Frances, Gawaine Powell Davies, David A Perkins, Nicholas A Zwar and Mark F Harris
Med J Aust 2008; 189 (2): . || doi: 10.5694/j.1326-5377.2008.tb01920.x
Published online: 21 July 2008

To the Editor: We conducted a qualitative study to explore the perspectives of general practitioners and allied and other health professionals on their interactions in the care of patients with chronic disease, especially where Team Care Arrangements (TCAs) are involved. We interviewed 16 clinicians from urban and rural New South Wales who were involved in the care of patients with type 2 diabetes, ischaemic heart disease and hypertension — four GPs, two practice nurses, two medical specialists and eight allied health clinicians. Interviews took place from late 2006 to early 2007.

  • Sue E Kirby1
  • Joyce L Chong1
  • Maureen Frances2
  • Gawaine Powell Davies1
  • David A Perkins3
  • Nicholas A Zwar1
  • Mark F Harris1

  • 1 School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW.
  • 2 South Eastern Sydney Division of General Practice, Sydney, NSW.
  • 3 Broken Hill Centre for Remote Health Research, University of Sydney, Broken Hill, NSW.



We thank the study participants for their time and frank and open contributions. The study was part of a project funded by the Australian Health Ministers’ Priority Driven Research Program.


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