General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.

<h4>Background</h4>Although primary health care, and in particular, general practice will be at the frontline in the response to pandemic influenza, there are no frameworks to guide systematic planning for this task or to appraise available plans for their relevance to general practice....

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Autores principales:	Mahomed S Patel, Christine B Phillips, Christopher Pearce, Marjan Kljakovic, Paul Dugdale, Nicholas Glasgow
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2008
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/aa71e26712784b038481ea15d33f1279
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spelling	oai:doaj.org-article:aa71e26712784b038481ea15d33f12792021-11-25T06:12:15ZGeneral practice and pandemic influenza: a framework for planning and comparison of plans in five countries.1932-620310.1371/journal.pone.0002269https://doaj.org/article/aa71e26712784b038481ea15d33f12792008-05-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18509538/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Although primary health care, and in particular, general practice will be at the frontline in the response to pandemic influenza, there are no frameworks to guide systematic planning for this task or to appraise available plans for their relevance to general practice. We aimed to develop a framework that will facilitate planning for general practice, and used it to appraise pandemic plans from Australia, England, USA, New Zealand and Canada.<h4>Methodology/principal findings</h4>We adapted the Haddon matrix to develop the framework, populating its cells through a multi-method study that incorporated the peer-reviewed and grey literature, interviews with general practitioners, practice nurses and senior decision-makers, and desktop simulation exercises. We used the framework to analyse 89 publicly-available jurisdictional plans at similar managerial levels in the five countries. The framework identifies four functional domains: clinical care for influenza and other needs, public health responsibilities, the internal environment and the macro-environment of general practice. No plan addressed all four domains. Most plans either ignored or were sketchy about non-influenza clinical needs, and about the contribution of general practice to public health beyond surveillance. Collaborations between general practices were addressed in few plans, and inter-relationships with the broader health system, even less frequently.<h4>Conclusions</h4>This is the first study to provide a framework to guide general practice planning for pandemic influenza. The framework helped identify critical shortcomings in available plans. Engaging general practice effectively in planning is challenging, particularly where governance structures for primary health care are weak. We identify implications for practice and for research.Mahomed S PatelChristine B PhillipsChristopher PearceMarjan KljakovicPaul DugdaleNicholas GlasgowPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 3, Iss 5, p e2269 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mahomed S Patel Christine B Phillips Christopher Pearce Marjan Kljakovic Paul Dugdale Nicholas Glasgow General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.
description	<h4>Background</h4>Although primary health care, and in particular, general practice will be at the frontline in the response to pandemic influenza, there are no frameworks to guide systematic planning for this task or to appraise available plans for their relevance to general practice. We aimed to develop a framework that will facilitate planning for general practice, and used it to appraise pandemic plans from Australia, England, USA, New Zealand and Canada.<h4>Methodology/principal findings</h4>We adapted the Haddon matrix to develop the framework, populating its cells through a multi-method study that incorporated the peer-reviewed and grey literature, interviews with general practitioners, practice nurses and senior decision-makers, and desktop simulation exercises. We used the framework to analyse 89 publicly-available jurisdictional plans at similar managerial levels in the five countries. The framework identifies four functional domains: clinical care for influenza and other needs, public health responsibilities, the internal environment and the macro-environment of general practice. No plan addressed all four domains. Most plans either ignored or were sketchy about non-influenza clinical needs, and about the contribution of general practice to public health beyond surveillance. Collaborations between general practices were addressed in few plans, and inter-relationships with the broader health system, even less frequently.<h4>Conclusions</h4>This is the first study to provide a framework to guide general practice planning for pandemic influenza. The framework helped identify critical shortcomings in available plans. Engaging general practice effectively in planning is challenging, particularly where governance structures for primary health care are weak. We identify implications for practice and for research.
format	article
author	Mahomed S Patel Christine B Phillips Christopher Pearce Marjan Kljakovic Paul Dugdale Nicholas Glasgow
author_facet	Mahomed S Patel Christine B Phillips Christopher Pearce Marjan Kljakovic Paul Dugdale Nicholas Glasgow
author_sort	Mahomed S Patel
title	General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.
title_short	General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.
title_full	General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.
title_fullStr	General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.
title_full_unstemmed	General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.
title_sort	general practice and pandemic influenza: a framework for planning and comparison of plans in five countries.
publisher	Public Library of Science (PLoS)
publishDate	2008
url	https://doaj.org/article/aa71e26712784b038481ea15d33f1279
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General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.

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