Optimising skill-mix in the primary health care workforce for the care of older Australians: a systematic review

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Zwar, Nicholas
Dennis, Sarah
Griffiths, Rhonda
Perkins, David
May, Jenny
Hasan, Iqbal
Sibbald, Bonnie
Caplan, Gideon
Harris, Mark

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Australian Primary Health Care Research Institute (APHCRI), The Australian National University.

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Australia has an ageing population resulting in demand for extensive and comprehensive care of chronic disease. This demand has required new thinking about primary health care workforce re-modelling to meet the health care needs of community dwelling older Australians. Sibbald and others have developed a model of skill-mix change to discuss workforce redesign. We conducted a systematic literature review to identify skill-mix changes needed in the primary health care workforce to successfully meet the health care needs of older Australians. Sibbald's concept that skill-mix changes could be obtained through task substitution, enhancement, delegation and innovation formed the conceptual framework for the review.

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