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.
Abstract
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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