Facilitating hepatitis B clinical management in general practice: A qualitative investigation
Jack Wallace, Jacqueline A. Richmond, Nicole Allard, Jess Howell, Emily Adamson, Yinzong Xiao, Clare O’Reilly, Margaret Hellard
Abstract
METHOD: Data from qualitative semi-structured interviews with 19 participants from primary care settings were thematically analysed. RESULTS: Critical elements in providing clinical care in primary care settings were identified at an organisational and provider level. A supportive organisational culture included leadership, a multidisciplinary team approach, community engagement and cultural competency, while provider-related issues included authorisation to prescribe, access to linguistic and cultural mediators and effective relationships with relevant specialist services. DISCUSSION: The research identified practice leadership, organisational culture and a patient focus supported hepatitis B clinical management transitioning from specialist to primary care services.