ID-5184 Wonca Abstracts supplement L-Z 13-10-23 - Flipbook - Page 50
WONCA 2023 Supplement 2: WONCA 2023 abstracts (L–Z)
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Guideline adaptation in primary care: An opportunity to
foster equity
Dr Ania Lucewicz Samarawickrama1,2, Scott Walters1, Michelle Crockett1, Faeha Tashkeel1,
Umut Akturk1
1
HealthPathways Western Sydney, 2University of Sydney
Background
HealthPathways is a quality improvement initiative where guidelines are adapted into locally relevant
clinical protocols for point-of-care use by GPs. While guidelines are often derived from evidence
formulated in specialist urban settings with high resourcing, clinical protocols need to reflect local
resourcing and variation in patient needs. The gap between guidelines and local realities can be a
challenge to address.
Aims
This session will provide an overview of the challenges with guideline adaptation in Western Sydney
– an area of high social, cultural, ethnic and economic diversity. The session will outline opportunities
and strategies to ensure that guideline adaptation benefits the most underserved people in
our community.
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This presentation will provide:
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A case study of a challenging guideline localisation: hypertension. The evidence cited in
Australian national guidelines will be compared with the challenges presented by the local
context. Demographic data from our Primary Health Network (PHN) will be presented to
highlight population differences between those recruited into trials and the local population,
and demonstrate contextual challenges specific to Western Sydney.
Examples of strategies which bridge the gap between guidance and local realities. The value
of commissioned services will be discussed, including an example of a lifestyle intervention
commissioned by the PHN. This presentation will demonstrate how guideline adaptation initiatives
can work with service commissioners to bridge the gap between guidance and local realities,
including information-sharing platforms in language. Team-based care will be discussed.
An overview of guideline quality assessment tools (including AGREE II), their role in adaptation
and future directions for the development of tools to improve the quality adaptation for the primary
care setting.
Conclusion
Guideline adaptation should consider the needs of those at risk of poorer health outcomes.
Strategies should be implemented to ensure that the vulnerable benefit from clinical guidance.
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