{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:02:05Z","timestamp":1790762525523,"version":"4.1.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"unspecified","delay-in-days":272,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423626101844_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore general practitioners\u2019 (GPs\u2019) views and experiences of providing services in Adelaide residential aged care homes (RACHs) and identify barriers, enablers, and suitable models of care (MoC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101844_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>National reports describe persistent challenges with GP access in RACHs. Residents often have limited choice of visiting GPs, and fee-for-service payments incentivise episodic rather than proactive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101844_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A qualitative study comprising semi-structured interviews was conducted with Adelaide-based\u00a0GPs. Interviews were audio-recorded, transcribed, and analysed using reflexive thematic analysis. The i-PARIHS framework informed interview questions and interpretation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101844_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twelve GPs participated, with a median interview time of 24 minutes (range, 18\u201349 minutes). Five themes were generated: 1. Poor remuneration and work\u2013life balance, 2. Growing demands, operational inefficiencies and limited support, 3. Regulatory and administrative burdens detracting from care, 4. Small and diminishing cohort of GPs, and 5. Strengths and limitations across MoC. To improve care coverage, some GPs proposed a shared roster, with GPs rotating on-site to see their own residents and provide interim reviews for others.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101844_as5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>GP engagement in Adelaide RACHs remains constrained by inadequate remuneration, growing demands, system inefficiencies, and limited support. Addressing these challenges requires improved remuneration reflecting care complexity, more streamlined information systems, and adjustments to prescribing and administrative requirements. Regular scheduled in-hours visits and strong relationships with staff and residents were key facilitators. A shared GP roster may improve access, continuity, and coordination while reducing on-call burden and inefficiencies in RACH work, thereby supporting more proactive, timely care. This warrants future implementation research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423626101844","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:26:14Z","timestamp":1790760374000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["General practitioners\u2019 views and experiences of providing services in Adelaide residential aged care homes"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4380-0580","authenticated-orcid":false,"given":"Jolyn","family":"Johal","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01kpzv902","id-type":"ROR","asserted-by":"publisher"}],"name":"Flinders University Caring Futures Institute"},{"name":"Adelaide Primary Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2632-8437","authenticated-orcid":false,"given":"Heather","family":"Block","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01kpzv902","id-type":"ROR","asserted-by":"publisher"}],"name":"Flinders University Caring Futures Institute"},{"name":"Adelaide Primary Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8064-9974","authenticated-orcid":false,"given":"Alison","family":"Dymmott","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01kpzv902","id-type":"ROR","asserted-by":"publisher"}],"name":"Flinders University Caring Futures Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Exley","sequence":"additional","affiliation":[{"name":"Adelaide Primary Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0859-0215","authenticated-orcid":false,"given":"Stacey","family":"George","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01kpzv902","id-type":"ROR","asserted-by":"publisher"}],"name":"Flinders University Caring Futures Institute"},{"name":"Adelaide Primary Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"S1463423626101844_ref20","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.13112"},{"key":"S1463423626101844_ref9","first-page":"161","article-title":"General practice and residential aged care: a qualitative study of barriers to access to care and the role of remuneration","volume":"8","author":"Burgess","year":"2015","journal-title":"Australasian Medical Journal"},{"key":"S1463423626101844_ref14","doi-asserted-by":"publisher","DOI":"10.1155\/hsc\/5572426"},{"key":"S1463423626101844_ref2","unstructured":"Australian Government Australian Institute of Health and Welfare (2025b) People\u2019s care needs in aged care. Canberra. Available at https:\/\/www.gen-agedcaredata.gov.au\/topics\/people-s-care-needs-in-aged-care (accessed 7 April 2026)."},{"key":"S1463423626101844_ref4","unstructured":"Australian Government Department of Health, Disability and Ageing (2022) About medicare. Canberra. Available at https:\/\/www.gen-agedcaredata.gov.au\/topics\/people-s-care-needs-in-aged-care (accessed 7 April 2026)."},{"key":"S1463423626101844_ref22","unstructured":"Woodley, M (2019) GPs need more backing to improve aged care: RACGP president. NewsGP. Available at <https:\/\/www1.racgp.org.au\/newsgp\/professional\/gps-need-more-backing-to-improve-aged-care-racgp-p> (accessed 7 April 2026)."},{"key":"S1463423626101844_ref1","unstructured":"Australian Government Australian Institute of Health and Welfare (2025a) People using aged care. Canberra. Available at https:\/\/www.gen-agedcaredata.gov.au\/topics\/people-using-aged-care (accessed 7 April 2026)."},{"key":"S1463423626101844_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"S1463423626101844_ref3","unstructured":"Australian Government Department of Health and Aged Care (2024) Supply and demand study general practitioners in Australia. Canberra. Available at https:\/\/hwd.health.gov.au\/resources\/primary\/gp-supply-and-demand-study-compendium-august-2024.pdf (accessed 7 April 2026)."},{"key":"S1463423626101844_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12561"},{"key":"S1463423626101844_ref7","unstructured":"Australian Government Office of The Inspector-General of Aged Care (2024) Progress report on the implementation of the recommendations of the royal commission into aged care quality and safety. Canberra. Available at https:\/\/www.igac.gov.au\/resources\/2024-progress-report-implementation-recommendations-royal-commission-aged-care-quality-and-safety (accessed 7 April 2026)."},{"key":"S1463423626101844_ref12","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0398-2"},{"key":"S1463423626101844_ref11","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb01148.x"},{"key":"S1463423626101844_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-463"},{"key":"S1463423626101844_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05718-0"},{"key":"S1463423626101844_ref21","unstructured":"Wisbey, M (2024) New aged care incentive \u2018a bandaid solution. NewsGP. Available at <https:\/\/www1.racgp.org.au\/newsgp\/professional\/new-aged-care-incentive-a-bandaid-solution> (accessed 7 April 2026)."},{"key":"S1463423626101844_ref5","unstructured":"Australian Government Department of Health, Disability and Ageing (2025) Supporting access to primary care for aged care residents. Canberra. Available at https:\/\/www.health.gov.au\/our-work\/phn\/how-we-support-phns\/aged-care?language=en (accessed 26 June 2026)."},{"key":"S1463423626101844_ref6","unstructured":"Australian Government Department of Health, Disability and Ageing (2026) MBS telehealth services. Canberra. Available at https:\/\/www.mbsonline.gov.au\/internet\/mbsonline\/publishing.nsf\/Content\/Factsheet-Telehealth-Updates-April%202023 (accessed 26 June 2026)."},{"key":"S1463423626101844_ref10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2025-110642"},{"key":"S1463423626101844_ref17","unstructured":"Royal Commission into Aged Care Quality and Safety (2021) Final report: care, dignity and respect (volume 3a the new system). Canberra. Available at https:\/\/www.royalcommission.gov.au\/system\/files\/2021\u201303\/final-report-volume-3a.pdf (accessed 7 April 2026)."},{"key":"S1463423626101844_ref18","doi-asserted-by":"publisher","DOI":"10.4135\/9781446218730"},{"key":"S1463423626101844_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2025.106032"},{"key":"S1463423626101844_ref19","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423626101844","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:26:17Z","timestamp":1790760377000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423626101844\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":23,"alternative-id":["S1463423626101844"],"URL":"https:\/\/doi.org\/10.1017\/s1463423626101844","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e118"}}