title: Implementation of the enhanced primary care items requires ongoing education and evaluation.
abstract: OBJECTIVE
  The study aimed to evaluate the uptake and usage of the Federal Government's Enhanced Primary Care (EPC) items by general practitioners in outer urban general practice.
  
  
  METHODS
  Faxed questionnaire with telephone follow up of a random sample of 347 GPs in South West Sydney, in March and April 2000.
  
  
  RESULTS
  There was a response rate of 70.6%. Seventy-three percent of respondents reported they had heard of the EPC package and 27% of all the respondents had used one or more of the items. Twenty-three percent had claimed for health assessments (median number 3), 4.5% for care plans (median number 3) and 4% for case conferences (median number 1). Just under half of the GPs who had claimed for health assessments had conducted them in the patient's home. Most GPs either had no system for the use of the items or planned to use them opportunistically. Forty-nine percent of GPs had an age-sex register and those who did were more likely to have claimed for an EPC item and to have specific plans for their use.
  
  
  CONCLUSIONS
  While most GPs had heard of the EPC items, only a minority had used them and few planned to use them systematically within their practice. There is a need to address barriers to the uptake of the EPC items and to provide greater support to GPs and health professionals involved with their implementation, especially for care plans and case conferences. Evaluation of the EPC items needs to be an integral part of the implementation process.
authors.affiliation: Department of General Practice, South West Sydney Area Health Service, School of Community Medicine, University of New South Wales.
authors.forename: T
authors.initials: T
authors.lastname: Blakeman
authors.forename: M F
authors.initials: MF
authors.lastname: Harris
authors.forename: E
authors.initials: E
authors.lastname: Comino
authors.forename: N
authors.initials: N
authors.lastname: Zwar
mesh_terms: D000328:Adult; D001315:Australia; D004502:Education, Medical, Continuing; D005260:Female; D018166:Health Care Reform; D019538:Health Care Surveys; D006284:Health Plan Implementation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D012424:Rural Population; D012494:Sampling Studies; D014505:Urban Population