The operations aspect of the evaluation involved a number of methods to capture data from a range of stakeholders involved across the seven sites. Participation was voluntary. Patients and clinicians were informed that there would be no adverse consequences as a result of not agreeing to participate in completion of the survey or in semi-structured interviews.
GP Super Clinic Directors On-line Self-assessment FormAn on-line self-assessment form was developed to enable each Director to detail the extent of implementation of approaches aligned to the GP Super Clinics Program objectives. Each Director was sent an email with a unique link to an on-line self-assessment form. The email included a letter of invitation to the evaluation. Completion of the on-line self-assessment form was considered to be consent. The online-survey system automatically provided prompts for those who did not respond. Two reminder emails were sent to non-responders.
Patient SurveyPatients over 18 years of age attending any of the seven GP Super Clinics two weeks prior to the site visit were asked by reception staff to complete pen-and-paper surveys. All seven GP Super Clinics were sent 150 surveys in envelopes. The GP Super Clinics were also sent an instruction sheet for the provision of the surveys, for use by reception staff. This sheet addressed procedures for:
- Providing patients with the envelope containing the survey and letter of invitation
- Assessing eligibility
- Identifying patients from Non-English-speaking backgrounds (NESB)
- Answering questions patients may ask about the survey and its completion
- Returning all sealed surveys to the evaluation team.
Patients were advised about the survey by reception staff and shown where they could access unsealed brown envelopes which contained the patient letter of invitation and the patient survey. Those identified as NESB patients were offered white envelopes containing the survey, an information sheet for their family members to support the patients completing the surveys, and stamped self-addressed envelopes which allowed the patients to post the completed surveys to the evaluators. Reception staff asked the NESB patients to discuss the survey with their families and if completed, to return it in the supplied reply-paid envelopes.
The aims of the patient survey were to:
- Assess patient perceptions of the GP Super Clinics in relation to
- cultural and linguistic relevance
- Examine whether perception is associated with age group, gender, employment status, country of birth and health insurance status
- Assess patient self-report of clinician discussion of lifestyle risks, screening and management of health conditions
Clinician SurveyThe Director of each of the seven GP Super Clinics was asked to provide the names, positions and contact emails for each of the clinicians who provide services at the GP Super Clinics. Clinicians included general practitioners, medical specialists, and nursing and allied health staff. To encourage participation in the survey, information notices were provided for display in the staff rooms at the GP Super Clinics and for inclusion in staff newsletters. Clinicians had the option of declining the request for their details being sent to the evaluation team. Participation was voluntary, and staff were informed that there would be no adverse consequences as a result of not agreeing to have their contact details sent to the evaluation team.
The aims of the clinician survey were to:
- Assess clinicians’ perceptions of:
- the importance of key elements of the GP Super Clinics Program in providing high quality primary care
- how well elements of high quality primary care were being implemented in their GP Super Clinics
- the factors which support multidisciplinary care in their GP Super Clinics.
- Compare patient report and clinician report of clinician discussion of lifestyle risks, screening and management of health conditions.
Site VisitsSite visits to each of the seven operating sites were undertaken. Semi-structured interviews were conducted for each of the stakeholder groups including:
- GP Super Clinic Directors
- Community stakeholders
The interviews were tailored to each of the stakeholder groups relevant to their discipline and/or their role in the development and operation of the GP Super Clinics. The interviews were held in separate (private) rooms at the GP Super Clinics. A log of the interviews for each stakeholder group was recorded with data on age, gender and discipline of clinicians. Each interview was recorded, and all interviews were analysed for common themes.