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Gruen et al's domains matched to the RACGP case study |
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| Domains of obligation and aspiration |
Obligation |
Aspiration |
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| Individual high quality patient care |
Access to care |
Direct socioeconomic influences |
Broad and global socioeconomic influences |
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| Examples of actions where broad agreement exists |
Ensure GP trainees exposed to work in disadvantaged communities |
Ensure training includes opportunities to assess community need including local practice responses to unmet need |
Include socio-economic context more prominently in the problem based curriculum Advocate for increased support for training practices in areas of disadvantage |
Formation of an intercollegiate group and a group within WONCA(World Organization of National Colleges and Academies of Family Medicine) to advocate on the link between socioeconomic disadvantage and ill-health |
| Examples of actions where disagreement exists |
Mandating exposure to work in disadvantaged communities Develop standards on equity of reach of quality measures of clinical care within the known practice population |
Advocate for practices to address financial barriers to accessing care Practices to assess unmet need in their area as a part of accreditation |
Learning plans to be mandatory and linked to identified community need |
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Bold type represent Gruen's areas of professional obligation where consensus exists for action. | ||||
Furler et al. BMC Medicine 2007 5:23 doi:10.1186/1741-7015-5-23 |
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