Community engagement in general practice: a qualitative study

J Prim Health Care. 2019 Jul;11(2):146-151. doi: 10.1071/HC18092.

Abstract

BACKGROUND Community engagement is believed to be an important component of quality primary health care. We aimed to capture specific examples of community engagement by general practices, and to understand the barriers that prevent engagement. METHODS We conducted 20 distinct interviews with 31 key informants from general practice and the wider community. The interviews were semi-structured around key relevant topics and were analysed thematically. RESULTS Key themes identified from the interview transcripts included an understanding of 'community', examples of community engagement and the perceived benefits and barriers to community-engaged general practice. We particularly explored aspects of community engagement with Māori. CONCLUSIONS General practices in the study do not think in terms of communities, and they do not have a systematic framework for engagement. Although local champions have generated some great initiatives, most practices seemed to lack a conceptual framework for engagement: who to engage with, how to engage with them, and how to evaluate the results of the engagement.

MeSH terms

  • Community Participation / methods*
  • Female
  • General Practice / organization & administration*
  • General Practice / standards
  • Humans
  • Interviews as Topic
  • Male
  • Native Hawaiian or Other Pacific Islander / psychology
  • New Zealand
  • Primary Health Care / organization & administration*
  • Primary Health Care / standards
  • Qualitative Research
  • Quality of Health Care / organization & administration