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dc.contributor.authorO'Connor, R
dc.contributor.authorSlater, K
dc.contributor.authorBall, L
dc.contributor.authorJones, A
dc.contributor.authorMitchell, L
dc.contributor.authorRollo, ME
dc.contributor.authorWilliams, LT
dc.date.accessioned2019-06-08T01:31:59Z
dc.date.available2019-06-08T01:31:59Z
dc.date.issued2019
dc.identifier.issn0952-3871
dc.identifier.doi10.1111/jhn.12617
dc.identifier.urihttp://hdl.handle.net/10072/383154
dc.description.abstractBackground Primary healthcare dietitians have a vital role to play in the prevention and management of chronic disease. Working in primary care requires efficient and effective management of practice to ensure client and practitioner needs are met. The present study aimed to explore the way in which primary care dietitians in Australia view the constructs of efficiency and effectiveness within the context of their practice. Methods The study used an exploratory qualitative design within a pragmatist framework. Individual semi‐structured telephone interviews were conducted with Australian primary care dietitians. All interviews were audio‐recorded, transcribed verbatim and analysed using an inductive thematic approach. Results Twenty dietitians (17 females) working as private practitioners in primary care from three Australian states participated in the present study. Three themes emerged from the data. The first theme revealed that seeking efficiency and especially effectiveness were important to primary care dietitians and that there was a tension between the two. The second theme identified that efficiency and effectiveness are influenced by personal and structural factors. The final theme explored how dietitians are actively seeking ways to be more efficient and effective, including supportive networks, as well as the utilisation of technology. Conclusions Achieving a balance between efficiency and effectiveness in primary care dietetics is challenging to practitioners, who may require further training and support to enhance productivity, time management and resource utilisation. Structured issues exist for the workface. Further studies are required to quantify these findings and to explore whether it is possible to optimise efficiency and effectiveness and achieve sustainability of the dietetic workforce in primary care.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofpagefrom259
dc.relation.ispartofpageto266
dc.relation.ispartofissue2
dc.relation.ispartofjournalJOURNAL OF HUMAN NUTRITION AND DIETETICS
dc.relation.ispartofvolume32
dc.subject.fieldofresearchNutrition and dietetics
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchcode3210
dc.subject.fieldofresearchcode3202
dc.subject.keywordsDietetics
dc.subject.keywordsNutritionist
dc.subject.keywordsOutcome assessment (healthcare)
dc.subject.keywordsPrimary health care
dc.subject.keywordsPrivate practice
dc.subject.keywordsSustainability
dc.titleThe tension between efficiency and effectiveness: a study of dietetic practice in primary care
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2019 The British Dietetic Association Ltd. This is the peer reviewed version of the following article: The tension between efficiency and effectiveness: a studyof dietetic practice in primary care, Journal of Human Nutrition and Dietetics, Vol. 32, 259–266, 2019, which has been published in final form at 10.1111/jhn.12617. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorMitchell, Lana J.
gro.griffith.authorO'Connor, Rochelle


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