Improving primary care for Australian children: the Australian National Paediatric Applied Research Translation Initiative (N-PARTI)

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ID: 331570
2026
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Abstract
Abstract The 60:30:10 problem is well established in healthcare: on average, ∼60% of care aligns with evidence and guidelines; ∼30% of expenditure on care is wasteful; and ∼10% of encounters result in an adverse event, near miss, or serious harm to a patient. When considered in relation to care provided in general practice for paediatric populations, the 60:30:10 problem is challenging to optimise, particularly in the management of asthma and Type 1 diabetes (T1D), and the appropriate prescription of antibiotics. Previous work has shown that ∼54% of care that is provided by General Practitioners (GPs) to children with asthma and ∼51% for T1D is in line with evidence or guidelines, and that antibiotic prescription is not guideline adherent for ∼85% of paediatric visits for low-risk earache and sore throat. The reasons behind these numbers are complex, and attributable to multiple policy and systems-level factors. Here, we argue for a policy-level response via a national collaboration: the National Paediatric Applied Research Translation Initiative (N-PARTI). Clinicians, researchers, policy specialists, patients and their families working together, aiming to transform the level of evidence-based care provided by GPs for Australian children with asthma or T1D and reduce unwarranted antibiotic prescribing for paediatric patients. It is no longer feasible to simply decree that GPs must learn from specialist practice and deliver care in accordance with relevant guidelines. Instead, our project design will leverage deep partnerships between key policy, practice, research, consumer and peak representative organisations to tackle evidence and practice deficits.
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Authors Jeffrey Braithwaite, Georgia Fisher, Reema Harrison, Virginia Mumford, Elizabeth Ann Davis, Carl de Wet, Nusrat Homaira, Rebecca J Mitchell, Adam Jaffé, Simon Willcock, Brendan Joseph McMullan, Gaston Arnolda, Yvonne A. Zurynski, Helen Woodhead, Brendan Goodger, Les White, Luke Elias, Swati Vir, Learne Durrington, Michele Smith, Leisa Fraser, Jamie Swann, Anthony W. P. Flynn, Cris Massis, Imogen Benson, Tina Vickery, Hannah Corbett, Christina Rojas, Diya Joypaul, Duha N. Gide, Kate Churruca, Peter Damian Hibbert
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Journal IJQHC Communications
Year 2026
DOI
10.1093/ijcoms/lyag047
URL
https://doi.org/10.1093/ijcoms/lyag047
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