The Primary Care Amplification Model (PCAM) and ‘beacon’ practice design

These build on the core elements of high quality general practice and primary care – first contact, continuous, comprehensive and coordinated care provided to populations undifferentiated by gender, disease, or organ system.The PCAM features four additional key practice characteristics:

  • an ethos of supporting primary care both within and external to the practice
  • an expanded clinical model of care;
  • a governance approach that meets the specific needs of the community it serves;
  • and a technical and physical infrastructure to deliver the expanded scope of practice. 

The model centres around the creation of ‘beacon’ practices, which act to support and extend the capacity of primary care in the area, and better integrate service delivery locally between general practice, specialist services and other state-funded care. This is accomplished via the establishment of a general practice ‘mustering point’ for an expanded scope of practice for primary care in areas of population need, service innovation, teaching and data management and quality improvement. It is these characteristics that enable a ‘beacon’ practice to realise its potential.

  • Hollingworth S, Donald M, Zhang J, Phani Vaikuntam B, Russell A, Jackson C ‘Impact of a general practioner-led integrated model of care on the cost of potentially preventable diabetes-related hospitalisations’ Prim Care Diabetes 2017 Apr 23. pii: S1751-9918(17)30050-5. https://www.ncbi.nlm.nih.gov/pubmed/28442341
  • Zhang, J, Donald, M, Baxter, KA, Ware, RS, Burridge, LH, Russell, AW, Jackson CL ‘The impact of an integrated model of care on potentially preventable hospitalisations for people with Type 2 Diabetes Mellitus’. Diabetic Medicine Jul 2015; 32(7):872-80; doi: 10.1111/dme.12705.
  • Zhang J, Burridge L, Baxter K, Donald M, Foster M, Hollingworth S, Ware R, Russell A, Jackson C ‘A new model of integrated primary-secondary care for complex diabetes in the community: study protocol for a randomised controlled trial.’ Trials 2013; 14:382: 1-9; doi:10.1186/1745-6215-14-382
  • Russell A,  Baxter K, Askew D, Tsai J, Ware R, Jackson C ‘A model of care for the management of complex type 2 diabetes managed in the community by primary care physicians with specialist support: an open controlled trial.’  Diabetic Medicine 2013 Sep; 30(9): 1112-21; doi: 10.1111/dme.12251.
  • Hepworth J, Askew D, Jackson C, Russell A ‘Working with the team’: an exploratory study of improved type 2 diabetes management in a new model of integrated primary/secondary care.’  Australian Journal of Primary Health 2012;19(3), p207-12. http://www.publish.csiro.au/py/PY12087
  • Jackson C, Tsai J, Brown C, Askew D, Russell A ‘GPs with Special Interests impacting on complex diabetes care.’  Australian Family Physician Vol 39 No 12 Dec 2010, p972-74.  http://www.racgp.org.au/afp/2010/december/gps-with-special-interests/
  • Kay M, Jackson C, Nicholson C ‘Refugee health: a new model for delivering primary health care.’ Australian Journal of Primary Health 2010 16(1): 98-103; http://www.publish.csiro.au/PY/pdf/PY09048
  • Jackson C, Askew D, Nicholson C, Brooks P ‘The Primary Care Amplification Model: taking the best of primary care forward.’ BMC Health Services Research 2008, 8, p268.  DOI: 10.1186/1472-6963-8-268
  • Jackson C, Askew D ‘Is there a Polyclinic alternative acceptable to general practice? – the ‘beacon’ practice model.’  British Journal of General Practice, Volume 58, Number 555, October 2008, p733-733(1).  doi:  10.3399/bjgp08X342453

Health Care Home (HCH)

The Centre has been involved since the 2011 Primary Care Thought Leaders conference in Washington in the development of Australia’s Health Care Home model.  Prof Jackson was a member of the Primary Health Care Advisory Group (PHCAG) which described Australia’s HCH model, and the Centre works closely with partners in NZ, the UK and the USA in HCH development, implementation and evaluation. The PCPIT provides an establishment tool for practices and PHNs interested in practice HCH preparation.

  • Jackson C, Hambleton S ‘Australia’s Health Care Homes: laying the right foundations.’  Accepted MJA 27/03/2017 doi:10.5694/mja16.01470
  • Janamian T, Jackson C, Glasson N, Nicholson  ‘A systematic review of the challenges and barriers to implementation and adoption of the Patient-Centered Medical Home: lessons for Australian primary health care reform.’  MJA Supplement, 2014; 201 (3 Suppl): S69-S73; doi:10.5694/mja14.00295.
  •  Jackson C Australian general practice: primed for the ‘patient-centred medical home?’ MJA Vol 197 No 7 1 Oct 2012:365-366.  doi:10.5694/mja12.11373