P074 Design of general practice-delivered models of care for sleep health care: lessons learnt from chronic disease management in general practice

Abstract Introduction General practice-delivered models of care for obstructive sleep apnea and insomnia have been developed in response to challenges with access to care. However, despite evidence of effectiveness, these models are not yet integrated into routine practice. Understanding factors influencing implementation can facilitate translation into practice however research exploring the implementation of models of care for sleep health care is scarce. As such, a systematic review exploring the implementation of models of care for chronic disease was conducted to inform models of care for chronic sleep disorders. Methods A mixed-methods JBI convergent integrated systematic review. Seventy-two records, published between 1995 and 2022, were included. Framework synthesis was conducted however data that did not fit the chosen conceptual framework was identified, necessitating the development of a new amended framework. Results Relationship between general practice staff and specialist services, compatibility with existing work processes, patient-centred care, and an understanding of the benefits of the model of care by clinicians and patients were facilitators to implementation. Lack of transparency and understanding about the roles and responsibilities of team members, inadequate funding, and models of care that restrict individualised patient care limited implementation. Discussion This review provides recommendations that can be used to inform the design and implementation of new general practice-delivered models of care for chronic sleep disorders. Establishing relationships, understanding the general practice context, and engagement of patients (co-design) when designing models of care, may facilitate the implementation of models of care that meet the needs of patients and general practice staff.