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Putting prevention into practice (Green Book)

Planning for prevention

Effective implementation is based upon the use of a clear framework and planning processes. This method is based on the common elements from a range of models and approaches including the use of a settings approach,29 organisational change,30-32 continuous quality improvement,33,34 systems change, PRECEDE-PROCEED, community orientated primary care, 35 collaboratives,36 complexity theory, and diffusion theory and models.37-41 Planning underpins a successful approach to improving prevention for patients in your practice.

However, improving prevention in general practice requires:

  • deciding whether you are ready for change
  • flagging barriers in relation to change, and
  • acknowledging difficulties and issues and thinking about how to overcome them.

Factors affecting willingness or capacity to change may be related to attitudes, skills and values of the individual, as well as the broader organisational context.