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Australian Journal of Primary Health

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https://www.readbyqxmd.com/read/28196579/realisation-of-a-joint-consumer-engagement-strategy-in-the-nepean-blue-mountains-region
#1
Ilse Blignault, Diana Aspinall, Lizz Reay, Kay Hyman
Ensuring consumer engagement at different levels of the health system - direct care, organisational design and governance and policy - has become a strategic priority. This case study explored, through interviews with six purposively selected 'insiders' and document review, how one Medicare Local (now a Primary Health Network, PHN) and Local Health District worked together with consumers, to establish a common consumer engagement structure and mechanisms to support locally responsive, integrated and consumer-centred services...
February 15, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28173918/rural-and-regional-community-health-service-boards-perceptions-of-community-health-a-delphi-study
#2
Diana Guzys, Guinever Threlkeld, Virginia Dickson-Swift, Amanda Kenny
Much has been written about the composition of health service boards and the importance of recruiting people with skills appropriate for effective and accountable governance of health services. Governance training aims to educate directors on their governance responsibilities; however, the way in which these responsibilities are discharged is informed by board members' understanding of health within their communities. The aim of this study was to identify how those engaged in determining the strategic direction of local regional or rural community health services in Victoria, Australia, perceived the health and health improvement needs of their community...
February 8, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28173917/-i-m-not-sure-it-paints-an-honest-picture-of-where-my-health-s-at-identifying-community-health-and-research-priorities-based-on-health-assessments-within-an-aboriginal-and-torres-strait-islander-community-a-qualitative-study
#3
Geoffrey K Spurling, Chelsea J Bond, Philip J Schluter, Corey I Kirk, Deborah A Askew
Aboriginal and Torres Strait Islander health assessments are conducted annually in Australian primary care to detect risk factors, chronic diseases and implement preventive health measures. At the Inala Indigenous Health Service, health assessment data have also been used for research purposes. This research has been investigator-driven, which risks misinterpreting or ignoring community priorities compared with community-led research. The objective of this research was to learn about the Aboriginal and Torres Strait Islander community's health priorities that could be translated into research themes, and investigate these using health assessment data...
February 8, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28162218/workforce-insights-on-how-health-promotion-is-practised-in-an-aboriginal-community-controlled-health-service
#4
Kathryn McFarlane, Sue Devine, Jenni Judd, Nina Nichols, Kerrianne Watt
Aboriginal Community Controlled Health Services deliver holistic and culturally appropriate primary health care to over 150 communities in Australia. Health promotion is a core function of comprehensive primary health care; however, little has been published on what enables or challenges health promotion practice in an Aboriginal Community Controlled Health Service. Apunipima Cape York Health Council (Apunipima) delivers primary health care to 11 remote north Queensland communities. The workforce includes medical, allied health, Aboriginal and Torres Strait Islander health workers and health practitioners and corporate support staff...
February 3, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28088980/indicators-for-continuous-quality-improvement-for-otitis-media-in-primary-health-care-for-aboriginal-and-torres-strait-islander-children
#5
Beverly Sibthorpe, Jason Agostino, Harvey Coates, Sharon Weeks, Deborah Lehmann, Marianne Wood, Francis Lannigan, Daniel McAullay
Otitis media is a common, generally self-limiting childhood illness that can progress to severe disease and have lifelong sequelae, including hearing loss and developmental delays. Severe disease is disproportionately prevalent among Aboriginal and Torres Strait Islander children. Primary health care is at the frontline of appropriate prevention and treatment. Continuous quality improvement in the prevention and management of important causes of morbidity in client populations is accepted best practice in primary health care and now a requirement of Australian Government funding to services providing care for Aboriginal and Torres Strait Islander children...
January 16, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28076748/are-low-to-middle-income-households-experiencing-food-insecurity-in-victoria-australia-an-examination-of-the-victorian-population-health-survey-2006-2009
#6
Sue Kleve, Zoe E Davidson, Emma Gearon, Sue Booth, Claire Palermo
Food insecurity affects health and wellbeing. Little is known about the relationship between food insecurity across income levels. This study aims to investigate the prevalence and frequency of food insecurity in low-to-middle-income Victorian households over time and identify factors associated with food insecurity in these households. Prevalence and frequency of food insecurity was analysed across household income levels using data from the cross-sectional 2006-09 Victorian Population Health Surveys (VPHS)...
January 12, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28076747/a-preliminary-investigation-of-the-partners-in-health-scale-measurement-properties-in-patients-with-end-stage-renal-disease
#7
Claire Baxter, Andrea Morello, David Smith, Lynda Norton, David Bentley
End-stage renal disease (ESRD) is becoming more prevalent in Australia. As a result, strategies to improve quality of life when living with ESRD are becoming increasingly important. The Flinders Program has been developed to help support and increase the self-management capacity of people living with chronic disease. The Partners in Health (PIH) scale is a self-management capacity assessment tool, which is an integral element of the Flinders Program. The primary aim of this study was to investigate the preliminary measurement properties of the PIH scale within the ESRD population...
January 12, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28076746/characteristics-of-patients-presenting-to-an-after-hours-clinic-results-of-a-magnet-analysis
#8
Lyle R Turner, Christopher Pearce, Madeleine Borg, Adam McLeod, Marianne Shearer, Danielle Mazza
After-hours access to general practice (GP) is critical to supporting accessibility and reducing emergency department demand. To understand who utilises after-hours GP services, this study examined the characteristics of presentations to an Eastern Melbourne after-hours clinic between 2005 and 2014. Descriptive analyses of patient and presentation characteristics, diagnoses, medications and pathology were conducted. Across the study period, 39.1% of presentations to the clinic (N=64,800) were by patients under 18 years of age...
January 12, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28068507/reducing-recurrence-of-bacterial-skin-infections-in-aboriginal-children-in-rural-communities-new-ways-of-thinking-new-ways-of-working
#9
Susan Thomas, Kristy Crooks, Kylie Taylor, Peter D Massey, Ruth Williams, Glenn Pearce
Reports from health workers, school staff and community members in rural NSW suggested that bacterial skin infections are a significant health issue for Aboriginal children and their families, affecting quality of life and contributing to poor school attendance. Current NSW treatment guidelines do not incorporate important sociocultural factors or ways of living in Aboriginal communities. The aim of this qualitative study was to gain a deeper understanding of the experience of parents and carers of Aboriginal children affected by skin infections and of other community members, health workers and school staff, and what actions have been considered successful or unsuccessful in reducing the recurrence of infection...
January 10, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27989267/western-australian-students-alcohol-consumption-and-expenditure-intentions-for-schoolies
#10
Michelle I Jongenelis, Simone Pettigrew, Nicole Biagioni, Martin S Hagger
In Australia, the immediate post-school period (known as 'Schoolies') is associated with heavy drinking and high levels of alcohol-related harm. This study investigated students' intended alcohol consumption during Schoolies to inform interventions to reduce alcohol-related harm among this group. An online survey was administered to students in their senior year of schooling. Included items related to intended daily alcohol consumption during Schoolies, amount of money intended to be spent on alcohol over the Schoolies period, and past drinking behaviour...
December 19, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27938624/do-rates-of-depression-vary-by-level-of-alcohol-misuse-in-australian-general-practice
#11
Breanne Hobden, Jamie Bryant, Rob Sanson-Fisher, Christopher Oldmeadow, Mariko Carey
Limited data exist regarding co-occurring alcohol misuse and depression among general practice patients. This study examined the prevalence of depression by level of alcohol misuse, and the sociodemographic factors associated with depression and increased alcohol misuse severity. A cross-sectional survey was administered to 3559 Australian general practice patients. Patients completed their demographic details, the Patient Health Questionnaire (9-item) and the Alcohol Use Disorder Identification Test (Consumption items)...
December 12, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27927280/barriers-to-accessing-primary-health-care-comparing-australian-experiences-internationally
#12
Lisa Corscadden, Jean-Frederic Levesque, Virginia Lewis, Mylaine Breton, Kim Sutherland, Jan-Willem Weenink, Jeannie Haggerty, Grant Russell
Most highly developed economies have embarked on a process of primary health care (PHC) transformation. To provide evidence on how nations vary in terms of accessing PHC, the aim of this study is to describe the extent to which barriers to access were experienced by adults in Australia compared with other countries. Communities participating in an international research project on PHC access interventions were engaged to prioritise questions from the 2013 Commonwealth Fund International Health Policy Survey within a framework that conceptualises access across dimensions of approachability, acceptability, availability, affordability and appropriateness...
December 8, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27927279/coproducing-aboriginal-patient-journey-mapping-tools-for-improved-quality-and-coordination-of-care
#13
Janet Kelly, Judith Dwyer, Tamara Mackean, Kim O'Donnell, Eileen Willis
This paper describes the rationale and process for developing a set of Aboriginal patient journey mapping tools with Aboriginal patients, health professionals, support workers, educators and researchers in the Managing Two Worlds Together project between 2008 and 2015. Aboriginal patients and their families from rural and remote areas, and healthcare providers in urban, rural and remote settings, shared their perceptions of the barriers and enablers to quality care in interviews and focus groups, and individual patient journey case studies were documented...
December 8, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27902919/geographic-distribution-of-point-in-time-access-to-subsidised-dental-services-in-western-australia
#14
Yevgeni Dudko, Estie Kruger, Marc Tennant
Dental Health Services (DHS) is the largest public primary oral healthcare provider in WA. The objective of this study was to calculate probable distance patients are expected to travel to the nearest clinic, gauge utilisation rates and predict the direction of likely changes in future demand for subsidised dental care. Eligible population data was collected from the Department of Human Services and the Australian Bureau of Statistics websites and integrated with the waiting list and the recall list data provided by the DHS...
December 1, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27899167/motivators-and-barriers-for-paediatricians-discharging-patients
#15
Erin Turbitt, Marina Kunin, Sarah Gafforini, Gary L Freed
The aim of this study was to identify motivators and barriers that paediatricians face when discharging patients from outpatient specialty care. A questionnaire was administered to outpatient care paediatricians in Victoria working in one of five speciality public hospital clinics. Questions focused on how important various motivators and barriers were in respondents' decision to discharge a patient from their clinic. Nearly all (91%, n=74) paediatricians invited to participate provided responses. The factor influencing the greatest proportion of paediatricians in their decision to discharge patients back to primary care was the potential that patients may not receive the required care from a GP...
November 30, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27832830/-it-depends-on-the-consultation-revisiting-use-of-family-members-as-interpreters-for-general-practice-consultations-when-and-why
#16
Jo Hilder, Ben Gray, Anthony Dowell, Lindsay Macdonald, Rachel Tester, Maria Stubbe
Family members continue to be used as interpreters in medical consultations despite the well-known risks. This paper examines participant perceptions of this practice in three New Zealand clinics chosen for their frequent use of interpreters and their skill in using them. It is based on a detailed study of 17 video-recorded interpreted consultations and 48 post-consultation interviews with participants (5 doctors, 16 patients and 12 interpreters, including 6 family members). All participants expressed satisfaction with the communication...
November 11, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27816067/obesity-management-in-australian-primary-care-where-has-the-general-practitioner-gone
#17
Elizabeth Ann Sturgiss, Chris van Weel, Lauren Ball, Sarah Jansen, Kirsty Douglas
Obesity is a chronic condition with significant health and economic consequences that requires more effective management in Australia. General practitioners (GPs) currently act as care co-ordinators in line with national guidelines for overweight and obesity. Australian patients indicate that they would appreciate more involvement from their GP in the management of obesity, and this is in line with international findings. Not all patients have access to specialist obesity services or affordable allied health care because of location, cost and time, particularly in rural and remote areas where there is a greater prevalence of obesity...
November 7, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27784507/barriers-and-enablers-to-malnutrition-screening-of-community-living-older-adults-a-content-analysis-of-survey-data-by-australian-dietitians
#18
Dana L Craven, Fiona E Pelly, Elisabeth Isenring, Geoff P Lovell
Many older adults living in their own homes are at nutrition risk which, left untreated, can lead to the state of malnutrition. To reduce the prevalence of malnutrition among community-living older adults (CLOAs), risk factors should be identified and addressed early via malnutrition screening. The aim of this study was to identify barriers and enablers to malnutrition screening of CLOAs from the perspective of dietitians. Ninety-two dietitians working for government, not-for-profit and private organisations in Australia provided written comments to open-ended survey questions...
October 27, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27756447/the-reach-and-flow-of-health-information-in-two-aboriginal-communities-a-social-network-analysis
#19
Scott Winch, Nageen Ahmed, Christopher Rissel, Michelle Maxwell, Joanna Coutts, Kerri Lucas
The aim of the present paper was to explore how social networks enable dissemination of health information within two Aboriginal communities in New South Wales. The study design was modelled on a social network analysis socio-centric model. Data collection was conducted primarily by Aboriginal community members who were trained as community researchers. Participants reported on their patterns of interaction and who they provided or received health information from, and awareness of the Aboriginal Enhancement of the Get Healthy Information and Coaching Service...
October 19, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27745569/developing-research-priorities-in-australian-primary-health-care-a-focus-on-nutrition-and-physical-activity
#20
Lauren Ball, Katelyn Barnes, Michael Leveritt, Lana Mitchell, Lauren T Williams, Dianne Ball, Elizabeth Patterson
Research priority setting is an important component of research planning, particularly when research options exceed available resources. This study identified the research priorities for supporting healthy lifestyle behaviours in the Australian primary healthcare setting. A five-step stakeholder engagement process was undertaken. Ten stakeholder organisations participated in the process, including patient representatives, health professional associations, health educators, researchers, government advisors and policymakers...
October 17, 2016: Australian Journal of Primary Health
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