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Australian Journal of Primary Health

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https://www.readbyqxmd.com/read/29433630/an-exploration-of-the-experiences-of-australian-grey-nomads-travelling-with-chronic-conditions
#1
Kaara Ray B Calma, Elizabeth Halcomb, Moira Stephens
Internationally, the population is ageing and people are living well, longer. In Australia, extended travelling has gained popularity among older Grey Nomads due to time and opportunity post retirement. However, there is limited research available focusing on older Australians' health while travelling. This paper reports the qualitative phase of a larger mixed-method project that explores the experience of Australian Grey Nomads travelling with chronic conditions. Eight Grey Nomads participated in telephone interviews...
February 13, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29420926/process-redesign-of-a-surgical-pathway-improves-access-to-cataract-surgery-for-aboriginal-and-torres-strait-islander-people-in-south-east-queensland
#2
Lisa Penrose, Yvette Roe, Natalie A Johnson, Erica L James
The Institute for Urban Indigenous Health (IUIH) aimed to improve access to cataract surgery in urban South East Queensland (SEQ) for Indigenous Australians, without compromising clinical visual outcomes. The Penchansky and Levesque concept of access as the 'fit' between the patient's needs and the ability of the system to meet those needs was used to inform the redesign of the mainstream cataract surgical pathway. The IUIH staff and community stakeholders mapped the traditional external cataract surgical pathway and then innovatively redesigned it to reduce the number of patients being removed by the system at key transition points...
February 9, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29362025/rigorous-follow-up-systems-for-abnormal-results-are-essential-to-improve-health-outcomes-for-aboriginal-and-torres-strait-islander-people
#3
Jodie Bailie, Veronica Matthews, Alison Laycock, Christine Connors, Ross Bailie
No abstract text is available yet for this article.
January 24, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29362024/models-of-nutrition-focused-continuing-education-programs-for-nurses-a-systematic-review-of-the-evidence
#4
Holly Mitchell, Catherine Lucas, Karen Charlton, Anne McMahon
Nurses are well-positioned to provide basic nutrition education and reinforce nutrition messages to patients in hospital and primary care settings. Despite this, nurses may not receive adequate training to provide this service, and there is limited opportunity for nurses to engage in nutrition-focused continuing education (CE). The aim of this review was to determine whether nurse nutrition education results in improved knowledge and practices; and explore which models of CE for nutrition may be most acceptable and effective in practice...
January 24, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29338836/systems-levers-for-commissioning-primary-mental-healthcare-a-rapid-review
#5
Carla Meurk, Meredith Harris, Eryn Wright, Nicola Reavley, Roman Scheurer, Bridget Bassilios, Caroline Salom, Jane Pirkis
Primary Health Networks (PHNs) are a new institution for health systems management in the Australian healthcare system. PHNs will play a key role in mental health reform through planning and commissioning primary mental health services at a regional level, specifically adopting a stepped care approach. Selected PHNs are also trialling a healthcare homes approach. Little is known about the systems levers that could be applied by PHNs to achieve these aims. A rapid review of academic and grey literature published between 2006 and 2016 was undertaken to describe the use of systems levers in commissioning primary care services...
January 17, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29338835/general-health-wellbeing-and-oral-health-of-patients-older-than-75-years-attending-health-assessments
#6
Dominic Keuskamp, Najith Amarasena, Madhan Balasubramanian, David S Brennan
Annual health assessments by general practices for community-dwelling people aged 75 years and over are important for the early intervention and monitoring of chronic health conditions, including oral disease. Uptake of the health assessment to date has been poor, and little is known of the general and oral health profile of patients. Older patients attending health assessments at general practices in South Australia were sampled for this study. Data on demographic and socioeconomic characteristics, and patients' general and oral health, were collected by mailed questionnaire from 459 respondents...
January 17, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29310752/transition-to-adult-care-for-aboriginal-children-with-rheumatic-fever-a-review-informed-by-a-focussed-ethnography-in-northern-australia
#7
Alice G Mitchell, Suzanne Belton, Vanessa Johnston, Anna P Ralph
Aboriginal children in northern Australia have high rates of rheumatic fever and rheumatic heart disease, which are chronic conditions because of the need for long-term treatment and monitoring. This article critically reviews the literature on transition to adult care for children with chronic conditions and considers applicability to the care of these children. The review was merged with findings from a focussed ethnography conducted in four remote Aboriginal communities with young people who have these conditions...
January 9, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29262983/maternal-gestational-weight-gain-during-pregnancy-prioritising-the-conversation
#8
Ruth Walker, Danielle Mazza, Michelle Blumfield, Christie Bennett, Helen Truby
Pregnancy is a critical stage of life requiring urgent attention when taking a lifespan approach to obesity prevention. Excessive gestational weight gain (GWG) is highly predictive of overweight and obesity later in life for women and their offspring. This discussion describes the challenges faced by health professionals (general practitioners, midwives, allied health) in primary care in Australia when addressing GWG, presents evidence that supports re-prioritising GWG and highlights strategies that can be used to address GWG...
December 21, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29232545/influence-of-the-social-determinants-of-health-on-access-to-healthcare-services-among-refugees-in-australia
#9
Jessica Taylor, Greer Lamaro Haintz
Refugees in Australia are not fully utilising the healthcare system for several reasons and this may be affecting their overall health outcomes. This qualitative systematic review examined the influence of the social determinants of health on refugees' access to healthcare services in Australia. Electronic databases were searched using terms relating to refugees, social determinants, healthcare services, barriers, enablers and Australia. Only peer-reviewed studies published in English since 2006, which focused on refugees and specifically discussed social determinants influencing refugees' access to healthcare services in Australia, were included...
December 13, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29183565/health-seeking-narratives-of-unwell-sri-lankan-tamil-refugees-in-melbourne-australia
#10
Sophia Samuel, Jenny Advocat, Grant Russell
Sri Lankan Tamil refugees are among the largest group of refugees to resettle in Australia in the last decade. The aim of this study is to characterise the narratives of health-seeking among unwell Sri Lankan Tamil refugees in Melbourne, Victoria, Australia. Drawing on a qualitative, phenomenological perspective, we conducted in-depth interviews in Tamil and English with 12 participants who identified as being unwell for 6 months or more. Findings revealed three narratives of health-seeking: the search for the 'good life' that was lost or never experienced, seeking help from familiar channels in an unfamiliar context, and the desire for financial and occupational independence...
November 29, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29183564/-lost-and-confused-parent-representative-groups-perspectives-on-child-and-family-health-services-in-australia
#11
Amiee Hesson, Cathrine Fowler, Chris Rossiter, Virginia Schmied
Consumer involvement in health care is widely accepted in policy and service delivery. Australia offers universal health services for families with children aged 0 to 5 years, provided by child and family health nurses and general practitioners. Services include, but are not limited to, monitoring and promoting child health and development, and supporting parents. This paper reports consumer representatives' perspectives on Australian parents' needs and experiences of child and family health services, identifying facilitators and barriers to service utilisation...
November 29, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29161536/multiple-health-conditions-and-barriers-to-healthcare-among-older-australians-prevalence-reasons-and-types-of-barriers
#12
Jeromey B Temple, Ruth Williams
Accompanying population ageing is an increase in the number of older Australians living with multiple health conditions and disabilities (Australian Institute of Health and Welfare 2014). This study sought to examine the barriers to accessing healthcare faced by older Australians. Utilising the 2014 Australian Bureau of Statistics General Social Survey, it was found that 6% of respondents aged 50 years and over reported experiencing a barrier to accessing healthcare within the previous 12 months. Those with multiple health conditions are at a considerably higher risk of experiencing a barrier to healthcare (21% with four or more disabilities) compared with people with no or fewer health conditions, and this risk persists once wide-ranging control variables are included...
November 22, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29157355/hospital-admissions-and-emergency-department-presentations-for-dental-conditions-indicate-access-to-hospital-rather-than-poor-access-to-dental-health-care-in-the-community
#13
Matthew Yap, Mei-Ruu Kok, Soniya Nanda, Alistair Vickery, David Whyatt
High rates of dental-related potentially preventable hospitalisations are thought to reflect poor access to non-hospital dental services. The association between accessibility (geographic and financial) to non-hospital dentists and potentially preventable hospitalisations was examined in Western Australia. Areas with persistently high rates of dental-related potentially preventable hospitalisations and emergency department (ED) presentations were mapped. Statistical models examined factors associated with these events...
November 21, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29132500/-falls-not-a-priority-insights-on-discharging-older-people-admitted-to-hospital-for-a-fall-back-to-the-community
#14
Claudia Meyer, Emma Renehan, Frances Batchelor, Catherine Said, Terry Haines, Rohan Elliott, Dianne Goeman
Falls are common among older people and a leading cause of injury-related hospitalisation. The immediate post-hospitalisation period is a risky time for further falls. This paper explores discharge strategies from the perspectives of older people hospitalised for a fall and liaison nurses assisting people to return home. Exploratory mixed methods were used. Semi-structured interviews with older people were conducted regarding their experience of the fall and discharge strategies. Quality of life, falls risk and functional capacity were measured by questionnaire...
November 14, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29132497/from-micro-to-macro-assessing-implementation-of-integrated-care-in-australia
#15
Lisa Angus, Pim P Valentijn
Many countries and health systems are pursuing integrated care as a means of achieving better outcomes. However, no standard approaches exist for comparing integration approaches across models or settings, and for evaluating whether the key components of integrated care are present in different initiatives. This study sheds light on how integrated care is being implemented in Australia, using a new tool to characterise and compare integration strategies at micro, meso and macro levels. In total, 114 staff from a purposive sample of 38 integrated care projects completed a survey based on the Rainbow Model of Integrated Care...
November 14, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29113640/general-practice-utilisation-of-medicare-benefits-schedule-items-to-support-the-care-of-older-patients-findings-from-the-redirect-study
#16
Lyle R Turner, Christopher Pearce, Bianca Brijnath, Colette Browning, Judy Lowthian, Marianne Shearer, Danielle Mazza
Medicare Benefits Schedule (MBS) items designed to support the wellbeing of older people may reduce unnecessary emergency department utilisation, however it is unclear to what extent such items are used. This study examined general practitioner (GP) utilisation of these MBS items through an analysis of the Melbourne East Monash General Practice Database (MAGNET), which contains information collected from GP clinics within the inner east Melbourne region. Sociodemographic and MBS claim data were extracted for patients aged ≥75 years attending a GP between 2005 and 2012...
November 8, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29037305/putting-urban-aboriginal-and-torres-strait-islander-food-insecurity-on-the-agenda
#17
Leigh Bramwell, Wendy Foley, Tanya Shaw
Food insecurity adversely affects diet quality, physical, mental and social wellbeing and the capacity to act on health advice recommended by primary healthcare providers. In this article, an overview of the neglected issue of food insecurity in urban Aboriginal and Torres Strait Islander communities is provided. Policy and action on food security for urban Aboriginal and Torres Strait Islander people is reviewed, and it is argued that for primary health care to better address food insecurity, an evidence base is needed to understand the experiences of individuals and households and how to work effectively to support food insecure clients...
October 17, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29229030/from-organisations-to-people-improving-the-prevention-and-management-of-long-term-conditions-in-australian-primary-health-care
#18
Sarah Dennis
No abstract text is available yet for this article.
October 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29190435/table-of-contents
#19
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28946942/case-conferencing-for-palliative-care-patients-a-survey-of-south-australian-general-practitioners
#20
Timothy H M To, Paul Tait, Deidre D Morgan, Jennifer J Tieman, Gregory Crawford, Alexandra Michelmore, David C Currow, Kate Swetenham
Benefits of case conferencing for people with palliative care needs between a general practitioner, the person and other key participants include improving communication, advance care planning, coordination of care, clarifying goals of care and support for patient, families and carers. Despite a growing evidence base for the benefits, the uptake of case conferencing has been limited in South Australia. The aim of this study is to explore the beliefs and practice of South Australian general practitioners towards case conferencing for people with palliative care needs...
October 2017: Australian Journal of Primary Health
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