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Australian Journal of Primary Health

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https://www.readbyqxmd.com/read/29183565/health-seeking-narratives-of-unwell-sri-lankan-tamil-refugees-in-melbourne-australia
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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/28946942/case-conferencing-for-palliative-care-patients-a-survey-of-south-australian-general-practitioners
#9
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...
September 26, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28931456/perceptions-of-barriers-to-the-management-of-respiratory-tract-infections-in-general-practice-settings-in-australia
#10
Stephanie Fletcher-Lartey, Rabia Khan
Inappropriate prescribing of antibiotics for the management of respiratory tract infections (RTIs) has contributed to increased prevalence of antibiotic resistance, and this remains a challenge. The aim of this study was to evaluate the effect of general practitioners' (GPs) participation in the Antibiotics: Clinical e-Audit, a quality-improvement activity, on GP self-reported knowledge and practice change, and explored barriers encountered in the management of respiratory tract infections (RTIs). Participants completed a survey at the end of the activity to assess the usefulness of the audit, any reported changes made and barriers encountered to their clinical practice...
September 21, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28927493/review-of-patient-reported-experience-within-patient-centered-medical-homes-insights-for-australian-health-care-homes
#11
Mary O'Loughlin, Jane Mills, Robyn McDermott, Linton Harriss
Understanding patient experience is necessary to advance the patient-centred approach to health service delivery. Australia's primary healthcare model, the 'Health Care Home', is based on the 'Patient-Centered Medical Home' (PCMH) model developed in the United States. Both these models aim to improve patient experience; however, the majority of existing PCMH model evaluations have focussed on funding, management and quality assurance measures. This review investigated the scope of evidence reported by adult patients using a PCMH...
September 20, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28923164/not-just-tea-and-biscuits-the-gold-coast-primary-health-network-process-of-designing-implementing-and-operating-a-community-advisory-council
#12
Jessica McClean, Kellie Trigger
Consumers are fast being acknowledged as a critical voice in the creation of sustainable health systems, and their ability and willingness to participate must be kept in mind by those eager to engage them. Federal health reform in Australia has mandated the formal involvement of communities in primary care through advisory committees in the newly established Primary Health Networks. Although there is clear progression towards increased consumer participation in Australia's health services, scope exists to improve the evidence base around identifying and implementing the most appropriate approach in different settings...
September 19, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28923163/patients-experiences-of-nurse-case-management-in-primary-care-a-meta-synthesis
#13
Anna Askerud, Anna Askerud, Jenny Conder, Jenny Conder
The health system in New Zealand and Australia requires health practitioners to prepare for the challenge of long-term conditions. Wagner's 1998 Chronic Care Model advocates a move away from the traditional acute model of primary health care to a model that addresses the long-term episodic nature of chronic disease. Nurse case management has been developed over the last 2 decades as a means to coordinate health services for people with long-term conditions. This meta-synthesis combines the results of 15 qualitative research studies that have a similar research question regarding peoples' perceptions of nurse case management...
September 19, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29190435/table-of-contents
#14
(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/29190434/table-of-contents
#15
(no author information available yet)
No abstract text is available yet for this article.
September 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28823310/a-health-promoting-community-dental-service-in-melbourne-victoria-australia-protocol-for-the-north-richmond-model-of-oral-health-care
#16
Martin Hall, Bradley Christian
Despite the best efforts and commitment of oral health programs, there is no evidence that the current surgical output-based model of oral health care is delivering better oral health outcomes to the community. In fact, Australian evidence indicates the oral health of the community could be getting worse. It is now well-understood that this traditional surgical model of oral health care will never successfully manage the disease itself. It is proposed that a health-promoting, minimally invasive oral disease management model of care may lead to a sustainable benefit to the oral health status of the individual and community groups...
August 21, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28823309/perspectives-of-rural-and-remote-primary-healthcare-services-on-the-meaning-and-goals-of-clinical-governance
#17
Ruyamuro K Kwedza, Sarah Larkins, Julie K Johnson, Nicholas Zwar
Definitions of clinical governance are varied and there is no one agreed model. This paper explored the perspectives of rural and remote primary healthcare services, located in North Queensland, Australia, on the meaning and goals of clinical governance. The study followed an embedded multiple case study design with semi-structured interviews, document analysis and non-participant observation. Participants included clinicians, non-clinical support staff, managers and executives. Similarities and differences in the understanding of clinical governance between health centre and committee case studies were evident...
August 21, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28807104/understanding-practitioner-professionalism-in-aboriginal-and-torres-strait-islander-health-lessons-from-student-and-registrar-placements-at-an-urban-aboriginal-and-torres-strait-islander-primary-healthcare-service
#18
Deborah A Askew, Vivian J Lyall, Shaun C Ewen, David Paul, Melissa Wheeler
Aboriginal and Torres Strait Islander peoples continue to be pathologised in medical curriculum, leaving graduates feeling unequipped to effectively work cross-culturally. These factors create barriers to culturally safe health care for Aboriginal and Torres Strait Islander peoples. In this pilot pre-post study, the learning experiences of seven medical students and four medical registrars undertaking clinical placements at an urban Aboriginal and Torres Strait Islander primary healthcare service in 2014 were followed...
August 15, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28803612/new-strategies-to-improve-the-health-of-chinese-people-by-2030
#19
Xiaodong Tan, Shibo Kong, Haiyan Shao
In October 2016, the leadership team of the Communist Party of China (CPC) adopted a plan aiming to build a healthy China over the next 15 years. The strategic tasks, mainly focused on promoting healthy lifestyles, optimising health services, improving health protection, building a healthy environment and developing the health industry, were proposed to deal with the health problems faced by China. According to the plan, China's health plan is likely to undergo a major change.
August 14, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28803611/a-cross-sectional-analysis-of-local-government-health-and-wellbeing-plans-and-priorities-in-victoria-australia
#20
Mark Anthony Alindogan, Eli Ristevski, Anske Robinson
The aim of this study is to explore local health and wellbeing plans and priorities by Victorian local governments (LGs), specifically to: (1) analyse how LG priority areas are described in comparison to the State-level plan; (2) identify differences between regional and metropolitan health priorities; and (3) identify differences between LGs with high and low socioeconomic status. Content analysis of 79 LG health and wellbeing plans was undertaken. Differences in health and wellbeing priorities between LGs were examined using the t-test for two proportions...
August 14, 2017: Australian Journal of Primary Health
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