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Australian Journal of Primary Health

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https://www.readbyqxmd.com/read/28641705/citizen-participation-in-health-services-co-production-a-roadmap-for-navigating-participation-types-and-outcomes
#1
Jane Farmer, Judy Taylor, Ellen Stewart, Amanda Kenny
Primary healthcare managers are required to include citizens in service co-design and co-production. Health policy guidance appears deceptively simple and largely outlines how people could participate in a range of health services activities. Policy tends to neglect outcomes assessment, and a multidisciplinary academic literature corpus is large and complex to navigate for practical, time-poor managers. In this paper, we set out to provide a summary 'map' of key concepts in participation to assist managers in aligning participants, activities, expected outcomes and outcome indicators, and to consider contextual factors that could affect participation processes and outcomes...
June 23, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28641704/understanding-the-factors-that-make-public-participation-effective-in-health-policy-and-planning-a-realist-synthesis
#2
Celso P Pagatpatan, Paul R Ward
Although researchers argue for the importance of involving the public in developing health policy, there has been little focus on central research questions - such as what techniques of public participation work, in what circumstances, and why. This paper presents a realist synthesis which identifies and explains the underlying mechanisms and specific contextual factors that lead to effective public participation in health policy and planning. Peer-reviewed, English language literature was searched, which resulted in 77 articles for review and synthesis...
June 23, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28619126/health-and-wellbeing-outcomes-of-programs-for-indigenous-australians-that-include-strategies-to-enable-the-expression-of-cultural-identities-a-systematic-review
#3
Sarah MacLean, Rebecca Ritte, Alister Thorpe, Shaun Ewen, Kerry Arabena
Indigenous people have long maintained that strong cultural identities are critical to health and wellbeing. The purpose of this systematic review is to examine whether interventions that entail strategies to enable expression of cultural identities for Australian Indigenous peoples are associated with measurable improvements in health and wellbeing. Peer-reviewed articles that reported quantitatively expressed health and wellbeing outcomes involving Indigenous Australian participants only were included. The cultural intervention component was defined and assessed by Indigenous researchers on the team...
June 16, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28619125/uptake-prevalence-and-predictors-of-first-time-use-for-the-75-health-assessment-scheme
#4
Xenia Dolja-Gore, Meredith Tavener, Tazeen Majeed, Balakrishnan R Nair, Julie E Byles
In 1999, the Australian Federal Government introduced Medicare items for Health Assessments for people aged 75 years and older (75+ health assessments). This research examined uptake of these assessments and identified predictors of use by women from the Australian Longitudinal Study on Women's Health (ALSWH). Assessments were identified for each year from 1999 to 2013 using linked Medicare data. Time to first assessment was examined, as well as social and health factors associated with having an assessment...
June 16, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28606289/integrated-care-among-healthcare-providers-in-shared-maternity-care-what-is-the-role-of-paper-and-electronic-health-records
#5
Glenda Hawley, Julie Hepworth, Claire Jackson, Shelley A Wilkinson
This study examines a paper hand-held record and a shared electronic health record in an Australian tertiary hospital healthcare maternity setting and the role that both types of records play in facilitating integrated care among healthcare providers. A qualitative research design was used where five focus groups were conducted in two phases with 69 hospital healthcare providers. In total, 32 interviews were also carried out with general practitioners. Transcripts were analysed using qualitative content analysis...
June 13, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28595690/understanding-health-talk-in-an-urban-aboriginal-and-torres-strait-islander-primary-healthcare-service-a-cross-sectional-study
#6
Prabha Lakhan, Deborah Askew, Mark F Harris, Corey Kirk, Noel Hayman
Health literacy is an important determinant of health status. This cross-sectional study aimed to describe the prevalence of adequate health literacy among Aboriginal and Torres Strait Islander patients or their carers including parents of sick children attending an urban primary healthcare clinic in Australia, and their experiences of communication with General Practitioners (GPs). A questionnaire, including questions from the Brief Health Literacy Screen (BHLS) and questions from the Consumer Assessment of Healthcare Providers and Systems (CAHPS): Communication with Provider, was administered to 427 participants...
June 9, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28592353/role-of-information-and-communication-technology-in-promoting-oral-health-at-residential-aged-care-facilities
#7
Bola Adebayo, Angela Durey, Linda M Slack-Smith
Information and communication technology (ICT) can provide knowledge and clinical support to those working in residential aged care facilities (RACFs). This paper aims to: (1) review literature on ICT targeted at residents, staff and external providers in RACFs including general practitioners, dental and allied health professionals on improving residents' oral health; (2) identify barriers and enablers to using ICT in promoting oral health at RACFs; and (3) investigate evidence of effectiveness of these approaches in promoting oral health...
June 8, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28592352/the-health-and-health-preparation-of-long-term-australian-travellers
#8
Elizabeth Halcomb, Moira Stephens, Elizabeth Smyth, Shahla Meedya, Sarah Tillott
A growing number of Australians are travelling domestically for extended periods. This creates challenges in both continuity of health care and burdens on health services. This paper reports a cross-sectional survey aimed to explore the health needs and health planning of long-term travellers. In total, 316 respondents who had travelled for more than 3 months consecutively in the last year participated. Most respondents were retired (n=197; 62.3%); however, ages ranged from 26 to 89 years. Nearly half of the respondents or their travel companion had a long-term illness that affected their daily life (n=135; 42...
June 8, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28583251/are-changes-in-australian-national-primary-healthcare-policy-likely-to-promote-or-impede-equity-of-access-a-narrative-review
#9
Matthew Fisher, Fran Baum, Adrian Kay, Sharon Friel
Significant changes have occurred in Australia's national primary healthcare (PHC) policy over the last decade, but little assessment has been made of implications for equity. This research aimed to identify key recent changes in national PHC policy and assess implications for equity of access to PHC. Academic literature was reviewed to identify issues affecting equity of access in national PHC policy, and grey literature was also reviewed to identify significant policy changes during 2005-16 with implications for equitable access...
June 6, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28566113/group-based-education-for-patients-with-type-2-diabetes-a-survey-of-australian-dietitians
#10
Kate Odgers-Jewell, Elisabeth A Isenring, Rae Thomas, Dianne P Reidlinger
Group-based education has the potential to substantially improve the outcomes of individuals with type 2 diabetes mellitus (T2DM) and reduce the enormous burden that chronic diseases place on healthcare systems worldwide. Despite this proven effectiveness, the utilisation of group services for the management of T2DM by Australian dietitians is surprisingly low. This study surveyed a sample of 263 Australian dietitians to explore the utilisation of group-based education for T2DM, as well as dietitians' preferences for practice and training...
June 1, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28514993/beyond-diagnosis-and-survivorship-findings-from-a-mixed-methods-study-of-a-community-based-cancer-support-service
#11
Ilse Blignault, Louise McDonnell, Diana Aspinall, Robyn Yates, Jennifer Reath
This consumer-led research investigated the client experiences and the individual and community benefits of a community-based cancer support service operating in a regional setting. The study included cross-sectional surveys, focus group discussions and key-informant interviews. In total, 114 clients, 28 carers and 20 therapists were surveyed; three client focus groups were conducted and five directors and staff were interviewed. For many clients and carers, the warm welcome experienced at first contact sets the tone for a long-term association with the organisation...
May 18, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28514989/help-seeking-intentions-for-anxiety-among-older-adults
#12
Katrina Anderson, Tushara Wickramariyaratne, Annaliese Blair
Mental health practices are not working for older people with anxiety in residential care, as there is a persistent lack of recognition and treatment. This suggests that alternative ways of reaching and meeting the needs of this population need to be explored. One possibility involves enabling older adults themselves to seek help. The current work explored various factors impacting on help-seeking behaviours. In total, 105 participants from independent living units in a residential care setting completed a questionnaire focusing on attitudes and stigma towards anxiety, likelihood to seek help, help-seeking barriers and literacy around the symptoms of anxiety...
May 18, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28502310/variations-in-out-of-pocket-costs-for-primary-care-services-across-australia-a-regional-analysis
#13
Emily Callander, Sarah Larkins, Lisa Corscadden
The aim of this study is to describe average out-of-pocket costs across different regions of Australia, as defined by Primary Health Network (PHN) boundaries, and assess the association between population characteristics and out-of-pocket costs for selected primary care services. A combination of descriptive and regression analysis was undertaken using administrative data from the Australian Department of Human Services reporting on the health services used across PHNs in Australia. Those in regional areas paid significantly more for Allied Health services than those in capital cities (A$5...
May 15, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28490412/improving-community-access-to-terminal-phase-medicines-in-australia-identification-of-the-key-considerations-for-the-implementation-of-a-core-medicines-list
#14
Paul A Tait, Weng Hou Cheung, Michael Wiese, Kirsten Staff
During the terminal phase, access to medicines is critical for people wishing to spend their last days of life at home. Yet, access to medicines can be problematic. The aim of this study was to report the perspectives of specialist and generalist health professionals (HPs) on the issues of community access to medicines for this vulnerable group. A qualitative descriptive study design investigated the views of HPs working in palliative care roles in South Australia. Nurses, doctors and pharmacists described their experiences of accessing medicines for management of terminal phase symptoms during semi-structured focus group discussions...
May 11, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28490411/is-the-counterweight-program-a-feasible-and-acceptable-option-for-structured-weight-management-delivered-by-practice-nurses-in-australia-a-mixed-methods-study
#15
Jodi Gray, Elizabeth A Hoon, Hossein Haji Ali Afzali, Catherine Spooner, Mark F Harris, Jonathan Karnon
Nurse-led weight management programs, like the Counterweight Program in the United Kingdom, may offer a way for Australian general practices to provide weight management support to adults who are overweight or obese. During Counterweight, nurses provide patients with six fortnightly education sessions and three follow-up sessions to support weight maintenance. This study examined the feasibility, acceptability and perceived value of the Counterweight Program in the Australian primary care setting using a mixed-methods approach...
May 11, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28449728/stayin-on-track-the-feasibility-of-developing-internet-and-mobile-phone-based-resources-to-support-young-aboriginal-fathers
#16
Richard Fletcher, Craig Hammond, Darren Faulkner, Nicole Turner, Lisa Shipley, Donna Read, Josephine Gwynn
Young Aboriginal fathers face social and emotional challenges in the transition to fatherhood, yet culturally appropriate support mechanisms are lacking. Peer mentoring to develop online- and mobile phone-based resources and support may be a viable approach to successfully engage these young men. This feasibility study engaged two trusted Aboriginal mentors and researchers to partner with one regional and two rural Aboriginal communities in New South Wales, Australia. Early in the research process, 20 young Aboriginal fathers were recruited as co-investigators...
April 28, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28424145/-we-didn-t-have-to-dance-around-it-opt-out-hiv-testing-among-homeless-and-marginalised-patients
#17
Stacy Leidel, Gavin Leslie, Duncan Boldy, Andrew Davies, Sonya Girdler
This study explored opt-out HIV testing in an Australian general practice. The aims were to: (1) determine the effect of the opt-out approach on the number of HIV tests performed; and (2) explore the acceptability of opt-out HIV testing from the healthcare providers' perspective. A prospective mixed-methods study of opt-out HIV testing over a 2-year period (March 2014-March 2016) was conducted. Implementation was based on a theoretical framework that was developed specifically for this study. The setting was Homeless Healthcare, a health service in Perth, Western Australia...
April 20, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28424143/correlates-of-sexually-transmissible-infection-testing-among-a-sample-of-at-risk-young-australians
#18
Caitlin H Douglass, Alyce M Vella, Margaret E Hellard, Megan S C Lim
Annual chlamydia testing is recommended for all sexually active Australians aged 15-29 years; however, the testing rate is below recommended levels. Three surveys at a Melbourne music festival were conducted over 2012-14 to identify correlates of sexually transmissible infection (STI) testing among young people at risk of STIs. In total, 3588 participants were recruited; 72% reported having sex in the past year. Based on sexual behaviours, 38% of sexually active participants were classified as at risk of contracting STIs...
April 20, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28403914/are-primary-healthcare-services-culturally-appropriate-for-aboriginal-people-findings-from-a-remote-community
#19
Kaye Smith, Yaqoot Fatima, Sabina Knight
This study explored the views of key stakeholders on cultural appropriateness of primary health care (PHC) services for Aboriginal people. A total of 78 participants, including healthcare providers, administrative team members (n=24, ~30% of study sample) and Aboriginal community members (n=54, ~70% of study sample) living in remote North West Queensland participated in the study. Outcome measures were assessed by administering survey questionnaires comprising qualitative questions and various subscales (e...
April 13, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28377009/research-culture-in-a-regional-allied-health-setting
#20
Donna Borkowski, Carol McKinstry, Matthew Cotchett
Research evidence is required to guide best practice, inform policy and improve the health of communities. Current indicators consider allied health research culture to be low. This study aimed to measure the allied health research culture and capacity in a Victorian regional health service. The Research Capacity and Culture tool was used to evaluate research capacity and culture across individual, team and organisation domains. One-way ANOVA was used to determine differences between allied health professions, whereas responses to open-ended questions were themed using open coding...
April 5, 2017: Australian Journal of Primary Health
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