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Australian Journal of Primary Health

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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
#1
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
#2
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
#3
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
https://www.readbyqxmd.com/read/28756817/an-integrated-healthcare-service-for-asylum-seekers-and-refugees-in-the-south-eastern-region-of-melbourne-monash-health-refugee-health-and-wellbeing
#4
Jacquie McBride, Andrew Block, Alana Russo
Asylum seekers and refugees generally have poorer health than the broader Australian population. However, these groups experience a range of barriers to accessing universal health services. Generalist and specialist refugee health services have been established in Australia to improve the health of humanitarian migrant groups. This article describes a refugee health service established in a high-settlement region of Melbourne, Australia, and explores clients' experiences with the service. Client feedback was captured through interviews (n=18) and surveys (n=159)...
July 31, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28747245/utilisation-of-medicare-funded-schemes-for-people-with-cardiovascular-disease
#5
Julie Redfern, Karice Hyun, Emily Atkins, Clara Chow, Tom Briffa, Bindu Patel, Nick Zwar, Tim Usherwood, Qiang Li, Anushka Patel, David Peiris
The aim of this study is to investigate the utilisation of Medicare Benefit Scheme items for chronic disease in the management of cardiovascular disease (CVD) in general practice and to compare characteristics of CVD patients with and without a General Practice Management Plan (GPMP). Subgroup analysis of Treatment of Cardiovascular Risk using Electronic Decision Support (TORPEDO) baseline data was collected in a cohort comprising 6123 patients with CVD. The mean age (s.d.) was 71 (±13) years, 55% were male, 64% had a recorded diagnosis of coronary heart disease, 31% also had a diagnosis of diabetes and the mean number of general practice (GP) visits (s...
July 27, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28747244/are-nurses-meeting-the-needs-of-men-in-primary-care
#6
Del Lovett, Bodil Rasmussen, Carol Holden, Patricia M Livingston
Meeting men's health needs by improving healthcare service access is a key objective of comprehensive primary health care. The aims of this qualitative study were to explore the perception of nurses in men's health services and to describe men's expectation of the nurse. The comparative component identifies the barriers and facilitators to improved access to health services. A purposive sample of 19 nurses and 20 men was recruited from metropolitan and regional settings in the state of Victoria, Australia, and each participant was interviewed individually or as part of three focus groups...
July 27, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28728627/sharing-knowledge-of-falls-prevention-for-people-with-dementia-insights-for-community-care-practice
#7
Claudia Meyer, Sophie Hill, Keith D Hill, Briony Dow
People living with dementia (PLWD) fall more frequently, with more adverse consequences, than general community-dwelling older people; however, falls prevention evidence for PLWD is limited. Increased success of falls prevention strategies for PLWD may rely on tailored interventions to address dementia-specific risk factors. The Australian person-centred care environment highlights the need to better understand sharing of falls prevention knowledge between clients, carers and health professionals. This study aims to examine knowledge of falls prevention for PLWD among community care health professionals (CCHPs) and explore effectiveness of an action-research approach to enhance falls prevention practice...
July 21, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28701258/cultural-competence-in-the-community-health-context-we-don
#8
Mandy Truong, Lisa Gibbs, Yin Paradies, Naomi Priest, Maryanne Tadic
Health and social service agencies need to be responsive to the healthcare requirements of culturally and linguistically diverse (CALD) groups in the community. This is a challenging proposition, particularly due to shifting demographics in developed Western countries such as Australia. Organisations that strive for cultural competence can potentially reduce the barriers associated with inequitable access to services by CALD groups. Community health services play a vital role in the provision of culturally competent health services to people from CALD groups...
July 13, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28641705/citizen-participation-in-health-services-co-production-a-roadmap-for-navigating-participation-types-and-outcomes
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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