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https://www.readbyqxmd.com/read/29457929/growth-of-the-james-cook-university-medical-program-maintaining-quality-continuing-the-vision-developing-postgraduate-pathways
#1
Tarun Sen Gupta, Peter Johnson, Roy Rasalam, Richard Hays
BACKGROUND: James Cook University (JCU) enrolled its first cohort of 64 in 2000 into a 6-year undergraduate medical program aimed at producing graduates capable of meeting the needs of North Queensland, Australia, with a focus on rural, remote, Indigenous and tropical health. The school's 1465 graduates over 13 cohorts who have a pattern of practice likely to meet the region's health needs. The JCU course was the first new Australian medical program for 25 years. The number of Australian medical schools has since doubled, while enrollments have almost tripled...
February 19, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29456865/a-real-world-example-of-coverage-with-evidence-development-in-australia-ipilimumab-for-the-treatment-of-metastatic-melanoma
#2
Hansoo Kim, Samantha Comey, Karl Hausler, Greg Cook
Background: Australian Government subsidisation of ipilimumab for the treatment of patients with metastatic melanoma was conditional on the sponsor entering a 'managed entry scheme' to assess the 2-year overall survival rate in metastatic melanoma patients who received ipilimumab in the first year of Pharmaceutical Benefits Scheme listing. Methods: All unresectable stage IIIc / IV metastatic melanoma patients treated with at least one dose of ipilimumab therapy in Australia from the PBS listing date to a time point 12 months later (i...
2018: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/29455721/fit4yams-structuring-a-lifestyle-intervention-for-rural-overweight-and-obese-young-adult-males-using-participatory-design
#3
Jannine Bailey, Cristyn Davies, Timothy McCrossin, Michael Kiernan, Rachel Skinner, Katharine Steinbeck, Kumara Mendis
PURPOSE: Young adult males (YAMs) are understudied with respect to lifestyle interventions to address overweight and obesity in this group. This study reports on the participatory design of the structure and delivery of the Fit4YAMs text message-based lifestyle intervention for 18- to 25-year-old rural YAMs in Australia. METHODS: Two semi-structured focus group discussions were held with six overweight or obese YAMs. Sessions explored their preferences for the structure and delivery of a weight loss intervention...
March 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29451985/a-comparison-of-barriers-to-accessing-services-for-mental-and-physical-health-conditions-in-a-sample-of-rural-australian-adults
#4
Kate Fennell, Melissa Hull, Martin Jones, James Dollman
INTRODUCTION: The prevalence of chronic disease, mortality and suicide rates is higher in rural Australia than in urban centres. Understanding rural Australians' barriers to accessing health services requires urgent attention. The purpose of this study was to compare barriers to help-seeking for physical and mental health issues among rural South Australian adults. METHODS: A total of 409 people from three rural and remote regions in South Australia completed a computer-assisted telephone interview...
February 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29449676/the-improving-rural-cancer-outcomes-trial-a-cluster-randomised-controlled-trial-of-a-complex-intervention-to-reduce-time-to-diagnosis-in-rural-cancer-patients-in-western-australia
#5
Jon D Emery, Victoria Gray, Fiona M Walter, Shelley Cheetham, Emma J Croager, Terry Slevin, Christobel Saunders, Timothy Threlfall, Kirsten Auret, Anna K Nowak, Elizabeth Geelhoed, Max Bulsara, C D'Arcy J Holman
This corrects the article DOI: 10.1038/bjc.2017.310.
February 15, 2018: British Journal of Cancer
https://www.readbyqxmd.com/read/29443892/an-exploration-of-underrepresentation-of-aboriginal-cancer-patients-attending-a-regional-radiotherapy-service-in-western-australia
#6
Marilyn Lyford, Margaret M Haigh, Siddhartha Baxi, Shelley Cheetham, Shaouli Shahid, Sandra C Thompson
Travel logistics impede Aboriginal patients' uptake of cancer treatments and is one reason for the poorer outcomes of Aboriginal people with cancer. This research examined benefits of a newly established rurally based radiotherapy unit in southwest Western Australia (WA), and included exploring the experience of Aboriginal patients and possible reasons for Aboriginal people's underrepresentation in treatment. Semi-structured in-depth interviews with 21 service providers involved in the treatment and care of people with cancer, and 3 Aboriginal patients with cancer who undertook radiotherapy at the Service were undertaken...
February 14, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29433630/an-exploration-of-the-experiences-of-australian-grey-nomads-travelling-with-chronic-conditions
#7
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/29433449/the-use-of-public-performance-reporting-by-general-practitioners-a-study-of-perceptions-and-referral-behaviours
#8
Khic-Houy Prang, Rachel Canaway, Marie Bismark, David Dunt, Margaret Kelaher
BACKGROUND: Public performance reporting (PPR) of hospital data aims to improve quality of care in hospitals and to inform consumer choice. In Australia, general practitioners (GPs) are gatekeepers to secondary care with patients requiring their referral for non-emergency access. Despite their intermediary role, GPs have been generally overlooked as potential users of PPR of hospital data, with the majority of the PPR research focussing on consumers, surgeons and hospitals. METHODS: We examined the use of PPR of hospital data by GPs when referring patients to hospitals...
February 12, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29430183/ruralization-of-students-horizons-insights-into-australian-health-professional-students-rural-and-remote-placements
#9
Tony Smith, Merylin Cross, Susan Waller, Helen Chambers, Annie Farthing, Frances Barraclough, Sabrina W Pit, Keith Sutton, Kuda Muyambi, Stephanie King, Jessie Anderson
Introduction: Health workforce shortages have driven the Australian and other Western governments to invest in engaging more health professional students in rural and remote placements. The aim of this qualitative study was to provide an understanding of the lived experiences of students undertaking placements in various nonmetropolitan locations across Australia. In addition to providing their suggestions to improve rural placements, the study provides insight into factors contributing to positive and negative experiences that influence students' future rural practice intentions...
2018: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29429819/how-marginalized-young-people-access-engage-with-and-navigate-health-care-systems-in-the-digital-age-systematic-review
#10
REVIEW
Fiona Robards, Melissa Kang, Tim Usherwood, Lena Sanci
PURPOSE: This systematic review examines how marginalized young people access and engage with health services and navigate health-care systems in high-income countries. METHODS: Medline, CINAHL, PsychInfo, The University of Sydney Library database, and Google Scholar were searched to identify qualitative and quantitative original research, published from 2006 to 2017, that focused on selected definitions of marginalized young people (12 to 24 years), their parents/carers, and/or health professionals working with these populations...
February 8, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29429306/the-voice-of-haemochromatosis-journeys-in-regional-australia
#11
Jessica Pearce, Robin A Ray, Suzanne McKenzie
People living with haemochromatosis had a positive attitude to the condition, but there were individual variations in the ways they engaged in self-management. A doctor–patient partnership is crucial in the management of haemochromatosis, especially in rural areas. Patients' symptom experiences and self‑management decisions need to be seriously considered. <div class="hor-line"> </div>.
January 2018: Aust J Gen Pract
https://www.readbyqxmd.com/read/29426308/quality-of-social-and-emotional-wellbeing-services-for-families-of-young-indigenous-children-attending-primary-care-centers-a-cross-sectional-analysis
#12
Karen M Edmond, Kimberley McAuley, Daniel McAullay, Veronica Matthews, Natalie Strobel, Rhonda Marriott, Ross Bailie
BACKGROUND: The quality of social and emotional wellbeing services for Indigenous families of young children is not known, in many settings especially services provided by primary care centers. METHODS: Our primary objective was to assess delivery of social and emotional wellbeing services to the families of young (3-11 months) and older (12-59 months) Indigenous children attending primary care centers. Our secondary objective was to assess if delivery differed by geographic location...
February 9, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29404490/survival-following-hospitalization-with-hepatocellular-carcinoma-among-people-notified-with-hepatitis-b-or-c-virus-in-australia-2000-2014
#13
Reem Waziry, Jason Grebely, Janaki Amin, Maryam Alavi, Behzad Hajarizadeh, Jacob George, Gail V Matthews, Matthew Law, Gregory J Dore
We assessed trends in HCC survival in patients with hepatitis B virus (HBV) or hepatitis C virus (HCV) infection in New South Wales, Australia. Data on HBV (n = 54,399) and HCV (n = 96,908) notifications (1993-2012) were linked to a hospitalization database (July 2000-June 2014), the New South Wales Cancer Registry, and the New South Wales Death Registry. A total of 725 (1.3%) first HBV-hepatocellular carcinoma (HCC) and 1,309 (1.4%) first HCV-HCC hospitalizations were included. Death occurred in 60.4% of HBV-HCC and 69...
October 2017: Hepatology Communications
https://www.readbyqxmd.com/read/29388728/promoting-rural-academic-and-community-partnerships-in-the-independent-state-of-rural-australia
#14
EDITORIAL
David Mills, Martin Jones
No abstract text is available yet for this article.
February 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29386024/a-review-of-characteristics-and-outcomes-of-australia-s-undergraduate-medical-education-rural-immersion-programs
#15
REVIEW
Belinda G O'Sullivan, Matthew R McGrail, Deborah Russell, Helen Chambers, Laura Major
BACKGROUND: A key strategy for increasing the supply of rural doctors is rurally located medical education. In 2000, Australia introduced a national policy to increase rural immersion for undergraduate medical students. This study aims to describe the characteristics and outcomes of the rural immersion programs that were implemented in Australian medical schools. METHODS: Information about 19 immersion programs was sourced in 2016 via the grey and published literature...
January 31, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29385811/applying-strengths-model-principles-to-build-a-rural-community-based-mental-health-support-service-and-achieve-recovery-outcomes
#16
Debra Dunstan, Donnah Anderson
INTRODUCTION: The Personal Helpers and Mentors (PHaMs) service is a non-clinical, community-based Australian Government initiative aimed at increasing opportunities for recovery for people whose lives are severely affected by mental illness. Using a strengths-based recovery model, PHaMs caseworkers support and mentor people 'at risk of falling through the gaps' between state funded clinical treatment services and federally funded social services (such as supported housing, education and employment)...
February 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29384725/voices-from-the-field-regional-nurses-speak-about-motivations-careers-and-how-to-entice-others-to-pursue-mental-health-nursing
#17
Joy Penman, Lee Martinez, Debra Papoulis, Kathryn Cronin
The aims of this study are three-fold: determine the factors that motivate nurses to pursue mental health nursing; identify the strategies that might attract nursing students and practising nurses to pursue mental health nursing as a professional career; and identify the difficulties of nurses in achieving their preferred clinical specialty. A descriptive qualitative study design with semi-structured interviews was used. Fifteen mental health nurses from rural and regional South Australia were interviewed. Interviews were transcribed verbatim, and thematic analysis was undertaken...
January 30, 2018: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/29382343/evidence-to-service-gap-cardiac-rehabilitation-and-secondary-prevention-in-rural-and-remote-western-australia
#18
Sandra Hamilton, Belynda Mills, Shelley McRae, Sandra Thompson
BACKGROUND: Cardiovascular disease (CVD), a leading cause of morbidity and mortality, has similar incidence in metropolitan and rural areas but poorer cardiovascular outcomes for residents living in rural and remote Australia. Cardiac Rehabilitation (CR) is an evidence-based intervention that helps reduce subsequent cardiovascular events and rehospitalisation. Unfortunately CR attendance rates are as low as 10-30% with rural/remote populations under-represented. This in-depth assessment investigated the provision of CR and secondary prevention services in Western Australia (WA) with a focus on rural and remote populations...
January 30, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29363218/carers-preferences-for-the-delivery-of-therapy-services-for-people-with-disability-in-rural-australia-evidence-from-a-discrete-choice-experiment
#19
G Gallego, A Dew, M Lincoln, A Bundy, K Bulkeley, J Brentnall, C Veitch
BACKGROUND: The implementation of the Australian National Disability Insurance Scheme is expected to generate a responsive, person-centred system that will empower people with disability to choose the services and support they receive. However, little attention has been paid to examine how users of the National Disability Insurance Scheme will choose and spend their individual budgets. This study aimed to determine quantitatively the relative importance that carers of people with a disability living in rural Australia place on different therapy service delivery characteristics...
January 24, 2018: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29361292/child-road-traffic-injury-mortality-in-victoria-australia-0-14-years-the-need-for-targeted-action
#20
S S M Chang, R C A Symons, J Ozanne-Smith
INTRODUCTION: Extensive efforts to reduce unintentional injury were enacted in the last three decades of the 20th century. Examination of road traffic injury mortality indicates the extent of fatal, unintentional child injuries (0-14 years) future interventions must address. AIMS: (1) describe in-depth child road traffic injury (RTI) deaths 2001-2012 in Victoria, Australia (2) identify the potential preventability of the RTI causes by currently available countermeasures and scope for enhanced implementation and novel solutions...
December 21, 2017: Injury
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