Digital Commons Network^™

Benefits Derived From Ict Adoption In Regional Medical Practices: Perceptual Differences Between Male And Female General Practitioners, Robert Macgregor, Peter Hyland, Charles Harvie, Boon-Chye Lee

Associate Professor Peter Hyland

Information and communications technologies (ICTs) are being used more and more by general practitioners (GPs) in their day-to-day activities. While a number of studies have shown that ICT adoption and use can provide real benefits to medical practices, there have been few studies to determine whether the perception of those benefits is uniform across the sector. This study examines whether differences in the perception of benefits exist between male and female GPs. The results suggest that the groupings and priorities of benefits arising from ICT use differ substantially between male and female GPs. Results also show, amongst other things, that …

Do Organisational Characteristics Explain The Differences Between Drivers Of Ict Adoption In Rural And Urban General Practices In Australia, Robert C. Macgregor, Peter N. Hyland, Charles Harvie

Associate Professor Peter Hyland

A number of studies have compared general medical practices in rural locations with those in urban locations. Some of these studies have concentrated on the reasons why a GP might choose to work in a rural or urban setting. Others have examined the type of work required to be undertaken by medical professionals. Increasing use of information and communications technology (ICT) in medical practices has led to some studies examining their use in rural as well as urban settings. However, little if any research has examined whether ICT adoption drivers differ between rural and urban GPs based on their organisational …

Measuring Help Seeking Intentions: Properties Of The General Help Seeking Questionnaire, Coralie J. Wilson, Frank P. Deane, Joseph V. Ciarrochi, Debra Rickwood

Frank Deane

This articles describes the theoretical underpinnings, development and psychometric properties of the General Help-Seeking Questionnaire: a measure of help-seeking intentions that is being used as the central outcome variable in a number of national and international help-seeking studies.

Physician Communication Skills: Results Of A Survey Of General/Family Practitioners In Newfoundland, F Ashbury, Donald Iverson, Boris Kralj

Don C. Iverson

Purpose: To describe the attitudes related to communication skills, confidence in using commnication skills, and use of communication skills during the physician-patient encounter among a population-based sample of family physicians. Procedures: A mailed survey, distributed to all family physicians and general practitioners currently practicing in Newfoundland. The questionnaire was designed to collect data in five general areas participant demographics, physician confidence in using specific communication strategies, perceived adequacy of time spent by physicians with their patients, physician use of specific communication strategies with the adult patients they saw in the prior week, and physician use of specific communication strategies during …

Patients' Attitudes To General Practice Registrars: A Review Of The Literature, Andrew Bonney, Lyn Phillipson, Samantha Reis, Sandra Jones, Donald Iverson

Don C. Iverson

Introduction With the population ageing, it is imperative for training practices to provide GP registrars with sound experience in managing the health problems of older persons, especially chronic conditions. However, it is reported that a significant proportion of these patients will be resistant to consulting registrars, with concerns regarding disruption of continuity of care being a significant factor. The challenge for training practices is to identify approaches to engage registrars in the management of older patients whilst maintaining patient satisfaction. This paper presents a review of the literature on patient attitudes to general practice registrars to better understand the nature …

Older Patients' Attitudes To General Practice Registrars: A Qualitative Study, Andrew Bonney, Lyn Phillipson, Sandra Jones, Donald Iverson

Don C. Iverson

Background Research suggests that older patients may be reluctant to engage general practice registrars (GPRs) in their care. The authors undertook a qualitative study of the attitudes of older patients to GPRs to investigate this issue. Method Thirty-eight patients aged 60 years and over from three training practices participated in semistructured telephone interviews, which explored patients responses to GPRs. The interviews were recorded, transcribed and analysed using a template analysis approach. Results Analysis of the interviews produced five major themes concerning patient attitudes to GPRs: desire for continuity, desire for access, openness, trust and a desire for meaningful communication. Discussion …

The Conference For General Practice 2009, Andrew Bonney, Lyn Phillipson, Sandra Jones, Donald Iverson

Don C. Iverson

Objectives The medical literature suggests that older patients may be reluctant to engage general practice registrars in their medical care. This can lead to distortions in the clinical caseload of general practice registrars and dissatisfaction for older patients when seeing general practice registrars. The authors undertook a qualitative study of older patients to investigate their attitudes to having general practice registrars involved in their medical care to address this issue. Methods The study was conducted in three general practice (GP) training practices in southeast NSW, Australia. Appropriate ethics approval was obtained before commencing the research. Reception staff handed patients invitations …

General Practice Registrars: Attitudes Of Older Patients, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson

Don C. Iverson

Previous research indicates that older patients may be less willing to consult general practice registrars (GPRs), reducing training opportunities in chronic/complex care. This survey explores older patients’ attitudes in order to inform models of interaction that would be acceptable to patients. METHODS Ten training general practices distributed questionnaires for self completion to 50 patients aged 60 years and over. Chi-square, Spearman’s rho and logistic regression were used for analysis. RESULTS The response rate was 47%. Ninetysix percent wanted ongoing contact with their general practitioner if they saw a GPR. Twenty-four percent were comfortable with GPR chronic/complex care, increasing to 73% …

Preparing For An Ageing Population: A Survey Of Older Patients' Attitudes To General Practice Registrars, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson

Don C. Iverson

The ageing population makes it imperative to provide appropriate training for general practice registrars (GPRs) in the community-based care of older patients. However, data suggest that older patients may be less willing to consult GPRs for chronic/complex care; adversely affecting training opportunities and potentially the satisfaction of older patients in training practices. This cross-sectional study was undertaken to investigate this concern in the Australian context and develop models of older patient-GPR interaction that are acceptable to patients.

Do Organisational Characteristics Explain The Differences Between Drivers Of Ict Adoption In Rural And Urban General Practices In Australia, Robert C. Macgregor, Peter N. Hyland, Charles Harvie

Charles Harvie

A number of studies have compared general medical practices in rural locations with those in urban locations. Some of these studies have concentrated on the reasons why a GP might choose to work in a rural or urban setting. Others have examined the type of work required to be undertaken by medical professionals. Increasing use of information and communications technology (ICT) in medical practices has led to some studies examining their use in rural as well as urban settings. However, little if any research has examined whether ICT adoption drivers differ between rural and urban GPs based on their organisational …

Process-Evaluation Of Tropospheric Humidity Simulated By General Circulation Models Using Water Vapor Isotopologues: 1. Comparison Between Models And Observations, Camille Risi, David Noone, John Worden, Christian Frankenberg, Gabriele Stiller, Michael Kiefer, Bernd Funke, Kaley Walker, Peter Bernath, Matthias Schneider, Debra Wunch, Vanessa Sherlock, Nicholas M. Deutscher, David W. Griffith, Paul O. Wennberg, Kimberly Strong, Dan Smale, Emmanuel Mahieu, Sabine Barthlott, Frank Hase, Omar Garcia, Justus Notholt, Thorsten Warneke, Geoffrey Toon, David Sayres, Sandrine Bony, Jeonghoon Lee, Derek Brown, Ryu Uemura, Christophe Sturm

Faculty of Science - Papers (Archive)

[1] The goal of this study is to determine how H2O and HDO measurements in water vapor can be used to detect and diagnose biases in the representation of processes controlling tropospheric humidity in atmospheric general circulation models (GCMs). We analyze a large number of isotopic data sets (four satellite, sixteen ground-based remote-sensing, five surface in situ and three aircraft data sets) that are sensitive to different altitudes throughout the free troposphere. Despite significant differences between data sets, we identify some observed HDO/H2O characteristics that are robust across data sets and that can be used to evaluate models. We evaluate …

The Hollow-Face Illusion: Object Specific Knowledge, General Assumptions Or Properties Of The Stimulus, Harold C. Hill, Alan Johnston

Harold Hill

The hollow-face illusion, in which a mask appears as a convex face, is a powerful example of binocular depth inversion occurring with a real object under a wide range of viewing conditions. Explanations of the illusion are reviewed and six experiments reported. In experiment 1 the detrimental effect of figural inversion, evidence for the importance of familiarity, was found for other oriented objects. The inversion effect held for masks lit from the side (experiment 2). The illusion was stronger for a mask rotated by 90° lit from its forehead than from its chin, suggesting that familiar patterns of shading enhance …

Promoting Sexual Healthcare Within General Practice, Ann Dadich, Hassan Hosseinzadeh, Penny Abbott, Jenny Reath, Wendy Hu, Tim Usherwood, Melissa Kang, Carolyn Murray

Faculty of Social Sciences - Papers (Archive)

Poster presented at the 2012 Primary Health Care Research Conference, 18-20 July 2012, Canberra, Australia

Enhancing Sexual Healthcare Within General Practice, Ann Dadich, Hassan Hosseinzadeh, Penny Abbott, Jenny Reath, Wendy Hu, Tim Usherwood, Melissa Kang, Carolyn Murray, K Reakes

Faculty of Social Sciences - Papers (Archive)

Poster abstract presented at IUSTI World Congress, 15-17 October 2012, Melbourne, Australia

Dementia And Driving: An Approach For General Practice, John Carmody, Victoria Traynor, Donald C. Iverson

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background As our population ages, the proportion of drivers with dementia will continue to rise. Increasingly, health professionals are faced with the clinical dilemma of determining fitness to drive. Unfortunately, the management of drivers with dementia is fraught with hazards.

Objective This article attempts to provide an overview of the complex issue of driving and dementia as it relates to general practitioners in Australia. In addition, an evidence based management strategy is proposed.

Discussion When determining an individual’s fitness to drive, a clinician’s input may have legal, ethical, emotional and social ramifications. At present, a clear consistent national protocol detailing …

What's On The Menu For The 75+ Health Assessment?: An Opportunity For Nutrition Screening Of Older Patients In General Practice, A H. Hamirudin, K E. Charlton, K L. Walton, A Bonney, J. Potter, Marianna Milosavljevic, G Albert, A Hodgkins, A Dalley

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the Annual Scientific Meeting of the Nutrition Society of Australia, 27-30 November 2012, Wollongong, Australia

Preschool Programs For The General Population, Edward Melhuish, Jacqueline Barnes

Faculty of Social Sciences - Papers (Archive)

There are several small-scale randomized controlled trial (RCT) studies in the United States documenting the benefits of curriculum-led experimental preschool programs and "pre-kindergarten" education for long-term educational, occupational and social outcomes for disadvantaged children. In addition a larger-scale quasi-experimental study in Chicago found similar benefits up to age 28 of sustained, publicly-funded early education to subsequent education, socio-economic status, health and crime for a disadvantaged population. Such programs are cost-effective with disadvantaged groups, at risk for poor outcomes, in that the savings outweigh any costs. Besides benefits for disadvantaged groups, there is strong evidence that preschool education, whether or not …

Adapting General Practice Training To Meet The Evolving Health Care Needs Of Our Communities, Andrew Bonney, Simon Morgan, Parker Magin

Faculty of Science, Medicine and Health - Papers: part A

Abstract of workshop held at General Practice Education and Training Convention 2013, 11-12 September 2013, Perth.

Access To Same Day, Next Day And After-Hours Appointments: The Views Of Australian General Practitioners, Mark Fort Harris, Patrick Davies, Mahnaz Fanaian, Nicholas Zwar, Siaw-Teng Liaw

Faculty of Science, Medicine and Health - Papers: part A

Objective. To evaluate factors associated with the availability of same or next day appointments and after-hours access reported by Australian general practitioners (GPs). Methods. Secondary analysis of a survey of primary care practitioners conducted by the Commonwealth Fund in 2009 in 11 countries. Analysis of factors likely to be associated with reported availability of same or next day appointments and after-hours access. Findings. Of 1016 Australian GPs, 78.8% reported that most patients in their practice had access to an appointment on the same or next day and 50% that their practice had arrangements for after-hours access. Access to same or …

Practice Nurses Experiences Of Mentoring Undergraduate Nursing Students In Australian General Practice, Elizabeth J. Halcomb, Kathleen Peters, Susan Mcinnes

Faculty of Science, Medicine and Health - Papers: part A

Internationally, the delivery of health services has shifted from secondary to primary care, necessitating an exponential growth of the nursing workforce and expansion of the nursing role in general practice. This growth, and the subsequent need to develop this workforce, has created a need to expose undergraduate nurses to general practice nursing as a viable career option. Concurrently, universities are struggling to find sufficient clinical places for their undergraduate students to gain clinical experience. It is logical, therefore, to increase the number of undergraduate nursing student placements in general practice. Through qualitative research methods, this paper seeks to explore the …

How Feasible Are Lifestyle Modification Programs For Disease Prevention In General Practice?, Heike Schutze, Elizabeth F. Rix, Rachel A. Laws, Megan Passey, Mahnaz Fanaian, Mark F. Harris

Faculty of Social Sciences - Papers (Archive)

Vascular disease is a leading cause of death and disability. While it is preventable, little is known about the feasibility or acceptability of implementing interventions to prevent vascular disease in Australian primary health care. We conducted a cluster randomised controlled trial assessing prevention of vascular disease in patients aged 40-65 by providing a lifestyle modification program in general practice. Interviews with 13 general practices in the intervention arm of this trial examined their views on implementing the lifestyle modification program in general practice settings. Qualitative study, involving thematic analysis of semi-structured interviews with 11 general practitioners, four practice nurses and …