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University of Wollongong

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2019

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Articles 1 - 3 of 3

Full-Text Articles in Medicine and Health Sciences

Effectiveness Of Quality Incentive Payments In General Practice (Equip-Gp): A Study Protocol For A Cluster-Randomised Trial Of An Outcomes-Based Funding Model In Australian General Practice To Improve Patient Care, Gregory Peterson, Grant Russell, Jan Radford, Nicholas Arnold Zwar, Danielle Mazza, Simon Eckermann, Judy Mullan, Marijka Batterham, Athena Hammond, Andrew D. Bonney Jan 2019

Effectiveness Of Quality Incentive Payments In General Practice (Equip-Gp): A Study Protocol For A Cluster-Randomised Trial Of An Outcomes-Based Funding Model In Australian General Practice To Improve Patient Care, Gregory Peterson, Grant Russell, Jan Radford, Nicholas Arnold Zwar, Danielle Mazza, Simon Eckermann, Judy Mullan, Marijka Batterham, Athena Hammond, Andrew D. Bonney

Illawarra Health and Medical Research Institute

Background There is international interest in whether improved primary care, in particular for patients with chronic or complex conditions, can lead to decreased use of health resources and whether financial incentives help achieve this goal. This trial (EQuIP-GP) will investigate whether a funding model based upon targeted, continuous quality incentive payments for Australian general practices increases relational continuity of care, and lessens health-service utilisation, for high-risk patients and children. Methods We will use a mixed methods approach incorporating a two-arm pragmatic cluster randomised control trial with nested qualitative case studies. We aim to recruit 36 general practices from Practice-Based Research …


Application Of The Integrated Behavioral Model To Oral Self‐Care Behavior Of Community‐Dwelling Middle‐Aged And Older People In Taiwan, Mu-Hsing Ho, H.C. Chang, Yen-Kuang Lin, Victoria Traynor, Hung-Huey Tsai, Kathleen Buckwalter, Megan F. Liu, Chia-Chi Chang Jan 2019

Application Of The Integrated Behavioral Model To Oral Self‐Care Behavior Of Community‐Dwelling Middle‐Aged And Older People In Taiwan, Mu-Hsing Ho, H.C. Chang, Yen-Kuang Lin, Victoria Traynor, Hung-Huey Tsai, Kathleen Buckwalter, Megan F. Liu, Chia-Chi Chang

Illawarra Health and Medical Research Institute

Objectives This study evaluated the Integrated Behavioral Model and examined oral self‐care behavior of community‐dwelling middle‐aged and older people. Design A cross‐sectional design was used. Sample Purposive sampling was employed to recruit middle and older age community‐dwelling individuals, with research locations in public health centers in northern Taiwan. Measurements Structured questionnaires comprised: participant demographics, oral health literacy, oral self‐care attitude, self‐efficacy, intention, and behavior, and significant others' perceptions and beliefs as well as environmental constraints. The Model verification was evaluated by path analysis. Results Two hundred and sixty‐three participants (N = 263) completed the questionnaire survey. Results identified significant direct …


Evaluation Of A Brief Intervention Within A Stepped Care Whole Of Service Model For Personality Disorder, Elizabeth A. Huxley, Kate L. Lewis, Adam Coates, Wayne Borg, Caitlin Miller, Michelle L. Townsend, Brin F. S Grenyer Jan 2019

Evaluation Of A Brief Intervention Within A Stepped Care Whole Of Service Model For Personality Disorder, Elizabeth A. Huxley, Kate L. Lewis, Adam Coates, Wayne Borg, Caitlin Miller, Michelle L. Townsend, Brin F. S Grenyer

Illawarra Health and Medical Research Institute

Background Although there is growing evidence that stepped models of care are useful for providing appropriate, person centered care, there are very few studies applied to personality disorders. A brief, four session, psychological treatment intervention for personality disorder within a whole of service stepped care model was evaluated. The intervention stepped between acute emergency crisis mental health services and longer-term outpatient treatments. Methods Study 1 used service utilization data from 191 individuals referred to the brief intervention at a single community health site in a metropolitan health service. Proportions of individuals retained across the intervention and the referral pathways accessed …