Social and Behavioral Sciences Commons^™

Activating Primary Care Copd Patients With Multi-Morbidity (Apcom) Pilot Project: Study Protocol, Sameera Ansari, Hassan Hosseinzadeh, Sarah May Dennis, Nicholas Zwar

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

Chronic obstructive pulmonary disease (COPD), third leading cause of mortality worldwide,1 is primarily caused by cigarette smoking in Australia.2 COPD often occurs in the presence of multi-morbidity, which is the simultaneous occurrence of two or more chronic conditions; this is a growing concern in a health system focused on single-disease management.3 Around 80% of older Australians have multi-morbidity, average prevalence of chronic respiratory disease being 9.5%.4 A systematic review of COPD education programs suggests that equipping patients with self-management skills is as important as disease knowledge.5 Studies exploring positive effects of chronic disease-management interventions6 also underline the lack of studies …

Improving The Uptake Of Pre-Travel Health Advice Amongst Migrant Australians: Exploring The Attitudes Of Primary Care Providers And Migrant Community Groups, Holly Seale, Rajneesh Kaur, Abela Mahimbo, C Raina Macintyre, Nicholas Arnold Zwar, Mitchell Smith, Heather Worth, Anita Heywood

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

Background: Migrant travellers who return to their country of origin to visit family and friends (VFR) are less likely to seek travel-related medical care and are less likely to adhere to recommended medications and travel precautions. Through this study, we aimed to get an understanding of the views of stakeholders from community migrant centres and primary care providers on barriers for migrants, particularly from non-English speaking backgrounds, in accessing travel health advice and the strategies that could be used to engage them. Methods: A qualitative study involving 20 semi-structured interviews was undertaken in Sydney, Australia between January 2013 and September …

A Randomised Controlled Trial Of A Consumer-Focused E-Health Strategy For Cardiovascular Risk Management In Primary Care: The Consumer Navigation Of Electronic Cardiovascular Tools (Connect) Study Protocol, Julie Redfern, Tim Usherwood, Mark Fort Harris, A Rodgers, Noel Hayman, Kathryn S. Panaretto, C Chow, A Lau, Lis Neubeck, G Coorey, F Hersch, E Heeley, Anushka Dr Anushka Patel, S Jan, Nicholas Arnold Zwar, David Peiris

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

Introduction: Fewer than half of all people at highest risk of a cardiovascular event are receiving and adhering to best practice recommendations to lower their risk. In this project, we examine the role of an e-health-assisted consumer-focused strategy as a means of overcoming these gaps between evidence and practice. Consumer Navigation of Electronic Cardiovascular Tools (CONNECT) aims to test whether a consumer-focused e-health strategy provided to Aboriginal and Torres Strait Islander and non-indigenous adults, recruited through primary care, at moderate-to-high risk of a cardiovascular disease event will improve risk factor control when compared with usual care. Methods and analysis: Randomised …

Addressing The Deficiencies In The Evidence-Base For Primary Practice In Regional Australia - Sentinel Practices Data Sourcing (Spds) Project: A Pilot Study, Abhijeet Ghosh, Karen E. Charlton, Lisa Girdo, Marijka J. Batterham, Keith Mcdonald

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

Background Chronic disease risk on a population level can be quantified through health surveys, either continuous or periodic. To date, information gathered from primary care interactions, using sentinel sites, has not been investigated as a potentially valuable surveillance system in Australia.

Methods A pilot study was conducted in a single General Practice in a regional area of New South Wales, Australia to assess the feasibility of accessing data obtained through a computerised chronic disease management program that has been designed for desktop application (Pen Computer Systems (PCS) Clinical Audit Tool: ™ PCS CAT). Collated patient data included information on chronic …

Patients Communicating With Their Primary Care Physician About Chronic Disease Treatment In Regional Australia: Is Health Literacy Important?, J Mullan, K Weston, A Bonney, C Magee, G Albert, B Gerges, Soheir Abadier, T Smith, V Bonney, B Dijkmans-Hadley, C Kielly-Carroll

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

No abstract provided.

Preventive Evidence Into Practice (Pep) Study: Implementation Of Guidelines To Prevent Primary Vascular Disease In General Practice Protocol For A Cluster Randomised Controlled Trial, Mark Fort Harris, Jane Lloyd, John Litt, Mieke Van Driel, Danielle Mazza, Grant Russell, Jane Smith, Chris Del Mar, Elizabeth Denney-Wilson, Sharon M. Parker, Yordanka Krastev, Upali W. Jayasinghe, Richard J. Taylor, Nicholas Zwar, Jinty Wilson, Helen Bolger-Harris, Justine Waters

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

Background: There are significant gaps in the implementation and uptake of evidence-based guideline recommendations for cardiovascular disease (CVD) and diabetes in Australian general practice. This study protocol describes the methodology for a cluster randomised trial to evaluate the effectiveness of a model that aims to improve the implementation of these guidelines in Australian general practice developed by a collaboration between researchers, non-government organisations, and the profession.Methods: We hypothesise that the intervention will alter the behaviour of clinicians and patients resulting in improvements of recording of lifestyle and physiological risk factors (by 20%) and increased adherence to guideline recommendations for: the …

Annual Influenza Vaccination: Coverage And Attitudes Of Primary Care Staff In Australia, Kirsten Ward, Holly Seale, Nicholas Zwar, Julie Leask, C Raina Macintyre

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

Background Annual influenza vaccination is recommended for all Australian health care workers (HCWs) including those working in primary health care. There is limited published data on coverage, workplace provision, attitudes and personal barriers to influenza vaccination amongst primary health care staff. The aim of this study was to contribute to the limited literature base in this important area by investigating these issues in the primary health care setting in New South Wales (NSW), Australia. Methods A postal survey was sent to general practitioners (GPs) and practice nurses (PNs) from inner city, semi-urban and rural areas of NSW, Australia. There were …

The Nature And Prevalence Of Psychological Problems In New Zealand Primary Healthcare: A Report On Mental Health And General Practice Investigation ( Magpie), John Bushnell, Deborah Mcleod, A D. Dowell, C Salmond, S Ramage, S Collings, P Ellis, Marjan Kljakovic, L Mcbain

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

Aims This paper describes the methods used in a study of the prevalence and types of common mental disorders among patients attending New Zealand general practices, and reports some key findings from the first phase of the study. The study also aimed to determine the degree of associated disability and other factors influencing recognition, management, course and outcome of these disorders, and subsequent papers will address these issues. Methods General practitioners (GPs) were selected randomly. In the first phase of the study, all adult attenders at each practice on selected days were administered a short questionnaire, the General Health Questionnaire …

Psychological Problems In New Zealand Primary Health Care: A Report On The Pilot Phase Of The Mental Health And General Practice Investigation (Magpie), John Bushnell, Deborah Mcleod, A D. Dowell, C Salmond, S Ramage, S Collings, University Of Otago, Marjan Kljakovic, L Mcbain

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

Aim. To carry out a pilot study in two regions in order to investigate prevalence of psychological problems in primary care in New Zealand. Method. General Practitioners (GPs) within two geographic regions were randomly selected. All adult attenders at their practice on selected days were administered a short questionnaire, the GHQ-12, which assesses the presence of psychological symptoms. The GP recorded the reasons for each consultation, and was interviewed at the end of each day about selected patients, to determine their opinion about the type of psychological problems experienced. Results. Three-quarters of selected GPs (76%) agreed to participate. 96% of …