Improving maternal and child health care for women experiencing violence: collaborative development, implementation and effectiveness of a good practice model. Maternal and child health services are universal community-based national services for Australia's mothers and babies. However, they are poorly researched, supported, resourced and lack evidence for managing the challenges of addressing intimate partner violence among their client populations. Partner violence is prevalent in early parent ....Improving maternal and child health care for women experiencing violence: collaborative development, implementation and effectiveness of a good practice model. Maternal and child health services are universal community-based national services for Australia's mothers and babies. However, they are poorly researched, supported, resourced and lack evidence for managing the challenges of addressing intimate partner violence among their client populations. Partner violence is prevalent in early parenthood and imposes a heavy health burden on victims and infants and a significant cost to society. If effective, this innovative model of maternal child health nursing care for abused mothers and infants will inform the enhanced provision of early intervention services nationwide, contribute to community nursing scholarship and give children a healthier start to life.Read moreRead less
Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic ....Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic wounds are associated with significant hidden burdens on the community resulting from loss of mobility, decreased functional ability, social isolation and loss of participation in the workforce/society. This study will provide much needed information on management of this chronic disease to promote improved quality of life, health and independence in this population.Read moreRead less
Implementing guidelines to prevent chronic disease in the community. The burden of chronic disease in Australia has resulted in prevention of chronic disease being an important priority for the Australian health system. High quality evidence for preventing chronic disease exists; however the practice falls short of the evidence. Finding ways to implement the evidence for preventing chronic disease is an urgent national need. This study aims to apply the evidence for preventing chronic disease in ....Implementing guidelines to prevent chronic disease in the community. The burden of chronic disease in Australia has resulted in prevention of chronic disease being an important priority for the Australian health system. High quality evidence for preventing chronic disease exists; however the practice falls short of the evidence. Finding ways to implement the evidence for preventing chronic disease is an urgent national need. This study aims to apply the evidence for preventing chronic disease in practice. It will generate data and validate a model on how to effectively improve the uptake of guidelines by both practitioners and consumers. This project is of national and community benefit because it will enable the potential of preventing chronic disease to be realised.Read moreRead less
Towards Evidence-based Adoption And Scale-up Of Cost-saving Primary Health Care Innovations
Funder
National Health and Medical Research Council
Funding Amount
$408,768.00
Summary
What innovations like service integration, care coordination and information technology (e.g. text message reminders, remote video consultations, remote monitoring) have in common is that they alter the patient-provider interface, more reliably and consistently than improving clinical outcomes. So, to determine their true costs and benefits, how to select among them and how to scale them up, this research program will assess them based on measures of how they alter patient-provider transactions.
An Evaluation Of Trust In A Primary Health Care System
Funder
National Health and Medical Research Council
Funding Amount
$135,550.00
Summary
Trust is a critical issue in the relationships between organisations that need to work together to achieve integrated services for consumers. As organisational representatives get to know one another trust may develop permitting a greater degree of collaboration. In Victoria, the Primary Care Partnerships Strategy process aims to strengthen the relationships between agencies in alocal areas to improve collaboration and achieve services that operate in an integrated way in the provision of servic ....Trust is a critical issue in the relationships between organisations that need to work together to achieve integrated services for consumers. As organisational representatives get to know one another trust may develop permitting a greater degree of collaboration. In Victoria, the Primary Care Partnerships Strategy process aims to strengthen the relationships between agencies in alocal areas to improve collaboration and achieve services that operate in an integrated way in the provision of services to consumers. It is about strengthening the system of care. The aim of this study is to understand how people within a primary care system build and maintain relationships of trust between individuals and between organisations. Individuals will be interviewed to learn how they experience trust and related issues, documents will be analysed to learn about the policy and organisational environments of trust relationships, and the Trust Evaluation Scale used to measure the factors associated with trust over a two year period. The outcomes of this study will be an understanding of how organisations establish the relationships that allow them to collaborate effectively. In particular it will help us understand how they can be encouraged to share the same protocols and procedures, to share information, and become more skilful at managing organisational differences, and it will provide a deeper understanding of relationships between primary health care organisations and the strategies that can help individuals and organisations create trust and collaborate.Read moreRead less
After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, ....After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, early childhood, mental health and drug and alcohol services operated by NSW Health. The research will be the first study of its size to consider the outcomes of routine screening for domestic violence in public health settings in the Australian context.Read moreRead less
QUality Improvement In Primary Care To Prevent Hospitalisations And Improve Effectiveness And Efficiency Of Care For People Living With Heart Disease (QUEL)
Funder
National Health and Medical Research Council
Funding Amount
$828,305.00
Summary
Heart disease accounts for a great number of deaths and admissions to hospital. We aim to improve ongoing prevention for people with heart disease by supporting general practices to use their data and provide more systematic care. We propose a randomised trial to determine whether a practice level strategy reduces cardiovascular events and hospitalisations and saves money. The research will directly inform government decision-making and policy regarding primary care incentive payment programs.