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
Relationships Between General Practice And Community Health Services To Improve Shared Service Delivery
Funder
National Health and Medical Research Council
Funding Amount
$70,455.00
Summary
The quality of care for people with chronic disease can be improved through well coordinated primary health care services. This research will contribute to better understanding the factors that contribute to effective shared service delivery between general practice and community health services. It is of significance to Australian health policy, as governments are investing to improve access to a broader range of primary health care providers and more integrated service delivery.
Primary Health Care And Self-management For Depression And Anxiety: A Vital Community-based Study For Future Service Delivery
Funder
National Health and Medical Research Council
Funding Amount
$330,779.00
Summary
Depression and anxiety are widespread. As treatment is typically managed by GPs, effective primary care for these disorders is a national priority. The Australia-wide coverage of these services means that the research behind their delivery must be based on community-wide studies of primary care outcomes and determinants. There is an acute lack of such research. Dr Olesen proposes a comprehensive and innovative set of epidemiological investigations to address this gap.
Strengthening Health Systems Through The Use Of Process Evaluations Of Complex Interventions
Funder
National Health and Medical Research Council
Funding Amount
$61,383.00
Summary
A strong primary health care is vital to improve health and health equity globally. This is pertinent in a growing age of non-communicable diseases for which there is effective prevention strategies available. It is important to understand for whom, how and why these strategies can work in a primary health care setting (such as better understanding patients' and health providers' perspectives) through process evaluations. Research to build on process evaluation methods is crucial.
Improving Quality And Safety Of Health Care Delivery At The Interface Between The Primary And Acute Care Sectors
Funder
National Health and Medical Research Council
Funding Amount
$2,528,627.00
Summary
The interface between primary and hospital based care is a quality and safety flashpoint. Our Centre will investigate the utility of a new model of collaborative care at this interface involving upskilled general practitioners, supported by hospital specialists and multidisciplinary teams caring for people with diabetes, heart failure and people receiving palliative care. We will investigate the impact on health outcomes; consumer and health care professional satisfaction; and economic outcomes.
Preventing Overdiagnosis: A Research Programme To Investigate And Respond To The Health Impacts Of Expanding Disease Definitions And Lowering Diagnostic Thresholds
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
The “modern epidemic” of overdiagnosis is recognised as a source of harm and waste in healthcare. Overdiagnosis happens when someone is given a diagnosis for a disease that won’t harm them, leading to unnecessary treatment. This project will investigate how expanding disease definitions are helping drive overdiagnosis by labelling too many people, how to communicate about the problem, and how to improve the process of defining disease, so health resources can focus more on those most in need.
Integrating Lifestyle Risk Factor Management Into Community Health Service Provision: Multiple Case Studies
Funder
National Health and Medical Research Council
Funding Amount
$56,676.00
Summary
This study aims to improve our understanding of how nurses and allied health professionals working in the community can address lifestyle issues with patients as part of routine practice. Lifestyle issues include smoking, poor nutrition, excessive alcohol intake and lack of exercise. This has the potential to improve the help available from community health services for individuals wishing to change their lifestyle to prevent future health problems or to better manage existing health conditions.
Does Continuity Of Primary Care Reduce Demand On Emergency Department Presentations And Hospital Admissions?
Funder
National Health and Medical Research Council
Funding Amount
$793,864.00
Summary
Nearly 10% of admissions to hospital are thought to be potentially preventable. It has been proposed that timely and effective primary care services can prevent the onset of complications and reduce hospitalisations. This study will evaluate the influence of regular ongoing contact with a general practitioner on emergency department visits and preventable hospitalisations for patients with a range of national priority acute medical and chronic / complex conditions
Evaluating The Effectiveness Of Comprehensive Primary Health Care In Local Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,635,268.00
Summary
This research will develop and implement a program logic evaluation in order to assess the effectiveness of various models of primary heatlh care service delivery. Although comprehensive primary health care holds considerable promise to meet the growing demands on the health system, it has not been thoroughly evaluated. Comprehensive primary health care is a large and complex area, therefore part of the project focuses on services and client experiences in two chromic diseases: diabetes and depr ....This research will develop and implement a program logic evaluation in order to assess the effectiveness of various models of primary heatlh care service delivery. Although comprehensive primary health care holds considerable promise to meet the growing demands on the health system, it has not been thoroughly evaluated. Comprehensive primary health care is a large and complex area, therefore part of the project focuses on services and client experiences in two chromic diseases: diabetes and depressionRead moreRead less
A Perntership Intervention Trial To Redress TreatmentDelay And Improve Outcomes In Rural Cancer Patients
Funder
National Health and Medical Research Council
Funding Amount
$1,258,784.00
Summary
Improving the poor outcomes in Australian cancer patients living in rural and remote areas is a national priority, but there is as yet insufficient evidence on how the problem is best tackled. In this project, partner organisations that deliver cancer services in non-metropolitan WA will team with experienced researchers to develop a ‘best prospects’ package of interventions targeting the community, medical and other health practitioners and patients with cancer; and to evaluate the effectivenes ....Improving the poor outcomes in Australian cancer patients living in rural and remote areas is a national priority, but there is as yet insufficient evidence on how the problem is best tackled. In this project, partner organisations that deliver cancer services in non-metropolitan WA will team with experienced researchers to develop a ‘best prospects’ package of interventions targeting the community, medical and other health practitioners and patients with cancer; and to evaluate the effectiveness of the package using a scientifically valid randomised controlled trial.Read moreRead less