Although medical tests and procedures can save lives, sometimes too much medical intervention can be harmful. In low back pain, for example, high numbers of X-ray, CT and MRI scans are provided unnecessarily. There is good evidence that imaging scans for low back pain can cause more harm than good. At the same time, people can miss out on treatments that we know to be effective. This fellowship will enable me to discover ways to ensure people receive the right care for low back pain.
Implementing Guidelines To Routinely Prevent Chronic Disease In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$764,446.00
Summary
High quality, evidence-based guidelines for preventive activities and for the implementation of prevention in general practice have been developed by the Royal Australian College of General Practitioners and other bodies, yet available information suggests that many patients miss out on evidence-based preventive care. This project aims to evaluate current practice and develop a model of practice aimed at improving the implementation of preventive guidelines in general practice.
Innovative solutions to primary care management of back pain. Each year in Australia over $1billion is spent on low back pain treatment. Part of the reason for this massive expenditure is that back pain is extremely common. Most existing treatments involve highly skilled practitioners and considerable cost to the patient. This program of research will look at evaluating simple, low-cost care for patients with back pain. It will also consider the delivery of back pain care by community pharmacist ....Innovative solutions to primary care management of back pain. Each year in Australia over $1billion is spent on low back pain treatment. Part of the reason for this massive expenditure is that back pain is extremely common. Most existing treatments involve highly skilled practitioners and considerable cost to the patient. This program of research will look at evaluating simple, low-cost care for patients with back pain. It will also consider the delivery of back pain care by community pharmacists, an approach not previously evaluated. Prevention of recurrent back pain will also be studied. Such methods of delivering care will provide enormous savings to the health system while still ensuring best practice care for the patient.Read moreRead less
A Randomised Controlled Trial To Evaluate The Effectiveness And Cost-effectiveness Of Chlamydia Testing In General Practice.
Funder
National Health and Medical Research Council
Funding Amount
$1,377,557.00
Summary
Chlamydia is a very common sexually transmissible infection in Australia that can lead to infertility in women. About 4% of young adults have it. Most people with chlamydia do not have any symptoms and will be unaware they have it. Chlamydia is easy to diagnose and treat, but it is not known whether regular testing can reduce its spread. We propose to conduct a trial to evaluate whether annual testing for 16 to 29 year olds works and whether it would be a good use of public health funds.
The Heart of Health Care: Advancing Emotional Well-being, Engagement and Performance in Hospitals. This research will improve our understanding of the drivers of effective health care delivery and will identify practical ways to improve the well-being, performance, retention and engagement of health care professionals and improve patient care, satisfaction and safety. In light of significant staffing shortages of health care professionals, the knowledge created will have substantial benefits in ....The Heart of Health Care: Advancing Emotional Well-being, Engagement and Performance in Hospitals. This research will improve our understanding of the drivers of effective health care delivery and will identify practical ways to improve the well-being, performance, retention and engagement of health care professionals and improve patient care, satisfaction and safety. In light of significant staffing shortages of health care professionals, the knowledge created will have substantial benefits in developing more effective models of quality care. In addition this research will enable health care professionals to build holistic, adaptable and multidisciplinary approaches to patient care in order to ensure a sustainable health care system for the future.Read moreRead less
Factors which influence the preferences of GPs and women for contraceptive products. This research will provide valuable information to manufacturers, providers and consumers of contraceptive products, that will assist consumers in making the best choice of contraception given the complex array of alternatives available. Manufactuers will be able to use the information to advise their clients about the risks and benefits of various products. Consumers will be able to use this enhanced knowledge ....Factors which influence the preferences of GPs and women for contraceptive products. This research will provide valuable information to manufacturers, providers and consumers of contraceptive products, that will assist consumers in making the best choice of contraception given the complex array of alternatives available. Manufactuers will be able to use the information to advise their clients about the risks and benefits of various products. Consumers will be able to use this enhanced knowledge for better family planning, thus improving the health of parents and children.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
Assessing the effectiveness of a Community Reinforcement and Family Training intervention for alcohol misuse with Indigenous Australians. A national benefit will be the contribution of evidence about the feasibility, utility and potential effectiveness of individual and family-based interventions for reducing alcohol-related harms and improving family functioning among Indigenous Australians. Community level benefits will include, firstly, the strengthened role and capability of participating he ....Assessing the effectiveness of a Community Reinforcement and Family Training intervention for alcohol misuse with Indigenous Australians. A national benefit will be the contribution of evidence about the feasibility, utility and potential effectiveness of individual and family-based interventions for reducing alcohol-related harms and improving family functioning among Indigenous Australians. Community level benefits will include, firstly, the strengthened role and capability of participating health services and staff to utilise evidence based approaches to support Indigenous individuals and families dealing with alcohol problems. Secondly, Indigenous individuals and families participating in the Community Reinforcement and Family-based Training intervention will acquire the requisite skills and knowledge to manage the alcohol problems affecting them.Read moreRead less
A study investigating the feasibility of implementing a national approach to child and family health services. Understanding and strengthening the way in which universal health services are provided to pregnant women, children and families has the potential to impact over a million Australian families annually. The findings of this study will have national application as federal, state and territory governments work towards implementing a national approach to child and family health services. Th ....A study investigating the feasibility of implementing a national approach to child and family health services. Understanding and strengthening the way in which universal health services are provided to pregnant women, children and families has the potential to impact over a million Australian families annually. The findings of this study will have national application as federal, state and territory governments work towards implementing a national approach to child and family health services. The findings will inform effective multidisciplinary collaboration and service integration, address service gaps and duplication and lead to increased access to services. This study will generate new knowledge about characteristics of organisations, service delivery and professions that facilitate or hinder innovation.Read moreRead less
Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-ki ....Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-kin will be interviewed to determine the context surrounding the deceased's death, and the abilities of health professionals to identify warning signs and to intervene prior to suicide. Given our ageing population, the outcomes will be significant in educating all health professionals to identify suicidal signs, and to prevent premature death in the elderly.Read moreRead less