The Impact Of Hospital-based Aged Care And Dementia Services On Outcomes For People With Dementia Admitted To Hospital-a
Funder
National Health and Medical Research Council
Funding Amount
$1,308,580.00
Summary
This research explores how hospital based aged care and dementia services influence outcomes for people with dementia who are admitted to hospital. Using detailed data for NSW public hospitals, it will provide information about the kinds of hospital based aged care and dementia services available to assist people with dementia, and how the level and mix of these services is associated with different patient outcomes, including lower rates of admission to hospital. There is considerable evidence ....This research explores how hospital based aged care and dementia services influence outcomes for people with dementia who are admitted to hospital. Using detailed data for NSW public hospitals, it will provide information about the kinds of hospital based aged care and dementia services available to assist people with dementia, and how the level and mix of these services is associated with different patient outcomes, including lower rates of admission to hospital. There is considerable evidence that there are many hazards for people with dementia when they are hospitalized. The project will result in recommendations about the types of services and their features which produce better outcomes for people with dementia. Every stage of the research will be guided and informed by an Expert Panel comprising representatives of dementia service consumers, aged care providers, health service planning staff and key researchers. The Panel will provide contextual information about the service environment and how it affects people with dementia. Details of the patient's complete hospital stay can be investigated by linking existing administrative datasets. Data about hospital services will be gathered through a census of NSW hospitals, supplemented with in-depth interviews with key stakeholders and small group expert discussions with experts in each Area Health Service. The research team will also visit selected hospital sites. Multilevel modelling techniques will test for statistical associations between hospital based dementia services and care outcomes including admission rates to hospital, total length of hospital stay, mortality, admission rates to hospital, and the level of patient dependency on entry to residential aged care. The model will include the influence of regional variations in the provision of community aged care packages and residential aged care and the availability of informal care. The project will include a focus on the outcomes for people with co-morbidities and for people from different culturally and linguistically diverse backgrounds.Read moreRead less
Meeting The Needs Of The Elderly: Implementing The Palliatve Approach For People With Declining Health In Homeandhostel
Funder
National Health and Medical Research Council
Funding Amount
$83,456.00
Summary
This study aims to understand the extent to which a palliative approach is being used in the organisation and provision of care to elderly people with complex needs in home and hostel settings. It will identify current practices of aged care staff in the management of elderly people whose care needs are becoming increasingly more complex and not amendable to cure. In addition this study will explore the experiences of elderly people receiving this care. A model of the provision of a palliative a ....This study aims to understand the extent to which a palliative approach is being used in the organisation and provision of care to elderly people with complex needs in home and hostel settings. It will identify current practices of aged care staff in the management of elderly people whose care needs are becoming increasingly more complex and not amendable to cure. In addition this study will explore the experiences of elderly people receiving this care. A model of the provision of a palliative approach in this group of elderly Australians will be developed.Read moreRead less
Patient-centred Volunteer Program For People With Dementia: A Stepped Wedge Cluster Randomised Controlled Trial Of The MyCare Ageing Program
Funder
National Health and Medical Research Council
Funding Amount
$645,205.00
Summary
The MyCare Ageing program provides hospitalised patients with dementia and/or delirium with tailored emotional and practical support via trained volunteers in hospital and in the transition home. This project will provide critical information on whether MyCare Ageing works to reduce future hospitalisations and prevent poor patient outcomes, the factors that impact on how the program is delivered in hospital and in the community, and whether the program is cost-effective.
Improving Outcomes For Community Dwelling People With Dementia And Their Support Persons
Funder
National Health and Medical Research Council
Funding Amount
$719,340.00
Summary
This program of work, consisting of two themes, will build evidence for improving outcomes for people living with dementia (PLWD) and their support persons. Theme 1 studies will gather descriptive data on the experience of person-centred care among PLWD and their support persons. Theme two will evaluate the impact of interventions in the primary care and community setting in improving quality of care and quality of life outcomes for PLWD and their support persons.
Implementing A Needs-based Evidence-driven Primary Health Care Workforce Planning Model To Describe The Multidisciplinary Primary Health Care Team Necessary To Deliver Best Practice In Community Mental Health Care And Prevention
Funder
National Health and Medical Research Council
Funding Amount
$380,104.00
Summary
Mental illness is a major source of disease burden, with high levels of unmet need, particularly in disadvantaged groups. An innovative needs-based, evidence-driven health workforce model is to be applied to mental health, to describe the multidisciplinary primary care team required to meet the mental health needs of the population. Conducting this work in partnership with government; mental health and strategic planning divisions will support evidence translation to enhance mental wellbeing.
Communication Connect: Improving Long Term Communication And Mental Health Outcomes Following Stroke And Brain Injury
Funder
National Health and Medical Research Council
Funding Amount
$1,809,756.00
Summary
The 250,000 Australians living in the community with communication disability caused by stroke and traumatic brain injury experience unacceptably high rates of depression, anxiety, inactivity and social isolation. Their carers experience high levels of burden, and they struggle to access health and community services. We aim to develop and test a program of community and self-managed care, aimed at reversing these negative impacts and reducing reliance on high cost health care services.
Develop Of A Service Improve Framework Based On Health Promotion Principles For Community-based Specialist Palliative Ca
Funder
National Health and Medical Research Council
Funding Amount
$84,430.00
Summary
The aims of this study are to: examine ways in which health promotion principles may be applied in specialist palliative care service delivery models; examine factors which may influence the implementation of a health promoting model of palliative care; develop a service improvement framework based on health promotion principles for community-based specialist palliative care services; and, implement and evaluate the service improvement framework in a selected community based palliative care serv ....The aims of this study are to: examine ways in which health promotion principles may be applied in specialist palliative care service delivery models; examine factors which may influence the implementation of a health promoting model of palliative care; develop a service improvement framework based on health promotion principles for community-based specialist palliative care services; and, implement and evaluate the service improvement framework in a selected community based palliative care service.Read moreRead less
WOmen's Action For Mums And Bubs (WOMB): A Pragmatic Trial Of Participatory Women's Groups To Improve Indigenous Maternal And Child Health
Funder
National Health and Medical Research Council
Funding Amount
$1,766,216.00
Summary
There is strong evidence elsewhere that involving community women in decision-making about strategies to improve the health of mothers and babies is a cheap and effective way of improving health. The WOMB study tests whether community women's groups improve the quality of maternal and child health care and outcomes in Aboriginal and Torres Strait Islander communities, the cost-effectiveness and how it works.