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.
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
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.
Rural General Practitioners in Australia: Costs, Returns and Relative Work Value of Rural Compared with Urban Private General Practitioners. Aims:
* To conduct a rurally focused study of GPs in Australia, to address rural GPs' concerns about remuneration, and consumers' concerns about access to rural GPs.
* To examine costs, prices, returns and work value differentials between rural and urban GPs.
Significance:
* The first systematic economic evaluation of rural GP remuneration and work valu ....Rural General Practitioners in Australia: Costs, Returns and Relative Work Value of Rural Compared with Urban Private General Practitioners. Aims:
* To conduct a rurally focused study of GPs in Australia, to address rural GPs' concerns about remuneration, and consumers' concerns about access to rural GPs.
* To examine costs, prices, returns and work value differentials between rural and urban GPs.
Significance:
* The first systematic economic evaluation of rural GP remuneration and work value in Australia.
* Reflection of the profession's geographical heterogeneity in policy recommendations.
Expected outcomes:
* Improved measurements of effects of geographcial location on costs, remuneration and relative work value of rural GPs.
* Improved understanding of effects of differential rates of GP bulk-billing.Read moreRead less
The Diamond Cohort Study - Long Term Outcomes Of Depressive Symptoms In Primary Care
Funder
National Health and Medical Research Council
Funding Amount
$567,538.00
Summary
The diamond study follows what happens to almost 800 people with depressive symptoms whom attend general practice for care over 5 years of their life. This study will map the severity of depressive symptoms, life circumstances, use of health care services and treatments and allow us to understand factors associated with relapse and recovery from depression in order to improve care. This will assist us to develop models of care that better suit the needs of people experiencing depressive symptoms ....The diamond study follows what happens to almost 800 people with depressive symptoms whom attend general practice for care over 5 years of their life. This study will map the severity of depressive symptoms, life circumstances, use of health care services and treatments and allow us to understand factors associated with relapse and recovery from depression in order to improve care. This will assist us to develop models of care that better suit the needs of people experiencing depressive symptoms.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
Indigenous young people's resilience and wellbeing. This project aims to identify factors related to, and those which predict, the development of resilience and wellbeing in Indigenous youth. Resilience protects the social and emotional wellbeing of youth exposed to high levels of adversity, and reduces the likelihood of substance misuse, violence, and risky behaviour. This project will examine the development of resilience and wellbeing in Indigenous youth; compare Indigenous youth’s self-asses ....Indigenous young people's resilience and wellbeing. This project aims to identify factors related to, and those which predict, the development of resilience and wellbeing in Indigenous youth. Resilience protects the social and emotional wellbeing of youth exposed to high levels of adversity, and reduces the likelihood of substance misuse, violence, and risky behaviour. This project will examine the development of resilience and wellbeing in Indigenous youth; compare Indigenous youth’s self-assessment of their resilience and wellbeing between low and high risk cohorts; and study how community services develop youth wellbeing and resilience. The expected benefit of this research is a better understanding of connections among age, cultural identity, resilience, wellbeing and risky behaviours in Indigenous youth.Read moreRead less
Strengthening Indigenous adolescent mental health and wellbeing. Using Continous Quality Improvement processes, the research will collaboratively conceptualise, design, implement and evaluate the effectiveness of new approaches to mental health service delivery for adolescents aged 10-24 in three regionally diverse Indigenous Primary Healthcare Services. Expected research outcomes are a rigorous assessment of the impact and economic benefits of making quality improvements to mental health servic ....Strengthening Indigenous adolescent mental health and wellbeing. Using Continous Quality Improvement processes, the research will collaboratively conceptualise, design, implement and evaluate the effectiveness of new approaches to mental health service delivery for adolescents aged 10-24 in three regionally diverse Indigenous Primary Healthcare Services. Expected research outcomes are a rigorous assessment of the impact and economic benefits of making quality improvements to mental health services for Indigenous adolescents, Key benefits are 1) A locally-responsive adolescent mental health screening instrument; 2) Comprehensive evidence-informed service model in adolescent mental healthcare; 3) Best practice protocol for developing and managing adolescent mental health as a service delivery stream. Read moreRead less
Closing the gap in Aboriginal maternal and child health outcomes. This project will build the evidence base needed to design and implement effective strategies to close the gap in Aboriginal maternal and child health outcomes and reduce Indigenous disadvantage across the life course.
Enhancing health literacy to optimise health equality across Victorian communities. Health literacy—the ability to seek, understand and use health information—is a major influence on equitable health outcomes for Australians. This project will take a fresh approach to health literacy to understand vulnerable members of our community and develop supports and interventions that aim to assist services to reduce health inequalities.