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
Health, Wellbeing, Disability And Service Pathways In Older (80+) Australians
Funder
National Health and Medical Research Council
Funding Amount
$373,792.00
Summary
Over the next 40 years there will be a rapid increase in the numbers of people aged 80 year and over. In this study we will examine the health status and service use needs and patterns of a sample of older Australian who form part of an existing 12 year longitudinal study on ageing and who are now moving intoold-old age. The study will provide inmportant insights for service planners and older people themselves about the health and community service needs for people in the study age group.
Building Best Practice In Child Protection At The Intersection Of Child Protection And Adult Mental Health Services
Funder
National Health and Medical Research Council
Funding Amount
$294,590.00
Summary
This research is an investigation of child protection practices with families where at least one parent has been diagnosed with a serious mental illness (affective or non-affective psychosis), and where child abuse or neglect has been substantiated or children are at risk of significant harm. It is specifically concerned to understand processes of interagency collaboration between workers in state government child protection and mental health service systems. The research has several aims. These ....This research is an investigation of child protection practices with families where at least one parent has been diagnosed with a serious mental illness (affective or non-affective psychosis), and where child abuse or neglect has been substantiated or children are at risk of significant harm. It is specifically concerned to understand processes of interagency collaboration between workers in state government child protection and mental health service systems. The research has several aims. These are, first, to identify and examine the current practices of child protection and mental health workers where protective concerns have been identified in relation to children whose parent-s have been diagnosed with a mental illness. Practice will be examined at the assessment, child protection follow-up and post-order phases. Second, to identify and examine any barriers to effective collaboration between child protection and mental health organisations; and third, to develop inductively derived descriptions of 'best practice' in relation to these cases. The research will be conducted in four stages, including a survey of child protection and mental health workers, tracking of cases through the child protection system, in-depth interviews with child protection workers, mental health workers and parents, and group discussions with highly experienced child protection and mental health workers. The expected outcomes of the study are: the development of child protection practice guidelines for working with families where children have been harmed or at risk of harm by a parent who has a mental illness, including practice guidelines for interagency collaboration in this field; and identification of supervisional, training, administrative and policy responses to this issue.Read moreRead less
Does Place Of Birth Influence A Healthy Start To Life?
Funder
National Health and Medical Research Council
Funding Amount
$343,050.00
Summary
There are over 255,000 births in Australia each year and a major challenge in terms of planning and provision is to ensure that these babies are born in hospitals with the appropriate facilities to care for them. International studies suggest that transferring the mother before birth results in better infant outcomes than transferring the baby after birth. In Australia births occur in a range of hospitals, from small rural hospitals to tertiary obstetric and neonatal centres. However, few Austra ....There are over 255,000 births in Australia each year and a major challenge in terms of planning and provision is to ensure that these babies are born in hospitals with the appropriate facilities to care for them. International studies suggest that transferring the mother before birth results in better infant outcomes than transferring the baby after birth. In Australia births occur in a range of hospitals, from small rural hospitals to tertiary obstetric and neonatal centres. However, few Australian studies have looked at infant outcomes based on place of birth. This study will use existing population health data sets to evaluate the provision of care prior to and at birth and the impact it has on infant outcomes up to one year of age. It will also describe for the first time the hospital care utilisation associated with birth and infant health. Information will be obtained from routinely-collected birth, death and birth defect registers, and hospital, midwives and perinatal death review data. Variations in health outcomes for babies may be due to factors that occur before or during pregnancy, or may be due to differences in the care provided at birth. We need to take account of maternal factors to comprehensively assess the role of level of care at birth. We will use statistical techniques to 'predict' infant health outcomes and see if differences between places of birth are real or not. If variations are explained by different levels of care then there is enormous potential for improvement in the provision of pregnancy and newborn services. We will also compare the benefits and consequences of maternal versus neonatal transfer, and assess hospital costs. The results of this study could be applied to direct health services policy and organisational changes to improve pregnancy care and optimise infant outcomes for a healthy start to life.Read moreRead less