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Implementation And Evaluation Of A Diabetes Intervention Program In Indigenous Australian Communities.
Funder
National Health and Medical Research Council
Funding Amount
$173,625.00
Summary
Approximately 700,000 Australians have type 2 diabetes (also termed maturity-onset diabetes or non-insulin dependent diabetes), which is a condition associated with reduced lifespan, eye disease, heart disease, renal disease, stroke, and foot complications leading to amputation. Indigenous Australians are at particularly high risk, with over 30% of adults affected by this condition in a number of communities, associated with significant morbidity and mortality. Early diagnosis, healthy lifestyle ....Approximately 700,000 Australians have type 2 diabetes (also termed maturity-onset diabetes or non-insulin dependent diabetes), which is a condition associated with reduced lifespan, eye disease, heart disease, renal disease, stroke, and foot complications leading to amputation. Indigenous Australians are at particularly high risk, with over 30% of adults affected by this condition in a number of communities, associated with significant morbidity and mortality. Early diagnosis, healthy lifestyle modification and tight control of the blood sugar levels, blood pressure and cholesterol are the keys to preventing the complications of diabetes. Self-management is central to success, and education, support and encouragement play an important role. This research project incorporates an education program that has been developed in partnership with the indigenous health team at Cherbourg. Particular strengths include the emphasis on family involvement and community support. The central role of the indigenous health team will ensure continuity of benefit to the community. If proven to be effective, the program could be used as a model for interventions in other community settings to reduce the burden from type 2 diabetes in the indigenous Australian population.Read moreRead less
Quality Improvement In Indigenous Primary Health Care: Leveraging Effective Ambulatory Practices (LEAP)
Funder
National Health and Medical Research Council
Funding Amount
$1,144,570.00
Summary
Although much is known about best practice in quality improvement in Indigenous Primary Health Care Services, getting this into practice remains challenging. The LEAP project works in partnership with health services to i) identify challenges faced when improving care; ii) design and trial interventions to address these challenges; and iii) evaluate how this process works in different settings.
Establishing Pathways To Implement And Sustain Evidence Based Fall Prevention In Primary Care: The ISOLVE Project
Funder
National Health and Medical Research Council
Funding Amount
$1,156,546.00
Summary
Researchers in allied health and primary care are partnering with Northern Sydney Medicare Local and the NSW State Falls Program (Clinical Excellence Commission) to establish a multi-disciplinary pathway model for fall prevention. The aim is to establish integrated processes and pathways at the levels of practitioner, practice, and program to identify older people at risk of falls and engage a whole of primary care approach to fall prevention. This project will employ multi-methodologies.
An Innovation Platform For Systems-Wide Improvement In Indigenous Primary Health Care
Funder
National Health and Medical Research Council
Funding Amount
$2,592,418.00
Summary
The CRE for Integrated Quality Improvement (CRE-IQI) will improve Aboriginal and Torres Strait Islander health outcomes by accelerating and strengthening large-scale primary health care (PHC) quality improvement efforts. As an Innovation Platform, it will build on and extend the work of the ABCD National Research Partnership, and leverage the efforts of researchers, service providers and policy makers to address priority areas for development of IQI in Aboriginal and Torres Strait Islander PHC.
Musculoskeletal injuries sustained as a consequence of road traffic crashes are common and costly to the Australian community. Many people do not recover well after the injury but suffer ongoing pain and disability. The Centre for Research Excellence in Recovery Following Road Traffic Injury will target a clear need to improve health outcomes for injured individuals through research, capacity building and end-user engagement with a focus in primary care.
Exploring The Value Of Telehealth In Primary Care: A Controlled Trial Within The Royal Flying Doctor Service
Funder
National Health and Medical Research Council
Funding Amount
$465,165.00
Summary
This project will evaluate how telehealth services can partially replace expensive fly-in fly-out primary care services for people living in remote communities through reduced waiting times for appointments and significant savings related to the use of aeroplane and staff travel. The study will examine the patient and staff experiences of the change, providing important lessons to guide future development of telehealth not only for rural communities but also for primary health care in general.
Quality Improvement In Aboriginal Primary Health Care: Lessons From The Best To Better The Rest.
Funder
National Health and Medical Research Council
Funding Amount
$617,427.00
Summary
High performing primary health care (PHC) services are essential to "close the gap" in Aboriginal and Torres Strait Islander health outcomes. Little previous research has investigated the contextual factors around a particular service that influence the success of quality improvement initiatives. We aim to transfer knowledge about the processes that facilitate the success of quality improvement initiatives in these services whilst building research and evaluation capacity in the services.
The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chro ....The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chronic disease care rather than a general practitioner. Our strategy involves collaboration with health providers, stakeholders and consumers to help achieve this by providing patient education and disease management through a registered nurse in general practice.Read moreRead less
Evaluation Of SCID-I In The Diagnosis Of Mental Disorders In Indigenous Australians
Funder
National Health and Medical Research Council
Funding Amount
$988,007.00
Summary
Current estimates of mental disease among Indigenous Australians are inadequate. This research will examine the use of a structured interview tool that is promoted globally for diagnosing mental disorders, and then use the tool to quantify the burden of mental illness among Indigenous Australians. The findings will provide accurate estimates of occurrence of mental disorders, thereby help inform policy making and planning of services for Indigenous Australians.
Population Health Planning For Rural Medicare Locals: Evaluating A Community Participation Method For Delivering Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$438,587.00
Summary
The study, in six communities, will evaluate whether an evidenced based method of rural community participation from the UK translates to assist healthcare planning by Medicare Locals. Medicare Locals must involve local people in designing services to improve health, but lack methods to do this. The focus of the study is oral health, a major issue in rural areas. The study evaluates whether new services are designed and implemented and whether there is change to health knowledge and behaviours.