Development Of The Quick Clinical On-line Evidence Based Decision Support System
Funder
National Health and Medical Research Council
Funding Amount
$124,500.00
Summary
Web information retrieval is of increasing importance to health professions. Yet, despite advances in technology, clinicians still have large unmet information needs with significant consequences for the public. QuickClinical is an evidence delivery system that utilises intelligent search filter technology to assist typical clinical tasks like ‘diagnosis’, ensuring only the most relevant evidence is retrieved. This grant will allow a research prototype to be taken to early commercialisation stag ....Web information retrieval is of increasing importance to health professions. Yet, despite advances in technology, clinicians still have large unmet information needs with significant consequences for the public. QuickClinical is an evidence delivery system that utilises intelligent search filter technology to assist typical clinical tasks like ‘diagnosis’, ensuring only the most relevant evidence is retrieved. This grant will allow a research prototype to be taken to early commercialisation stage, ready to be deployed in different environments for different clinical users.Read moreRead less
Optimising Emergency And Trauma Systems Through Evidence Based Pathways
Funder
National Health and Medical Research Council
Funding Amount
$418,049.00
Summary
Developing systems for emergency and trauma care based on strong evidence and robust data systems is crucial to the acute health sector. Through an extensive, well recognised collaboration of research groups at The Alfred, Monash and the National Trauma Research Institute, we aim to undertake world leading systems development both locally and globally, focusing on prehospital, emergency and trauma clinical care pathways significantly reducing mortality and improving functional outcomes.
Changing Decision-making Behaviour In General Practice By Providing Access To Online Evidence.
Funder
National Health and Medical Research Council
Funding Amount
$206,375.00
Summary
The case for a shift to evidence-based practice, and the substantial economic and health outcome benefits of that shift, have been repeatedly made. Despite the vision, significant barriers to evidence-based practice remain, and the demonstration of a positive role for on-line systems would result in a significant change in strategies for clinician behaviour change. This study will make a specific and significant contribution to our understanding of the efficacy and effectiveness of online eviden ....The case for a shift to evidence-based practice, and the substantial economic and health outcome benefits of that shift, have been repeatedly made. Despite the vision, significant barriers to evidence-based practice remain, and the demonstration of a positive role for on-line systems would result in a significant change in strategies for clinician behaviour change. This study will make a specific and significant contribution to our understanding of the efficacy and effectiveness of online evidence retrieval systems as a component in any evidence-based strategy, through a rigorous and controlled approach to the study of clinical behaviour change. It will also provide a powerful test of the value of search filters as a specific technology in support of evidence retrieval. The focus on prescribing patterns in NHMRC priority areas as an outcome measure will also provide a significant data set reflecting current practice in primary care.Read moreRead less
As a researcher in evidence-based medicine Prof Glasziou is principally concerned with developing a greater understanding among clinicians and researchers of the causes of, and solutions to, gaps between research evidence and the application of this research to practice. Specific research interests include:understanding the applicability of treatments;the effectiveness of diagnostic and disease monitoring processes; and the cognitive processes underpinning clinicians decisions to use or not use ....As a researcher in evidence-based medicine Prof Glasziou is principally concerned with developing a greater understanding among clinicians and researchers of the causes of, and solutions to, gaps between research evidence and the application of this research to practice. Specific research interests include:understanding the applicability of treatments;the effectiveness of diagnostic and disease monitoring processes; and the cognitive processes underpinning clinicians decisions to use or not use specific treatmentsRead moreRead less
Modification of optical properties of photocatalytic titania. The aim of the project is to capitalise on and optimise the recently discovered successful modification of the optical properties of titanium oxide (TiO2), such that efficient solar splitting of water is possible. TiO2 photocatalysts of adequate efficiency will be implemented as photoanodes in photoelectrochemical cells capable of large-scale production of hydrogen.
A Randomised Controlled Trial Of Internet-based Therapy For Panic Disorder.
Funder
National Health and Medical Research Council
Funding Amount
$202,575.00
Summary
Approximately 9.7% of the adult population have an anxiety disorder with one of the more common, panic disorder, often with agoraphobia, afflicting 2.4% of the community. Around 8% of patients consulting a GP also have panic disorder (PD). A further 10% of the community experience spontaneous panic, but do not have full PD (termed non-clinical panic). People with PD frequently experience clinical depression, about 15% abuse alcohol and non-prescription drugs and PD is associated with an increase ....Approximately 9.7% of the adult population have an anxiety disorder with one of the more common, panic disorder, often with agoraphobia, afflicting 2.4% of the community. Around 8% of patients consulting a GP also have panic disorder (PD). A further 10% of the community experience spontaneous panic, but do not have full PD (termed non-clinical panic). People with PD frequently experience clinical depression, about 15% abuse alcohol and non-prescription drugs and PD is associated with an increased risk of suicide. Over time people with PD appear to have an increased risk of heart problems. They also have substantial financial burdens through multiple attendances at doctors' rooms and through restricted employment opportunities. Only just over one in four people with an anxiety disorder consults a health professional for their problems, with most going to their GP. It has been estimated that less than 10% of these people seek the services of a mental health specialist such as a clinical psychologist or psychiatrist. Therefore because of blocks to do with access, cost or embarrassment, many people with mental health problems do not seek face-to-face specialised mental health treatment. People in rural and regional Australia are particularly disadvantaged by limited access to these specialists. We have developed an internet-based treatment program on panic and anxiety for people in the community, and particularly in regional Australia. Early evaluation of this program has found it is more effective than other types of therapist-assisted self-help treatment. The aim of this research project is to compare it to best-practice face-to-face psychological and pharmacological treatment for PD. If the effectiveness of our internet-based treatment is comparable to best-practice face-to-face treatment, its availability will assist the many Australians who suffer from debilitating panic but who are unable to access specialised mental health assistance.Read moreRead less
Novel Health Data Systems For Translation And Impact
Funder
National Health and Medical Research Council
Funding Amount
$425,048.00
Summary
Health research seeks to benefit society by improving health. However, there is a gap between the findings of research and healthcare practice. New systems are beginning to change the way research data are used to improve health outcomes. I am an HIV specialist developing and evaluating several new data systems and my vision for the next four years is to use these to improve the translation of health research into practice and policy for the benefit of people with HIV and society at large.
An International Comparison Of Systems Of Care, Risk Stratification And Outcomes In TIA And Minor Stroke
Funder
National Health and Medical Research Council
Funding Amount
$1,189,790.00
Summary
Transient ischaemic attacks (TIAs: self-limited brief episodes of stroke symptoms) are high-risk events with an approximately 15% risk of stroke within 90-days. Current practice calls for specialist treatment within 1-7 days. But this recommendation (based on 20 year old overseas evidence) may not apply in contemporary Australia. We will conduct a study of patients with TIA that will document their interactions with Australian health systems and inform contemporary Australian practice.