General Practice Optimising Structured MOnitoring To Improve Clinical Outcomes In Type 2 Diabetes: GP-OSMOTIC T2D
Funder
National Health and Medical Research Council
Funding Amount
$864,980.00
Summary
We will study the use of a new technology, retrospective continuous glucose monitoring (r-CGM), to help achieve glucose targets for people with type 2 diabetes (T2D) in General Practice (GP). This is important because controlling glucose levels improves disease outcomes and because T2D is mostly managed in GP where the majority of people are out of glucose target levels and GPs and patients currently don’t have a simple effective method for monitoring blood glucose levels to guide treatment.
The Diamond Cohort Study- Examining Depressive Symptoms In Primary Care
Funder
National Health and Medical Research Council
Funding Amount
$570,886.00
Summary
Depression is the single largest cause of disability for people in Australia. It is mainly managed in general practice-primary care, yet many people experiencing depression go unrecognised by their family doctor or general practitioner (GP). Some people, even when given treatment, remain depressed. Guides on how to manage depression have been mainly based upon people attending psychiatrists and hospitals. In addition, there have been a number of large studies overseas testing new ways of helping ....Depression is the single largest cause of disability for people in Australia. It is mainly managed in general practice-primary care, yet many people experiencing depression go unrecognised by their family doctor or general practitioner (GP). Some people, even when given treatment, remain depressed. Guides on how to manage depression have been mainly based upon people attending psychiatrists and hospitals. In addition, there have been a number of large studies overseas testing new ways of helping people with depression. Unfortunately, they do not seem any better than usual care by a GP. We are currently funded by the NHMRC for diamond 1 to follow 800 people to investigate the factors from the patient's and doctor's point of view that are likely to aid recovery from depression, and to detail the way in which people are cared for in the primary health care system. There is increasing research showing that depression is a chronic and relapsing condition and that a one-year follow-up, whilst longer than most previous studies, will capture only a small glimpse of the health service use and relapse patterns of the patients enrolled in our study. In this application, we request funding to continue to follow participants. diamond 2 aims to explore the patient characteristics and health service use patterns of patients who experience persistent major depression with patients who experience a single episode of depression within a 3-year period. We will use the data gathered to develop models that predict recovery-relapse-persistence of depression. Such models will enable us to develop guidelines and design interventions that better target those at risk of continuing and disabling illness. This work will be of international significance and has the potential to influence the entire primary mental health care system and contribute to substantial system change.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
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
Improving Quality And Safety Of Health Care Delivery At The Interface Between The Primary And Acute Care Sectors
Funder
National Health and Medical Research Council
Funding Amount
$2,528,627.00
Summary
The interface between primary and hospital based care is a quality and safety flashpoint. Our Centre will investigate the utility of a new model of collaborative care at this interface involving upskilled general practitioners, supported by hospital specialists and multidisciplinary teams caring for people with diabetes, heart failure and people receiving palliative care. We will investigate the impact on health outcomes; consumer and health care professional satisfaction; and economic outcomes.
Investigating Best Practice Primary Care For Older Australians With Diabetes Using Data Linkage
Funder
National Health and Medical Research Council
Funding Amount
$522,278.00
Summary
This study will use data linkage to examine questions about health service use by older Australians to manage chronic conditions such as diabetes. It will lead to a better understanding of the uptake of community based care initiatives and incentives through general practice, the factors that assist or impede uptake, and the impact of these on patient outcomes such as hospitalisation. The research findings will address important questions of interest to practitioners and policy advisors.
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.
Investigating The Capacity Of The General Practitioner Workforce To Meet Ongoing HIV Primary Care Needs In Australia
Funder
National Health and Medical Research Council
Funding Amount
$469,552.00
Summary
The number of people living with HIV-AIDS in Australia is increasing and ageing, requiring an expert primary care workforce to provide HIV clinical care into the future. Yet the numbers of general practitioners training as s100 prescribers may be insufficient to replace those leaving to retire or change jobs. This study will provide critical and timely evidence for why and how GPs pursue or continue working in HIV medicine in different caseload and geographical settings across Australia.