PEACH Study- Patient Engagement And Coaching For Health: An Intensive Treatment Intervention For Patients With Type 2 Di
Funder
National Health and Medical Research Council
Funding Amount
$499,263.00
Summary
This study uses practice nurses integrated in existing general practice structures to implement telephone coaching for patients with type 2 diabetes (T2D) in a disadvantaged community. This is an evidence based patient empowerment strategy designed to increase patient self-management and engagement with the health care system to improve health outcomes.
Trial Of Structured Support To Enhance The Role Of Non-GP Staff In Chronic Disease Management In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$780,625.00
Summary
Chronic disease presents a significant burden to individuals and the health care system , contributing to both an increasing proportion of the work of primary health care practitioners and to health expenditure. A number of interventions have been shown to result in sustained improvement of health outcomes for people with chronic diseases, including: more effective use of non-physician providers of care and nurse case management; integration of self-management support programs with guideline bas ....Chronic disease presents a significant burden to individuals and the health care system , contributing to both an increasing proportion of the work of primary health care practitioners and to health expenditure. A number of interventions have been shown to result in sustained improvement of health outcomes for people with chronic diseases, including: more effective use of non-physician providers of care and nurse case management; integration of self-management support programs with guideline based treatment plans; more intensive follow up and registries that provide reminders and feedback. While some of these approaches have been pursued within the Coordinated Care Trials and the Enhanced Primary Care (EPC) program in Australia, the role of non medical staff within general practice in chronic disease care has not been systematically investigated. In 2001 the Commonwealth introduced a number of initiatives to support better quality of care for diabetes and asthma in general practice and $104.2 million over four years was provided for general practices in areas of high workforce pressure to employ more Nurses. The roles of the Practice Manager and Receptionist have received much less attention. They include faclitating access to care, supporting the delivery of quality clinical care by the practitioners through the provision of expert management services (primarily information technology, staff, financial and facilities management) to the practice. With recent government initiatives expanding the role of general practice in Australia, effective management structures and processes within general practices are vital. Non-GP general practice staff may be the means by which more effective chronic disease management can be achieved at a time of increasing workforce pressure. This project aims to evaluate the impact of a program in which non-GP staff are trained and facilitated to be involved in the management of patients with chronic disease.Read moreRead less
Grief Experience And Support Needs Of Japanese Health Care Professionals Working In Palliative Care
Funder
National Health and Medical Research Council
Funding Amount
$60,012.00
Summary
The grief experiences of health professionals and their impact have not been identified as significant issues in palliative care settings. Nevertheless, health professional's grief may lead to burn out and reduce the effectiveness of care that they can provide to others. This research aims to identify Japanese nurses’ grief experience when they work in palliative care, the factors affecting their grief and will make recommendations about essential staff support systems.
Nurses, Older People And Hospitals: Meeting New Challenges.
Funder
National Health and Medical Research Council
Funding Amount
$462,500.00
Summary
This project addresses an area of pressing international concern- how to improve health care provision in acute care hospitals to a growing group of patients, people aged 85 years and over. It is known that people 85 years and over have complex health needs. It is also known that older people typically do not do well in hospital. In fact, there is often a decline in their health following hospitalisation. The need to cope with older and often sicker patients will continue to place, substantial p ....This project addresses an area of pressing international concern- how to improve health care provision in acute care hospitals to a growing group of patients, people aged 85 years and over. It is known that people 85 years and over have complex health needs. It is also known that older people typically do not do well in hospital. In fact, there is often a decline in their health following hospitalisation. The need to cope with older and often sicker patients will continue to place, substantial pressure on the acute hospital system and those who work in it. The Registered Nurse [RN], as a part of the health care team, has a pivotal role in providing and coordinating the care that people 85 and over require while in hospital. Yet, little is known about the problems that RNs face in providing care to people 85 and over in hospital. The aim of this project is to identify the problems that impact upon RNs in the provision of care to people 85 years and over and find innovative solutions to those problems. In so doing, the final project recommendations will address ways to assist RNs to enhance the care of people 85 and over in hospital, and at the same time enhance the professional working life of RNs. These recommendations will feed into health and aged care policy development, and the educational preparation of nurses, and thus will have relevance at an individual, organisational, and policy level.Read moreRead less
The number of Australians with dementia is increasing and so therefore is the frequency of people with dementia presenting to general practice. There is a recent evidence based clinical practice guideline to inform the diagnosis and management of people with dementia and the support of their carers. Many of the recommendations from this guideline are relevant to Australian general practitioners. Strategies to implement guidelines into practice are needed in all areas of health care, but changing ....The number of Australians with dementia is increasing and so therefore is the frequency of people with dementia presenting to general practice. There is a recent evidence based clinical practice guideline to inform the diagnosis and management of people with dementia and the support of their carers. Many of the recommendations from this guideline are relevant to Australian general practitioners. Strategies to implement guidelines into practice are needed in all areas of health care, but changing clinical practice is complex and a body of research developing methods of identifying barriers to specific practice changes is emerging. This project aims to support GPs in improving the general practice based care of people with dementia, and so improve their quality of life. In addition we aim to contribute to the body of knowledge about how to bring about practice change and implement a clinical practice guideline. We plan to design a strategy for implementing this new guideline into practice, working with GPs to change their practice where needed. We will test the effect of this strategy on the care of people with dementia, on their quality of life and on that of their carers.Read moreRead less
This Investigator Grant will transform the way follow-up care is delivered to thousands of cancer survivors who have completed treatment by using a shared-care approach between cancer specialists and GPs. This Grant will shift the paradigm of follow-up survivorship care from predominantly acute to primary care by maximising the involvement of GPs and reduce fragmentation of care. This approach is key to enhancing patient-centred care and system sustainability.
Life Cycle Measures of Cost Effectiveness for 4 D CAD in Design and Construct Projects across Industry Sectors. The effective and efficient delivery of complex construction projects will be transformed by the increased application of virtual design and construction technologies, including 4D CAD. By combining a 3D computer model of a design with the time dimension of the construction schedule, 4D CAD enables risks and opportunities to be better managed during the design phase and hence avoid co ....Life Cycle Measures of Cost Effectiveness for 4 D CAD in Design and Construct Projects across Industry Sectors. The effective and efficient delivery of complex construction projects will be transformed by the increased application of virtual design and construction technologies, including 4D CAD. By combining a 3D computer model of a design with the time dimension of the construction schedule, 4D CAD enables risks and opportunities to be better managed during the design phase and hence avoid costly issues during construction. However this requires addition design costs which currently represent a barrier to the uptake of this transforming technology. This project will overcome this by developing a flexible framework that allows the benefits gained across the life cycle of a project through using 4D CAD to be set against the additional costs and thus make this emerging technology more attractive to industry. Significantly this research will be based on comparative cases studies across different industry sectors including civil, building, and process engineering.Read moreRead less
Stepping Up To Insulin: A Cluster Randomised Trial Of Team-based Transition To Insulin In Primary Care For Patients With Poorly Controlled Type 2 Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$796,751.00
Summary
Helping people control their diabetes through the best possible medical care is important. Most people with diabetes eventually need insulin yet this is a step in treatment that is often resisted by patients and GPs. This study will help GPs and Practice Nurses work with patients who have reached this stage make the change to insulin treatment in a safe, effective, convenient and timely way. This will have enormous benefits through reduced diabetes complications and improved quality of life.
The Impact Of Evidence Based Guidelines And Standardisation Of Clinical Practice Upon Patient Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$32,003.00
Summary
Over the last decade there has been a significant move toward evidence based clinical care and clinical guidelines in medical care. Despite this movement there are numerous clinical situations where evidence for any treatment is scant and where large gaps between the evidence and current practice exist. My research seeks to explore the barriers that exist in the health system that impede the uptake of evidence into practice and methods to improve patient outcomes where the evidence is poor.