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The Development Of A Composite Index Of Need For Regional Maternity Services: The Australian Regional Birthing Index (ARBI)
Funder
National Health and Medical Research Council
Funding Amount
$486,975.00
Summary
the Australian Regional Birthing Index (ARBI) is to be developed in response to the National Maternity Services Plan recommendation for an index to guide the provision of maternity services in rural and remote Australia. This index uses the size, remoteness, and vulnerability of the community, plus lessons learnt from the Canadian rural birth index. An Expert Panel of experienced clinicians, health planners and policy makers and managers of services will guide and test the feasibility of impleme ....the Australian Regional Birthing Index (ARBI) is to be developed in response to the National Maternity Services Plan recommendation for an index to guide the provision of maternity services in rural and remote Australia. This index uses the size, remoteness, and vulnerability of the community, plus lessons learnt from the Canadian rural birth index. An Expert Panel of experienced clinicians, health planners and policy makers and managers of services will guide and test the feasibility of implementing this index.Read moreRead less
Regional Primary Health Care Organisations: Population Health Planning, Participation, Equity And The Extent To Which Initiatives Are Comprehensive
Funder
National Health and Medical Research Council
Funding Amount
$1,050,581.00
Summary
Medicare Locals are established to coordinate PHC delivery and tackle local health needs and service gaps. This study will examine the extent to which Medicare Locals consider and respond to health needs of those most in need e.g. Aboriginal/Torres Strait Islanders, new migrants/refugees and people with mental illnesses, and address the social factors affecting peoples’ life. The study will explore stakeholders’ perceptions to improve the capacity of Medicare Locals in achieving its goals.
Preventing Chronic Disease In Patients With Low Health Literacy Using E-health And Teamwork In Primary Health Care.
Funder
National Health and Medical Research Council
Funding Amount
$1,264,893.00
Summary
This study will evaluate whether an innovative intervention tailored to patients’ health literacy improves preventive care for vulnerable and disadvantaged patients in general practice. It will use e-health to support practice nurses to reduce their patients’ risk of chronic disease.
Does Continuity Of Primary Care Reduce Demand On Emergency Department Presentations And Hospital Admissions?
Funder
National Health and Medical Research Council
Funding Amount
$793,864.00
Summary
Nearly 10% of admissions to hospital are thought to be potentially preventable. It has been proposed that timely and effective primary care services can prevent the onset of complications and reduce hospitalisations. This study will evaluate the influence of regular ongoing contact with a general practitioner on emergency department visits and preventable hospitalisations for patients with a range of national priority acute medical and chronic / complex conditions
Evaluation Of Chlamydia Trachomatis Treatment Failure: A Cohort Study Of Women
Funder
National Health and Medical Research Council
Funding Amount
$761,844.00
Summary
Chlamydia is a very common sexually transmissible infection in Australia that can lead to infertility in women. About 4% of young adults have it. There is increasing concern by experts about the efficacy of the recommended chlamydia treatment. This is further supported by very high repeat infection rates following a previous positive chlamydia diagnosis. This study will measure whether chlamydia treatment failure is a problem and if so, this will change treatment guidelines worldwide.
Can Preventive Care Activities In General Practice Be Sustained When Financial Incentives And External Audit Plus Feedback Are Removed? A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,201,443.00
Summary
There is increasing debate about the effectiveness of incentive payments and audit plus feedback on the clinical behaviour of general practitioners (GPs). Governments both in Australia and the UK are raising the threshold targets for payment eligibility making it more difficult for GPs to get payments. We will conduct a trial that will investigate the impact of removing financial incentives and/or external audit plus feedback on the preventive care activities of GPs.
Health Outcomes And Service Utilisation In A Cohort Of People Who Inject Drugs, Sex Workers And At-risk Youth - A Record Linkage Study
Funder
National Health and Medical Research Council
Funding Amount
$458,333.00
Summary
People who inject drugs and sex workers endure poorer health and a disproportionate burden of disease than the general population. Improving health in these marginalised populations remains a challenge. To identify demographic, behavioural and clinical factors that predict health outcomes we will undertake a retrospective record linkage study in a cohort of 40000 primary care clinic attendees from a socially disadvantaged urban population with high prevalence of injecting drug use and sex work.
Asking The Right Questions About Attention-deficit Hyperactivity Disorder In Children: A Cluster Randomized Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$484,930.00
Summary
This study will evaluate the impact of a novel question prompt list (QPL) for parents of children with attention-deficit hyperactivity disorder (ADHD), on their communication with their child’s doctor, and health outcomes such as adherence. The QPL aims to increase parent question asking and information sharing between clinicians and parents; improve parents’ ADHD knowledge across the developmental lifespan of their child; and thus improve adherence to medication in children with ADHD.
The Diamond Cohort Study - Better Management Of Those At Risk Of Persistent And Disabling Depression
Funder
National Health and Medical Research Council
Funding Amount
$1,563,309.00
Summary
Diamond began in 2005 to follow over 500 people with depressive symptoms to document and describe the nature and course of depression and its’ management over a decade of a participant’s life. Our findings will help us to understand the factors associated with depression recovery, relapse and persistence. We will inform clinical practice by developing a tool to assist GPs to identify those at risk of persistent and disabling depression, to enable better treatments.
CHEST Australia: Reducing Time To Consult In Primary Care With Symptoms Of Lung Cancer.
Funder
National Health and Medical Research Council
Funding Amount
$913,227.00
Summary
Lung cancer is the leading cause of cancer deaths in Australia and the second commonest cause of all deaths in men. Earlier, timely diagnosis could be a critical factor in improving lung cancer outcomes as many people present with late stage disease having had symptoms for a long time. This trial tests a novel nurse-led intervention in general practice aimed at promoting earlier consulting by people at higher risk of lung cancer when they develop chest symptoms.