The Effect Of A Coordinated Care Intervention, Care Navigation, On The Readmission Rate Of Chronically Ill Patients At Nepean Hospital.
Funder
National Health and Medical Research Council
Funding Amount
$735,481.00
Summary
Chronic illness is becoming more common in Australia as the population ages and as medical technology saves more lives from heart attack, diabetes and stroke with people suffering from these conditions then requiring continuing community care for years. How best to link hospital and community health services to serve patients at the beginning of their illness when they first come to hospital is the object of Care Navigation, a program based at Nepean Hospital in Western Sydney and surrounding co ....Chronic illness is becoming more common in Australia as the population ages and as medical technology saves more lives from heart attack, diabetes and stroke with people suffering from these conditions then requiring continuing community care for years. How best to link hospital and community health services to serve patients at the beginning of their illness when they first come to hospital is the object of Care Navigation, a program based at Nepean Hospital in Western Sydney and surrounding community.Read moreRead less
Reducing Demand On Emergency Departments In The Last Year Of Life
Funder
National Health and Medical Research Council
Funding Amount
$371,049.00
Summary
People in their last year of life who attend emergency departments (EDs) could often be better cared for elsewhere. Our severely overcrowded EDs, and the staff who work in them, are poorly equipped to provide appropriate end-of-life care. This research describes how people in their last year of life use EDs, the impact of this use upon ED services and how the provision of adequate primary care and supportive care services in the community care may be a more appropriate and economically viable op ....People in their last year of life who attend emergency departments (EDs) could often be better cared for elsewhere. Our severely overcrowded EDs, and the staff who work in them, are poorly equipped to provide appropriate end-of-life care. This research describes how people in their last year of life use EDs, the impact of this use upon ED services and how the provision of adequate primary care and supportive care services in the community care may be a more appropriate and economically viable option for people at the end-of-life.Read moreRead less
Optimising Care For Patients Diagnosed With Pancreatic Cancer: A Prospective Cohort Study
Funder
National Health and Medical Research Council
Funding Amount
$1,399,839.00
Summary
There is evidence from previous research in Queensland and NSW that elements of care provided to patients with pancreatic cancer are sub-optimal. We aim to improve compliance with evidence-based guidelines in Victoria and NSW by collecting high quality data, providing reports to hospitals benchmarking their performance against peers and working with health services to reduce variation. Making sure care known to improve practice is being delivered is as important as developing new targeted thera
A Novel Intervention Targeting Insomnia To Prevent Major Depressive Disorder In The Community
Funder
National Health and Medical Research Council
Funding Amount
$1,258,316.00
Summary
In this project we want to see if we can prevent depression by improving insomnia. We will invite people with elevated depression symptoms to undertake a novel self help program to reduce insomnia, and then see if their risk for developing clinical depression is reduced 9 and 18 months later. As far as we know, this approach has not previously been tried. The merit of the project is that we have tangible symptoms (sleep problems) with which to engage individuals in a prevention strategy.
Enhancing Social Functioning In Young People At Ultra High Risk (UHR) For Psychosis: RCT Of A Novel Strengths-based Online Social Therapy
Funder
National Health and Medical Research Council
Funding Amount
$1,543,657.00
Summary
Psychosis is a devastating mental health disorder that results in great personal suffering and enormous societal costs. Early intervention is seen as the most promising treatment approach with potential to bring about long-term recovery. The aims of this project are to assess the effectiveness of a highly novel strengths-based online social media intervention in preventing psychosocial deterioration and improve social functioning in young people at ultra high risk of developing psychosis.
BIRTHPLACE IN AUSTRALIA: A PROSPECTIVE COHORT STUDY
Funder
National Health and Medical Research Council
Funding Amount
$834,782.00
Summary
There is considerable debate about the safety of maternity services in Australia. This has been increased by the National Maternity Services Review and the National Maternity Plan with particular concerns about homebirth and birth centres. This study aims to examine the safety of place of birth for healthy women. This national study will include women across the country. It is the first time such a study has been undertaken in Australia and will provide much needed evidence as to the safety of p ....There is considerable debate about the safety of maternity services in Australia. This has been increased by the National Maternity Services Review and the National Maternity Plan with particular concerns about homebirth and birth centres. This study aims to examine the safety of place of birth for healthy women. This national study will include women across the country. It is the first time such a study has been undertaken in Australia and will provide much needed evidence as to the safety of place of birth.Read moreRead less
Preventing Relapse Of Major Depressive Disorder In Youth: RCT Of A Novel Mindfulness-Based Cognitive Online Social Therapy
Funder
National Health and Medical Research Council
Funding Amount
$1,713,093.00
Summary
Youth depression is a serious illness that will afflict one in four young people. Despite the initial effectiveness of modern treatments, 52% to 85% of young people with depression will suffer repeated depressive episodes. The recurrence of youth depression makes it the greatest cause of disability during youth worldwide. The aim of this project is to assess the effectiveness of a novel mindfulness-based cognitive online social media intervention in preventing relapse in youth depression.
Quantifying The Burden Of Atrial Fibrillation: Impact Of Existing And New Treatments And The Potential For Prevention
Funder
National Health and Medical Research Council
Funding Amount
$398,395.00
Summary
Atrial fibrillation (AF) causes considerable morbidity and burden to the Australian economy. We will quantify the prevalent burden and costs of hospitalised AF, ascertain the risk of major events associated with AF and the impact of existing treatments, and determine the population-attributable risk for AF due to emerging risk factors. Our data will inform clinicians and health policy makers regarding the most effective allocation of expensive health care resources to minimise the burden of AF.
Improving Efficiency Of Surveillance Colonoscopy For Colorectal Cancer Prevention
Funder
National Health and Medical Research Council
Funding Amount
$643,123.00
Summary
Greater awareness of bowel cancer screening has led to increased demand and waiting times for colonoscopy. National guidelines recognise the need for research to identify the best use of colonoscopy to ensure health funds are directed where they are needed. This study aims to identify how often colonoscopy is required for the best patient outcomes. Data about cancer and death will be linked to hospital and laboratory data to identify which patients need more or less surveillance colonoscopies.
Improving Ways Of Thinking And Ways Of Doing Aboriginal And Cross-cultural Health In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$948,465.00
Summary
Aboriginal community controlled health services and private general practice need to work together to close the gap. This practice-based cultural respect program and toolkit establishes a care partnership, with Aboriginal cultural mentors, to support strategies to embed cultural respect in general practices on an ongoing basis. Success indicators include a cultural quotient measure, performance of Aboriginal health checks and management of risk factors. The program may also benefit cross-cultura ....Aboriginal community controlled health services and private general practice need to work together to close the gap. This practice-based cultural respect program and toolkit establishes a care partnership, with Aboriginal cultural mentors, to support strategies to embed cultural respect in general practices on an ongoing basis. Success indicators include a cultural quotient measure, performance of Aboriginal health checks and management of risk factors. The program may also benefit cross-cultural health generally.Read moreRead less