Models Of Care For Hepatitis C In The Era Of Directly Acting Antivirals
Funder
National Health and Medical Research Council
Funding Amount
$124,608.00
Summary
This project aims to evaluate how service delivery can enhance the impact of directly acting antivirals (DAA) on hepatitis C treatment uptake in three parts: i) To assess the impact of ten integrated hepatology nurses on treatment uptake in Victoria ii) To assess the feasibility of patient driven contact tracing to treat hepatitis C with DAA in a study of people who inject drugs iii) To assess the impact of offering DAA therapy in primary health care compared with a hospital.
A Randomised Control Trial Evaluating Outcomes Of An Emergency Nurse Practitioner Service.
Funder
National Health and Medical Research Council
Funding Amount
$83,149.00
Summary
This proposed research will provide much needed evidence on this reform model. Health services research struggles to establish an inquiry context that is flexible to study service-level interventions using the gold standard of a randomised controlled trail (RCT). This proposed research will be conducted in a health service environment with a stable E-NP service innovation and capacity to randomise patient participants.
A Geographic Approach To Measuring Social Deprivation And Health Care Need For Primary Health Care Policy And Planning
Funder
National Health and Medical Research Council
Funding Amount
$148,213.00
Summary
Understanding how and where people use and access health services, and how social disadvantage affects this is important for planning and providing primary health care services. Presenting information as maps is an effective way to explore and communicate these issues. This research program will use a geographic and map-based approach to understanding patterns of health service use and social disadvantage, to assist in developing primary health care policy.
Telerehabilitation: Assessing Acquired Neurogenic Communication Disorders Online.
Funder
National Health and Medical Research Council
Funding Amount
$172,446.00
Summary
People who suffer brain damage as a result of a stroke, head injury, or a disorder such as Parkinson's disease frequently develop difficulty in either speaking, writing, reading, or understanding the spoken language. As a result, the person's ability to communicate with his or her family and friends, and the community in general is seriously affected. Individuals who experience these speech and language disorders are treated by a speech pathologist who focuses on improving the person's ability t ....People who suffer brain damage as a result of a stroke, head injury, or a disorder such as Parkinson's disease frequently develop difficulty in either speaking, writing, reading, or understanding the spoken language. As a result, the person's ability to communicate with his or her family and friends, and the community in general is seriously affected. Individuals who experience these speech and language disorders are treated by a speech pathologist who focuses on improving the person's ability to communicate. The treatment of these disorders is frequently long-term requiring speech pathology management beyond existing hospital care. For many people with these communication disorders, accessing speech pathology services after their discharge from hospital may be very difficult due to their physical difficulties, the distances they are required to travel, and the limited availability of speech pathologists in their local community. This project aims to overcome these access issues through the development of a telerehabilitation system that will enable speech pathologists to assess people with these speech and language difficulties across the Internet using videoconferencing. It is intended that this research will ultimately enable people with these types of communication difficulties to be assessed and treated within their own home or local community.Read moreRead less
Dental Service Utilisation In Young Adults: A Function Of Need, Health Behaviours Or Socio-demographic Variables?
Funder
National Health and Medical Research Council
Funding Amount
$58,190.00
Summary
Over the past 20 years there have been significant gains made in the oral health of children, with the majority of 12 year olds in Australia in 1996 having no dental decay. There are however some indications that young adulthood may have become a period of increased risk of dental disease, as young adults leave home, become increasingly independent, have financial pressures whilst establishing themselves and change their diet and other habits. In 1998-99 a baseline study was conducted on a sampl ....Over the past 20 years there have been significant gains made in the oral health of children, with the majority of 12 year olds in Australia in 1996 having no dental decay. There are however some indications that young adulthood may have become a period of increased risk of dental disease, as young adults leave home, become increasingly independent, have financial pressures whilst establishing themselves and change their diet and other habits. In 1998-99 a baseline study was conducted on a sample of Adelaide young adults 20-24 years using telephone interviews and oral examinations. Data was obtained on dental visiting patterns, socio-economic status, living arrangements, and health behaviours such as smoking and playing sport, as well as oral health. This study seeks to follow-up the sample of 1265 young adults who were interviewed in 1998-99 to ascertain any changes in oral health and utilisation of dental services. Data on socio-economic status, living arrangements and health behaviours will also be collected to determine whether any changes in those factors may explain changes in visiting behaviour and oral health. In addition participants will be asked to complete a questionnaire on satisfaction with dental care. Permission will be sought to gain access to participants School Dental Service records to determine whether any relationship exists between childhood visiting patterns and those in adulthood. This study will enable identification of the factors which affect oral health and dental utilisation in young adults to assist in the development of oral health promotion strategies to encourage timely, effective and appropriate dental service utilisation and preventive behaviours. To improve the oral health of Australians the maintenance of gains made in childhood is essential.Read moreRead less
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
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.
Technology And Innovation In The Delivery Of Efficient, Effective Treatments For Comorbid Conditions
Funder
National Health and Medical Research Council
Funding Amount
$407,140.00
Summary
Treatment for co-occurring depression and alcohol/other drug use is difficult to access, due to a range of individual and service-level problems. This proposal will build on significant Australian research into psychological treatments for co-occurring problems, by developing and determining the most beneficial, flexible, cost effective models of treatment for these increasingly prevalent problems, regardless of location and ability to access treatment services.