Randomized Control Trial Of A Cancer Shared Care Model
Funder
National Health and Medical Research Council
Funding Amount
$242,400.00
Summary
Cancer care in Australia remains fragmented. Shared care has been seen as a potentially more effective way to manage patients with chronic and subacute diseases, by overcoming many of the difficulties which beset the traditional hospital-based model. These difficulties include poor communication between hospital-based and community-based carers, the high costs of hospital-based care and the loss of involvement of the primary care health professional in ongoing care. This project is a trial of a ....Cancer care in Australia remains fragmented. Shared care has been seen as a potentially more effective way to manage patients with chronic and subacute diseases, by overcoming many of the difficulties which beset the traditional hospital-based model. These difficulties include poor communication between hospital-based and community-based carers, the high costs of hospital-based care and the loss of involvement of the primary care health professional in ongoing care. This project is a trial of a Shared Care Model (SCM) with cancer patients in a hospital in Western Australia. The project is designed to improve the emotional well-being and feelings of empowerment of the patients as well as reduce the number of unplanned admissions these patients need to make during their cancer treatment. The SCM intervention includes: -A patient-held record (PHR) comprising chemotherapy road map, treatment intention, medication list and communication pages for health workers; - Earlier and timely direct communication between specialist and general practitioner; -A Shared Care coordinator to assist with patient care and information; and - General practitioner educational and resource packages with tailored side effects table detailing anticipated side effects and actions to be taken. - For rural patients, the model can be expanded to include general practitioner administration of selected chemotherapeutic agents on alternate cycles. - Protocols for general practitioners administration of selected chemotherapeutic agents.Read moreRead less
A Co-Designed Patient-Centred Model-of-Care For Gestational Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$128,224.00
Summary
Gestational diabetes affects more than 1 in 10 women and is becoming more common. It increases the risk of complications to the pregnancy and may also adversely affect the future health of the mother and her children. There has been little prior research into the best system of education and pregnancy care for women with gestational diabetes. We will work with these women to develop an innovative model for pregnancy care that provides individualised guidance to impact health positively.
Improving Outcomes For Patients Receiving Outpatient Chemotherapy Through A Shared Care Pathway Intervention
Funder
National Health and Medical Research Council
Funding Amount
$623,887.00
Summary
Many cancer patients receiving chemotherapy treatment continue to experience serious side effects at home, where they struggle to self-manage and often go to hospital after symptoms have worsened. We have developed an innovative clinical pathway involving the provision of home-based assessment, clinical care and advice by community nurses, which aims to help patients without creating new health service positions. Our study will test if the pathway decreases unplanned hospital visits, improves pa ....Many cancer patients receiving chemotherapy treatment continue to experience serious side effects at home, where they struggle to self-manage and often go to hospital after symptoms have worsened. We have developed an innovative clinical pathway involving the provision of home-based assessment, clinical care and advice by community nurses, which aims to help patients without creating new health service positions. Our study will test if the pathway decreases unplanned hospital visits, improves patient well-being and is cost-effective.Read moreRead less
Translating Cardiovascular Disease Prevention Guidelines Into General Practice: A Behavioural Intervention Within A Systems Approach To Improve Evidence-based Practice
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
This project will develop, evaluate and implement a combined GP and patient intervention to improve cardiovascular disease (CVD) prevention, by increasing: 1) use of CVD risk calculators; 2) guidelines-based prescribing of medication to high risk and not low risk patients; and 3) patient understanding of CVD risk/management options and involvement in decision making. This will improve care for millions of patients, reduce the cost of CVD, and develop new methods to improve other areas of health.
The Limit Of Detection In The Emergency Department Trial: A Stepped-wedge Cluster Randomised Trial For Rapid Assessment Of Patients With Suspected Acute Coronary Syndrome In The Emergency Department
Funder
National Health and Medical Research Council
Funding Amount
$532,120.00
Summary
Over 450,000 patients present to Australian emergency departments with chest pain every year. The current approach to rule out heart attack for these patients is lengthy, costly and creates overcrowding in the emergency department. This is not sustainable in a system with growing demand and finite resources. This study will evaluate a rapid assessment pathway for investigating chest pain in the emergency department. The pathway will reduce healthcare utilisation while retaining patient safety.