A Phase II Trial Of Follow-up Of Men With Prostate Cancer In Primary Care.
Funder
National Health and Medical Research Council
Funding Amount
$584,465.00
Summary
This study aims to develop and test a novel model of shared care for the follow-up of men with prostate cancer. Men treated for prostate cancer experience distressing and ongoing side-effects of treatment and significant psychological issues. Current models of care fail to address adequately these issues. The new model is designed to improve the care received and therefore the quality of life of men after treatment for prostate cancer.
Improving The Health Of Aboriginal Mothers And Babies Through Continuity Of Midwife Care
Funder
National Health and Medical Research Council
Funding Amount
$1,496,532.00
Summary
Indigenous Australians have significantly poorer health than non-Indigenous Australians. This study will evaluate the effect of continuity of midwifery care in pregnancy, labour, birth and the postnatal period (called caseload midwifery) on outcomes for Aboriginal women and their infants. Recent studies (which have often excluded Aboriginal women) demonstrated substantial benefits of continuity of midwifery care for both mothers and babies, e.g. improved rates of low birthweight, preterm birth
Indigenous Birthing In An Urban Setting: The IBUS Study
Funder
National Health and Medical Research Council
Funding Amount
$1,345,514.00
Summary
Our novel and exciting multi-agency project will provide maternity care for Aboriginal and Torres Strait Islander women living in Brisbane. It will help ‘close the gap’ in maternal and infant health outcomes and provide much needed evidence-based information to redesign services across the country. Three organisations are involved as equal partners: the Institute of Urban Indigenous Health; the Aboriginal and Torres Strait Islander Community Health Service; and the Mater Mother’s Hospital.
End-of-Life Care And Dying-at-Home: Choices And Needs Of People With Intellectual Disability And Their Carers
Funder
National Health and Medical Research Council
Funding Amount
$104,343.00
Summary
With the continued push towards community living for people with intellectual disability, how best to provide support at the end-of-life remains a neglected research area. This occurs against a backdrop of an increasingly ageing population, in an arena where end-of-life care and dying at home is the preferred option for most people. This research breaks new ground, aiming to establish supports such that people with intellectual disability may remain at home until the end of their life.
Caseload Midwifery For Women At Low Risk Of Medical Complications: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$604,527.00
Summary
In June 2004, the Victorian Department of Human Services released a policy document Future directions for Victoria's maternity services. The document endorsed the expansion of public models of maternity care that offer 'one on one' midwifery care (caseload). This model has had limited evaluation with safety and efficacy largely unknown. Research conducted in the UK and in Australia has largely measured the effect of teams of care providers (commonly 6-12 midwives) with only two in the UK testing ....In June 2004, the Victorian Department of Human Services released a policy document Future directions for Victoria's maternity services. The document endorsed the expansion of public models of maternity care that offer 'one on one' midwifery care (caseload). This model has had limited evaluation with safety and efficacy largely unknown. Research conducted in the UK and in Australia has largely measured the effect of teams of care providers (commonly 6-12 midwives) with only two in the UK testing caseload care. Studies of continuity of midwifery teams have reported reduced caesareans and other interventions in labour. They have also found increased satisfaction, with no statistically significant differences in health outcomes for babies. Women who are identified at low medical risk will be recruited from the antenatal clinic of a large, tertiary, public maternity hospital. Women will be randomly allocated to caseload midwifery or standard low risk care. Those allocated to caseload will receive pregnancy, birth and postnatal care from a primary midwife with one or two pregnancy visits to be conducted by a 'back-up' midwife. The midwife will collaborate with obstetricians and other health professionals as necessary. This will be the first RCT of caseload midwifery care in Australia and only the third one conducted anywhere. It is a unique opportunity to provide a rigorous evaluation of a model that is beginning to be implemented widely in Australia. The trial will provide much needed information regarding the outcomes of caseload midwifery including interventions in childbirth, safety, costs, women's satisfaction with care and impact on the midwifery workforce. The study will provide data that will inform clinical practice and guide service providers involved in the organisation of maternity services.Read moreRead less
A Prospective Cohort Study Of Ex-prisoners With A History Of Injecting Drug Use
Funder
National Health and Medical Research Council
Funding Amount
$956,020.00
Summary
Australia’s growing prison population is characterised by high rates of drug use, blood borne virus infection and poor physical and mental health. People with an injecting drug use history will undertake interviews prior to prison release, with periodic follow-up interviews for two years post-release. Interview data will be linked to corrections and community health data to explore relationships between, incarceration, health service utilisation, health outcomes, drug use and recidivism.
Electronic Portable Health File (PHF) To Promote Quality Of Care And Workflow Through Continuity Of Care
Funder
National Health and Medical Research Council
Funding Amount
$694,745.00
Summary
The medical of older individuals with chronicdiseases and with multiple doctors is complex and burdensome for the patient. We have done work where the patient is given charge of a portable personal health record that he-she can update as needed and care givers update at ofiice visits. The preliminary work is positive. Two types have been investigated, an electronic patient health file (on a data stick) and a wallet size booklet. Both have been found accceptable. The goal of this project is to se ....The medical of older individuals with chronicdiseases and with multiple doctors is complex and burdensome for the patient. We have done work where the patient is given charge of a portable personal health record that he-she can update as needed and care givers update at ofiice visits. The preliminary work is positive. Two types have been investigated, an electronic patient health file (on a data stick) and a wallet size booklet. Both have been found accceptable. The goal of this project is to see if short term acceptability and satisfaction will translate into later improved outcomes such as a reduced rate of hospitalizations.Read moreRead less