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Investigating Stakeholder Experiences In Implementing And Adopting Genome Sequencing In Paediatric Clinical Practice
Funder
National Health and Medical Research Council
Funding Amount
$91,538.00
Summary
Medicare funding became available for genome sequencing in 2020. Paediatricians can now order this test to help diagnose childhood syndromes. Expanding testing beyond genetics services is vital for patients to benefit broadly, but paediatricians and other medical specialists are known to feel ill-prepared to assume a greater role. My PhD project will investigate what we can learn from paediatric stakeholder experiences in delivering genome sequencing to aid future adoption in other settings.
Translating The Evidence To Practice: Getting The Vaccine Hesitant To Vaccinate
Funder
National Health and Medical Research Council
Funding Amount
$177,197.00
Summary
One of the key examples of this poor research translation is the rise of vaccine hesitancy, where the unequivocal evidence base for public health benefit of childhood immunisations has not been translated into vaccination uptake in many areas.This project will partner with primary health care organisations and develop strategies based on pilot research to improve vaccination information to vaccine hesitant parents, to assist with the uptake of this important public health intervention.
Defining And Optimising The Economic And Social Return On Investment Of Telephone Cancer Information And Support Services For All Australians
Funder
National Health and Medical Research Council
Funding Amount
$936,787.00
Summary
The economic and social value of telephone cancer information and support services (CISS) for Australia is undefined thus hindering decisions about the future direction of services and levels of funding. This research will identify and compare the broad monetised, social benefits of CISS with the costs of providing the service. We will identify different strategies to deliver, promote and target services to improve cancer outcomes for all Australians and maximise the return on investment.
Building On Our Strengths (BOOSt): Developing And Evaluating Birthing On Country Primary Maternity Units
Funder
National Health and Medical Research Council
Funding Amount
$1,090,701.00
Summary
Optimal healthcare during the year before and after birth can provide benefits for a lifetime. Our project will deliver this optimal care by implementing and evaluating Birthing on Country Service Delivery Models in urban, regional and remote sites. Birthing on Country combines Indigenous knowledge and governance, culturally safe care, continuity of midwifery carer, birth in an Indigenous birth centre and development of the Indigenous maternal and infant workforce.
Consumer Directed Care In Residential Aged Care: Transforming Practice Through The Resident At The Centre Of Care (RCC) Program
Funder
National Health and Medical Research Council
Funding Amount
$836,087.00
Summary
The impending introduction of Consumer Directed Care (CDC) into Residential Aged Care Facilities (RACFs) will require organisations to respond rapidly in both ‘mindset’ and service delivery to radically change the nature of their current care practices. This project will allow our industry partners to implement and evaluate a CDC model of care that, if successful, will lead to a sustainable site specific implementation plan of CDC for RACFs across Australia with better outcomes for residents.
Towards Evidence-based Adoption And Scale-up Of Cost-saving Primary Health Care Innovations
Funder
National Health and Medical Research Council
Funding Amount
$408,768.00
Summary
What innovations like service integration, care coordination and information technology (e.g. text message reminders, remote video consultations, remote monitoring) have in common is that they alter the patient-provider interface, more reliably and consistently than improving clinical outcomes. So, to determine their true costs and benefits, how to select among them and how to scale them up, this research program will assess them based on measures of how they alter patient-provider transactions.
Value-Based Healthcare In Elective Coronary Stenting
Funder
National Health and Medical Research Council
Funding Amount
$1,236,881.00
Summary
Coronary stents are wire mesh tubes inserted into cholesterol blockages in heart blood vessels (arteries) thus improving coronary blood flow and alleviating chest pain. Although life saving in acute heart attacks, their value is limited in stable patients and may be associated with severe complications. In partnership with the health department, this project will evaluate how many patients continue to experience chest pain after elective coronary stenting so that can be used more effectively.
Overcoming Barriers To Protected Mealtimes Implementation To Prevent And Treat Malnutrition
Funder
National Health and Medical Research Council
Funding Amount
$176,250.00
Summary
Protected mealtimes, where patient meals are protected from negative interruptions, is a systems approach to address the vast problem of in-hospital malnutrition. It aims to positively improve food intake at mealtimes, treating and preventing malnutrition. Observational studies have previously shown promising clinical outcomes, limited due to reports of barriers to implementation of the strategy. This is the first study internationally to implement protected mealtimes in subacute care.
Catch Them When They Fall: Providing Best Evidence Care After A Suicide Attempt
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
A previous suicide attempt is the strongest predictor of death by suicide. There is a strong evidence base for the key changes required to care after a suicide attempt: implementing evidence-based care is estimated to reduce suicide attempts at the population level by approximately 12%. Yet this is an area of health services that has been difficult to reform. This project is aimed at implementing best-evidence practice in four regions of NSW, where I have established partnerships.