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This study proposes to examine the quality of procedural medical care provided by rural doctors who are not specialists. The disciplines of Anaesthetics, Surgery and Obstetrics will be included. Most of these services in rural Australia are not provided by specialist medical practitioners, but rather by rural general practitioners who have obtained additional training, albeit shorter than that undertaken by specialist trainees, and who are supported by skilled nurses and other health professiona ....This study proposes to examine the quality of procedural medical care provided by rural doctors who are not specialists. The disciplines of Anaesthetics, Surgery and Obstetrics will be included. Most of these services in rural Australia are not provided by specialist medical practitioners, but rather by rural general practitioners who have obtained additional training, albeit shorter than that undertaken by specialist trainees, and who are supported by skilled nurses and other health professionals in relatively small rural hospitals. Patients and rural doctors often have little choice but to manage urgent cases locally and in some cases experienced and skilled local teams are able to offer a wider range of services, including a limited number of elective procedures. Despite underlying assumptions that the quality of the services cannot match that of specialist care in larger hospitals, there is no agreement on what constitutes quality of rural procedural care and little evidence that the quality is different. This issue is important as substantial government funds are spent on recruiting, training and retaining a qualified rural medical workforce, and yet fewer rural doctors are providing these services and fewer rural hospitals have the facilities to support those rural doctors still providing the services. Further, measuring the quality of care is a complex issue on which different stakeholders may have different views. This study proposes a multi-perspective approach to assessing the quality of care through a number of case studies provided by rural doctors.Read moreRead less
Person-centred Environment And Care For Residents With Dementia: A Cost-effective Way Of Improving Quality Of Life And Q
Funder
National Health and Medical Research Council
Funding Amount
$1,548,805.00
Summary
Improving the quality of life (QOL) and quality of care for persons with dementia are important areas of Australian health research. A growing body of evidence shows that QOL in dementia can be improved by relatively simple and inexpensive modifications to nursing care practices and the physical environment. Most studies in these areas are observational, few have utilized a randomized control group design, and none has included economic evaluation. This study will address these deficiencies. Thi ....Improving the quality of life (QOL) and quality of care for persons with dementia are important areas of Australian health research. A growing body of evidence shows that QOL in dementia can be improved by relatively simple and inexpensive modifications to nursing care practices and the physical environment. Most studies in these areas are observational, few have utilized a randomized control group design, and none has included economic evaluation. This study will address these deficiencies. This is the first time that a randomized controlled trial of Person-Centred Care (PCC) and Person-Centred Environment Design (PCD) will be undertaken. The study will be conducted in 40 residential aged care services in New South Wales, to determine the efficacy and cost effectiveness of implementing PCC and PCD separately, and in combination, in improving resident quality of life and quality of care.Read moreRead less
Performance And Delivery Of Cardiovascular Health Services
Funder
National Health and Medical Research Council
Funding Amount
$389,860.00
Summary
Heart disease is an important cause of death and disability. The treatments received by patients hospitalised with common heart conditions can vary considerably. At present, there are no systematic methods in place to routinely assess the quality of care or patient outcomes following hospitalisation. This proposal keeps developing quality indicators to measure care experienced by patients admitted following a heart attack or those with heart failure as well for those undergoing common cardiac pr ....Heart disease is an important cause of death and disability. The treatments received by patients hospitalised with common heart conditions can vary considerably. At present, there are no systematic methods in place to routinely assess the quality of care or patient outcomes following hospitalisation. This proposal keeps developing quality indicators to measure care experienced by patients admitted following a heart attack or those with heart failure as well for those undergoing common cardiac procedures.Read moreRead less
Palliative Care Outcomes Among Indigenous Australians: Analysis Of A Nationwide Dataset
Funder
National Health and Medical Research Council
Funding Amount
$43,309.00
Summary
Little is known about the quality of palliative care services provided to Indigenous (Aboriginal and Torres Strait Islander) Australians. This study will use a high quality dataset collected from palliative care services nationwide to compare the quality of end-of-life care provided to Indigenous and non-Indigenous Australians. The measures of care being compared will include the time taken to enter care, time taken to have clinical condition stabilised, and satisfactory control of symptoms.
Development And Evaluation Of Regional Health Care Alliances To Improve Health System Performance In New South Wales – Patient Centred Co-commissioning Groups
Funder
National Health and Medical Research Council
Funding Amount
$956,115.00
Summary
With rising expenditure growth and widening inequalities, the Australian health system is under strain. This project involves the NSW Government, Primary Health Networks, Local Hospital Districts and the Consumers Health Forum partnering with leading health services researchers to design and evaluate a new service delivery model that could transform our health system. If successful it will overcome waste and inefficiencies, enhance patient and provider experience and improve health outcomes.
Centre Of Research Excellence In Improving Health Services For Aboriginal And Torres Strait Islander Children
Funder
National Health and Medical Research Council
Funding Amount
$2,629,464.00
Summary
Our CRE aim is to improve health outcomes in Aboriginal and Torres Strait Islander children. We provide new knowledge about health services Aboriginal children should receive. We strengthen primary care and hospital services. We improve understanding; test new models; ensure translation into policy and build capacity. We are from national and international Aboriginal, non government and mainstream organisations. We generate findings that are generalisable to health systems in Australia and inter ....Our CRE aim is to improve health outcomes in Aboriginal and Torres Strait Islander children. We provide new knowledge about health services Aboriginal children should receive. We strengthen primary care and hospital services. We improve understanding; test new models; ensure translation into policy and build capacity. We are from national and international Aboriginal, non government and mainstream organisations. We generate findings that are generalisable to health systems in Australia and internationally.Read moreRead less
Quality Improvement In Indigenous Primary Health Care: Leveraging Effective Ambulatory Practices (LEAP)
Funder
National Health and Medical Research Council
Funding Amount
$1,144,570.00
Summary
Although much is known about best practice in quality improvement in Indigenous Primary Health Care Services, getting this into practice remains challenging. The LEAP project works in partnership with health services to i) identify challenges faced when improving care; ii) design and trial interventions to address these challenges; and iii) evaluate how this process works in different settings.