Prevalence, Nature And Recommendations For Clinical Management And Self-management Of Depression For People With HIV
Funder
National Health and Medical Research Council
Funding Amount
$470,290.00
Summary
By comparing the nature and prevalence of depression in those with and without HIV, and documenting the ways in which general practitioners manage depression in their patients, the project will provide a comprehensive and layered understanding of depression among men, particularly those living with HIV in urban and regional Australia. Project findings will develop the skills and research capacity of general practitioners in the assessment and management of depression.
Increasing Cardiovascular Risk Assessment In First Degree Relatives Of Patients With Premature Heart Disease: An RCT
Funder
National Health and Medical Research Council
Funding Amount
$113,972.00
Summary
Family history is a risk factor for ischaemic heart disease (IHD), especially if the history includes early onset disease. Families share both genetic and environmental risk factors, many of which can be modified to reduce the risk of heart disease. The aim of this project is to trial an intervention to promote heart disese risk assessment among the relatives of patients with premature heart disease. This is a first step toward prevention of heart disease in these families.
Evaluating And Disseminating The Implementation Success Of A Surgical Training Program
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
Removal of the uterus (hysterectomy) is the most commonly performed major surgical procedure in women (30,000/yr in Australia). Internationally, only about 25% of hysterectomies are still performed through an open abdominal approach, compared to 40% in Australia. This means that too many women in Australia will suffer unnecessary side-effects, pain and long recovery, keeping them away from their family and usual tasks longer than necessary.
Investigating The Capacity Of The General Practitioner Workforce To Meet Ongoing HIV Primary Care Needs In Australia
Funder
National Health and Medical Research Council
Funding Amount
$469,552.00
Summary
The number of people living with HIV-AIDS in Australia is increasing and ageing, requiring an expert primary care workforce to provide HIV clinical care into the future. Yet the numbers of general practitioners training as s100 prescribers may be insufficient to replace those leaving to retire or change jobs. This study will provide critical and timely evidence for why and how GPs pursue or continue working in HIV medicine in different caseload and geographical settings across Australia.
Using Healthcare Wisely: Reducing Inappropriate Use Of Tests And Treatments
Funder
National Health and Medical Research Council
Funding Amount
$9,578,895.00
Summary
Overdiagnosis and overtreatment as unintended consequences of modern healthcare due to expanded disease definitions labelling people with mild problems or at low risk of illness, diagnostic tests identifying inconsequential abnormalities and screening programs detecting disease that won’t progress. The result is much harm and unsustainable overuse. We will research the prevalence, causes and consequences of overdiagnosis and overtreatment, evaluate solutions and widely disseminate findings.
Translating Risk Models To Improve Prevention And Early Diagnosis Of Cancer In Primary Care
Funder
National Health and Medical Research Council
Funding Amount
$479,882.00
Summary
Primary care plays a key role in prevention and early diagnosis of cancer. This fellowship will apply evidence about cancer risk to help GPs provide tailored advice to patients about preventing common cancers. It will also use new risk tools to assess people with symptoms suggestive of cancer to support earlier diagnosis. The research extends to studies relating to how people interpret symptoms and ways of promoting earlier presentation to the GP in patients who are at higher risk of cancer.
The CRISP Trial: An RCT Of Risk Assessment And Decision Support To Implement Risk-stratified Colorectal Cancer Screening In Primary Care.
Funder
National Health and Medical Research Council
Funding Amount
$936,641.00
Summary
There is a mismatch between people’s use of bowel cancer screening tests through faecal occult blood testing or colonoscopy and their individual risk of bowel cancer. Building on the work of our NHMRC Centre for Research Excellence (CRE) on Optimising Colorectal Cancer Screening, this trial will test the effect of an electronic risk assessment tool, implemented in general practice, on use of the most appropriate screening test for bowel cancer based on a person’s risk of developing the condition
Improving Implementation Of Guideline Recommendations For Early Detection And Prevention Of Cancer In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$277,205.00
Summary
An intervention targeting key barriers to preventive care will be implemented in 3 general practices. A multiple baseline design will be used to evaluate the success of the intervention. Key outcomes will include the proportion of eligible patients within each practice for whom 3 or more health risk behaviours have been assessed in accordance with guidelines recommendations; and the proportion of eligible patients who have been screened appropriately for breast, cervical and bowel cancer.
Health Outcomes And Service Utilisation In A Cohort Of People Who Inject Drugs, Sex Workers And At-risk Youth - A Record Linkage Study
Funder
National Health and Medical Research Council
Funding Amount
$458,333.00
Summary
People who inject drugs and sex workers endure poorer health and a disproportionate burden of disease than the general population. Improving health in these marginalised populations remains a challenge. To identify demographic, behavioural and clinical factors that predict health outcomes we will undertake a retrospective record linkage study in a cohort of 40000 primary care clinic attendees from a socially disadvantaged urban population with high prevalence of injecting drug use and sex work.