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Trial Of Structured Support To Enhance The Role Of Non-GP Staff In Chronic Disease Management In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$780,625.00
Summary
Chronic disease presents a significant burden to individuals and the health care system , contributing to both an increasing proportion of the work of primary health care practitioners and to health expenditure. A number of interventions have been shown to result in sustained improvement of health outcomes for people with chronic diseases, including: more effective use of non-physician providers of care and nurse case management; integration of self-management support programs with guideline bas ....Chronic disease presents a significant burden to individuals and the health care system , contributing to both an increasing proportion of the work of primary health care practitioners and to health expenditure. A number of interventions have been shown to result in sustained improvement of health outcomes for people with chronic diseases, including: more effective use of non-physician providers of care and nurse case management; integration of self-management support programs with guideline based treatment plans; more intensive follow up and registries that provide reminders and feedback. While some of these approaches have been pursued within the Coordinated Care Trials and the Enhanced Primary Care (EPC) program in Australia, the role of non medical staff within general practice in chronic disease care has not been systematically investigated. In 2001 the Commonwealth introduced a number of initiatives to support better quality of care for diabetes and asthma in general practice and $104.2 million over four years was provided for general practices in areas of high workforce pressure to employ more Nurses. The roles of the Practice Manager and Receptionist have received much less attention. They include faclitating access to care, supporting the delivery of quality clinical care by the practitioners through the provision of expert management services (primarily information technology, staff, financial and facilities management) to the practice. With recent government initiatives expanding the role of general practice in Australia, effective management structures and processes within general practices are vital. Non-GP general practice staff may be the means by which more effective chronic disease management can be achieved at a time of increasing workforce pressure. This project aims to evaluate the impact of a program in which non-GP staff are trained and facilitated to be involved in the management of patients with chronic disease.Read moreRead less
Grief Experience And Support Needs Of Japanese Health Care Professionals Working In Palliative Care
Funder
National Health and Medical Research Council
Funding Amount
$60,012.00
Summary
The grief experiences of health professionals and their impact have not been identified as significant issues in palliative care settings. Nevertheless, health professional's grief may lead to burn out and reduce the effectiveness of care that they can provide to others. This research aims to identify Japanese nurses’ grief experience when they work in palliative care, the factors affecting their grief and will make recommendations about essential staff support systems.
PEACH Study- Patient Engagement And Coaching For Health: An Intensive Treatment Intervention For Patients With Type 2 Di
Funder
National Health and Medical Research Council
Funding Amount
$499,263.00
Summary
This study uses practice nurses integrated in existing general practice structures to implement telephone coaching for patients with type 2 diabetes (T2D) in a disadvantaged community. This is an evidence based patient empowerment strategy designed to increase patient self-management and engagement with the health care system to improve health outcomes.
Personalised Care For Type 2 Diabetes In Primary Care: Empowering Patients And Clinicians To Treat To Target
Funder
National Health and Medical Research Council
Funding Amount
$177,197.00
Summary
This Fellowship program focuses on evidence based clinical care of people with type 2 diabetes (T2D) in general practice. In particular it seeks to translate evidence about progressive intensification of treatment of elevated glucose levels to achieve “target levels” into real world everyday general practice care of people with T2D. Doing so will play an important role in reducing the long term serious complications and could reduce the costs to the community of this condition.
An Investigation Into The Policies And Provision Of Seclusion In Three Health Care Settings In South Australia
Funder
National Health and Medical Research Council
Funding Amount
$61,088.00
Summary
The study will investigate the policies and practices of seclusion in both traditional nursing and corrections health clinical settings in South Australia; a much under-researched but, nevertheless, important and contentious area. It will compare and contrast the formal policies and guidelines pertaining to seclusion and its place within the therapeutic philosophy of the facility. It will also consider the de facto practices, the physical provisions for seclusion areas and their relationship to ....The study will investigate the policies and practices of seclusion in both traditional nursing and corrections health clinical settings in South Australia; a much under-researched but, nevertheless, important and contentious area. It will compare and contrast the formal policies and guidelines pertaining to seclusion and its place within the therapeutic philosophy of the facility. It will also consider the de facto practices, the physical provisions for seclusion areas and their relationship to the wider ward environment, the ward audit and records of the use of seclusion and related practice. Furthermore, through interviews with direct care staff, it will examine personal and professional reflections on these issues and begin to develop recommendations for best practice. Therefore, by virtue of its clinical and service focus in Nursing and allied health areas, it falls within the criteria for Special Initiative Funding.Read moreRead less
Improving Care Of The Dying With Chronic Heart Failure
Funder
National Health and Medical Research Council
Funding Amount
$130,000.00
Summary
Chronic heart failure is increasing in prevalence and is primarily a condition of ageing. Although chronic heart failure has worse outcomes than many cancers, patients are often denied the benefits of palliative care with its emphasis on symptom management, spirituality, emotional health and focus on family issues. This project seeks to assess the state of knowledge in Australia related to palliative care in chronic heart failure. Guidelines and care maps appropriate to Australian conditions wil ....Chronic heart failure is increasing in prevalence and is primarily a condition of ageing. Although chronic heart failure has worse outcomes than many cancers, patients are often denied the benefits of palliative care with its emphasis on symptom management, spirituality, emotional health and focus on family issues. This project seeks to assess the state of knowledge in Australia related to palliative care in chronic heart failure. Guidelines and care maps appropriate to Australian conditions will be developed and their usefulness assessed in improving care of patients and their families.Read moreRead less