ORCID Profile
0000-0003-1716-2009
Current Organisations
University of Technology Sydney
,
UNSW Sydney
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Research Topics
In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Health Promotion | Environmental And Occupational Health And Safety | Policy and Administration | Public Administration
ANZSRC Socio-Economic Objective (SEO)
Social structure and health | Occupational health (excl. economic development aspects) | Health policy evaluation |
Related Links
Publications
General practitioner follow-up after hospitalisation in Central and Eastern Sydney, Australia: access and impact on health services
Publisher: CSIRO Publishing
Date: 22-10-2020
DOI: 10.1071/AH19285
Abstract: Objectives General practitioner (GP) follow-up after a hospital admission is an important indicator of integrated care. We examined the characteristics of patients who saw a GP within 2 weeks of hospital discharge in the Central and Eastern Sydney (CES) region, Australia, and the relationship between GP follow-up and subsequent hospitalisation. Methods This data linkage study used a cohort of 10 240 people from the 45 and Up Study who resided in CES and experienced an overnight hospitalisation in the 5 years following recruitment (2007–14). Characteristics of participants who saw a GP within 2 weeks of discharge were compared with those who did not using generalised linear models. Time to subsequent hospitalisation was compared for the two groups using Cox proportional hazards regression models stratified by prior frequency of GP use. Results Within 2 weeks of discharge, 64.3% participants saw a GP. Seeing a GP within 2 weeks of discharge was associated with lower rates of rehospitalisation for infrequent GP users (i.e. visits in year before the index hospitalisation hazard ratio (HR) 0.83 95% confidence interval (CI) 0.70–0.97) but not frequent GP users (i.e. ≥8 plus visits HR 1.02 95% CI 0.90–1.17). Conclusion The effect of seeing a GP on subsequent hospitalisation was protective but differed depending on patient care needs. What is known about the topic? There is general consensus among healthcare providers that primary care is a significant source of ongoing health care provision. What does this paper add? This study explored the relationship between GP follow-up after an uncomplicated hospitalisation and its effect on rehospitalisation. What are the implications for practitioners? Discharge planning and the transfer of care from hospital to GP through discharge arrangements have substantial benefits for both patients and the health system.
What do general practitioners want from specialist alcohol and other drug services? A qualitative study of New South Wales metropolitan general practitioners
Publisher: Wiley
Date: 30-03-2022
DOI: 10.1111/DAR.13463
Abstract: Alcohol and other drug (AOD) use is common in Australia with significant health and community impacts. General practitioners (GP) often see people with AOD use however, there is little research to understand how specialist AOD services could assist GPs in the management of patients with AOD issues. Thirty‐five GPs working in general practice in a metropolitan area in Sydney in New South Wales, Australia, participated in one of three focus groups. The groups were recorded, transcribed and thematically analysed. The five themes raised by participants were: GP personal agency and interest in AOD issues GP education and training gaps improving pathways between GP and specialist AOD services easier access to AOD specialist advice and improving access to collaborative care for patients with complex AOD presentations. Participants requested education on screening, assessing, managing AOD issues, focused on alcohol, stimulants and high‐risk prescription medicines. They suggested better referral processes, discharge summaries and care planning for complex presentations. Participants wanted easy access to specialist advice and suggested collaborative care assisted by experienced AOD liaison nurses. Australia has several existing programs online referral pathways and specialist phone advice, that address some of the issues raised. Unfortunately, many participants were not aware of these. GP education must be supported by multiple processes, including durable referral pathways, ready access to local specialist advice, clear communication (including patient attendance and a treatment plan), care planning and written summaries.
Health impact assessment: The state of the art
Publisher: Informa UK Limited
Date: 03-2012
Human health and wellbeing in environmental impact assessment in New South Wales, Australia: Auditing health impacts within environmental assessments of major projects
Publisher: Elsevier BV
Date: 09-2009
La evaluación del impacto en la salud para la promoción, la educación y el aprendizaje en este campo
Publisher: SAGE Publications
Date: 06-2017
Recognizing the roles of primary health care in addressing non-communicable diseases in low- and middle-income countries: Lesson from COVID-19, implications for the future
Publisher: International Global Health Society
Date: 13-11-2021
A Case Study of an SMS Text Message Community Panel Survey and Its Potential for Use During the COVID-19 Pandemic (Preprint)
Publisher: JMIR Publications Inc.
Date: 18-03-2021
Abstract: uring the COVID-19 pandemic many traditional methods of data collection, such as intercept surveys or focus groups, are not feasible. This paper proposes that establishing community panels through SMS text messages may be a useful method during the pandemic, by describing a case study of how an innovative SMS text message community panel was used for the “Shisha No Thanks” project to collect data from young adults of Arabic-speaking background about their attitudes on the harms of waterpipe smoking. Participants were asked to complete an initial recruitment survey, and then subsequently sent 1 survey question per week. The study recruited 133 participants to the SMS text message community panel and the mean response rate for each question was 73.0% (97.1/133) (range 76/133 [57.1%] to 112/133 [84.2%]). The SMS text message community panel approach is not suited for all populations, nor for all types of inquiry, particularly due to limitations of the type of responses that it allows and the required access to mobile devices. However, it is a rapid method for data collection, and therefore during the COVID-19 pandemic, it can provide service providers and policymakers with timely information to inform public health responses. In addition, this method negates the need for in-person interactions and allows for longitudinal data collection. It may be useful in supplementing other community needs assessment activities, and may be particularly relevant for people who are considered to be more difficult to reach, particularly young people, culturally and linguistically erse communities, and other groups that might otherwise be missed by traditional methods.
Characteristics and Health Service Use of a Longitudinal Cohort of Carers Aged over 45 in Central and Eastern Sydney, Australia
Publisher: Hindawi Limited
Date: 16-08-2023
DOI: 10.1155/2023/5032583
Abstract: Carers are a large portion of the Australian community. In 2018, 2.65 million Australians identified as carers, and almost one-third (32.6%) of this group were primary carers. There is currently a lack of understanding of the impact of being a carer on a person’s health and wellbeing compared to non-carers. This research was undertaken to understand the health status, health risks, and health outcomes for carers in Central and Eastern Sydney, Australia (CES), who are 45 years of age or over. A record linkage study using data from the 45 and Up Study, Medicare Benefit Scheme claims, hospitalisations, and deaths was undertaken on participants in CES (n = 29,489). Characteristics of carers were described and outcomes over an eight-year period were also calculated. Around 12% of the cohort was carers at a given time, though most transitioned in and out of caring roles over a five-year period. Compared with non-carers, carers in CES had higher rates of self-reported smoking, anxiety, psychological distress, heart disease, and self-rated poor quality of life. Carers had higher rates of general practitioner use than non-carers (Adj. HR (95% CI): 1.21 (1.13, 1.30)). However, hospital admissions and mortality were not significantly different. This study confirms that a small proportion of carers remain in carer roles for many years. Caring often starts suddenly, and people need to quickly adapt to their new role. The finding that carers are well-engaged with GPs suggests they may play an important role in identifying carers who are struggling, and delivering interventions for carers.
New international consensus on health impact assessment
Publisher: Elsevier BV
Date: 10-2010
Health impact assessment in Australia
Publisher: Oxford University Press
Date: 29-11-2013
‘Learning by doing’—building workforce capacity to undertake health impact assessment: an Australian case study
Publisher: Oxford University Press
Date: 04-2013
HEALTH IMPACT ASSESSMENT
Publisher: World Scientific Pub Co Pte Lt
Date: 03-2015
DOI: 10.1142/S1464333215500052
Abstract: This article provides a statement on the state of the research context for Health Impact Assessment.
A Case Study of an SMS Text Message Community Panel Survey and Its Potential for Use During the COVID-19 Pandemic
Publisher: JMIR Publications Inc.
Date: 03-11-2021
DOI: 10.2196/28929
Abstract: During the COVID-19 pandemic many traditional methods of data collection, such as intercept surveys or focus groups, are not feasible. This paper proposes that establishing community panels through SMS text messages may be a useful method during the pandemic, by describing a case study of how an innovative SMS text message community panel was used for the “Shisha No Thanks” project to collect data from young adults of Arabic-speaking background about their attitudes on the harms of waterpipe smoking. Participants were asked to complete an initial recruitment survey, and then subsequently sent 1 survey question per week. The study recruited 133 participants to the SMS text message community panel and the mean response rate for each question was 73.0% (97.1/133) (range 76/133 [57.1%] to 112/133 [84.2%]). The SMS text message community panel approach is not suited for all populations, nor for all types of inquiry, particularly due to limitations of the type of responses that it allows and the required access to mobile devices. However, it is a rapid method for data collection, and therefore during the COVID-19 pandemic, it can provide service providers and policymakers with timely information to inform public health responses. In addition, this method negates the need for in-person interactions and allows for longitudinal data collection. It may be useful in supplementing other community needs assessment activities, and may be particularly relevant for people who are considered to be more difficult to reach, particularly young people, culturally and linguistically erse communities, and other groups that might otherwise be missed by traditional methods.
The impact and effectiveness of health impact assessment: A conceptual framework
Publisher: Elsevier BV
Date: 09-2013
What makes health impact assessments successful? Factors contributing to effectiveness in Australia and New Zealand
Publisher: Springer Science and Business Media LLC
Date: 03-10-2015
Urban Health Paradigms
Publisher: Springer International Publishing
Date: 2022
Process and impact evaluation of the Greater Christchurch Urban Development Strategy Health Impact Assessment
Publisher: Springer Science and Business Media LLC
Date: 05-04-2009
Evaluating adaptive local partnerships for social and health service integration: developing a program logic for local Health Justice Partnerships in Ne
Publisher: Ubiquity Press, Ltd.
Date: 12-03-2018
DOI: 10.5334/IJIC.S1042
Health impact assessment for health promotion, education and learning
Publisher: SAGE Publications
Date: 30-05-2017
Strengths and risks of the Primary Health Network commissioning model
Publisher: CSIRO Publishing
Date: 19-04-2022
DOI: 10.1071/AH21356
Abstract: Objective To explain how the Primary Health Network commissioning model works, and factors likely to affect its success. Methods The study focuses on the delivery of primary healthcare services by one Primary Health Network (PHN) in Australia. The qualitative case study is informed by a desk top review, interviews (n = 49) and observations with key stakeholders involved in commissioning and delivering primary healthcare services in the region. Results The study provides several insights about the PHN model. First, conceptually, the PHN commissioning model is well suited to identifying and meeting local primary healthcare priorities, bringing together a range of stakeholders involved in healthcare provision. Second, although primary healthcare services are difficult to specify and measure, PHN staff use their content knowledge and experience, and relationships with providers and the community, to design services that meet the needs of consumers. Third, the success of this model may be undermined by short funding cycles and short lead-times, a focus on national rather than local priorities, and continual reductions in operational funding. This may result in more procedural forms of contract management, which may mean that changes in service need, provision and quality go unnoticed. Conclusions This study shows that although clever in design, the PHN model may not meet its full potential. Given continual changes to the model, including funding, further independent research should be undertaken to understand how PHNs adjust and whether services continue to meet the needs of the local community.
Shaping interventions to address waterpipe smoking in Arabic-speaking communities in Sydney, Australia: a qualitative study
Publisher: Springer Science and Business Media LLC
Date: 12-2018
The role of Health Impact Assessment in promoting population health and health equity
Publisher: CSIRO Publishing
Date: 2009
DOI: 10.1071/HE09172
Abstract: Within the discipline of health promotion there has been long-standing understanding of the social determinants of health and life expectancy.1-3 There is also long-standing evidence of the unfair, unjust distribution of these resources within and among societies. It has proven difficult to translate this evidence of the need for the fairer distribution of socially-distributed resources into powerful action by the range of sectors through whose policies and programs/services much of this inequitable distribution is created.4 Health promotion has proven effective in contributing to significant improvements in the health of populations. It is, now, based on well-developed theory and a comprehensive body of evidence. However, health promotion in particular and the health sector in general have found it difficult to work with other sectors to influence public policy to create the social, economic, environmental and cultural conditions necessary for health equity. Health Impact Assessment (HIA) is outlined as an approach that offers the health sector a structured, transparent method and process to work with other sectors to predict the impact of policy proposals on the health of populations (and on the determinants of health), and to predict the distribution of these impacts in advance of adoption and implementation of the policy. Based on Australian experience of conducting HIAs, the paper outlines contributions that HIA can make to formulating and implementing of healthy public policy. It describes the steps in HIA and illustrates the use of these in practice.
Health impact assessment for urban and land-use planning and policy development: Lessons from practice
Publisher: Informa UK Limited
Date: 10-2010
Diagnosing and managing patients with chronic pain who develop prescription opioid use disorder: A scoping review of general practitioners’ experience
Publisher: The Royal Australian College of General Practitioners
Date: 10-2022
What constitutes brilliant aged care? A qualitative study of practices that exceed expectation
Publisher: Wiley
Date: 14-06-2023
DOI: 10.1111/JOCN.16789
Abstract: This study aimed to explore what constitutes brilliant aged care. Although many aged care services do not offer the care that older people and carers need and want, some perform better. Rather than focus on problems with aged care, this study examined brilliant aged care—practices that exceeded expectation. The methodology for this study was informed by grounded theory, underpinned by constructionism to socially construct meaning. This study invited nominations for a Brilliant Award via a survey, and interviews with the nominees via web conference. After receiving survey responses from 10 nominators, interviews were conducted with 12 nominees. Data were analysed using reflexive thematic analysis and documented according to COREQ guidelines to optimise rigour and transparency. According to participants, brilliant aged care involved being relationally attuned to older people, a deep understanding of the older person, recognition of aged care as more than a job, innovative practices and permission to reprioritise. This study suggests that, in aged care, brilliance happens. It emphasises the importance of meaningful connections and relationships in aged care, where thoughtful acts acknowledge an older person's value and humanity as well as creativity and innovation. For those who manage and deliver aged care, the findings suggest that small practice changes can make a positive difference to older people. Brilliant aged care can involve acts of empathy enthusiasm for aged care innovative practices, even those that are small scale and reprioritising workplace tasks to spend time with older people. For policymakers, this study highlights the need to recognise and raise the profile of the pockets of brilliance within the aged care sector. This might be achieved via awards and other initiatives that serve to celebrate and learn from brilliance in its myriad forms. The nominees, who included carers, were invited to participate in workshops with other carers and older people to co‐design a model of brilliant aged care, during which workshop participants discussed and critiqued the findings constructed from the data.
Communication and engagement of community members from ethnic minorities during COVID-19: a scoping review
Publisher: BMJ
Date: 06-2023
DOI: 10.1136/BMJOPEN-2022-069552
Abstract: This review examined the factors influencing communication and engagement with ethnic and racial minority groups in Australia during the COVID-19 pandemic. It aimed to answer two main questions: (1) what communication problems people from these communities typically faced during the pandemic? and (2) what strategies and recommendations were suggested to enhance communication and engagement for ethnic and racial minorities during the current COVID-19 pandemic and any similar events in the future? Scoping review. PubMed, EMBASE, Cochrane Library, PsychINFO and CINAHL. Grey literature was searched within organisations’ websites and a Google search of key terms. We included original research, case studies, reports (including government and charity reports), systematic and scoping articles and literature reviews in English, published from January 2020 to August 2022. Two researchers independently assessed the literature for eligibility and extracted data from the included literature. The selected papers were analysed and summarised into themes relevant to the research questions. The final review included 38 studies combining published academic papers and grey literature. Key themes relating to communication and engagement issues included a lack of trust in authority, a lack of access to information and ineffective communication channels and a lack of timely and culturally responsive materials. To reduce the issues, the papers spoke about the key role of community organisations to provide local support and community leaders as trusted spokespersons. Lastly, key recommendations to reduce inequity and strengthen future pandemic responses focused on the need for collaborations and consultations, increasing the number of bilingual workers and supporting community-led communication efforts. The insights gained from the activities and experiences documented in this review during the COVID-19 pandemic should be incorporated into future decision-making and interventions to enhance communication and engagement strategies.
Learning by doing: the value of case studies of health impact assessment
Publisher: The Sax Institute
Date: 2007
DOI: 10.1071/NB07110
Abstract: The nine health impact assessment (HIA) case studies in this issue represent a considerable contribution to the HIA literature and provide a number of lessons. These lessons include the value of using evidence in HIA to aid decision-making the various forms that stakeholder and community involvement in HIA can take and the fact that HIA can act as a catalyst for intersectoral engagement. They also highlight challenges faced by HIA practitioners, including time, methods of assessment, developing evidence summaries and considering equity.
What's in the box? Issues in evaluating interventions to develop strong and open communities
Publisher: Oxford University Press (OUP)
Date: 05-06-2007
DOI: 10.1093/CDJ/BSM014
Health impact assessment: an introduction to the what, why and how
Publisher: CSIRO Publishing
Date: 2004
DOI: 10.1071/HE04150
Rapid versus intermediate health impact assessment of foreshore development plans.
Publisher: The Sax Institute
Date: 2007
DOI: 10.1071/NB07076
Abstract: To describe the main differences between conducting a rapid health impact assessment (HIA) and an intermediate HIA on foreshore development plans and their feasibility from a health service perspective. A rapid HIA and an intermediate HIA were undertaken on two foreshore development plans. The main differences between the two HIAs were in the identification, assessment and decision-making stages of the HIA. While the rapid HIA was less resource intensive than the intermediate HIA, there are several factors that affect the feasibility of conducting this type of HIA within a short time period.
Understanding the use and impact of allied health services for people with chronic health conditions in Central and Eastern Sydney, Australia: a five-year longitudinal analysis
Publisher: Cambridge University Press (CUP)
Date: 2019
DOI: 10.1017/S146342361900077X
Abstract: To describe the characteristics of people in Central and Eastern Sydney (CES), NSW, who had a General Practice Management Plan (GPMP) and claimed for at least one private allied health service item and to examine if allied health service use results in less hospitalisations over a five-year period. The number of people living with chronic health conditions is increasing in Australia. The Chronic Disease Management programme was introduced to the Medicare Benefits Schedule (MBS) to provide a more structured approach to managing patients with chronic conditions and complex care needs. The programme supports general practitioners claiming up to one GPMP and one Team Care Arrangement every year, and the patient additionally claiming for up to five private allied health services visits. A prospective longitudinal study was conducted. The s le consisted of 5771 participants in CES who had a GPMP within a two-year health service utilisation baseline period (2007–2009). The analysis used the 45 and Up Study questionnaire data linked to the MBS, hospitalisation, death and emergency department data for the period 2006–2014. Of the eligible participants, 43% (2460) had at least one allied health service item claim in the subsequent 12 months. Allied health services were reported as physiotherapy, podiatry and other allied health services. The highest rates of allied health service use were among participants aged 85 years and over (49%). After controlling for confounding factors, a significant difference was found between having claimed for five or more physiotherapy services and emergency admissions (HR: 0.83 95% CI: 0.72–0.95) and potentially preventable hospitalisations (HR: 0.79 95% CI: 0.64–0.96) in the subsequent five years. Use of allied health service items was well targeted towards those with chronic and complex care needs, and use of physiotherapy services was associated with less avoidable hospitalisations.
Protocol for a meta-narrative review on research paradigms addressing the urban built environment and human health
Publisher: Springer Science and Business Media LLC
Date: 12-2021
DOI: 10.1186/S13643-021-01848-6
Abstract: Urban health is a field of research and practice that has attracted the interest of various disciplines. While it is encouraged for erse disciplines to contribute to a multidisciplinary field of study such as urban health, this often results in tensions, conflicts or competition between the different traditions that stem from different epistemological backgrounds. This meta-narrative review aims to identify and describe the multiple paradigms and articulate the underlying epistemological, ontological, methodological, and aetiological differences in their approaches. Articulating the paradigms not only contributes to the advancement of research, but also provides a framework for understanding the different policy beliefs and ideas policy actors hold and apply in the policy process. We apply the meta-narrative method to systematic literature review which includes the following six iterative phases. The planning phase includes the finalisation of the review protocol and assembly of review team. The search phase includes a comprehensive literature search in key databases and a double-sided systematic snowballing method. We will search multidisciplinary databases including Web of Science, Scopus and ProQuest, and topic-specific databases including Urban Studies Abstracts (EBSCO), MEDLINE, and EMBASE from their inception onwards. Bibliometric analyses of this literature will be used to triangulate the mapping of the paradigms. The mapping phase includes identifying the dominant paradigms and landmark publications through agreement with the review team. In the appraisal phase, the literature will be assessed by their respective quality standards, followed by data extraction to identify the in idual narratives in the conceptual, theoretical, methodological, and instrumental dimensions of each paradigm. The synthesis phase will review the data to compare and contrast and identify the overarching meta-narratives. The recommendation phase will include dissemination of the findings from the review. The meta-narrative review will reveal the how the different paradigms conceptualise, frame and prioritise urban health issues, their preferred methodologies to study the phenomenon, and the nature of the solutions to improve human health. This review will assist researchers and practitioners in understanding and interpreting evidence produced by other traditions that study urban health. Through this, urban health researchers and practitioners will be able to seek coherence in understanding, explaining, and exploring the urban health phenomenon. Open Science Framework ( osf/io/tn8vk )
Evaluation of ‘Shisha No Thanks’ – a co-design social marketing campaign on the harms of waterpipe smoking
Publisher: Springer Science and Business Media LLC
Date: 24-02-2022
DOI: 10.1186/S12889-022-12792-Y
Abstract: Waterpipe (shisha) is becoming increasingly popular worldwide, particularly among young people and in some countries, it is one of the few forms of tobacco use that is increasing. While there is a growing body of evidence of the harms of waterpipe smoke, there is a scarcity of research of interventions to address this form of tobacco consumption. The Shisha No Thanks project was a co-design social marketing c aign that aimed to raise awareness of the harms of waterpipe smoking among young people from an Arabic speaking background in Sydney, Australia. The c aign distributed material through social media and community events. We evaluated the project through an SMS community panel using a longitudinal study design. The cohort were sent questions before and after the project asking about their awareness of messages of harms, attitudes, intention to reduce waterpipe smoking, and awareness of support services. Data was analysed as matched pre- post- data. The evaluation recruited 133 people to the panel. There was a significantly greater proportion of people who reported seeing, hearing or reading something about the harms of waterpipe smoking after the c aign (67.5%) compared with before (45.0%) ( p =0.003). Post-c aign, there were higher proportions of people who strongly agreed that waterpipe smoking causes damage, and that it contains cancer-causing substances, but these increases were not statistically significant. There was low awareness of waterpipe cessation services at baseline and post c aign (22.5%). The Shisha No Thanks project increased awareness of messages about the harms of waterpipe smoking. Although this is a small study, the longitudinal evaluation findings have international relevance and make a useful contribution to the understanding of the impact such interventions can have in addressing one of the few forms of tobacco use that is growing in both developed and developing countries.
Primary health care provider–focused interventions for improving outcomes for people with type 2 diabetes: a rapid review
Publisher: The Sax Institute
Date: 12-2019
Abstract: Objectives and importance of the study: The bulk of care for people with type 2 diabetes occurs in primary health care. This rapid review evaluated the effectiveness of primary health care provider-focused interventions in improving biochemical, clinical, psychological and health-related quality-of-life outcomes in people with type 2 diabetes. We searched Medline, Embase, All EBM Reviews, CINAHL, PsycINFO and grey literature focusing on the Organisation for Economic Co-operation and Development (OECD) member countries. We selected studies that targeted adults with type 2 diabetes, described a provider-focused intervention conducted in primary health care, and included an evaluation component. Four researchers extracted data and each included study was assessed for quality by two researchers. Of the 15 studies identified, there was one systematic review (high quality), four randomised controlled trials (RCTs) (two strong quality, one each moderate and weak) and 10 cluster RCTs (two strong quality, five moderate, three weak). The range of follow-up periods was 3-32 months. In all but one study, the intervention was compared against usual care. The applied interventions included: computerised and noncomputerised decision support culturally tailored interventions feedback to the healthcare provider on quality of diabetes care practice nurse involvement and integrated primary and specialist care. All interventions aimed to improve the biochemical outcomes of interest 13 studies also included clinical, psychological and/or health-related quality-of-life outcomes. Outcome results were mixed. All interventions had mixed impacts on the outcomes of interest except the one study testing a decision aid, which did not show any improvement. A number of interventions are already available in Australia but need wider adoption. Other effective interventions are yet to be broadly adopted, and need to be evaluated for their applicability, feasibility and sustainability in the Australian context.
Urban Health Paradigms
Publisher: Springer International Publishing
Date: 2022
Extended caregiving arrangements in families from Chinese backgrounds: A qualitative research study from Sydney, Australia
Publisher: Elsevier BV
Date: 02-2023
The role of community leaders and other information intermediaries during the COVID-19 pandemic: insights from the multicultural sector in Australia
Publisher: Springer Science and Business Media LLC
Date: 17-05-2022
DOI: 10.1057/S41599-022-01196-3
Abstract: Community and religious leaders and other natural leaders from culturally and linguistically erse (CaLD) backgrounds have been postulated as a gateway into communities. They act as information intermediaries that enable public health messages to reach in iduals. However, there are currently limitations regarding our understanding of these information intermediaries’ regarding their capacity, role, and reach. In-depth interviews were undertaken to understand the perceptions of those working in Australia, including multicultural health, communication and other social support roles focused on CaLD communities, towards the role and impact of information intermediaries in promoting and supporting COVID-19 public health communication and engagement activities. Forty-six semi-structured telephone interviews were undertaken with key stakeholders who have an active role in delivering services and other social support to CaLD communities. Four key themes emerged related to the role of information intermediaries during the interviews. Ideas focused on their role in “bridging the gap” and supporting pandemic-related information delivery into communities. Participants felt that there had been a failure by Federal government agencies to recognise the role of these stakeholders early in the pandemic and a failure to provide sufficient resources and support. However, concerns were also raised that public health messages may be inappropriately interpreted or translated by the community information intermediaries or potentially blocked if the message does not align with the broker’s own beliefs. Finally, concerns were raised about the potential for burn-out among information intermediaries. In preparing and responding to pandemics and other disasters, community leaders and other information intermediaries recognise they have an important role to play and must be provided with resources to enhance and sustain their involvement.
Care of patients with chronic disease: achievements in Australia over the past decade
Publisher: AMPCo
Date: 07-2018
DOI: 10.5694/MJA18.00333
Differing forms, differing purposes: A typology of health impact assessment
Publisher: Elsevier BV
Date: 07-2011
Advance care planning for patients with advanced illnesses attending hospital outpatient clinics study: A study protocol for a randomised controlled trial
Publisher: BMJ
Date: 2019
DOI: 10.1136/BMJOPEN-2018-023107
Abstract: It is unclear whether advance care planning (ACP) undertaken with patients living in the community can improve patient care and avoid unwanted interventions and hospital admissions. We have designed a randomised controlled trial (RCT) to examine if ACP undertaken with patients with advanced illnesses attending hospital outpatient clinics can reduce unplanned hospital admissions and improve patient and caregiver well-being. Pragmatic RCT involving patients from subspecialty outpatient clinics at five clinical sites in Sydney, Australia. Participants will be ≥18 years screened as potentially having palliative care needs and at risk of dying in 6–12 months. The patients will be randomised to intervention or control group. Intervention group will undertake ACP discussions facilitated by a trained health professional. The control group will receive written information on ACP, representing the current standard of care. The primary outcome is the number of unplanned hospital admissions at the 6-month follow-up. Secondary outcomes include: (i) patient’s health-related quality-of-life and quality of chronic disease care (ii) caregiver’s health-related quality-of-life and caregiver burden and (iii) other health outcomes including ambulance usage, emergency department presentations, hospital admissions, resuscitation attempts, intensive care unit admissions, deaths, documentation of patient wishes in patient records and audit of ACP discussions and documents. The staff’s self-reported attitudes and knowledge of ACP will also be measured. The data will be collected using self-report questionnaires, hospital records audit, audit of ACP documentation and data linkage analysis. Semistructured interviews and focus group discussions with patients, caregivers and healthcare professionals will explore the acceptability and feasibility of the intervention. Approved by South-East Sydney Local Health District Human Research Ethics Committee and NSW Population and Health Services Research Ethics Committee. Results will be disseminated via conference presentations, journal publications, seminars and invited talks. ACTRN12617000280303.
How integrated rare disease care is organised and delivered in general practice in OECD countries: A Scoping Review Protocol
Publisher: Center for Open Science
Date: 14-08-2023
Abstract: Objective: To assess the extent to which the literature clarifies key characteristics, components or factors related to feasible and sustainable integrated rare disease care delivery. Along the continuum of care, in general practice settings in Organisations for Economic Cooperation Development (OECD) countries. Introduction: “Rare” by definition, but collectively common, rare diseases have a 3.5-5.9% global prevalence. Internationally, navigating complex health systems is echoed as a challenge, regardless of diagnosis. General practice is best situated to lead integrated rare disease care. Yet, little is known about how integrated rare disease care is currently organised and delivered. Nor how it’s provision can be feasibly achieved and sustained.Inclusion Criteria: Contemporary literature discussing models of integrated rare disease care delivery relating to all aspects of care, in the general practice setting in OEDC countries will be included. Literature discussing acute, episodic care or chronic disease management without rarity will be excluded.Methods: Academic literature, with an empirical component, from CINAHL, PubMed, EMBASE and Scopus will be sought. Grey literature will be sought. Inclusion criteria refinement via Covidence and EndNote, will be followed by the application of a pre-developed data extraction instrument and presented in narrative synthesis, tables and/or diagrams.
Protocol for a Meta-narrative Review on Research Paradigms Addressing the Urban Built Environment and Human Health
Publisher: Research Square Platform LLC
Date: 08-12-2020
DOI: 10.21203/RS.3.RS-121888/V1
Abstract: BackgroundUrban health is a field of research and practice that has attracted the interest of various disciplines. While it is encouraged for erse disciplines to contribute to a multidisciplinary field of study such as urban health, this often results in tensions, conflicts or competition between the different traditions that stem from different epistemological backgrounds.This meta-narrative review aims to identify and describe the multiple paradigms and articulate the underlying epistemological, ontological, methodological and aetiological differences in their approaches. Articulating the paradigms not only contributes to the advancement of research, but also provides a framework for understanding the different policy beliefs and ideas policy actors hold and apply in the policy process.MethodsWe apply the meta-narrative method to systematic literature review which includes the following six iterative phases. The planning phase includes the finalisation of the review protocol and assembly of review team. The search phase includes a comprehensive literature search in key databases and a double-sided systematic snowballing method. Bibliometric analyses of this literature will be used to triangulate the mapping of the paradigms. The mapping phase includes identifying the dominant paradigms and landmark publications through agreement with the review team. In the appraisal phase, the literature will be assessed by their respective quality standards, followed by data extraction to identify the in idual narratives in the conceptual, theoretical, methodological and instrumental dimensions of each paradigm. The synthesis phase will review the data to compare and contrast and identify the overarching meta-narratives. The recommendation phase will include dissemination of the findings from the review. DiscussionThe meta-narrative review will reveal the how the different paradigms conceptualise, frame and prioritise urban health issues, their preferred methodologies to study the phenomenon, and the nature of the solutions to improve human health. This review will assist researchers and practitioners in understanding and interpreting evidence produced by other traditions that study urban health. Through this, urban health researchers and practitioners will be able to seek coherence in understanding, explaining and exploring the urban health phenomenon.Systematic review registrationPROSPERO CRD42020192992
Health Impact Assessment in the Asia Pacific
Publisher: Elsevier BV
Date: 07-2011
Health impact assessment in urban settings
Publisher: The Sax Institute
Date: 2007
DOI: 10.1071/NB07104
Environmental assessment and health impact assessment
Publisher: Oxford University Press
Date: 02-2018
DOI: 10.1093/MED/9780198725916.003.0024
Abstract: Systematically and holistically considering the community health impacts of new policies and projects is critical. Impact assessment (IA) is a key component of national, international, and many commercial policy and project development and decision-making processes. Health impact assessment (HIA) and the health component of environmental assessment (health in EA) analyses both the potential positive and negative health impacts of policies and projects. HIA and health in EA by engaging stakeholders and incorporating a range of sources and types of evidence can maximize the positive and minimize the negative impacts. This means that precautionary principle is implicitly or explicitly a part of the IA process. There are a range of significant challenges in applying IAs and in applying the precautionary principle, particularly in the IA process. Public health professionals need to engage in the IA process, in HIAs and in Health in EAs, to protect and promote community health and well-being.
A rapid equity focused health impact assessment of a policy implementation plan: An Australian case study and impact evaluation
Publisher: Springer Science and Business Media LLC
Date: 2011
Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches
Publisher: Wiley
Date: 15-10-2021
DOI: 10.1111/HEX.13365
Abstract: It has been widely acknowledged that refugees are at risk of poorer health outcomes, spanning mental health and general well‐being. A common point of access to health care for the migrant population is via the primary health care network in the country of resettlement. This review aims to synthesize the evidence of primary health care interventions to improve the quality of health care provided to refugees and asylum seekers. A systematic review was undertaken, and 55 articles were included in the final review. The Preferred Reporting Items for Systematic Reviews was used to guide the reporting of the review, and articles were managed using a reference‐management software (Covidence). The findings were analysed using a narrative empirical synthesis. A quality assessment was conducted for all the studies included. The interventions within the broad primary care setting could be organized into four categories, that is, those that focused on developing the skills of in idual refugees/asylum seekers and their families skills of primary health care workers system and/or service integration models and structures and lastly, interventions enhancing communication services. Promoting effective health care delivery for refugees, asylum seekers and their families is a complex challenge faced by primary care professionals, the patients themselves and the communication between them. This review highlights the innovative interventions in primary care promoting refugee health. Primary care interventions mostly focused on upskilling doctors, with a paucity of research exploring the involvement of other health care members. Further research can explore the involvement of interprofessional team members in providing effective refugee/migrant health. Patient and public involvement was explored in terms of interventions designed to improve health care delivery for the humanitarian migrant population, that is, specifically refugees and asylum seekers.
Frequent users of health services among community‐based older Australians: Characteristics and association with mortality
Publisher: Wiley
Date: 27-06-2022
DOI: 10.1111/AJAG.13110
Abstract: To investigate characteristics of frequent users of general practice (GP ≥21 visits in a year), medical specialist (≥10 visits), emergency department (ED ≥2 presentations) and hospital services (≥2 overnight hospitalisations) and the association with mortality for people aged over 75 years. The study included residents from Central and Eastern Sydney, Australia, aged over 75 years who participated in a large community‐dwelling cohort study. Demographic, social and health characteristics data were extracted from the 45 and Up Study survey. Health service (GP, medical specialist, ED and hospitalisations) use and mortality data were extracted from linked administrative data. We calculated adjusted prevalence ratios to identify independent characteristics associated with frequent users of services at baseline (approx. 2008) and adjusted hazard ratios to assess the association between frequent users of services and mortality. Frequent users of services (GPs, medical specialists, EDs and hospitals) were more likely to be associated with ever having had heart disease and less likely to be associated with reporting good quality of life. Characteristics varied by service type. Frequent users of services were 1.5–2.0 times more likely to die within 7 years compared to those who were less frequent service users after controlling for all significant factors. Our analysis found that frequent service users aged over 75 years had poorer quality of life, more complex health conditions and higher mortality and so their health service use was not inappropriate. However, better management of these frequent service users may lead to better health outcomes.
Inequity in Access and Delivery of Virtual Care Interventions: A Scoping Review
Publisher: MDPI AG
Date: 08-2022
Abstract: The objectives of this review were to map and summarize the existing evidence from a global perspective about inequity in access and delivery of virtual care interventions and to identify strategies that may be adopted by virtual care services to address these inequities. We searched MEDLINE, EMBASE, and CINAHL using both medical subject headings (MeSH) and free-text keywords for empirical studies exploring inequity in ambulatory services offered virtually. Forty-one studies were included, most of them cross-sectional in design. Included studies were extracted using a customized extraction tool, and descriptive analysis was performed. The review identified widespread differences in accessing and using virtual care interventions among cultural and ethnic minorities, older people, socioeconomically disadvantaged groups, people with limited digital and/or health literacy, and those with limited access to digital devices and good connectivity. Potential solutions addressing these barriers identified in the review included having digitally literate caregivers present during virtual care appointments, conducting virtual care appointments in culturally sensitive manner, and having a focus on enhancing patients’ digital literacy. We identified evidence-based practices for virtual care interventions to ensure equity in access and delivery for their virtual care patients.
A framework for preferred practices in conducting culturally competent health research in a multicultural society
Publisher: Springer Science and Business Media LLC
Date: 18-02-2021
DOI: 10.1186/S12961-020-00657-Y
Abstract: Improving the health and well-being of the whole population requires that health inequities be addressed. In an era of unprecedented international migration, meeting the health care needs of growing multicultural or multiethnic societies presents major challenges for health care systems and for health researchers. Considerable literature exists on the methodological and ethical difficulties of conducting research in a cross-cultural context however, there is a need for a framework to guide health research in multicultural societies. The framework was informed by “research on research” that we have undertaken in community and primary health care settings in Sydney, Australia. Case studies are presented as illustrative ex les. We present a framework for preferred practices in conducting health research that is culturally informed, high-quality, safe, and actionable. The framework is not intended to be universal, however many of its aspects will have relevance for health research generally. Application of the framework for preferred practices could potentially make health research more culturally competent, thus enabling enhanced policies, programmes and practices to better meet population health needs. The framework needs to be further tested and refined in different contexts.
Understanding the caregiver role and challenges in Sydney, Australia: A population based linked cohort study
Publisher: American Academy of Family Physicians
Date: 04-2022
Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income Countries
Publisher: Frontiers Media SA
Date: 22-06-2021
DOI: 10.3389/FPUBH.2021.666753
Abstract: The COVID-19 pandemic has been the most challenging public health issue which not only affected the physical health of the global population but also aggravated the mental health conditions such as stress, anxiety, fear, depression and anger. While mental health services are seriously h ered amid this COVID-19 pandemic, health services, particularly those of Low- and Middle- Income Countries (LMICs) are looking for alternatives to provide psychosocial support to the people amid this COVID-19 and beyond. Community Health Workers (CHWs) are an integral part of the health systems in many LMICs and played significant roles such as health education, contact tracing, isolation and mobilization during past emergencies and amid COVID-19 in many LMICs. However, despite their potentials in providing psychosocial support to the people amid this COVID-19 pandemic, they have been underutilized in most health systems in LMICs. The CHWs can be effectively engaged to provide psychosocial support at the community level. Engaging them can also be cost-saving as they are already in place and may cost less compared to other health professionals. However, they need training and supervision and their safety and security needs to be protected during this COVID-19. While many LMICs have mental health policies but their enactment is limited due to the fragility of health systems and limited health care resources. CHWs can contribute in this regard and help to address the psychosocial vulnerabilities of affected population in LMICs during COVID-19 and beyond.
Characteristics of health impact assessments reported in Australia and New Zealand 2005–2009
Publisher: Elsevier BV
Date: 12-2013
The effectiveness of health impact assessment in influencing decision-making in Australia and New Zealand 2005–2009
Publisher: Springer Science and Business Media LLC
Date: 12-2013
Attitudes towards the ‘Shisha No Thanks’ campaign video: Content Analysis of Facebook Comments (Preprint)
Publisher: JMIR Publications Inc.
Date: 29-09-2021
Abstract: hile social media is commonly used in public health c aigns, there is a gap in our understanding of what happens after the c aign is seen by the target audience. Frequently reported social media metrics, such as reach and engagement, do not reflect whether the audience accepts the c aign, or more importantly, whether they take up the c aign’s message. This study investigates whether analysing social media comments can provide insight into how a c aign is received, by examining Facebook comments about the Shisha No Thanks c aign. Shisha No Thanks aims to raise awareness of the harms of shisha (also known as waterpipe) smoking among young people from Arabic-speaking background in Sydney, Australia. A c aign video was produced and shared widely on social media, where it received over 10,000 Facebook comments. his study aims to understand how the Shisha No Thanks video was received by the target audience by analysing Facebook comments posted to it. Specifically, this study aims to determine whether the audience accepted or rejected the c aign’s message. s le of the Facebook comments was extracted using Facebook’s Graph API (application programming interface). The study team developed content categories consistent with the research question. The categories were: ‘Accept’ the c aign message, ‘Reject’, and ‘Unclear’. Subcategories were developed based on common themes in each category. The categories were reviewed by Cultural Support Workers (health workers who support multicultural communities) to ensure the cultural meanings of the comments were captured. Each comment was then coded by three team members, and only assigned a category if there was agreement by at least two members. he Shisha No Thanks video reached 435,811 people and received over 11,000 comments. Of the n=4,990 comments that were s led, 9.1% (n=456) accepted the c aign message, 22.9% (n=1,144) rejected the message, 21.8% (n=1,089) were unclear, and 46.1% (n=2,301) contained only tagged names. Of our s le, 2.8% (n=138) indicated the commenter took on board the c aign message by expressing an intention to stop smoking shisha, or asking a friend to stop smoking shisha. Of the comments that showed rejection of the c aign, the majority were people dismissing the c aign by laughing at it or expressing pro-shisha sentiments. his study demonstrates that conducting content analyses of social media comments can provide important insight into how a c aign message is received by the target audience. Analysing Facebook comments on the Shisha No Thanks video showed that almost one in 10 people who commented accepted the c aign message, and almost 3% took up the c aign message. On the other hand, analysing the Facebook comments also provides important insight into perspectives of people who did not accept the c aign message, which can be useful in developing future interventions on this issue.
Enhancing benefits in health impact assessment through stakeholder consultation
Publisher: Informa UK Limited
Date: 09-2011
Equity in primary health care provision: more than 50 years of the inverse care law
Publisher: CSIRO Publishing
Date: 20-04-2023
DOI: 10.1071/PY23062
Co-production: aspirations, challenges, and the way ahead for public health and health services research
Publisher: The Sax Institute
Date: 2022
DOI: 10.17061/PHRP3222208
Defining community health services in Australia: a qualitative exploration
Publisher: CSIRO Publishing
Date: 16-08-2022
DOI: 10.1071/PY21265
Abstract: Background The Community Health Program of the 1970s was an attempt to introduce a national community health model. However, although community-based health care is an important element of the health systems of all Australian states and territories, the definition of what constitutes a ‘community health service’ in Australia today is not clear. Methods A search of government websites failed to provide information about the types and characteristics of services that would be included in the term. Therefore, semi-structured interviews were conducted with 13 key informants in roles with responsibility for primary and community health services from health departments in all Australian states and territories. Questions explored their understanding of community health services as they operated in their jurisdiction. The study adopted a blended inductive and deductive orientation within a qualitative descriptive method. Results There was little consistency in the way community health services were described across jurisdictions. The defining attributes of a ‘community health centre’ described by an international peak body did not apply to services in the majority of jurisdictions in Australia. Victoria was more aligned with the description than other jurisdictions, with organisations defined through legislation and a separate funding stream to support aspects of service delivery. Conclusions Those designing and implementing national health system programs and reforms need to be aware that terms, such as ‘community health’, do not mean the same thing across jurisdictions attempts to create consistency have to recognise differences that will affect new initiatives, as well as the spread of successful policies and programs from one jurisdiction to another. Without a consistent description, it is difficult to explore the current role of community-based health care across Australia in improving access to health care.
Implementing the Patient Activation Measure (PAM) in clinical settings for patients with chronic conditions: a scoping review
Publisher: Portico
Date: 07-2020
Four urban health paradigms: The search for coherence
Publisher: Elsevier BV
Date: 09-2022
Increasing use of general practice management and team care arrangements over time in New South Wales, Australia
Publisher: CSIRO Publishing
Date: 2019
DOI: 10.1071/PY18113
Abstract: The number of older people living with chronic health conditions is increasing in Australia. The Chronic Disease Management (CDM) items program was introduced to the Medicare Benefits Schedule (MBS) to encourage a more structured approach to managing patients with chronic conditions. Initial uptake was slow and recent research has suggested that uptake is decreasing. This paper examines: person MBS CDM claims in NSW between 2006 and 2014 — using baseline survey data (2006–09) from the Sax Institute’s 45 and Up Study linked to MBS and Death Registry data (2006–14) — and MBS CDM claims per 100000 population — using billing data sourced from the Medicare Australia Statistics website — to systematically examine any changes in uptake using a time-series analysis. After age adjustment, claims for initial plans increased from 11.3% in 2006 to 22.4% in 2014. Increases were also seen for allied health service claims (from 4.1% in 2006 to 20.8% in 2014) and for plan reviews (from 5.9% in 2006 to 16.0% in 2014). These increases were consistent with the MBS summary claims data. There is evidence that these plans are appropriately targeting those in most need however, there is limited evidence of their effect. Claims for plan reviews, although increasing, are suboptimal and may indicate poor continuity of care.
Reflecting on 2021 for the Australian Journal of Primary Health
Publisher: CSIRO Publishing
Date: 2021
DOI: 10.1071/PYV27N6_ED
Health Impact Assessments of Health Sector Proposals: An Audit and Narrative Synthesis
Publisher: MDPI AG
Date: 31-10-2021
Abstract: Background: Health impact assessment (HIA) is a tool used to assess the potential health impacts of proposed projects, programs, and policies. The extent of the use of HIAs conducted on health sector proposals, and what they focus on, is currently largely undocumented. This paper reviews HIAs conducted on health sector proposals, their characteristics and describes the settings in which they were conducted. Methods: A systematic review was conducted, including peer-reviewed journals and grey literature utilizing keywords, synonyms, and subject headings relevant to HIA and the health sector. Eligibility criteria were independently applied to the identified works and data appraisal conducted using the Critical Appraisal Skills Programme qualitative checklist tool. Results: 19 HIAs were identified and included in the review, including 13 rapid, three intermediate, and two comprehensive HIAs. The HIAs use was evident across a range of health service contexts, though all but one had been conducted in developed countries. Conclusion: The use of HIAs in the health sector is limited. There were various benefits attributed to the HIAs analysed including and not limited to the allocation of resources, reducing inequalities, and identification of possible negative consequences of a project. There is an opportunity to improve the use and reporting of HIAs across health settings internationally to enhance the consideration of broader determinants of health, influence decision making, and use of evidence in health sector planning for the future.
Improving outcomes for marginalised rural families through a care navigator program
Publisher: Wiley
Date: 07-05-2020
DOI: 10.1002/HPJA.348
Abstract: Health promotion programs are based on the premise that health and well‐being is impacted by a person's living circumstances, not just factors within the health arena. Chronic health issues require integrated services from health and social services. Navigator positions are effective in assisting chronic disease patients to access services. This family program in a small rural town in Western New South Wales targeted marginalised families with children under five years of age with a chronic health issue. The navigator developed a cross‐sectoral care plan to provide services to address family issues. The study aimed to identify navigator factors supporting improved family outcomes. Participants included parent/clients (n = 4) and the cross‐sectoral professional team (n = 9) involved in the program. During the interview, participants were asked about their perspective of the program. Interview transcripts were thematically analysed informed by the Chronic Care Model underpinned by Health Promotion Theory. The program improved client family's lives in relation to children's health and other family health and social issues. Trust in the care navigator was the most important factor for parents to join and engage with the program. The care navigator role was essential to maintaining client engagement and supporting cooperation between services to support families. Essential care navigator skills were commitment, ability to persuade and empower parents and other professionals. This descriptive study demonstrated the positive influence of the care navigator and the program on high risk families in a small isolated community. It can be adopted by other communities to improve life for families at risk.
Attitudes towards the ‘Shisha No Thanks’ campaign video: Content analysis of Facebook comments
Publisher: E.U. European Publishing
Date: 18-10-2022
DOI: 10.18332/TID/153543
Smoking cessation on discharge summaries
Publisher: Wiley
Date: 24-11-2023
DOI: 10.5694/MJA2.51792
The three paradigms on urban health
Publisher: Oxford University Press (OUP)
Date: 09-2020
DOI: 10.1093/EURPUB/CKAA166.155
Abstract: While public health and urban planning share a historical connection in the mid-19th century, when public health and sanitation became a key guiding principle for urban planning, the two disciplines evolved in separate ways after major technological and social developments such as the development of germ theory and the ascent of biomedicine. Recently, urban planners and public health experts globally are calling for a reconnection between the health and urban planning spheres. However, there are different schools of thought around how to address health in the urban context that originates from different worldviews and epistemological traditions of the disciplines. This study is a narrative review that explores the core beliefs and assumptions of the different research traditions that are observed around health in the urban context. The study identifies three main traditions. The 'urban health science' tradition is characterized by the pathogenic and epidemiological analysis of urban problems, suggesting predominantly technological solutions to these issues. Scholars of this tradition emphasize that urban health requires straight Cartesian causal thinking to inform interventions to promote the health of urban populations. The 'healthy cities movement' tradition is based on the principles of the Ottawa Charter for Health Promotion with strong roots in social movements, and takes a value-based approach to solutions that embraces the principles of solidarity, equity, sustainability and empowerment. While these two traditions originate from the discipline of public health, the third 'healthy urban planning' tradition emerged from the urban planning discipline and proposes to include health as objectives in the spatial development of cities. This study identifies the core beliefs and assumptions of the paradigms of urban health and highlights areas where beliefs and assumptions epistemologically or practically overlap and interface. Scholars from different epistemological traditions possess different worldview on the problem definition and solution to urban health. The three paradigms on urban health are not mutually exclusive, rather each could learn from each other to promote the health of urban citizens.
Enhancing equitable access to cancer information for culturally and linguistically diverse (CALD) communities to complement beliefs about cancer prognosis and treatment
Publisher: Springer Science and Business Media LLC
Date: 25-03-2021
L’évaluation d’impact sur la santé pour la promotion de la santé, l’éducation pour la santé et l’apprentissage
Publisher: SAGE Publications
Date: 06-2017
Health impact assessment and urbanisation. Lessons from the NSW HIA Project
Publisher: The Sax Institute
Date: 2007
DOI: 10.1071/NB07073B
Abstract: Health impact assessment (HIA) can ensure that health is a core element of sustainable urban planning. Based on the experience of the NSW HIA Project, we discuss the current strengths of HIA and challenges facing it as an urban sustainability tool across five areas: the use of evidence integrating HIA with environmental impact assessments including consideration of equity recognising wider determinants of health and building capacity.
Health service staff attitudes to community representatives on committees
Publisher: Emerald
Date: 11-2006
DOI: 10.1108/14777260610702299
Abstract: This paper sets out to report attitudes of staff on key health service committees towards community participation before and after appointment of community representatives. The paper shows a self‐completed questionnaire administered to staff on committees as a baseline measure and 12 months after community representatives had been appointed. The paper finds that significantly more staff at the follow‐up survey reported that they and other staff were clear about the role of community representatives and how to work with them on committees. Significantly more staff at follow‐up felt that the health service was ready for this type of initiative. There was no significant increase in the percentage of staff who felt that financial and other supports for community representatives were sufficient and no significant changes in staff views about the potential for community representatives to influence decision making, although there were strong trends in a positive direction. The study in this paper was conducted in one health service and did not follow changes in attitudes of particular staff over time. Larger s les would be necessary to assess generalisability of findings and future studies should examine in more depth staff beliefs about the role and influence of community members on committees. The paper implies that the development of ongoing and constructive relationships between health services and communities clearly takes time and, at least in part, results from direct experience working alongside community members. The paper shows that this is the first study examining how the attitudes of health service staff to community participation change over time and as a direct result of interaction with community members on committees. A better understanding of health service staff attitudes to community participation is important for health care managers to effectively address structural and attitudinal barriers to community participation.
Translating Health Coaching Training into Clinical Practice
Publisher: MDPI AG
Date: 12-2022
Abstract: Health coaching can benefit people with managing chronic conditions. It considers people’s motivations, is person-centred and has the capacity to promote healthy lifestyles and address chronic disease risk factors. However, how health coaching training is translated into routine clinical practice at unit and service levels has been under explored. A metropolitan local health district in Sydney, Australia provided coaching training to health professionals, but the extent to which coaching skills were translated into clinical practice was unknown. A redesign methodology was used to identify barriers and facilitators for training-to-practice translation. Survey and workshop findings indicated that participants were satisfied with the coaching training but found it challenging to apply in clinical practice. Identified opportunities to support the application of health coaching were tailored practical training, post training support, and consensus on the definition of health coaching. Solutions were to develop an internal practical training program, use consistent terminology, and embed organisational support. Adoption of health coaching needs to occur on three levels in idual, workplace and organisation to ensure effective health care delivery. This case study demonstrates the importance of evaluation and diagnostics of contextual barriers and enablers to inform translation into practice.
Smoking and epidemics of respiratory infections
Publisher: WHO Press
Date: 28-10-2020
Speaking COVID-19: supporting COVID-19 communication and engagement efforts with people from culturally and linguistically diverse communities
Publisher: Springer Science and Business Media LLC
Date: 27-06-2022
DOI: 10.1186/S12889-022-13680-1
Abstract: Since the emergence of COVID-19, issues have been raised regarding the approach used to engage with Culturally and Linguistically Diverse (CaLD) communities during this public health crisis. This study aimed to understand the factors impacting communication and engagement efforts during the COVID-19 pandemic from the perspective of crucial CaLD community stakeholders and opinion leaders. Forty-six semi-structured telephone interviews were undertaken with key stakeholders who have an active role (established before the pandemic) in delivering services and other social support to CaLD communities in Australia. Seven key themes emerged: (1) the digital ide and how to connect with people (2) information voids being filled by international material (3) Differentiating established with new and emerging communities’ needs (4) speaking COVID-19 (5) ineffectiveness of direct translations of English language resources (6) coordination is needed to avoid duplication and address gaps and (7) recognising the improvements in governments’ approach. Alliances must be set up that can be activated in the future to reduce issues around resource development, translation, and dissemination of messages to minimise gaps in the response. Financial assistance must be provided in a timely way to community organisations to support the development and dissemination of culturally appropriate communication materials.
Respiratory pandemics, urban planning and design: A multidisciplinary rapid review of the literature
Publisher: Elsevier BV
Date: 08-2022
The use of health impact assessment to determine the potential impact of an Australian Urban development proposal on health and well-being
Publisher: Informa UK Limited
Date: 08-02-2011
Using a participatory approach to assess the effectiveness of the Get Healthy Service among Chinese communities in Sydney, Australia
Publisher: Ubiquity Press, Ltd.
Date: 26-02-2021
DOI: 10.5334/IJIC.S4007
An overview of the regulatory planning system in New South Wales: identifying points of intervention for health impact assessment and consideration of health impacts
Publisher: The Sax Institute
Date: 2007
DOI: 10.1071/NB07073A
Abstract: The experience of health impact assessment (HIA) in NSW has shown that it is possible to incorporate considerations of health impacts into decision-making concerning urban planning. In NSW, the Environmental Planning and Assessment Act 1979 is the regulatory framework governing urban planning. This legislative system provides opportunities for HIA and the consideration of health impacts as part of developing plans, policies and development proposals within NSW.
Current global health impact assessment practice
Publisher: MDPI AG
Date: 25-04-2020
Abstract: Health impact assessment (HIA) practice has expanded across the world, since it was established more than two decades ago. This paper presents a snapshot of current global HIA practice based on the findings of an online questionnaire survey. HIA practitioners from all world regions were invited to participate. A total of 122 HIA practitioners from 29 countries completed the survey, following a broad international outreach effort. The large variety in the types of HIAs conducted, and the application of HIA in various fields reported by respondents, demonstrates that HIA practice has evolved over the past two decades. Although differences in the use of HIA were reported across world regions, an overall increasing trend in global HIA practice can be observed. In order to sustain this upward trend, efforts are needed to address the main barriers in the utilisation of HIA. The establishment of new national and international HIA teaching and training offerings seems to be an obvious strategy to pursue along with the strengthening of policies and legal frameworks that specify the circumstances, under which HIA is required, and to what extent.
Evaluating the impact of equity focused health impact assessment on health service planning: three case studies
Publisher: Springer Science and Business Media LLC
Date: 05-09-2014
Do general practice management and/or team care arrangements reduce avoidable hospitalisations in Central and Eastern Sydney, Australia?
Publisher: Springer Science and Business Media LLC
Date: 07-11-2019
DOI: 10.1186/S12913-019-4663-3
Abstract: The number of people living with chronic health conditions is increasing in Australia. The Chronic Disease Management program was introduced to Medicare Benefits Schedule (MBS) to provide a more structured approach to managing patients with chronic conditions and complex care needs. The program supports General Practitioners (GP)s claiming for up to one general practice management plan (GPMP) and one team care arrangement (TCA) every year and the patient claiming for up to five private allied health visits. We describe the profile of participants who claimed for GPMPs and/or TCAs in Central and Eastern Sydney (CES) and explore if GPMPs and/or TCAs are associated with fewer emergency hospitalisations (EH)s or potentially preventable hospitalisations (PPH)s over the following 5 years. This research used the CES Primary and Community Health Cohort/Linkage Resource (CES-P& CH) based on the 45 and Up Study to identify a community-dwelling population in the CES region. There were 30,645 participants recruited within the CES area at baseline. The CES-P& CH includes 45 and Up Study questionnaire data linked to MBS data for the period 2006–2014. It also includes data from the Admitted Patient Data Collection, Emergency Department Data Collection and Deaths Registry linked by the NSW Centre for Health Record Linkage. Within a two-year health service utilisation baseline period 22% (5771) of CES participants had at least one claim for a GPMP and/or TCA. Having at least one claim for a GPMP and/or TCA was closely related to the socio-demographic and health needs of participants with higher EHs and PPHs in the 5 years that followed. However, after controlling for confounding factors such as socio-demographic need, health risk, health status and health care utilization no significant difference was found between having claimed for a GPMP and/or TCA during the two-year health service utilisation baseline period and EHs or PPHs in the subsequent 5 years. The use of GPMPs and/or TCAs in the CES area appears well-targeted towards those with chronic and complex care needs. There was no evidence to suggest that the use of GPMPs and /or TCAs has prevented hospitalisations in the CES region.
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