Browsing Research Flagships, Centres and Institutes by Subject "1199 Other Medical and Health Sciences"
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Item ItemCan a regional government's social inclusion initiative contribute to the quest for health equity?(2010) Baum, Fran; Newman, Lareen Ann; Biedrzycki, Katherine Rebecca; Patterson, Jan ItemCollaborative review of pilot projects to inform policy: a methodological remedy for pilotitis?(BioMed Central - http://www.biomedcentral.com, 2008) Kuipers, Willem (Pim); Humphreys, John S; Wakerman, John; Wells, Robert; Jones, Judith; Entwistle, Philip Lonsdale ItemCreating a research culture in a palliative care service environment: A qualitative study of the evolution of staff attitudes to research during a large longitudinal controlled trial (ISRCTN81117481)(Centre de Recherche Institut Universitaire de Gériatrie de Montreal, 2008) Fazekas, Belinda Susan; Currow, David Christopher; Grbich, Carol Frances; Abernethy, Amy Pickar; Shelby-James, Tania MareeThis study investigated the impact of a three-year randomized control trial of different models of service provision on palliative care staff associated with the hospice where the trial was being conducted. Eleven open access de-identified qualitative focus groups were held over a period of three years: three months into the trial, one year after its inception, and at the end of the trial. Four staff groups were involved: inpatient hospice nurses, palliative care outreach nurses, medical palliative specialists, and administrative staff and social workers. Initially the impact of the trial produced high levels of staff stress which largely diminished over time, to be replaced by enthusiasm for the changes achieved and sadness that post trial the perceived benefits gained would be lost. When attempting to change a clinical culture to incorporate research, and in particular where increased staff workload is involved, highly interactive levels of communication and valuing of staff input are required to minimize the stress and burden of this imposition. ItemFederal, State and Territory government responses to health inequities and the social determinants of health in Australia(2006) Newman, Lareen Ann; Baum, Fran; Harris, Liz ItemFramework and tools for planning and evaluating community participation, collaborative partnerships and equity in health promotion(2008) Jolley, Gwyneth Margaret; Lawless, Angela Patricia; Hurley, Catherine Jane ItemI don't think general practice should be the front line: experiences of general practitioners working with refugees in South Australia(2008) Johnson, D; Ziersch, Anna Marie; Burgess, Teresa ItemThe impact of point of care testing on diabetes services along Victoria's Mallee Track. Results of a community-based diabetes risk assessment and management program(2005) McLaughlin, Kristin Jane; Denner, B; Barnes, G; Shephard, Anne Kathryn; Shephard, Mark Douglas; Mazzachi, Beryl C ItemThe importance of resilience to primary care practitioners: an interactivie psycho-social model(Australasian Medical Journal, 2009) Ward, Paul Russell; Lawn, Sharon Joy; Muller, Robert; Tsourtos, George; Winefield, A HIn this paper, it is argued that an understanding of the factors that make up resilience can enhance communication and concordance between practitioner and patient. A model is presented demonstrating that resilience is an interaction between factors in the internal domain, comprising psychological characteristics and resources, and the external domain, comprising the social environment surrounding the individual. As resilience manifests itself in different ways across the life-cycle, and according to individual circumstances, time is also an important part of the model presented in this paper. Understanding this model of resilience can lead to an insight that there are factors that can be influenced whereby the primary care practitioner can treat the patient, or refer them after a process of concordance through a deeper understanding of the factors that surround a patient’s current health status. Underlying the model is the view that resilience is linked to the assets model of health, seeking to promote and maintain health and prevent illness. Therefore, primary care practitioners, through a deeper understanding of the circumstances of the patient, and through understanding the factors that promote resilience, may be better able to take action in health promotion and maintenance. ItemNon-response to a life course socioeconomic position indicator in surveillance: comparison of telephone and face-to-face modes(2008) Chittleborough, Catherine R; Taylor, Anne; Baum, Fran; Hiller, Janet EBackground Measurement of socioeconomic position (SEP) over the life course in population health surveillance systems is important for examining differences in health and illness between different population groups and for monitoring the impact of policies and interventions aimed at reducing health inequities and intergenerational disadvantage over time. While face-to-face surveys are considered the gold standard of interviewing techniques, computer-assisted telephone interviewing is often preferred for cost and convenience. This study compared recall of parents' highest level of education in telephone and face-to-face surveys. Methods Questions about father's and mother's highest education level were included in two representative population health surveys of South Australians aged 18 years and over in Spring 2004. A random sample selected from the electronic white pages (EWP) responded to a computer-assisted telephone interview (n = 2999), and a multistage clustered area sample responded to a face-to-face interview (n = 2893). A subsample of respondents in the face-to-face sample who owned a telephone that was listed in the EWP (n = 2206) was also compared to the telephone interview sample. Results The proportion of respondents who provided information about their father's and mother's highest education level was significantly higher in the face-to-face interview (86.3% and 87.8%, respectively) than in the telephone interview (80.4% and 79.9%, respectively). Recall was also significantly higher in the subsample of respondents in the face-to-face interview who had a telephone that was listed in the EWP. Those with missing data for parents' education were more likely to be socioeconomically disadvantaged regardless of the survey mode. Conclusion While face-to-face interviewing obtained higher item response rates for questions about parents' education, survey mode did not appear to influence the factors associated with having missing data on father's or mother's highest education level. ItemRe-orientation of health services towards health promotion: an Australian case study of aborted health service reform(2006) Baum, Fran; van Eyk, Helen Clare; Hurley, Catherine Jane ItemResponding to health impacts of climate change in the Australian desert(2008) Campbell, David; Kuipers, Willem (Pim); Davies, Jocelyn; Smith, Mark Stafford; Wakerman, John; McGregor, Murray ItemResults of an Aboriginal community-based renal disease management program incorporating point of care testing for urine albumin: creatinine ratio(2006) Shephard, Mark Douglas; Allen, G G; Paizis, K; Barbara, Jeffrey A J; Batterham, M J; Vanajek, Anne ItemTowards Role Based Hypothesis Evaluation for Health Data Mining(2006) Shillabeer, Annette; Roddick, John FrancisData mining researchers have long been concerned with the application of tools to facilitate and improve data analysis on large, complex data sets. The current challenge is to make data mining and knowledge discovery systems applicable to a wider range of domains, among them health. Early work was performed over transactional, retail based data sets, but the attraction of finding previously unknown knowledge from the ever increasing amounts of data collected from the health domain is an emerging area of interest and specialisation. The problem is finding a solution that is suitably flexible to allow for generalised application whilst being specific enough to provide functionality that caters for the nuances of each role within the domain. The need for a more granular approach to problem solving in other areas of information technology has resulted in the use of role based solutions. This paper discusses the progress to date in developing a role oriented solution to the problem of providing for the diverse requirements of health domain data miners and defining the foundation for determining what constitutes an interesting discovery in an area as complex as health. ItemWhat skills do primary health care professionals need to provide effective self-management support?: seeking consumer perspectives(CSIRO Publishing, 2009) Lawn, Sharon Joy; Mathews, Rebecca; Morris, Steve; Wells, Leanne; Battersby, Malcolm Wayne; Lindner, Helen; Litt, John Charles; Reed, Richard LewisObjective This research aimed to identify the skills required by primary health care (PHC) professionals to provide effective chronic condition prevention and self -management (CCPSM) support, according to the perceptions of a sample of Australian consumers and carers. Methods Qualitative data was collected and integrated from a focus group, key informant interviews and National Stakeholder meetings and a National Workshop, supported by an extensive literature review. Results With the exception of health professionals specifically trained or currently working in this area, consumers and carers perceive there is a lack of understanding, competence and practice of CCPSM support among PHC professionals. Discussion The PHC workforce appears not to have the full set of skills needed to meet the growing burden of chronic conditions on the health system. Recommendations include education and training that focuses on improved communication skills, knowledge of community support resources, identification of consumers' strengths and current capacities, collaborative care with other health professionals, consumers and carers, and psychosocial skills to understand the impact of chronic conditions from the person’s perspective.