899 results match your criteria Australian Journal of Primary Health[Journal]


Health literacy assessment in the clinic: benefits, pitfalls and practicalities.

Aust J Prim Health 2022 May 26. Epub 2022 May 26.

Approximately 60% of Australians have low or marginal health literacy, which is associated with poorer outcomes in patients with chronic disease. Patient-centred strategies (such as reduced medical jargon, use of pictograms, multimedia narratives) are effective in improving outcomes for many chronic diseases, with the impact being greatest in individuals with low health literacy. However, clinicians need a reliable and practical tool for assessing health literacy, the results of which help inform the choice of communication techniques best tailored to deliver information to patients. Read More

View Article and Full-Text PDF

Experiences of adults with adult-onset type 1 diabetes: a cross-sectional study.

Aust J Prim Health 2022 May 26. Epub 2022 May 26.

Background: Type 1 diabetes (T1D) is a chronic, autoimmune disease where the pancreas does not produce enough insulin. T1D requires ongoing management across the lifespan through insulin regulation, monitoring of blood glucose levels, and adherence to strict diet and exercise plans. The most recent National Diabetes Services Scheme Australian Diabetes Map indicates that 129 210 Australians currently have T1D. Read More

View Article and Full-Text PDF

Rapid deployment of support for a mental health crisis: 10 priorities framing Australia's COVID-19 pandemic response.

Aust J Prim Health 2022 May 24. Epub 2022 May 24.

The COVID-19 pandemic has challenged the mental health of communities worldwide, with the triple pressures of financial insecurity, lockdowns, and worry about the infection. Australia rapidly deployed resources to protect the mental wellbeing of the community through supplementing existing services, supporting at-risk groups, investing in social supports, embracing technology, and supporting the health workforce. This paper describes the Australian Government's investment in mental health during the COVID-19 pandemic in relation to the 10 priority areas identified in Australia's National Mental Health Pandemic Response Plan. Read More

View Article and Full-Text PDF

Understanding of advance care planning in primary care: a gap analysis.

Aust J Prim Health 2022 May 24. Epub 2022 May 24.

Background: Although primary care is a well suited context for conducting advance care planning (ACP), there are many barriers to initiating discussions regarding future health preference and end-of-life conversations.

Methods: This qualitative study conducted 30 detailed individual interviews with senior administrators, medical and nurse practitioners of a local health district, NSW Ambulance, e-Health NSW, general practitioners and practice nurses to find out about barriers to ACP in South Western Sydney.

Results: Thematic analysis was conducted on the interviews. Read More

View Article and Full-Text PDF

Steps towards equitable care: creating web pages to highlight diversity for Australia's aged care and end of life care workforce.

Aust J Prim Health 2022 May 20. Epub 2022 May 20.

Background: The impact of Australia's diverse population on the aged care sector has been acknowledged, with the Royal Commission into Aged Care Quality and Safetyfindings providing evidence of the importance of population diversity for consumer-directed and person-centred care. Similarly, the Aged Care Quality Standards and Aged Care Diversity Framework acknowledge the diversity of Australia's ageing population and potential implications for equitable access to care and the ensuing importance of culturally appropriate and culturally safe care. This paper reports on the development of informational web pages and utilisation findings for use by the aged care workforce supporting diverse populations. Read More

View Article and Full-Text PDF

A trial of the AASPIRE healthcare toolkit with Australian adults on the autism spectrum.

Aust J Prim Health 2022 May 13. Epub 2022 May 13.

Background: Autistic adults experience barriers to accessing health care, such as service provider communication not meeting their needs, healthcare facilities causing sensory discomfort and feeling fear or anxiety regarding their healthcare visit. The Academic Autism Spectrum Partnership in Research and Education (AASPIRE) developed and trialled an online healthcare toolkit to reduce such barriers and improve healthcare interactions between autistic adults and their primary care providers in the United States. This preliminary study aimed to explore experiences of autistic adults using the AASPIRE Healthcare Toolkit in Australia. Read More

View Article and Full-Text PDF

'Look, wait, I'll translate': refugee women's experiences with interpreters in healthcare in Aotearoa New Zealand.

Aust J Prim Health 2022 May 9. Epub 2022 May 9.

This study aimed to explore refugee women's experiences of interpreters in healthcare in Aotearoa, New Zealand (NZ). Semi-structured interviews were conducted with nine women who arrived in NZ as refugees. Analysis involved a 'text in context' approach. Read More

View Article and Full-Text PDF

Impact of dual diagnosis on healthcare and criminal justice costs after release from Queensland prisons: a prospective cohort study.

Aust J Prim Health 2022 May 6. Epub 2022 May 6.

Background: People released from prison have poorer health than the general public, with a particularly high prevalence of mental illness and harmful substance use. High-frequency use of hospital-based services is costly, and greater investment in transitional support and primary care services to improve the health of people leaving prison may therefore be cost-effective.

Methods: A prospective cohort study of 1303 men and women released from prisons in Queensland, Australia, between 2008 and 2010, using linked data was performed. Read More

View Article and Full-Text PDF

Clinical software packages can be improved to help general practitioners increase the provision of preventive care.

Authors:
Oliver R Frank

Aust J Prim Health 2022 Apr 28. Epub 2022 Apr 28.

Despite the importance of prevention in general practice, electronic clinical record systems used in Australian general practice do not present a comprehensive overview of each patient's preventive care status to general practitioners or patients. Data relevant to prevention is scattered between different parts of the patient's record. On-screen reminders to general practitioners are simplistic and easily overlooked, and no reminders are sent automatically to patients. Read More

View Article and Full-Text PDF

Developing indicators and measures of high-quality for Australian general practice.

Aust J Prim Health 2022 Apr 22. Epub 2022 Apr 22.

Background: Rising health costs and health inequity are major challenges in Australia, as internationally. Strong primary health care is well evidenced to address these challenges. Primary Health Networks (PHNs) work with general practices to collect data and support quality improvement; however, there is no consensus regarding what defines high quality. Read More

View Article and Full-Text PDF

A systematic review on assessment and management of preventive cardiovascular care in primary health for Aboriginal and Torres Strait Islander women and men.

Aust J Prim Health 2022 Apr 8. Epub 2022 Apr 8.

In promoting positive cardiovascular health for Aboriginal and Torres Strait Islander peoples, there is a need to ensure provision of high-quality risk assessment and management in primary healthcare settings. There is some evidence of gender gaps for Australian women in the provision of cardiovascular risk assessment and management; however, there is little understanding of whether these gaps are also present for Aboriginal and Torres Strait Islander women. A mixed-method systematic review was utilised to synthesise existing evidence on the provision of assessment and management against guideline-recommended care for Aboriginal and Torres Strait Islander women, and determine whether gender disparities in provision of care exist for this population. Read More

View Article and Full-Text PDF

Evaluation of a General Practitioner with Special Interest model: lessons learned from staff experiences.

Aust J Prim Health 2022 Mar 25. Epub 2022 Mar 25.

Background: The integration of general practitioners into specialist outpatient clinics is associated with improved access to care; however, little is understood about the organisation-level factors that affect successful implementation. We aimed to identify factors that were facilitators or barriers to the implementation of a General Practitioner with Special Interest (GPwSI) model of care across a range of specialties.

Methods: Semi-structured, in-depth interviews were conducted with 25 stakeholders at 13 GPwSI clinics in operation within a Queensland public health service. Read More

View Article and Full-Text PDF

Implications of the ongoing coronavirus disease 2019 pandemic for primary care.

Aust J Prim Health 2022 Mar 25. Epub 2022 Mar 25.

The coronavirus disease 2019 pandemic has caused widespread global disruption. In this article, the authors put forward lessons from the pandemic for primary care. Among these are primary healthcare requires substantial investment; big data should be carefully regulated and used to strengthen primary care; primary care physicians can support media to provide impartial, objective information; protecting the health of vulnerable populations is important; and infectious diseases are still relevant today. Read More

View Article and Full-Text PDF

Community-based pain programs commissioned by primary health networks: key findings from an online survey and consultation with program managers.

Aust J Prim Health 2022 Mar 22. Epub 2022 Mar 22.

Objective: There is an increasing demand for tertiary pain services, with long waiting times compounded by limited reach to regional and remote areas. Community-based pain programs are a feasible evidence-based model of care to improve access to multidisciplinary care. Australian primary health networks (PHNs) are well placed to commission pain programs to reduce the growing burden of chronic pain. Read More

View Article and Full-Text PDF

After-hours presentations to community-based primary care in the Australian Capital Territory.

Aust J Prim Health 2022 Mar 17. Epub 2022 Mar 17.

This study describes patient characteristics and presentations to community-based primary care medical services in the after-hours period.A cross-sectional survey completed by practitioners was voluntarily conducted over one weeknight and weekend in 2019 at 31 of 51 extended hours general practices (GP), three of three medical deputising services and three of three nurse-led walk-in clinics (WICs).Of 3371 community-based after-hours presentations, 934 consultation records were obtained (overall response: 28%). Read More

View Article and Full-Text PDF

Primary care consumers' experiences and opinions of a telehealth consultation delivered via video during the COVID-19 pandemic.

Aust J Prim Health 2022 Mar 15. Epub 2022 Mar 15.

This study examined consumers' experiences and opinions of a videoconference with a primary healthcare professional, and estimated the value of travel and time savings for consumers compared with face-to-face consultations. The online survey was conducted in Melbourne, Australia, between October 2020 and May 2021. The sample (n = 499) was highly educated (Bachelor degree or higher, 79%; 393/499), predominately female (70%; 347/499), mainly spoke English at home (78%; 390/499) and had a mean age of 31. Read More

View Article and Full-Text PDF

Integrating cultural considerations and developmental screening into an Australian First Nations child health check.

Aust J Prim Health 2022 Mar 15. Epub 2022 Mar 15.

The aim of the present study was to integrate cultural considerations and developmental screening into a First Nations child health check. The 'Share and Care Check,' an optimised child health check, was co-designed with a remote Aboriginal Community Controlled Health Organisation and led by Aboriginal Health Practitioners/Workers. Of 55 families who completed the Share and Care Check, the majority of participants indicated that their family/child was connected with their tribe and country. Read More

View Article and Full-Text PDF

Qualitative analysis of the barriers and facilitators influencing uptake of direct-acting antiviral therapy for hepatitis C in a primary healthcare environment.

Aust J Prim Health 2022 Mar 10. Epub 2022 Mar 10.

Historical interferon and ribavirin therapies for hepatitis C virus have been replaced by modern treatments with improved efficacy and tolerability. Despite the availability of direct-acting antiviral therapy, evidence demonstrates poor uptake in Australia. Presently, the barriers and facilitators influencing uptake of direct-acting antiviral therapy are not fully understood, especially in a primary healthcare environment. Read More

View Article and Full-Text PDF

Improving access for the vulnerable: a mixed-methods feasibility study of a pop-up model of care in south-eastern Melbourne, Australia.

Aust J Prim Health 2022 Apr;28(2):143-150

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1 Canada.

Access to appropriate health and social care is challenging for vulnerable populations. We used a 'pop-up' delivery model to bring community-based services in contact with communities with poor access to health and social care. Our aim was to examine whether pop-up events improve access to essential health and social support services for selected vulnerable communities and increase collaboration between community-based health and social services. Read More

View Article and Full-Text PDF

Socioeconomic disadvantage and the practice location of recently Fellowed Australian GPs: a cross-sectional analysis.

Aust J Prim Health 2022 Apr;28(2):104-109

The University of Newcastle, School of Medicine and Public Health, University Drive, Callaghan, NSW 2308, Australia; and GP Synergy, NSW & ACT Research and Evaluation Unit, Level 1, 20 McIntosh Drive, Mayfield West, NSW 2304, Australia; and Corresponding author.

Background: Socioeconomic disadvantage and the 'inverse care law' have significant effects on the health and well-being of Australians. Early career GPs can help address the needs of socioeconomically disadvantaged communities by choosing to practice in these locations. This study addressed an evidence gap around GPs post-Fellowship (within 2 years) practice location, and whether practice location is related to postgraduate vocational training. Read More

View Article and Full-Text PDF

A ‘joint’ approach: design, implementation and preliminary outcomes of an early conservative knee and hip osteoarthritis service in northern New South Wales, Australia.

Aust J Prim Health 2022 Apr;28(2):164-171

Northern New South Wales Local Health District, Lismore, NSW 2480, Australia; and School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia; and School of Health and Human Sciences, Southern Cross University, Lismore, NSW 2480, Australia; and Corresponding author.

Australia is facing a growing burden of knee and hip osteoarthritis (OA). To address this demand in northern New South Wales, a community health-based conservative OA joint management service was established in the Tweed Valley. This paper describes the design, implementation and initial evaluation of the service. Read More

View Article and Full-Text PDF

: Willingness to use community health centres for initial diagnosis: the role of policy incentives among Chinese patients.

Aust J Prim Health 2022 Feb;28(1):82

The aim of the study is to investigate the effect of policy incentives on residents' willingness to use community health centres for initial diagnosis. A cross-sectional survey with specific multiple price-list experiments was conducted in Guizhou, China. We were able to use in-depth individual interviews with a total of 422 participants. Read More

View Article and Full-Text PDF
February 2022

About face: regional allied health professional early adaptation during the COVID-19 pandemic.

Aust J Prim Health 2022 Apr;28(2):110-116

Northeast Health, Subacute Services, Green Street, Wangaratta, Vic. 3677, Australia.

The coronavirus pandemic has led to significant change in allied health practice in Australia. Measures to slow virus spread have included replacing face-to-face services with telehealth services, and hands-on practice with socially distanced intervention. In the present mixed-methods, cross-sectional study, 51 allied health professionals across two public health services in regional Victoria, Australia, completed an online questionnaire with open and closed questions. Read More

View Article and Full-Text PDF

Evaluation of a visiting credentialled diabetes educator program in remote western Queensland, Australia.

Aust J Prim Health 2022 Apr;28(2):117-124

Western Queensland Primary Health Network, 11 Barkly Highway, Mount Isa, Qld 4825, Australia.

Background: Within western Queensland (WQ), Australia, diabetes is the leading cause of potentially preventable hospitalisations and, in some areas, diabetes prevalence is up to 20%. To address inequity of access to diabetes-related services in remote areas of WQ, a visiting credentialled diabetes educator program (VCDEP) was developed. Using a fly-in, fly-out model of service delivery and supporting telehealth services, upskilling of rural primary healthcare professionals occurred and credentialled diabetes educator (CDE) accessibility increased in WQ. Read More

View Article and Full-Text PDF

Barriers and enablers to hepatitis C treatment among clients of Aboriginal Community Controlled Health Services in South East Queensland, Australia: a qualitative enquiry.

Aust J Prim Health 2022 Feb 9. Epub 2022 Feb 9.

Background: Aboriginal and Torres Strait Islander Australians have disproportionately high rates of hepatitis C infection. Aboriginal Community Controlled Health Services play an important role in promoting hepatitis C treatment, but uptake is variable. This study explores the service-level barriers and enablers to hepatitis C screening and treatment among clients of Aboriginal Community Controlled Health Services in South East Queensland. Read More

View Article and Full-Text PDF
February 2022

Effectiveness of health literacy- and patient activation-targeted interventions on chronic disease self-management outcomes in outpatient settings: a systematic review.

Aust J Prim Health 2022 Apr;28(2):83-96

School of Health and Society, Faculty of Social Sciences, University of Wollongong, Wollongong, NSW 2522, Australia.

Chronic diseases are the leading causes of morbidity and mortality and account for approximately 60% of all deaths worldwide. Self-management is a key strategy to manage chronic diseases, and there is emerging evidence recommending targeting both health literacy (HL) and patient activation (PA) to improve chronic disease self-management outcomes. The aim of this systematic review is to summarise the current evidence on the impact of HL- and PA-led interventions on self-management outcomes using randomised control trials (RCTs). Read More

View Article and Full-Text PDF

Barriers and facilitators to nurse-led advance care planning and palliative care practice change in primary healthcare: a qualitative study.

Aust J Prim Health 2022 Apr;28(2):151-157

Centre for Learning and Research in Palliative Care, HammondCare, Greenwich Hospital, Sydney, NSW, Australia; and Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Primary care settings are ideal for initiating advance care planning (ACP) conversations and assessing palliative and supportive care needs. However, time constraints and a lack of confidence to sensitively and efficiently initiate such discussions are noted barriers. The Advance Project implemented a national multicomponent training package to support Australian general practice nurses (GPNs) to work with GPs to initiate ACP and palliative care conversations in their practice. Read More

View Article and Full-Text PDF

‘I didn’t want to visit a doctor unless it was extremely necessary’: perspectives on delaying access to sexual and reproductive health care during the COVID-19 pandemic in Australia from an online survey.

Aust J Prim Health 2022 Apr;28(2):131-136

Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic. 3053, Australia.

Australians were subject to a series of COVID-19 lockdown restrictions throughout 2020. Although accessing medical care was allowable, concerns were raised that people were avoiding healthcare services. We explored young Australians' reasons for delaying seeking sexual and reproductive health (SRH) care during the pandemic, using data from two cross-sectional surveys. Read More

View Article and Full-Text PDF

Health care support following miscarriage in Australia: a qualitative study. How can we do better?

Aust J Prim Health 2022 Apr;28(2):172-178

Department of General Practice, The University of Melbourne, 780 Elizabeth Street, Carlton, Vic. 3010, Australia; and Central Clinical School, Monash University, 99 Commercial Road, Melbourne, Vic. 3004, Australia; and Melbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia; and Corresponding author.

Miscarriage occurs in one in four pregnancies in Australia and commonly results in adverse psychosocial sequelae, such as clinically significant levels of depression and anxiety. Women also commonly report a lack of support, understanding and acknowledgement of their loss. Research has shown that poor health care support experiences serve to exacerbate adverse psychosocial outcomes. Read More

View Article and Full-Text PDF