Journals Australian Journal of Primary ...

Australian Journal of Primary Health
Chris G Maher, Christopher S Han, Stephen E Gilbert, Michael K Nicholas
BACKGROUND: The Internet is a widely used source of health information, yet the accuracy of online information can be low. This is the case for low back pain (LBP), where much of the information about LBP treatment is poor. METHODS: This research conducted a content analysis to explore what pain treatments for LBP are presented to the public on websites of Australian pain clinics listed in the PainAustralia National Pain Services Directory. Websites providing information relevant to the treatment of LBP were included...
February 20, 2024: Australian Journal of Primary Health
Ben White, Rachel Feeney, Marcus Sellars, Penny Neller, Patsy Yates, Lindy Willmott
BACKGROUND: This paper aimed to describe the legal worries of Australian general practitioners (GPs) and nurses regarding end-of-life care provided in the aged care setting. METHODS: An analysis of responses to the final, open-ended question of a cross-sectional online survey of GPs and nurses practising in aged care settings in Queensland, New South Wales and Victoria was undertaken. RESULTS: Of the 162 GPs and 61 nurses who gave valid responses to the survey, 92% (151 GPs and 55 nurses) responded to the open-ended question...
February 15, 2024: Australian Journal of Primary Health
Nicole Latham, Jeanine Young, Josephine Wilson, Michelle Gray, Kendall George
BACKGROUND: The Family Community-based Assistance Resourcing and Education Program (FCP) is a nurse home visiting program that was introduced in Queensland two decades ago to redress health inequalities for infants from families experiencing specific social stressors. Locally adapted versions of this home visiting program are still in use, but have not been evaluated. This study examined child health nurse perceptions of the adapted FCP in one regional Queensland health service. METHODS: A qualitative descriptive exploratory study using two focus groups (conducted May 2019) with Child Health Nurses who delivered the FCP was conducted...
February 15, 2024: Australian Journal of Primary Health
Andrew Reid, Nick McGhie, Thi Huyen Linh Nguyen, Uday Yadav, Patricia Cullen, Leon Booth, Amy Bestman
BACKGROUND: Gambling is a growing public health issue in Australia. However, limited research has examined the role of primary health care and social services in routine screening for gambling harm in Australia. This research aimed to explore the enablers and barriers to implementing a co-designed gambling screening model in Fairfield, New South Wales - an area with high gambling expenditure. METHODS: A co-designed gambling screening and referral model for GP and community-based organisations was implemented in Fairfield in 2020...
February 15, 2024: Australian Journal of Primary Health
Slavica Krstic, Sarah Dennis, Faye Southcombe, Elizabeth Denney-Wilson
BACKGROUND: Routine height and weight screening of children accessing health services in South Western Sydney Local Health District (SWSLHD) was implemented to address childhood obesity. This qualitative study aims to explore the views of parents/carers regarding the role of healthcare professionals (HCPs) in measuring their child and raising the issue of weight when accessing health services. METHODS: A qualitative study using semi-structured interviews was performed...
February 9, 2024: Australian Journal of Primary Health
Sharon Parker, An Tran, Shoko Saito, Carmel McNamara, Elizabeth Denney-Wilson, Don Nutbeam, Mark Fort Harris
BACKGROUND: The HeLP-GP trial aimed to increase the capacity of practice nurses to deliver weight management to overweight and obese patients through an intervention comprising a health check, a lifestyle app and/or telephone coaching. This paper describes implementation through the lens of organisational readiness with emphasis on the role of the practice nurse. METHODS: Routinely collected mixed method research data including practice surveys, field notes, and diaries and process data were mapped against the domains: motivation to implement, general capacity and intervention-specific capacity...
February 8, 2024: Australian Journal of Primary Health
Eileen Willis, Claire Verrall, Susan McInnes, Elyce Pate
BACKGROUND: The phenomenon of missed care has received increasing interest over the past decade. Previous studies have used a missed care framework to identify missed nursing tasks, although these have primarily been within the acute care environment. The aim of this research was to identify missed care specific to the role of the general practice nurse. METHODS: An integrative review method was adopted, using The Mixed Methods Appraisal Tool to assist in a methodological appraisal of both experimental, theoretical, and qualitative studies...
February 6, 2024: Australian Journal of Primary Health
Jack Seaton, Anne Jones, Catherine Johnston, Karen Francis
BACKGROUND: Physiotherapy private practitioners represent a growing proportion of Australia's primary care workforce; however, they face significant barriers in integrating seamlessly within interprofessional teams. Historically, the landscape of primary care in Australia has been one where many physiotherapists work in monoprofessional private practice facilities at dispersed locations, potentially limiting collaborative and coordinated care. The aim of this study was to investigate strategies recommended by physiotherapists to promote effective interprofessional collaborative practice (IPCP) within the Australian private practice setting...
February 5, 2024: Australian Journal of Primary Health
Kathleen Wisbey, Riki Lane, Jennifer Neil, Jenny Advocat, Karyn Alexander, Benjamin F Crabtree, William L Miller, Grant Russell
BACKGROUND: The COVID-19 pandemic challenged health care delivery globally, providing unique challenges to primary care. Australia's primary healthcare system (primarily general practices) was integral to the response. COVID-19 tested the ability of primary health care to respond to the greater urgency and magnitude than previous pandemics. Early reflections highlighted the critical role of leaders in helping organisations negotiate the pandemic's consequences. This study explores how general practice leadership was enacted during 2020, highlighting how leadership attributes were implemented to support practice teams...
January 19, 2024: Australian Journal of Primary Health
Alice Cairns, Danielle Rodda, Frances Wymarra, Katrina Bird
Allied health services in rural and remote hospitals often work in siloed and solo discipline-specific positions. They are often part of general multi-disciplinary teams without a clearly articulated service model that integrates care for individuals and addresses broader community health needs. Integrated care service models for clients with complex disabilities or chronic health needs have demonstrated improved outcomes, but feasible service models are rarely described in the context of rural, remote and Aboriginal and Torres Strait Islander communities...
January 19, 2024: Australian Journal of Primary Health
Rahila Ummer-Christian, Dallas Widdicombe, Anil Raichur, Danielle Couch
Self-determination informed policies are key to improved outcomes for Aboriginal health. Aboriginal leadership must be reflected throughout any public health reform process that affects Aboriginal communities. This paper presents a body of oral health policy work, undertaken under Loddon Mallee Aboriginal Reference Group's (LMARG's) leadership, as an exemplar of a self-determination informed change, that led to an amendment of an Australian state (Victoria) regulation - The Drugs, Poisons and Controlled Substances Amendment (Registered Aboriginal and Torres Strait Islander Health Practitioners [AHPs]) Regulations 2022...
January 12, 2024: Australian Journal of Primary Health
Emma M Wise, Marilyn A Morgan, Emily D Biggs, Bronte H Ellis, Marissa C Joseph, Melanie L Say, Lea T Yanitsas, Jonathan C Bullen, Brooke R Conley, Ivan B Lin, Leo Ng, Darren J Beales
UNLABELLED: Warning:This article contains terms, descriptions and opinions that may be culturally sensitive for Aboriginal and Torres Strait Islander peoples. BACKGROUND: Pelvic health conditions among Aboriginal and Torres Strait Islander women and men are under-recognised and under-reported despite indication of the significant burden of these conditions. Access to effective management provided in a culturally safe manner appears lacking. The study aims were to: (1) summarise the burden of pelvic health conditions among Aboriginal and Torres Strait Islander peoples; (2) explore barriers and enablers to Aboriginal and Torres Strait Islander peoples accessing pelvic healthcare services; and (3) provide considerations on how to implement culturally safe pelvic healthcare services for Aboriginal and Torres Strait Islander peoples...
January 8, 2024: Australian Journal of Primary Health
Catherine Spooner, Peri O'Shea, Karen R Fisher, Ben Harris-Roxas, Jane Taggart, Patrick Bolton, Mark F Harris
BACKGROUND: People with lived experience of severe mental illness (PWLE) live around 20years less than the general population. Most deaths are due to preventable health conditions. Improved access to high-quality preventive health care could help reduce this health inequity. This study aimed to answer the question: What helps PWLE access preventive care from their GP to prevent long-term physical conditions? METHODS: Qualitative interviews (n=10) and a focus group (n=10 participants) were conducted with PWLE who accessed a community mental health service and their carers (n=5)...
January 4, 2024: Australian Journal of Primary Health
Matthew W R Stevens, Rowena Ivers, Joanne Telenta, Robert L Ali
BACKGROUND: Primary health care is critical to the prevention of alcohol, tobacco and other drug-related harms. Scaling-up screening, brief intervention and referral to treatment (SBIRT) within primary health care can reduce the burden of substance-related diseases, and improve downstream healthcare services. Building knowledge, skills and confidence among general practitioners (GPs), particularly in rural, regional and remote areas, to deliver SBIRT is an essential step. Therefore, this study aimed to pilot test a skills-based training program for GPs designed to build capacity for SBIRT delivery...
December 21, 2023: Australian Journal of Primary Health
Sean Cowley, Karina Baigrie, Katie Panaretto, Kelly Trudgen, Vanessa Clements, Oscar Whitehead, Rica Lacey
BACKGROUND: A COVID-19 vaccination training program was designed for Aboriginal and Torres Strait Islander (First Nations) health workers and practitioners in Queensland to expand their scope of practice to include COVID-19 immunisation. In the setting of a global pandemic, the project aimed to improve vaccination levels and show how First Nations staff are central to community-led responses to effectively address their community's health needs. METHODS: The program, consisting of an online module and face to face workshop, is described and then evaluated with the RE-AIM framework via mixed methods of participant training surveys and qualitative feedback...
December 18, 2023: Australian Journal of Primary Health
Claire Moran, Kara Lilly, Anthony Leo Walsh, Rachelle Foreman, Jane Taylor
BACKGROUND: Sexual activity and intimacy contribute to wellbeing throughout adult life, including after a heart attack. Providing support and information about sexual activity and intimacy after a heart attack is recognised as part of a comprehensive approach to cardiac rehabilitation. Previous research shows that patients expect health professionals to initiate discussions about sexual activity and intimacy, but that this seldom occurs. METHODS: Drawing on qualitative survey responses from a range of Australian health professionals working in cardiac care and rehabilitation, this research examined their perspectives on discussing sexual activity and intimacy with their patients, and patients' partners...
December 12, 2023: Australian Journal of Primary Health
Katharine A Wallis, Pieter J S Dikken, Piumika Sooriyaarachchi, Arthur M Bohnen, Maria Donald
BACKGROUND: There is concern internationally about increasing antidepressant use. Most antidepressants are prescribed in general practice. The aim of this study was to compare trends in antidepressant dispensing in Australia and the Netherlands over the 9years from 2013 to 2021, and to explore reasons for differences. METHODS: A convergent mixed methods study including analysis of publicly available antidepressant dispensing data obtained from Australia's Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme and the Dutch Foundation for Pharmaceutical Statistics and a search of relevant literature to compare contextual factors influencing prescribing were undertaken...
December 7, 2023: Australian Journal of Primary Health
Kanchan Marcus, Madhan Balasubramanian, Stephanie D Short, Woosung Sohn
BACKGROUND: Culturally and linguistically diverse (CALD) mothers are influential in children's behaviours, yet little is known about this population. Furthermore, insufficient quantitative and context-based studies are available with CALD mothers and their access to oral health care. To address this gap, the study investigates oral health behaviours, psychological factors and remoteness area with dental utilisation in CALD mothers, within the NSW context. METHODS: Informed by middle-range theory and a CALD-specific rainbow model, the 2013 and 2015 NSW Adult Population Health Survey was analysed...
December 7, 2023: Australian Journal of Primary Health
Deborah Manandi, Qiang Tu, Nashid Hafiz, Rebecca Raeside, Julie Redfern, Karice Hyun
BACKGROUND: The Plan-Do-Study-Act (PDSA) cycle is an iterative framework that has been gaining traction in primary care for quality improvement. However, its implementation remains understudied. This study evaluated the completion, achievement of goal, content quality, and enablers and barriers associated with completion of high-quality PDSA cycles in cardiovascular disease management in general practices. METHODS: This study analysed data from intervention practices of the QUality improvement in primary care to prevent hospitalisations and improve Effectiveness and efficiency of care for people Living people with coronary heart disease (QUEL) study...
December 1, 2023: Australian Journal of Primary Health
Jill Benson, Shaun Prentice, Penny Need, Michelle Pitot, Taryn Elliott
BACKGROUND: Burnout and workforce shortages comprise a vicious cycle in medicine, particularly for Australian general practitioners (GPs). Professional diversification, whereby individuals work multiple roles across their week, may help address this problem, but this strategy is under-studied. METHODS: We surveyed 1157 Australian GPs using qualitative and quantitative questions examining professional diversification, values, autonomy, and wellbeing. Quantitative data were analysed using inferential statistics, whilst qualitative data were analysed using inductive thematic analysis...
November 9, 2023: Australian Journal of Primary Health
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