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Public Health Research & Practice

Jason H Prior, Irena Lc Connon, Erica McIntyre, Jon Adams, Anthony Capon, Jennifer Kent, Chris Rissel, Leena E Thomas, Susan M Thompson, Harriet Westcott
OBJECTIVES: Human-generated climate change is causing adverse health effects through multiple direct pathways (e.g. heatwaves, sea-level rise, storm frequency and intensity) and indirect pathways (e.g. food and water insecurity, social instability). Although the health system has a key role to play in addressing these health effects, so too do those professions tasked with the development of the built environment (urban and regional planners, urban designers, landscapers and architects), through improvements to buildings, streets, neighbourhoods, suburbs and cities...
December 6, 2018: Public Health Research & Practice
Kate E Charlesworth, Gregory J Stewart, Peter Sainsbury
BACKGROUND: The scientific evidence for global warming is overwhelming. Health organisations, as large carbon polluters, are at significant 'carbon risk' and must act to reduce their carbon emissions. Many environmental sustainability initiatives, if properly implemented, would not only reduce harm, waste and pollution but also deliver health, social and financial benefits. METHOD: We have been involved for more than a decade in efforts to reduce the greenhouse gas emissions of New South Wales (NSW) Health organisations in which we have worked...
December 6, 2018: Public Health Research & Practice
Amanda Dominello, Elizabeth Yano, Emily Klineberg, Sally Redman, Jonathan C Craig, Bernadette Brown, Deanna Kalucy, Mary Haines
Objectives and importance of study: Evaluating impacts of quality improvement activities across diverse clinical focus areas is challenging. However, evaluation is necessary to determine if the activities had an impact on quality of care and resulted in system-wide change. Clinical networks of health providers aim to provide a platform for accelerating quality improvement activities and adopting evidence based practices. However, most networks do not collect primary data that would enable evaluation of impact...
December 6, 2018: Public Health Research & Practice
Mary M Haines, Bernadette Brown, Catherine A D'Este, Elizabeth M Yano, Jonathan C Craig, Sandy Middleton, Peter A Castaldi, Carol A Pollock, Kate Needham, William H Watt, Elizabeth J Elliott, Anthony Scott, Amanda Dominello, Emily Klineberg, Jo-An Atkinson, Christine Paul, Sally Redman
OBJECTIVES: Networks of clinical experts are being established internationally to help embed evidence based care in health systems. There is emerging evidence that these clinical networks can drive quality improvement programs, but the features that distinguish successful networks are largely unknown. We examined the factors that make clinical networks effective at improving quality of care and facilitating system-wide changes. METHODS: We conducted a retrospective cross-sectional study of 19 state-wide clinical networks that reflected a range of medical and surgical specialty care and were in operation from 2006 to 2008 in New South Wales, Australia...
December 6, 2018: Public Health Research & Practice
Paul J Beggs
OBJECTIVES: The impacts of climate change on allergens and allergic diseases are important and potentially serious in Australia. Australia is highly vulnerable to such impacts because of its very high prevalence of allergic diseases such as asthma and allergic rhinitis, and allergic sensitisation to environmental allergens such as certain pollens and fungal spores. This article aims to review published research on the impacts of climate change on allergens and allergic diseases from an Australian perspective...
December 6, 2018: Public Health Research & Practice
Colin Tukuitonga
The island communities in the Pacific contribute very little to global carbon emissions, yet they are among the most vulnerable to the effects of climate change. Dr Colin Tukuitonga, a general practitioner by training, was born and raised on Niue Island in the Pacific. He has held senior public health roles in the New Zealand Government and, since 2014, has served as Pacific Community Director-General. He spoke to us about how climate change is affecting the health of people living in Pacific Island countries and the relevance of Australia's climate change policy responses to these neighbouring countries...
December 6, 2018: Public Health Research & Practice
Sinead Boylan, Kathleen Beyer, David Schlosberg, Anastasia Mortimer, Neil Hime, Benjamin Scalley, Robyn Alders, Carlos Corvalan, Anthony Capon
Changes in natural hazards related to climate change are evident in New South Wales (NSW), Australia, and are projected to become more frequent and intense. The impacts of climate change may adversely affect health and wellbeing, directly via extreme weather events such as heatwaves, storms and floods, and indirectly via impacts on food security, air and water quality, and other environmental amenities. The NSW Government's Climate Change Policy Framework recognises the need to reduce the effects of climate change on health and wellbeing...
December 6, 2018: Public Health Research & Practice
Sarah Perkins-Kirkpatrick, Andy Pitman
By definition, extreme events are rare. Socio-economic and human systems have not experienced adverse extreme events frequently enough to develop resilience, whether this be physical, economical or structural. Humans are vulnerable to extreme events because of our physiology and because we build thresholds into our socio-economic and human health systems. When these thresholds are exceeded the consequences can be devastating. This perspective will discuss changes in heat, drought and heavy rainfall extremes in the context of climate change...
December 6, 2018: Public Health Research & Practice
Neil Hime, Aditya Vyas, Kishen Lachireddy, Stacey Wyett, Benjamin Scalley, Carlos Corvalan
The NSW (New South Wales) Climate Change Policy Framework, launched by the NSW Government in 2016, recognises that climate change presents risks to health and wellbeing. Risks to health and wellbeing come from direct impacts of extreme weather events, and from indirect impacts through effects on air, water, food and ecosystems. Responding to these challenges offers an opportunity to protect and promote health by enhancing environmental amenities, and building adaptive capacity and resilience in populations and systems...
December 6, 2018: Public Health Research & Practice
Anthony Capon, Carlos Corvalan
No abstract text is available yet for this article.
December 6, 2018: Public Health Research & Practice
Beth Stickney, Danielle M Campbell, Andrew J Milat, Sarah Thackway
OBJECTIVES: The Prevention Research Support Program (PRSP) is a New South Wales (NSW) Ministry of Health funding scheme. The scheme aims to build capability, and strengthen prevention and early intervention research that is important to the NSW public health system (NSW Health) and that leads to improved health and reduced health inequities for the people of NSW. This paper describes how PRSP funding has supported recipients to produce high-quality, policy-relevant research, and increase the impact of research on policy and practice...
September 27, 2018: Public Health Research & Practice
Tina Gordon, Cherie Power, Tim Duck, Heather-Marie A Schmidt, Joanne Holden
OBJECTIVES: Strong collaboration between researchers, policy makers and practitioners supports the use of research evidence in policy and practice. Strategies for increasing the use of evidence in policy development and implementation include creating more opportunities for closer collaboration between researchers and policy makers, ensuring research syntheses are more accessible to policy makers, and increasing workforce capacity to utilise evidence. Type of program or service: The BBV & STI Research, Intervention and Strategic Evaluation Program, 2014-2019 (BRISE) is a coherent and integrated program that delivers policy-relevant research, strategic advice, capacity building and communications to support the response to blood-borne viruses (BBV) and sexually transmissible infections (STI) in New South Wales (NSW), Australia...
September 27, 2018: Public Health Research & Practice
Emma Slaytor, Andrew Wilson, Samantha Rowbotham, Helen Signy, Ainsley Burgess, Sonia Wutzke
OBJECTIVES: To accelerate the use of evidence in policy and practice through cross-sectoral, multidisciplinary partnership research, founded on shared governance and coproduction. Type of program or service: A National Health and Medical Research Council (NHMRC) Partnership Centre for Better Health. METHODS: We present our views and experiences based on the first 5 years of operation of The Australian Prevention Partnership Centre. RESULTS: We have undertaken an ambitious and complex 5-year program of work taking a systems approach to prevention research, and have grown the size and reach of the collaboration to become a focus for prevention research in Australia...
September 27, 2018: Public Health Research & Practice
Amanda M Green, Christine Innes-Hughes, Chris Rissel, Jo Mitchell, Andrew J Milat, Mandy Williams, Lina Persson, Sarah Thackway, Nicola Lewis, John Wiggers
INTRODUCTION: Childhood obesity prevalence is an issue of international public health concern and governments have a significant role to play in its reduction. The Healthy Children Initiative (HCI) has been delivered in New South Wales (NSW), Australia, since 2011 to support implementation of childhood obesity prevention programs at scale. Consequently, a system to support local implementation and data collection, analysis and reporting at local and state levels was necessary. The Population Health Information Management System (PHIMS) was developed to meet this need...
September 27, 2018: Public Health Research & Practice
Robin Auld, Tina Loppacher, Shiho Rose, Andrew J Milat, Antonio Penna
BACKGROUND: Bridging the 'gap' between research evidence and the complexities of policy and practice is central to health improvement. The Translational Research Grants Scheme (TRGS) in New South Wales (NSW), Australia, is a funding scheme aimed at reducing the time between research generation and translation to policy and practice. The TRGS is also an important part of NSW Health's efforts to harness and strengthen research capacity to improve health service delivery. METHODS: A document review and interviews (n = 12) with key stakeholders were undertaken following the first round of TRGS funding in November 2016...
September 27, 2018: Public Health Research & Practice
Sue Kirby, David Lyle, Debra Jones, Claire Brunero, Alison Purcell, Pascale Dettwiller
BACKGROUND: Children growing up in Australian rural communities have more communication impairments than their urban counterparts. Communication impairments, if left unresolved in school starters, lead to long-term learning and behavioural problems. Rural communities are disadvantaged by a scarcity of health professionals. METHODS: Supervised speech pathology students on rural clinical placement provided speech, language and communication screening, assessment and therapy to children starting kindergarten in Broken Hill, New South Wales, Australia...
September 27, 2018: Public Health Research & Practice
Amy Pennay, Amy Peacock, Nicolas Droste, Peter Miller, Raimondo Bruno, Phillip Wadds, Stephen Tomsen, Daniel Lubman
OBJECTIVES: Despite continued health concerns associated with the practice of consuming alcohol mixed with energy drinks (AmED), few Australian studies have examined the popularity of this combination or attempted to characterise AmED consumers. The purpose of this paper is to replicate two previously used survey approaches to consolidate a national picture of AmED consumption in Australia. METHODS: The survey approaches used were: an online survey with a convenience sample of New South Wales (NSW), Australia, residents (n = 1931; 63...
September 27, 2018: Public Health Research & Practice
Danielle M Campbell, Gabriel Moore
BACKGROUND AND OBJECTIVES: Although the body of literature on factors that impede and enhance the use of research in policy making continues to expand, there is limited evidence about strategies that are effective at fostering the use of research in population health policy and programs. Building on previous reviews, we reviewed the published literature to identify and assess papers describing intervention studies that had outcome measures relating to research use. STUDY TYPE: Rapid review...
September 27, 2018: Public Health Research & Practice
Trisha Greenhalgh
Technologies are often viewed as the route to better, safer and more efficient care, but technology projects rarely deliver all the anticipated benefits. This is usually because they are too complex - and because the complexity is suboptimally handled. This article summarises a new framework to improve the success of technology projects: the nonadoption, abandonment, scale-up, spread and sustainability (NASSS) framework. The framework is based on a narrative systematic review and empirical work, and addresses the different domains in technology projects and how different aspects of complexity may be handled in each of them...
September 27, 2018: Public Health Research & Practice
Danielle M Campbell, Beth Stickney, Andrew Milat, Sarah Thackway
No abstract text is available yet for this article.
September 27, 2018: Public Health Research & Practice
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