Australian Journal of Primary Health
Volume 26 Number 5 2020
PY19194Priorities for primary health care policy implementation: recommendations from the combined experience of six countries in the Asia–Pacific
Strengthening primary health care (PHC) leads to improved population health outcomes at lower cost. By analysing the PHC policy of six Asia–Pacific countries, we identified key areas for regional development and outline recommendations for future policy. Successful PHC policy in this region requires equitable public–private partnerships, structured approaches to information sharing, an improved multidisciplinary focus on health literacy, systematic improvement and evaluation of the quality of care provided and high-yield, high-quality community-based training programs for sustainable workforce development.
PY19194 Abstract | PY19194 Full Text | PY19194PDF (170 KB) Open Access Article
PY20115Does point-of-care testing in general practice for leucocyte and differential count change use of antimicrobial medicines? A pilot study
There is a national emergency of increasing bacterial antibiotic resistance. People who are acutely unwell with infections consult general practitioners, who have to decide whether an antibiotic should be prescribed. This study found that rapid on-site diagnostic testing that aids this decision is feasible. Increased confidence that an antibiotic is not needed might reduce unnecessary use of antibiotics and help reduce antimicrobial resistance.
PY20115 Abstract | PY20115 Full Text | PY20115PDF (116 KB) Open Access Article
Obesity is a leading preventable cause of death, with more than one in four Australian adults being obese. Causes of obesity span individual, societal and systemic levels, highlighting the need for analysis that extends beyond biomedicine. Health practitioners play a critical role in shaping the societal expectations around obesity that are closely linked with prospective health trajectories and outcomes.
PY20045The Rohingya Little Local: exploring innovative models of refugee engagement in Sydney, Australia
The Rohingya Little Local provides an innovative model for engaging with marginalised communities. Although this project was a pilot, it provides knowledge and learnings on the engagement of refugee communities with the health system in Australia. This model is a promising and pragmatic approach to support community-led projects within place-based interventions.
PY20045 Abstract | PY20045 Full Text | PY20045PDF (181 KB) Open Access Article
PY20046Program description and implementation findings of MyCare: enhancing community mental health care in Tasmania, Australia
A significant gap within the healthcare literature is the failure to describe, in detail, program components and implementation evaluation. Without this, professionals cannot replicate or build upon the findings, which, in turn, gives rise to replication failure. This study reports on the MyCare program and provides instrumental and compelling learnings into the barriers and facilitators underpinning the implementation of this program. We foresee readers being able to adopt these learnings into their own work, across mental health and health care more broadly.
Advance care planning is a contemporary practice in primary health care, whereby healthcare professionals and patients collaboratively plan for future care should an individual lose decision-making capacity. In March 2018, the Medical Treatment Planning and Decisions Act 2016 gave statutory recognition to advance care directives in Victoria, Australia. The results of this study explore how this legislation may aid allied health professionals to successfully practice advance care planning while granting the wishes of individuals living with a chronic condition.
A miscarriage can be an emotionally and mentally traumatic event, yet women have reported feeling dissatisfied with the miscarriage care provided by healthcare professionals, citing issues including: a lack of empathy and insufficient follow-up care. This study aims to explore the views and practices of general practitioners in providing emotional support following miscarriage, and the feasibility for enhanced miscarriage support. However, further research is required to determine if follow up is best placed within primary care or through external organisations.
PY19221The ED2GP (emergency department to general practice) for Women study: understanding lower follow-up rates among older women
Older women have lower GP follow-up rates after emergency department (ED) discharge than men. In this qualitative study, the perceived costs and benefits of follow up emerged as a useful model to understand how factors affected follow-up behaviour among older women. The findings suggest that one strategy to support follow up may be through improving the perceived benefit of GP follow up at the point of ED discharge, in addition to addressing the costs or typical ‘barriers’.
PY19221 Abstract | PY19221 Full Text | PY19221PDF (231 KB) Open Access Article
PY19218Effect of an intelligent family physician-optimised coordination model program on hypertension management in a Beijing community
Medical informatisation and the Internet have facilitated the implementation of patient-centred healthcare models in a comprehensive and collaborative manner, despite the shortage of general practitioners. The intelligent family physician optimised collaborative model has been shown to effectively improve hypertensive care outcomes, including blood pressure levels and control, blood lipid levels and lifestyle changes. The findings of this study support the notion that stronger collaboration and rational planning can help improve the management of chronic diseases like hypertension.
PY20032National Cervical Screening Program renewal in Australia: survey of clinician views and attitudes
In 2017, the Australian National Cervical Screening Program was renewed. This study assessed New South Wales clinicians’ views and attitudes towards the changes to the program. We identified some gaps in familiarity with the guidelines and clinician concerns that, if not addressed, may undermine the success of the program.
Prescription of medicines by healthcare professionals other than doctors is increasing to meet patient care needs. Australian osteopaths appear to be interested in prescribing medicines, particularly to assist with treatment of sport injuries and migraines. The prevalence of musculoskeletal complaints in the Australian population warrants the exploration of prescribing by primary contact healthcare professionals who manage these conditions (i.e. osteopaths).
PY20038Current status of pharmacy services in primary healthcare institutions in Jiangsu Province, China
Governments and researchers globally, particularly in developing countries, are interested in the development of primary healthcare systems, of which improved pharmacy services are a key part. China, as a typical developing country, lacks reference data for policy makers and researchers in this area. Following a systemic theoretical framework, this study demonstrates the status of pharmacy services in primary health care in Jiangsu Province, China, and reports on specific problems and issues that were detected.