Australian Journal of Primary Health
Volume 28 Number 4 2022
PY22006Rapid deployment of support for a mental health crisis: 10 priorities framing Australia’s COVID-19 pandemic response
The COVID-19 pandemic and associated public health measuresgenerated substantial and ongoing challenges for the mental health and wellbeing of Australian communities. Australian Government funded initiatives were rapidly instituted between different levels of government and with community mental health organisations. These policy actions aimed to provide agile responses to promote community resilience and strengthen services for vulnerable groups, including older people, those with existing mental health conditions, Aboriginal and Torres Strait Islander peoples, and health and essential service providers.
PY22006 Abstract | PY22006 Full Text | PY22006PDF (932 KB) Open Access Article
PY21289‘We’re also healers’: Elders leading the way in Aboriginal community healing
The Closing the Gap policy framework has made little impact in addressing Aboriginal health disparities. However, Aboriginal Elders are quietly leading the way in community healing; represented by a suite of therapeutic practices and the promotion of cultural values to strengthen Aboriginal identity, community cohesion and connections to Country. Elders provide stakeholders with a culturally embedded framework to advance the health and well-being of Aboriginal people.
PY21289 Abstract | PY21289 Full Text | PY21289PDF (747 KB) Open Access Article
PY21290Community-driven health research in the Torres Strait
Research had a bad name in the Torres Strait. People felt exploited by outside researchers over decades with few benefits for the people. A consultative group of elders and senior health providers developed a research agenda focused on local cultural and health needs, based on a learn-by-doing approach. Participants created their research proposals during four workshops. The program was interrupted by COVID-19 restrictions but should resume in 2022. The model may apply to other Australian rural and remote communities.
PY21290 Abstract | PY21290 Full Text | PY21290PDF (943 KB) | PY21290Supplementary Material (627 KB) Open Access Article
PY21256‘Look, wait, I’ll translate’: refugee women’s experiences with interpreters in healthcare in Aotearoa New Zealand
In Aotearoa, New Zealand (NZ), discussions on the use of interpreters in healthcare for women who are refugees are long overdue in the published literature. The findings of this study highlight various barriers relating to interpreters experienced by refugee women and demonstrate that there are both ethical and practical risks to how interpreters are used in healthcare in NZ. A step to achieving equitable healthcare for refugee women entails putting in place accessible and robust communicative infrastructure in NZ healthcare settings.
PY21256 Abstract | PY21256 Full Text | PY21256PDF (791 KB) Open Access Article
This study provides a greater understanding for researchers and PHN decision-makers of the key features of PHN community-based pain programs, their alignment with expert-agreed key elements and implementation enablers, target-population gaps, and the types of program adaptations during the COVID-19 pandemic.
PY21195 Abstract | PY21195 Full Text | PY21195PDF (833 KB) | PY21195Supplementary Material (265 KB) Open Access Article
PY21089Process evaluation of chest camps for increased tuberculosis case finding in Punjab, Pakistan
Is TB really as pervasive as it seems in Pakistan? Despite its high prevalence rates, there are many TB cases that go unnoticed and unreported. This study indicates that further attention is required to address quality and efficiency concerns, while supporting the continuation of chest camp activity for increased TB case finding. This is quite essential as cases that go unreported may result in spread of the disease and increased burden on the health budget that is already severely affected, which is in addition to the effects of the coronavirus disease 2019 (COVID-19) pandemic.
This study explores nurses’ and educators’ experiences of implementing an integrated model of school-based primary health care in a local school network. We found that defining the role and working across systems were challenges to program implementation, whereas a collaborative culture, relationship building and flexibility in work processes facilitated the integration of the nurses into the school teams. This study will be of interest to those involved in school-based health care.
PY21190 Abstract | PY21190 Full Text | PY21190PDF (785 KB) Open Access Article
PY21065Evaluation of a General Practitioner with Special Interest model: lessons learned from staff experiences
Long waiting lists are a major challenge for patients referred to specialist medical services in Australia. General practitioners who have an extended scope of practice may work within public hospitals to help increase capacity to provide care in specialist clinics; we found that staff generally had a positive view of working in such a clinic and identified that adequate planning, structured support and training were important in establishing the service. Integrated primary/specialist care models should be co-designed with both GPs and hospital staff.
PY21084Steps towards equitable care: creating web pages to highlight diversity for Australia’s aged care and end of life care workforce
Consumer-directed and person-centred care is crucial in appropriately servicing all older adults, given each older adult has a diverse background, which impacts their aged care experiences. This paper reports on the development of web pages designed to support the knowledge and information needs of the aged care workforce. There is a need for such resources within this sector to inform culturally appropriate and safe care.
PY21084 Abstract | PY21084 Full Text | PY21084PDF (746 KB) Open Access Article
PY21253Understanding of advance care planning in primary care: a gap analysis
Previous research indicates that ACP can facilitate care consistent with the patient’s attitudes, beliefs and priorities, and reduce the chance of people receiving non-beneficial or inappropriate care at the end-of-life. This study conducted detailed individual interviews with senior administrators, medical and nurse practitioners of a local health district, and general practitioners and practice nurses to understand the barriers to conducting advance care planning in primary care.
PY21134A trial of the AASPIRE healthcare toolkit with Australian adults on the autism spectrum
Autistic adults often experience barriers to accessing health care and have negative healthcare experiences. We wanted to know if an online healthcare toolkit developed with autistic adults to improve healthcare interactions between them and their primary care providers in the US, could be used in Australia. We interviewed six Australian autistic adults about using the toolkit, with positive feedback. An Australian-adapted healthcare toolkit may potentially improve the healthcare experiences of autistic adults living in Australia.
PY21134 Abstract | PY21134 Full Text | PY21134PDF (767 KB) | PY21134Supplementary Material (552 KB) Open Access Article
PY21273Experiences of adults with adult-onset type 1 diabetes: a cross-sectional study
Approximately half of all type 1 diabetes (T1D) diagnoses occur in adulthood, yet scarce attention has been paid to adult-onset T1D in academic literature. Evidence suggests that adults with T1D may experience poorer long-term physical and mental health outcomes. The aim of this study was to examine the experiences of individuals living with adult-onset T1D, with particular focus on their diagnosis experience, access to healthcare, and post-diagnostic wellbeing.
PY21273 Abstract | PY21273 Full Text | PY21273PDF (797 KB) | PY21273Corrigendum (596 KB) Open Access Article