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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
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Australian Journal of Primary Health

Australian Journal of Primary Health

Volume 31 Number 1 2025

PY23214Senior staff experiences of implementing a reablement model in community care

Sarah J. Prior, Hazel Maxwell, Marguerite Bramble, Annette Marlow, Douglass Doherty and Steven Campbell

Reablement is an innovative approach to improving in-home care services for older adults at risk of functional decline. This study seeks to understand the experiences of senior staff following the introduction of a reablement-based model of care for community dwelling adults and the factors contributing to the success of implementation of this model.

PY24170Oral COVID-19 antiviral prescribing in Australian general practice – a retrospective observational study

Judith Thomas, Abbish Kamalakkannan, Mirela Prgomet, Karina Gardner, Precious McGuire, Geoffrey Campbell and Andrew Georgiou

General practitioners can prescribe oral COVID-19 antivirals to actively infected patients. This study provides a comprehensive understanding of oral COVID-19 antiviral prescribing in general practice settings between March 2022 and November 2023. Characteristics of patients prescribed antivirals, including chronic conditions, monthly prescribing volumes, repeated prescribing activity, and use of telehealth (phone/video) for antiviral prescribing are reported. Telehealth exceeding face-to-face for oral COVID-19 antiviral prescribing supports continued access to telehealth to reduce exposure to COVID-19 and provide time-critical access to treatment.

We evaluated the pivotal role of Cultural Health Stations in advancing social development and health care within Indigenous communities. Data analysis clearly shows that the stations employ a diverse range of cultural care models tailored to the specific needs of local elders across various rural tribal and urban contexts. The culturally safe practices from the services demonstrated by the cultural health stations preserve cultural heritage, bridge the gap between tribal and urban life, and restore pride and continuity of cultural traditions.

This article belongs to the collection: Models of Community Health in Action.

PY24163General practice registrar evaluation of long COVID in patients presenting with fatigue

David Wilkins 0000-0002-3385-8981, Amanda Tapley, Jason Dizon, Elizabeth Holliday, Andrew Davey, Alison Fielding, Dominica Moad, Mieke van Driel, Anna Ralston, Katie Fisher, Parker Magin and Nigel Stocks

There is little available evidence on how often GPs are considering and diagnosing long COVID for patients with common symptoms like fatigue. This study examined 3193 GP registrar consultations for fatigue, and found that registrars considered long COVID in 80% and diagnosed it in 18% of these, and were more likely to do both in telehealth consultations. This shows that GP registrars are adapting their approach to common presenting symptoms for the post-pandemic world.

PY24179Facilitators and barriers to adopting a multifaceted chlamydia management intervention in general practice: qualitative findings from Management of Chlamydia Cases in Australia (MoCCA)

Stephanie C. Munari 0000-0002-2296-7787, Jacqueline Coombe, Helen Bittleston 0000-0002-5768-3223, Meredith Temple-Smith, Christopher K. Fairley, Deborah Bateson, Margaret Hellard, Jane L. Goller, Jane S. Hocking and on behalf of the MoCCA Investigators

Chlamydia is a common sexually transmissible infection in Australia, and can lead to permanent reproductive complications. Management of Chlamydia Cases in Australia (MoCCA) involves a multifaceted intervention aiming to strengthen the management of chlamydia in general practice. Our findings show that practice champions, motivated staff and useful resources facilitated adoption of interventions, whereas competing priorities, difficulties retaining staff, and a lack of staff and patient engagement hindered adoption. Findings can support general practitioners and reduce burden of disease.

Limited knowledge exists about the experiences of Aboriginal and Torres Strait Islander peoples who have received physiotherapy care. This study offers insights into the lived experiences of Aboriginal and Torres Strait Islander peoples receiving care in the community and provides recommendations that may assist physiotherapists, alongside other community-based health professionals, to provide culturally safe care. Aboriginal and Torres Strait Islander peoples emphasised the significance of communication, respect for cultural identity, creating culturally safe environments, and the role of professional training in providing culturally safe physiotherapy care.

PY24034Implementation of a data-driven quality improvement program in primary care for patients with coronary heart disease: a mixed methods evaluation of acceptability, satisfaction, barriers and enablers

Nashid Hafiz, Karice Hyun, Qiang Tu, Andrew Knight, Clara K. Chow, Charlotte Hespe 0000-0002-4582-7728, Tom Briffa, Robyn Gallagher, Christopher M. Reid, David L. Hare, Nicholas Zwar, Mark Woodward, Stephen Jan, Emily R. Atkins, Tracey-Lea Laba, Elizabeth Halcomb 0000-0001-8099-986X, Tracey Johnson, Deborah Manandi 0000-0002-7532-0477, Tim Usherwood and Julie Redfern

The use of data-driven quality improvement (QI) activities is increasingly being used in healthcare globally. This study delves into the implementation and impact of a year-long QI intervention, shedding light on barriers and enablers in improving care for coronary heart disease patients. These findings emphasise the need for collaborative approaches and highlight the potential of technology-driven solutions in enhancing patient outcomes and shaping the future of healthcare improvement initiatives.

Informal caregivers are an essential aspect of Australia’s health and social care systems, yet research has found them unsupported with greater risk of negative health outcomes. This study found an association between increased use of GPs and reduced hospitalisation risk in caregivers. This finding is important, because supporting caregivers to maintain their caring role has the potential to reduce demand of health services. Increasing caregivers’ engagement with GPs may be a cost-effective way of reducing healthcare system costs that requires further examination.

PY24134Exploring oral health challenges and integration strategies in opioid treatment programs: perspectives from clinicians and clients

Grace Wong 0000-0003-1364-6866, Anna Cheng, Kyle Cheng, Angela Masoe, Sanjana D’Hary and Mark Enea Montebello

Opioid Treatment Program (OTP) clients face significant challenges in prioritising oral health due to addiction-related issues, unstable living conditions, lack of motivation and dental anxiety. Clinicians from both OTPs and oral health services identify inadequate support systems and competing priorities as key barriers to care. To address these, proposed strategies include holistic care integration, targeted education and flexible scheduling, all aimed at improving oral healthcare access and outcomes for OTP clients.

Committee on Publication Ethics

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Best Oral Paper Prize AAAPC 2024

Joanne Wong has been awarded the Best Oral Paper Prize for 2024.

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