Australian Journal of Primary Health
Volume 26 Number 6 2020
PY19204Patient activation and Type 2 diabetes mellitus self-management: a systematic review and meta-analysis
Patient activation is a major driver of self-management; however, there is conflicting evidence as to whether it can predict Type 2 diabetes mellitus (T2DM) clinical outcomes. Our finding suggests that community-based patient activation interventions with a longer follow-up period delivered by peer coaches are more likely to yield better outcomes. Patient activation can be used to improve T2DM self-management and clinical outcomes in different healthcare settings.
PY20147Effect of community mental health care programs in Australia: a systematic review
No synthesis of the Australian literature regarding the effect of community-based mental health care programs currently exists. This review evaluated the impact of Australian community mental health programs for adults diagnosed with a serious mental illness. This evidence base provides a useful framework within which health professionals and policy makers can be guided. We foresee readers being able to adopt these learnings into their own work, across mental health care and the community healthcare setting more broadly.
PY20147 Abstract | PY20147 Full Text | PY20147PDF (278 KB) | PY20147Supplementary Material (2.4 MB) Open Access Article
PY20138Reconceptualising specialisation: integrating refugee health in primary care
Newly resettled people from a refugee background have significant unmet health needs. We know that primary care is well placed to provide patient-centred care and that an integrated health model is essential to address this complexity. However, little is known about the successful processes for effective health system integration. This paper explores the principles and partnerships necessary to implement an effective health system integration model of specialist refugee health with mainstream primary care.
PY20138 Abstract | PY20138 Full Text | PY20138PDF (140 KB) Open Access Article
PY20079Adequacy of health literacy and its effect on diabetes self-management: a meta-analysis
This study evaluated the role of health literacy (HL) in diabetes self-management. The rate of an adequate HL among diabetes patients was 67%, and this rate was higher in better educated and higher income groups. HL had a statistically significant but weak positive correlation with diabetes self-management.
Researchers are increasingly using de-identified patient health data from general practice electronic medical records as this data becomes more readily available, but public knowledge about researchers’ use of this data is limited. We explored the attitudes of general practice personnel to sharing such data with researchers, finding that their enthusiasm is coupled with concerns around privacy, patient consent and data use and security. These findings can guide the future design and implementation of research involving extracted de-identified patient health data.
PY20111Knowledge and comfort related to palliative care among Indonesian primary health care providers
Investigating primary care health providers’ knowledge and comfort is important because palliative care within primary care centres in Indonesia is in its early stages. This study found that primary care providers have limited palliative care knowledge and comfort levels. These findings emphasise the need for local government commitment to establish palliative care policies related to engaging in palliative care in primary care centres that may help increase health providers’ level of experience and promote palliative care in the community.
Shiga toxin-producing Escherichia coli-infected children can rapidly develop the haemolytic uraemic syndrome and close monitoring is essential to identify progression. By ensuring physicians caring for Shiga toxin-producing Escherichia coli-infected children received recommendations on laboratory monitoring, we were able to improve guideline adherence. This approach towards improving care in primary practice by promoting knowledge translation has the potential to improve primary care management of laboratory abnormalities.
PY20192Improving quality in general practice using the Primary Care Practice Improvement Tool (PC-PIT) with Primary Health Network support
Optimising primary care practice performance presents an important national challenge. This paper demonstrates the positive effect of the Primary Care Practice Improvement Tool (PC-PIT), supported by a Primary Health Network practice support team, in building practice quality and performance.
PY20062Evaluation of academic detailing visits on GP knowledge and practice for statin use and management
Statins are often under-prescribed for individuals at high risk of CVD and over-prescribed for low-risk individuals. Multiple quality-use-of-medicine issues are associated with statins and often hinder their optimal use. This paper provides further evidence for the value of national education programs to communicate evidence-based information to GPs, leading to the potential for improved patient outcomes. It supports the translation of new clinical guidance for management of statin intolerance into practice.
PY20148The characteristics of Queensland private physiotherapy practitioners’ interprofessional interactions: a cross-sectional survey study
Although there are numerous benefits of interprofessional collaboration, there are concerns that it may be difficult to implement in clinical settings that do not conform to formal team-based processes. This is the first known study to describe the characteristics of private physiotherapy practitioners’ interprofessional interactions, including their experiences and perceptions of interprofessional collaboration. This research has the potential to inform the implementation of robust strategies that will support sustainable models of interprofessional collaboration in physiotherapy private practice.
PY20146‘It is just part of life’: patient perspectives and experiences of diagnostic imaging referrals
Not much is known about patients’ experience of a referral for a medical imaging examination. This study explores the experiences and perspectives of patients referred for an imaging investigation in terms of person-centred and whole-person care and discusses how they are important for patients’ health and wellbeing.
PY20179Why do people with long-term health needs see more than one GP?: a qualitative study
Although interpersonal continuity of care is associated with positive health outcomes, many patients with long-term health problems see more than one GP. This study suggests patients make choices based on multiple factors, including perceived match between their health problem and GP style and expertise, and practice systems. Revealing these episodes of care to other GPs was seen as potentially stigmatising. General practitioner, practice and health system factors that affect patient decisions should be considered when promoting care continuity.
PY19214What influences trainee decisions to practise in rural and regional Australia?
Despite the heavy reliance on IMGs, for the rural medical workforce, it is not known what variables are associated with rural practice recruitment and retention. This is one of the first studies to highlight that there are differences between Australian and international medical graduates in terms of the factors associated with rural practice. Neither of the traditional key factors were associated with rural practice in IMGs in this study. Due to the significant numbers of IMGs in regional training programs, future incentives designed to improve rural recruitment and retention need to further explore and address factors associated with rural practice in IMGs.