ANU Australian Primary Health Care Research Institute (APHCRI) (2003-2015)
Permanent URI for this collectionhttps://hdl.handle.net/1885/113904
The Australian Primary Health Care Research Institute (APHCRI) was at The Australian National University (ANU) between 2003 and 2015 as part of the Primary Health Care Research Evaluation and Development (PHCRED) Strategy of the Australian Government Department of Health and Ageing. APHCRI’s mission was to provide national leadership in improving the quality and effectiveness of primary health care through priority-driven research and support and promotion of best practice. It focused on questions relating to the organisation, financing, delivery and performance of primary health care, including its interaction with public health and other health care sectors. APHCRI both financed and undertook primary health care research.
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Item Open Access 2015 Extension to Overcoming access and equity problems relating to rural and remote PHC services in Australia(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2015) Wakerman, John; Humphreys, John; McGrail, Matthew; Carey, Tim; Lyle, David; Bourke, Lisa; Jones, Mike; Russell, Deborah; Guthridge, Steven; Zhao, YuejenNowhere is the problem of access to health services greater than in rural and remote areas. Not only are problems of access to services at the heart of health outcome inequalities and inequities, but importantly they have persisted over time, and remain the single biggest remediable impediment to improving the health outcomes of geographically disadvantaged groups of the population. The Centre of Research Excellence in Rural and Remote Primary Health Care (CRERRPHC) was established in 2011 to undertake research which aimed to better understand key access and equity issues relating to the provision of appropriate, effective and high quality primary health care services in rural and remote communities of Australia.Item Open Access 45-49 year old chronic disease prevention health checks in general practice: utilisation, acceptability and effectiveness(Australian Primary Health Care Research Institute (APHCRI), The Australian National University.) Harris, Mark; Amoroso, Cheryl; Amps, Amanda; Laws, Rachel; McKenzie, Suzanne; Williams, Anna; Powell Davies, Gawaine; Zwar, NicholasItem Metadata only The Acceptability and Feasibility of a Practice Nurse-Led Collaborative Care Model for the Management of Chronic Illness within General Practice(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2007) Hegney, Desley; Del Mar, Chris; Wilkinson, David; Mitchell, Geoff; Patterson, Elizabeth; Doran, ChrisThis project will measure the acceptability and feasibility of an expansion of the role of practice nurses through the use of this model of care.Item Open Access Access & equity in the provision of primary health care services in rural and remote Australia(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Humphreys, John S; Wakerman, John; Perkins, David; Lyle, David; McGrail, MatthewItem Open Access Access & equity in the provision of primary health care services in rural and remote Australia(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Wakerman, JohnItem Open Access Access and equity in the provision of primary health care services in rural and remote Australia(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Wakerman, John; Humphreys, JohnPresentation to the Department of Health & Ageing, Canberra 16 May, 2013Item Metadata only Achieving improvements in healthcare quality & performance: Roles & responsibilities for federal agencies(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Mittman, BrianItem Unknown Addressing alcohol and tobacco harms in remote Indigenous communities and rapid responses to mental health crises in regional centres(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2017) Clough, Alan R; Margolis, Stephen A; Miller, Adrian S; Fitts, Michelle S; Ypinazar, Valmae; West, Caryn; Robertson, Jan A; Grant, K; Wrigley, MAlcohol Management Plans (AMPs) were initially designed as part of a wide range of innovative and significant Queensland Government reforms. As well as supply control, these promised to reduce alcohol and substance misuse and violence through demand reduction by addressing key social determinants: economic development; education and training, land and sustainable natural resource management, housing, and health 3, 4. The limited available evidence in the peer-reviewed published literature points to some favourable impacts of restrictions 5, 6, including a reduction in indicators of serious injury in some communities to historically low levels 7. These favourable findings were reflected in an internal Queensland Government review 4. However, the evidence that these initial positive effects were experienced in all communities, or that they have been sustained, particularly after the most recent round of restrictions in 2008, has become equivocal 8. This paper was the first in a unique evaluation research program designed to examine the health and social effects of Queensland�s AMPs 1, 9. It investigates issues surrounding implementation of the designed AMP intervention components, specifically their perceived impacts on alcohol supply and consumption, violence, injury and community health and well-being. Perceptions and experiences are reported of the community leaders, service providers and relevant organisations with a mandate or responsibility for alcohol-related matters in the affected AMP communities and nearby towns.Item Open Access Advancing health literacy through primary health care systems(Australian Primary Health Care Research Institute (APHCRI), The Australian National University.) Bush, Robert; Boyle, Frances; Ostini, Remo; Ozolins, Ieva; Brabant, Madeleine; Jimenez Soto, Eliana; Eriksson, LarsEvidence from Australia and elsewhere shows that large numbers of people do not have the level of health literacy needed to navigate the health care system and manage their health. Health literacy refers to a range of abilities, from basic literacy and numeracy to more advanced skills that promote health, and help to prevent illness, maintain health care and successfully navigate the health care system for health benefit. Awareness and recognition of the significance of health literacy to support health outcomes and to ameliorate health care costs has been slow to materialise in Australia. National comprehensive policy and practice initiatives have not been developed. This systematic review addresses the question, ‘what are the characteristics of a primary health care system that supports and enables the development of health literacy and what are the drivers and barriers of such a system?’Item Open Access Alcohol control policies (AMPs) in Indigenous communities in Queensland: Is a focus on supply control sustainable?(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Clough, AlanItem Open Access APHCRI 11 International Visiting Fellow Report(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2008) McDonald, JulieThe focus of activities was to explore and learn from recent developments in primary healthcare reform in England and to a lesser extent New Zealand. The expected outcomes include strengthening the partnership with the English and New Zealand research groups on common research areas, and fostering linkage and exchange between the researchers and policy makers and practitioners within Australia. The visiting fellow program involved bringing Helen Parker from the Health Services Management Centre (HSMC), University of Birmingham to Australia for a period of nine days from 27th August-5th September 2008. Helen has considerable knowledge and understanding of the range of emerging primary health care models in England, based on her current and applied research and consultancy work and prior employment in the NHS.Item Open Access APHCRI Dialogue(Australian Primary Health Care Research Institute (APHCRI), The Australian National University.) Australian National University. Australian Primary Health Care Research Institute (APHCRI)Through this bulletin, published between 2005 and 2010, APHCRI debated issues applicable to national policy formulation. Issues emerged through national and international media watches, systematic reviews of research, government documents and discussion at workshops and conferences attended by APHCRI staff. They were within one of eight identified areas of interest for APHCRI addressed in the primary health care setting - namely: 1. Chronic disease management; 2. Integration, co-ordination and multidisciplinary care; 3. Prevention and early intervention; 4. Innovative models for comprehensive primary health care delivery; 5. Innovative models for the management of mental health in primary health care settings; 6. Older Australians and health promotion, prevention and post-acute care; 7. Children and young Australians, health promotion and prevention; and 8. Workforce. A topic area was selected for each issue of the publication and was discussed in the bulletin, with room for responses from readers in future issues. It was recognised that issues addressed in the APHCRI Dialogue would at times be controversial. In putting forward the evidence and raising the questions the aim was to facilitate informed debate – not to take a particular ‘partisan’ line. APHCRI Dialogue had regular features examining how issues discussed in the bulletin have been explored in the media, as well as an update on the activities of the APHCRI team during the quarter, including their policy development work, new research grants, the latest research results and policy and information seminars.Item Open Access APHCRI@work Newsletter (2005-2013)(Australian Primary Health Care Research Institute (APHCRI), The Australian National University.) Australian National University. Australian Primary Health Care Research Institute (APHCRI)We plan to make this a bi-monthly update for all our research streams, past and present, so you can learn a little more about what we have been doing at the ‘hub’ and what other ‘spokes’ are up to. We hope it will be interactive and encourage you all to send us snippets of news, details of presentations you might be giving, or events you are attending so we can all support your work.Item Open Access Are current primary health care funding arrangements getting us where we want to go?(Australian Primary Health Care Research Institute (APHCRI), The Australian National University, 2015) Hall, JaneItem Open Access Arranging generalism in the 2020 primary care team(Australian Primary Health Care Research Institute (APHCRI), The Australian National University.) Palmer, Victoria; Gunn, Jane; Naccarella, LucioThe National Health and Hospital Reform Commission (NHHRC) final report and the draft National Primary Health Care Strategy state a preference for multidisciplinary primary care to improve chronic disease management, promote prevention and help address workforce shortages. The patients most likely to require multidisciplinary care will be those with complex and multiple health conditions. Although team care arrangements have become a focus, less is known about what the future health care needs of patients with complex and multiple illnesses are. We also have little information about what these patients value in their primary care and how to arrange it to meet their needs. If multidisciplinary teams are to be implemented in the Australian primary care setting, how much of the holistic and fundamentally generalist values might be lost? Defining features of generalists are their knowledge of patients over time and use of patients' life stories and context balanced with technical information to provide holistic care. The study's aim was to explore patients' needs and to identify if the features of generalism have relevance for the development of multidisciplinary team care in the Australian primary care setting.Item Open Access Arranging generalism in the 2020 primary health care team(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2009) Palmer, Victoria; Gunn, Jane; Thies, AmiThe Australian Primary Health Care System is at a crossroad. We are faced with a burgeoning workforce crisis, a complicated model of private and public health care funding, and changes to the scope of practice of GPs, nurses and other allied health staff who comprise primary care teams in Australia. Both the Canadian and United States health care systems provide useful contrasts to consider as Australia builds a National Primary Health Care Strategy. One element of health care is shared universally: patients will increasingly present with complex, multiple problems rather single disease specific conditions. New developments in the U.S. in the Patient-Centred Medical Home (PCMH) movement signify important directions for primary health care. Canadian efforts to build a Pan-Canadian strategy to resolve provincial differences are also of interest including the challenges of inter-professional collaboration faced within family health teams (FHTs). These developments signal that coordination of care across territorial and disciplinary boundaries is critical to the future of the health care system; they provide important international examples that can inform policy developments in Australia.Item Open Access Attracting health professionals into primary care: Strategies for recruitment(Australian Primary Health Care Research Institute (APHCRI), The Australian National University.) Thistlethwaite, Jill; Shaw, Timothy; Kidd, Michael; Leeder, Stephen; Burke, Christopher; Corcoran, KateWorkforce projections suggest a fall in the number of full-time equivalent general practitioners during the next decade unless more doctors choose general practice as a career. Australia is already experiencing a shortage of GPs and the crisis in the medical workforce is even more pronounced in rural and remote areas. This paper explores the factors that affect career and practice location choice of medical students and junior doctors.Item Open Access Australian General Practice Training Distribution(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2013) Cooke, GeorgaIn the past decade the Australian General Practice Training Program administered by GPET has implemented a regionalised model of training. This period has been characterised by a significant increase in training places for GP registrars. Maldistribution of the medical workforce is a common problem internationally. Interventions to address medical workforce maldistribution can be categorised into five groups: selection education coercion incentives and support. As limited high-quality evidence is available to support these interventions policy makers and educational institutions should ensure workforce policies are implemented with a strong evaluation focus to measure the impact of policy initiatives.Item Open Access Building better research partnerships by understanding how Aboriginal health communities perceive and use data: a semi structured interview study(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2016) Young, C; Tong, A; Sherriff, S; Kalucy, D; Fernando, P; Muthayya, S; Craig, J. C; Centre of Research Excellence (CRE) in Urban Aboriginal Child HealthThe aim of this study is to describe the perspectives of ACCHS health staff towards data and to identify potential strategies that can maximise the efficient transfer and usage of data collected through collaborative research with the ACCHS, and enhance the capacity to effectively use research data for healthcare improvement and advocacy.Item Open Access Building better systems of care for Indigenous Australians with chronic disease(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Brown, Alex