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 Validation and recalibration of the Framingham cardiovascular disease risk models in an Australian Indigenous cohort: Does the current Framingham risk calculator accurately estimate true CVD risk for Indigenous Australians?(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2017) Hua, Xinyang; McDermott, Robyn; Lung, Thomas; Wenitong, Mark; Tran-Duy, An; Li, Ming; Clarke, Philip; Centre of Research Excellence (CRE) for the Prevention of Chronic Conditions in Rural and Remote High Risk PopulationsIn this study, we validated both the 1991 and 2008 Framingham CVD models using a cohort of Aboriginal and Torres Strait Islander adults drawn from remote Indigenous communities in Far North Queensland. Recalibration was also conducted to help generate more accurate CVD risk predictions for this population. Finally, we developed a CVD risk chart that could help improve the assessment and management of CVD in the Australian Indigenous population, particularly those in remote regions of Australia.Item Open Access Economic evaluation alongside a cluster-randomised-controlled trial of intensive management by Indigenous Health Workers of Indigenous people with poorly controlled type 2 diabetes in remote Australia : Was "Getting Better at Chronic Care" cost effective?(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2017) McDermott, Robyn; Callander, Emily; Segal, Leonie; Ngyuen, Ha; Wenitong, Mark; Centre of Research Excellence (CRE) for the Prevention of Chronic Conditions in Rural and Remote High Risk PopulationsThis paper reports on two economic evaluations of the GBACC project. The first evaluation completed a cost-consequence analysis, in which the costs of implementing the model are compared with differential changes in a range of health outcome measures of study participants in the intervention and usual care groups. The second economic evaluation looked at hospitalisations related to diabetes, especially those which had been shown in previous reports to be excessive among remote Indigenous adults, mostly acute preventable diabetes-related infections and complicationsItem Open Access 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 How effective are family based and institutional nutrition interventions in improving children's diet and health? A systematic review(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2017) Black, Andrew P; D'Onise, Katina; McDermott, Robyn; Vally, Hassan; O'Dea, Kerin; Centre of Research Excellence (CRE) for the Prevention of Chronic Conditions in Rural and Remote High Risk PopulationsThe objective of this systematic review was to document the potential for family-based and institutional nutrition programs to improve the nutrition and health of young children in high income countries. Another aim was to determine how sustainable the impacts of these nutrition programs are on children's nutrition and health. Finally, lower socio-economic status is associated with both higher risk of chronic non-communicable disease and lower uptake of health promoting behaviours, including healthy eating. Thus, the impact of these nutrition programs that may help to reduce this social inequality was also reviewed.Item Open Access Research-informed health policy: turning data into information to guide policy and improve health(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Phillips, Robert L; Bazemore, AndrewItem Open Access Paradox and policy in adolescent health(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Paton, George; Sanci, LenaItem Open Access "Y Health" - Staying Deadly : an Aboriginal Youth focussed Translational Action Research project(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Nori, AnnapurnItem 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 Open Access How do we make best use of the primary health care nursing workforce and what will Australian consumers accept?(Australian Primary Health Care Research Institute (APHCRI), The Australian National University) Parker, RhianItem 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 International Visiting Fellow report: Observations on e-health and research networks(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2009) Sullivan, FrankDuring the three week visit I was able to meet primary care researchers at all stages of their research career in most primary health care professions and many disciplines which contribute to Australia's vibrant and developing primary care research community. I undertook a range of lectures and seminars as detailed in the itinerary and as exemplified in appendices ii and iii. I formed a strong impression that many of the capacity building efforts that have been undertaken in recent years have been very successful. This is borne out by the large and increasing number of successful National Health and Medical Research Council (NHMRC) bids from primary care. A recent international comparison prepared by York University for the Heads of Department in the UK Society for Academic Primary Care shows that Australia's primary care research productivity is exceeded only by the Netherlands and the UK. The figure below which shows the estimated number of robust publications by primary care researchers per billion dollars of GDP on research.Item Open Access Designing community-based health programs to address the needs of marginalised and disadvantaged communities(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2009) Will, Julie; Harris, Mark; Furler, John; Findlay, Terry; Harris, Elizabeth; McDonald, JulieThe focus of the visit by Dr Julie Will was to explore evidence based approaches for improving access and equity in primary health care, with a particular emphasis on preventing and managing chronic conditions and health problems of people who are unemployed. Dr Will is a senior epidemiologist in the Division for Heart Disease and Stroke Prevention at the Centers for Disease Control and Prevention. For the past 13 years, she served as the WISEWOMAN Team Leader, Acting Team Lead for the Applied Research and Translation Team, and Senior Epidemiologist for Health Services Research and Registry Team.Item Open Access International Visiting Fellowship: Professor Kurt Stange(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2009) Palmer, Victoria Jane; Stange, KurtOur initial application to host Professor Stange's visit identified a number of potential benefits for PCRU. These revolved around the advancement and strengthening of the PCRU's knowledge base of the US health care system, building capacity within our junior and mid-career researchers through linkage and exchange, and specific workshop activities, and the opportunity to have an international perspective on the development of the Australian Primary Health Care Strategy.Item Open Access Strengthening and facilitating the uptake of evidence into primary health care workforce policy(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2009) Naccarella, Lucio; Buchan, JamesAustralia faces a primary health care workforce shortage, exacerbated by the increase of demands from an ageing population, increasing co-morbidities and chronic disease. The Australian health system, too, is increasingly complex and fragmented. Academic research is recognising that no single profession can meet all the needs of the primary health care system. In light of this problem, a greater connection between research, practice and informed policy decision making is required to impact primary health care workforce policy reforms, and in particular to strengthen the existing evidence base of the Australian Primary Health Care Research Institute's (APHCRI's) work program. This report describes the outcomes of Professor James Buchan's visit as part of the APHCRI International Visiting Fellowship Program. The report outcomes include key findings and messages from Professor Buchan's presentations and roundtable discussions held during his visit from November 3 - 13, 2008. The report also provides implications for APHCRIs primary health care strategic work program regarding building a stronger knowledge base (Strategic goal 1) and facilitating the uptake of evidence (Strategic goal 2Item Open Access Global perspectives on health policy development: from evidence to policy(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2010) Pang, TikkiThe International Visiting Fellowship allowed me to gain an insight into the activities and interests of a variety of Australian stakeholders, institutions and interest groups in the areas of public health policy, the role of primary health care in health systems strengthening, and in global health governance. In many ways the problems identified in low- and middle-income countries are also reflected in the challenges facing the Australian health care system, especially in the context of ongoing reforms. At the same time, there are also important differences. For example, the issue of concern around PHC in Australia are centred mainly around clinical practice whereas in the developing countries the focus is very much on systemic aspects of PHC.Item 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 Self help e-health applications as primart health care tools(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2009) Griffiths, Kathleen; Christensen, Helen; Ritterband, LeeWith the ageing of the Australian population, the cost of the health care system is projected to grow substantially over the next 30 years [1]. According to the 2008 national e-health strategy maintaining Australia's current good health outcomes in the face of these pressure will require a fundamental change in the way health care is delivered.[2]. E-health technologies offer a promising means for addressing this problem, particularly with respect to delivering high quality evidence-based treatments direct to the consumer. The current report summarises the activities and outcomes of an APHCRI-funded visit to Australia by Dr Lee Ritterband, an international expert in the field of e-health self help technologies for improving health outcomes. In this report, primary health care is interpreted broadly to refer to the provision of first level care in any setting including the delivery of self-help e-health services direct to the public.Item Open Access Interprofessional education & learning: Optimising the future primary health care workforce(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2009) Naccarella, Lucio; Humphris, Debraworkforce shortages and the ageing population with increasing levels of long-term chronic, complex and multiple conditions. Multidisciplinary, interprofessional and multi-professional team based approaches are promoted as solutions within primary health care service delivery. This raises the need to reflect upon the health, educational, regulatory and financial systems that currently exist, and how they promote or hinder opportunities for learning and working together in teams. This report describes the outcomes of Professor Debra Humphris�s visit as part of the APHCRI International Visiting Fellowship Program. The report includes key themes emerging from Professor Humphris�s presentations (see Appendix 1) and roundtable discussions (see Appendix 2) held during her visit from 3�7 August 2009. The report also provides implications for APHCRI�s primary health care strategic work program.Item Open Access Management of service networks in primary health care(Australian Primary Health Care Research Institute (APHCRI), The Australian National University., 2011) Griffiths, Kathleen; Christensen, Helen; Cuijpers, PimMental disorders are a major public health problem and depression has been projected to be the primary cause of disease burden by 2030. A key challenge for Australian primary health care system is to find evidence-based interventions and modalities that will avert this burden. The current report summarises the activities and outcomes of an APHCRI-funded visit to Australia by Professor Pim Cuijpers, an international expert in the prevention of mental disorders, in strategies for delivering cost-effective mental health care in general practice and in e-mental health. In this report, primary health care refers not only to care provided in general practice but also to the provision of first level care in other settings including the delivery of e-health services and prevention direct to the public. Both general practice care and the latter broader aspects of primary health care were covered by Professor Cuijpers visit.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.