Prevention and Management of Long Term Conditions
Description and Aims
This stream is a response to the challenge of long term conditions to health and health care services. These conditions include diabetes, cardiovascular disease, asthma and chronic obstructive lung disease, cancer and mental illness. They commonly occur as multi-morbidities. The aim is conduct research in the community which informs improvement in health care and programs which aim to prevent and manage these conditions.
Key Current Research Areas
The program focuses on improving interventions to address the behavioural risk factors (especially Smoking, Nutrition, Alcohol and Physical activity) as well as physiological risk factors such as obesity and cardiovascular risk in primary health care. This uses the 5As framework (ask/assess, advise, agree and assist, arrange), approaches tailored to health literacy levels and use of wearable technology and social media.
This program focuses on a patient centred approach based on the Chronic Care model and includes teamwork, information and communication systems (including e-health), self-management support and community resources. This is the focus of work on diabetes, cardiovascular disease, asthma, COPD, cancer, mental illness and multi-morbidity.
This research is conducted in partnership with primary health networks and local health districts along with other groups including Aboriginal Health organisations.
Mark Harris leads the stream.
Community perceptions of waterpipe smoking use in the Arabic speaking community in the St George area
This project consists of a rapid realist review of community interventions to address the practice of waterpipe smoking. Information from the review will be used to inform the development of a qualitative research strategy to investigate the practices and perceptions of waterpipe smoking in the Arabic speaking community residing in the St George area.
Evaluation of a cervical screening project to increase participation rates of Nepalese and Bangladeshi Women
Evaluation of a two year project involving implementation of a range of GP “in-reach” strategies to improve identification and targeting of women; community “out-reach” strategies to enhance community knowledge and participation; development of culturally appropriate information resources.
The IMPACT study is a five-year international research program that aims to develop and evaluate models of care that enhance access to primary health care for vulnerable populations in six sites across Australia and Canada.
Review of Chronic Disease Management interventions provided by NSW Health (commissioned by NSW Ministry of Health)
This review project commissioned by the NSW Ministry of Health aims to inform the development of a shared understanding of care navigation, care coordination and health coaching based on the literature and the experience of existing programs in NSW.
Cancer patients, their cancer specialists and GPs were interviewed about expanding the role of GPs in the long term care of patients with cancer. This identified the need for a shared care plan between the hospital specialist services and GPs.
An evaluation of the development, implementation, feasibility and impact of a tailored intervention to improve the quality of care for Aboriginal and Torres Strait Islander peoples attending urban general practice
This study aims to develop and evaluate strategies to improve the acceptability of health care provided to Aboriginal and Torres Strait Islander patients who attend mainstream general practice in urban Sydney.
Division registers provide longitudinal data on the quality of care and health outcomes for patients with diabetes in general practice. The Macarthur and Southern Highlands Divisions have 9 been established for more than 9 years.
This study was done to explore issues in relation to influenza vaccination among people aged less than 65 years of age with high-risk factors.
The Asthma 3+ Visit Plan is an initiative of the National Asthma Council to promote organized care of asthma in general practice. This study explores barriers and facilitators to Asthma 3+ Visit Plan in general practice.
This study aims to increase the capacity of community health services to address chronic disease risk factors of smoking, nutrition, alcohol and physical activity as part of their normal clinical work.