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
·         Prevention

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. 

·         Management

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. 

Key Partners

This research is conducted in partnership with primary health networks and local health districts along with other groups including  Aboriginal Health organisations.

Stream lead

Mark Harris leads the stream.  



No projects found.




GP Care Following Hospitalization In Complex Medical Patients

This study explores the views of complex medical patients on the value of GP care after hospital discharge.

Health care workers and immunity to infectious diseases

This study describes the uptake of occupational screening by staff of Bankstown and Fairfield facilities for the period 2003-2005, and report the level of immunity to the following infectious diseases: hepatitis B, measles, mumps, rubella and varicella.

Healthy 4 Life

The examination of the current practices of PNs, their self-efficacy and interest around child obesity prevention.

Implementing guidelines to prevent chronic disease in the community

The focus of this study is to develop innovative and evidence based strategies for implementation with both health care providers and consumers.

Integrating chronic disease self management into general practice: a scoping paper

This paper scopes the literature and programs relating to the self management in general practice.




No projects found.