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.  

Current
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Completed
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Multidisciplinary care of chronic illness: views of patients of low socioeconomic status and their GPs

This study identifies what patients of low SES with chronic illness and their GPs think about chronic illness, their health care and the concept of care planning.

Non-steroidal anti-inflammatory drugs in general practice - a decision making dilemma

This study aims to understand how general practitioners (GPs) and patients make decisions regarding the use of non-steroidal antiinflammatory drugs (NSAIDS) for treatment of osteoarthritis

Patient engagement in self-management of their chronic illnesses: an explanatory model

This dissertation presents an exploratory conceptual model of patient engagement in the management of their chronic illness(es) developed within the context of understanding and operationalising the construct of self-management. The study was funded by a Dora Lush Priority NHMRC Scholarship from March 2010 until December 2013. 

Practice capacity for chronic disease management

The study aims to investigate the organizational capacity of general practices for chronic diseases and to identify those features of the organization which are associated with high quality care.

Prevention of vascular disease in general practice: Health Improvement and Prevention Study

This study evaluates the impact of recalling patients to general practice for a visit to assess their risk of chronic disease and to help them to lower their risk by changes to smoking, diet, alcohol consumption and physical activity behaviours as well as pharmacological management of their blood pressure and cholesterol.

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PhD
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