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.

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.




General Practitioners and Palliative Care Study

This study aimed to determine the level of participation of Australian urban GPs in palliative care, and the main barriers facing them in providing this care.

General practitioners' views of absolute cardiovascular risk and its role in primary prevention

This study investigates GPs' understanding of the concept of absolute CVS risk assessment, barriers to its use in practice and whether absolute CVS risk assessment currently influenced their treatment decisions.

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.




No projects found.