Relevant bibliographies by topics / Family medicine Australia Evaluation

Academic literature on the topic 'Family medicine Australia Evaluation'

Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Family medicine Australia Evaluation"

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Rai, Sumeet, Rhonda Brown, Frank van Haren, Teresa Neeman, Arvind Rajamani, Krishnaswamy Sundararajan, and Imogen Mitchell. "Long-term follow-up for Psychological stRess in Intensive CarE (PRICE) survivors: study protocol for a multicentre, prospective observational cohort study in Australian intensive care units." BMJ Open 9, no. 1 (January 2019): e023310. http://dx.doi.org/10.1136/bmjopen-2018-023310.

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IntroductionThere are little published data on the long-term psychological outcomes in intensive care unit (ICU) survivors and their family members in Australian ICUs. In addition, there is scant literature evaluating the effects of psychological morbidity in intensive care survivors on their family members. The aims of this study are to describe and compare the long-term psychological outcomes of intubated and non-intubated ICU survivors and their family members in an Australian ICU setting.Methods and analysisThis will be a prospective observational cohort study across four ICUs in Australia. The study aims to recruit 150 (75 intubated and 75 non-intubated) adult ICU survivors and 150 family members of the survivors from 2015 to 2018. Long-term psychological outcomes and effects on health-related quality of life (HRQoL) will be evaluated at 3 and 12 months follow-up using validated and published screening tools. The primary objective is to compare the prevalence of affective symptoms in intubated and non-intubated survivors of intensive care and their families and its effects on HRQoL. The secondary objective is to explore dyadic relations of psychological outcomes in patients and their family members.Ethics and disseminationThe study has been approved by the relevant human research ethics committees (HREC) of Australian Capital Territory (ACT) Health (ETH.11.14.315), New South Wales (HREC/16/HNE/64), South Australia (HREC/15/RAH/346). The results of this study will be published in a peer-reviewed medical journal and presented to the local intensive care community and other stakeholders.Trial registration numberACTRN12615000880549; Pre-results.
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Preston, Neil J., Neil J. Preston, Maree L. Stirling, Kanthi Perera, Richard J. Bell, Tracey J. Harrison, Lisa Whitworth, and David J. Castle. "A Statewide Evaluation System for Early Psychosis." Australian & New Zealand Journal of Psychiatry 37, no. 4 (August 2003): 421–28. http://dx.doi.org/10.1046/j.1440-1614.2003.01195.x.

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Objective: We describe a system of outcome evaluation for early psychosis programmes and present preliminary data. The Early Psychosis Outcome Evaluation System (EPOES) was designed for use in a naturalistic, prospective study of a cohort of early-episode psychosis patients. We describe patients in terms of symptoms, substance use, social functioning and family burden, and examine the effectiveness of treatment programmes. Method: Four sites in Perth, Western Australia, participated. Outcome was evaluated from three sources: case manager (CM), patient (P) and family member (FM). Seven clinical outcome measures were used: the Brief Psychiatric Rating Scale (CM), Brief Symptom Inventory (P), Substance Use (CM); Social Functioning Scale (P); Global Assessment Scale (CM); Burden Assessment Scale (FM), and the General Health Questionnaire-12 (FM). Measures were collected at intake (baseline) into a specialist early psychosis service and thereafter every 6 months until discharge from the service. Results: After the first year of data capture, 84 baseline assessments have been completed, and 23 patients have been followed up at 6 months. Clinicians and patients reported significantly less psychopathology at 6 months. Sixty per cent of patients reported marijuana use within 3 months of baseline assessment, and 30% amphetamine, ecstasy or cocaine use. Increased levels of psychopathology were recorded for substance-using patients. Family members (59%) reported psychological distress at baseline; this was reduced at 6 months. Patient social functioning and family burden did not improve measurably. Conclusions: The EPOES is an effective system that provides feedback on the clinical status of early-episode psychosis patients. Both observed and self-rated psychopathology and family psychological distress, is improved after 6 months of intervention. Family burden and patient social functioning did not demonstrate improvement. Patient social functioning is an important area for treatment. Substance use is associated with poorer psychopathology. EPOES provides a feasible system of measuring outcome in early psychosis intervention.
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Gavidia-Payne, Susana, Lyn Littlefield, Mats Hallgren, Peter Jenkins, and Neil Coventry. "Outcome Evaluation of a Statewide Child Inpatient Mental Health Unit." Australian & New Zealand Journal of Psychiatry 37, no. 2 (April 2003): 204–11. http://dx.doi.org/10.1046/j.1440-1614.2003.01124.x.

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Objective: To assess the impact of inpatient intervention, provided by a child mental health unit in Victoria, Australia, on a number of key child and family variables. Method: Pre-post test design with a four-month follow up was applied to assess changes across time. Twenty-nine parents, 42 teachers, and 37 referrers provided reports on a series of child, parent, and family functioning measures. Results: Significant improvements in child behaviour and functioning, parenting competency and efficacy, parenting practices, and reduced parental depression were observed over time. Changes in family functioning scores were not significant; however, univariate analysis indicated improvements in two individual subscales. Conclusions: There is a lack of studies of the outcome of inpatient interventions of children in psychiatric settings. However, as shown in the present study, improvements in functioning can be detected and obtained with short-term interventions that focus on both children and families. Methodological shortcomings (i.e. absence of comparison groups) and lack of specificity in intervention variables, however, are difficulties yet to be overcome in evaluation research of inpatient treatment.
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Schofield, Deborah, Michelle M. Cunich, and Lucio Naccarella. "An evaluation of the quality of evidence underpinning diabetes management models: a review of the literature." Australian Health Review 38, no. 5 (2014): 495. http://dx.doi.org/10.1071/ah14018.

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Objective There is a paucity of research on the quality of evidence relating to primary care workforce models. Thus, the aim of the present study was to evaluate the quality of evidence on diabetes primary care workforce models in Australia. Methods The National Health and Medical Research Council of Australia’s (National Health and Medical Reseach Council; 2000, 2001) frameworks for evaluating scientific evidence and economic evaluations were used to assess the quality of studies involving primary care workforce models for diabetes care involving Australian adults. A search of medical databases (MEDLINE, AMED, RURAL, Australian Indigenous HealthInfoNet and The Cochrane Institute), journals for diabetes care (Diabetes Research and Clinical Practice, Diabetes Care, Diabetic Medicine, Population Health Management, Rural and Remote Health, Australian Journal of Primary Health, PLoS Medicine, Medical Journal of Australia, BMC Health Services Research, BMC Public Health, BMC Family Practice) and Commonwealth and state government health websites was undertaken to acquire Australian studies of diabetes workforce models published 2005–13. Various diabetes workforce models were examined, including ‘one-stop shops’, pharmacy care, Aboriginal services and telephone-delivered interventions. The quality of evidence was evaluated against several criteria, including relevance and replication, strength of evidence, effect size, transferability and representativeness, and value for money. Results Of the14 studies found, four were randomised controlled trials and one was a systematic review (i.e. Level II and I (best) evidence). Only three provided a replicable protocol or detailed intervention delivery. Eleven lacked a theoretical framework. Twelve reported significant improvements in clinical (patient) outcomes, commonly HbA1c, cholesterol and blood pressure; only four reported changes in short- and long-term outcomes (e.g. quality of life). Most studies used a small or targeted population. Only two studies assessed both benefits and costs of their intervention compared with usual care and cost effectiveness. Conclusions More rigorous studies of diabetes workforce models are needed to determine whether these interventions improve patient outcomes and, if they do, represent value for money. What is known about the topic? Although health systems with strong primary care orientations have been associated with enhanced access, equity and population health, the primary care workforce is facing several challenges. These include a mal-distribution of resources (supply side) and health outcomes (demand side), inconsistent support for teamwork care models, and a lack of enhanced clinical inter-professional education and/or training opportunities. These challenges are exacerbated by an ageing health workforce and general population, as well as a population that has increased prevalence of chronic conditions and multi-morbidity. Although several policy directions have been advocated to address these challenges, there is a lack of high-quality evidence about which primary care workforce models are best (and which models represent better value for money than current practice) and what the health effects are for patients. What does this paper add? This study demonstrated several strengths and weaknesses of Australian diabetes models of care studies. In particular, only five of the 14 studies assessed were designed in a way that enabled them to achieve a Level II or I rating (and hence the ‘best’ level of evidence), based on the NHMRC’s (2000, 2001) frameworks for assessing scientific evidence. The majority of studies risked the introduction of bias and thus may have incorrect conclusions. Only a few studies described clearly what the intervention and the comparator were and thus could be easily replicated. Only two studies included cost-effectiveness studies of their interventions compared with usual care. What are the implications for practitioners? Although there has been an increase in the number of primary care workforce models implemented in Australia, there is a need for more rigorous research to assess whether these interventions are effective in producing improved health outcomes and represent better value for money than current practice. Researchers and policymakers need to make decisions based on high-quality evidence; it is not obvious what effect the evidence is having on primary care workforce reform.
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Lambert, Gordon, and Kevin Gournay. "Training for the Mental Health Workforce: A Review of Developments in the United Kingdom." Australian & New Zealand Journal of Psychiatry 33, no. 5 (October 1999): 694–700. http://dx.doi.org/10.1080/j.1440-1614.1999.00615.x.

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Objective: Implementation of the National Mental Health Strategy has important implications for education and training of the Australian mental health workforce. This paper discusses relevant developments in the United Kingdom that may provide some lessons for Australia. Method: A review was undertaken of a number of specific clinical education and training programs for mental health workers in the United Kingdom which have been subjected to published evaluation. Results and conclusions: A finite mental health resource base dictates that education and training activity should: (i) be evaluated; (ii) target those clients most in need; (iii) include evidence-based approaches such as assertive community treatment, medication management, cognitive—behaviour therapy and family interventions; and (iv) prepare mental health workers in the core competencies needed to implement these approaches. Two programs, developed in the United Kingdom, which meet these criteria are presented as examples of best practice: the nurse therapy model established by Isaac Marks; and the Thorn initiative established in association with the Institute of Psychiatry, London and the University of Manchester.
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Aoun, Samar M., Roswitha Stegmann, Susan Slatyer, Keith D. Hill, Richard Parsons, Rachael Moorin, Mary Bronson, Debbie Walsh, and Christine Toye. "Hospital postdischarge intervention trialled with family caregivers of older people in Western Australia: potential translation into practice." BMJ Open 8, no. 11 (November 2018): e022747. http://dx.doi.org/10.1136/bmjopen-2018-022747.

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There is lack of a suitable assessment tool that can be used routinely and systematically by hospital staff to address family caregivers’ (FCs’) support needs. This paper describes a novel approach to identifying and addressing FCs’ needs following hospital discharge of the older person receiving care.Setting and participantsFC recruitment occurred on the patient’s discharge from a tertiary hospital in Western Australia; 64 completed the study; 80% were female; mean age 63.2 years.InterventionThe Further Enabling Care at Home (FECH) programme was delivered over the telephone by a specially trained nurse and included: support to facilitate understanding of the patient’s discharge letter; caregiver support needs assessment and prioritisation of urgent needs; and collaborative guidance, from the nurse, regarding accessing supports.ResultsSixty-four FCs completed the FECH programme. The top three support needs identified by the FCs were: knowing what to expect in the future (52%), knowing who to contact if they were concerned (52%) and practical help in the home (36%). The telephone-based outreach service worked well and was convenient for the nurse and the FCs, and saved on transport, time and money. Most of the FCs appreciated the systematic approach to identify and articulate their needs and were satisfied with the support they received, mainly navigation through the systems, problem solving, self-care strategies, explanation of illness, symptoms and medication and access to after-hours services.ConclusionsIn order to guide services which may consider adopting this systematic approach to supporting FCs and integrating it into their routine practice, this evaluation of the FECH programme has described the processes implemented and highlighted the factors that hindered or facilitated these processes to engage caregivers with appropriate services in a timely manner. Positive feedback indicated that the programme was a useful addition to hospital discharge planning.Trial registration numberACTRN12614001174673; Results.
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Glazebrook, Roz, Dan Manahan, and Alan B. Chater. "Evaluation of an ultrasound program (intermediate obstetric and emergency medicine) for Australian rural and remote doctors." Australian Journal of Rural Health 13, no. 5 (October 2005): 295–99. http://dx.doi.org/10.1111/j.1440-1584.2005.00720.x.

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Brown, Janie, Helen Myers, Derek Eng, Lucy Kilshaw, Jillian Abraham, Grace Buchanan, Liz Eggimann, and Michelle Kelly. "Evaluation of the ‘Talking Together’ simulation communication training for ‘goals of patient care’ conversations: a mixed-methods study in five metropolitan public hospitals in Western Australia." BMJ Open 12, no. 8 (August 2022): e060226. http://dx.doi.org/10.1136/bmjopen-2021-060226.

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IntroductionIn partnership with Cancer Council Western Australia (WA), the East Metropolitan Health Service in Perth, WA has developed a clinical simulation training programme ‘Talking Together’ using role play scenarios with trained actors as patients/carers. The aim of the training is to improve clinicians’ communication skills when having challenging conversations with patients, or their carers, in relation to goals of care in the event of clinical deterioration.Methods and analysisA multisite, longitudinal mixed-methods study will be conducted to evaluate the impact of the communication skills training programme on patient, family/carer and clinician outcomes. Methods include online surveys and interviews. The study will assess outcomes in three areas: evaluation of the ‘Talking Together’ workshops and their effect on satisfaction, confidence and integration of best practice communication skills; quality of goals of patient care conversations from the point of view of clinicians, carers and family/carers; and investigation of the nursing/allied role in goals of patient care.Ethics and disseminationThis study has received ethical approval from the Royal Perth Hospital, St John of God and Curtin University Human Research Ethics Committees. The outputs from this project will be a series of research papers and conference presentations.
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Okurame, Josephine Chidinma, Lisa Cannon, Emily Carter, Sue Thomas, Elizabeth J. Elliott, and Lauren J. Rice. "Fetal alcohol spectrum disorder resources for health professionals: a scoping review protocol." BMJ Open 12, no. 9 (September 2022): e065327. http://dx.doi.org/10.1136/bmjopen-2022-065327.

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IntroductionPeople with fetal alcohol spectrum disorder (FASD) encounter a range of health and allied health providers and require specialised support to ensure health services are provided safely and effectively. Not all health professionals possess the knowledge or expertise required for the identification, assessment, referral and management of FASD. Accessible resources for understanding and managing FASD can help create awareness in health professionals and ensure patients receive the correct diagnosis and timely access to the necessary supports and services. The aim of this scoping review is to identify and analyse FASD resources for health professionals.Methods and analysisA comprehensive search of eight databases (MEDLINE, Scopus, PsycINFO, CINAHL, PubMED, EMBASE, Web of Science and Trip Medical Database) and nine grey literature databases (FASD Hub, NOFASD Australia, National Organisation for FASD, FASD United, HealthInfoNet, Proof Alliance, Child Family Community Australia, Foundation for Alcohol Research & Education and the Australian Department of Health websites) will be conducted using three search engines including PubMed, Ovid and Google advanced search (search dates: October 2021 to May 2022). Consultations will also be carried out with international and national experts in the diagnosis/management of FASD to obtain any additional relevant published or unpublished resources. Inclusion criteria were developed to guide the selection of resources that are publicly available, primarily focused on FASD and curated for health professionals for the identification, management or referral of FASD. Critical appraisal process will be executed using the Appraisal of Guidelines for REsearch & Evaluation II (AGREE II) tool to assess the quality of selected resources.Ethics and disseminationEthical approval is not required for the scoping review. Scoping review results will be presented at relevant national and international conferences and published in peer-reviewed journals. Search results will be made available to ensure reproducibility and transparency.
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Hawthorne, Graeme, Frida Cheok, Robert Goldney, and Laura Fisher. "The Excess Cost of Depression in South Australia: A Population-Based Study." Australian & New Zealand Journal of Psychiatry 37, no. 3 (June 2003): 362–73. http://dx.doi.org/10.1046/j.1440-1614.2003.01189.x.

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Objective: To establish excess costs associated with depression in South Australia, based on the prevalence of depression (from the Primary Care Evaluation of Mental Disorders (PRIME-MD)) and associated excess burden of depression (BoD) costs. Method: Using data from the 1988 South Australian (SA) Health Omnibus Survey, a properly weighted cross-sectional survey of SA adults, we calculated excess costs using two methods. First, we estimated the excess cost based on health service provision and loss of productivity. Second, we estimated it from loss of utility. Results: We found symptoms of major depression in 7% of the SA population, and 11% for other depression. Those with major depression reported worse health status, took more time off work, reported more work performance limitations, made greater use of health services and reported poorer health-related quality-of-life. Using the service provision perspective excess BoD costs were AUD$1921 million per annum. Importantly, this excluded non-health service and other social costs (e.g. family breakdown, legal costs). With the utility approach, using the Assessment of Quality of Life (AQoL) instrument and a very modest life-value (AUD$50 000), the estimate was AUD$2800 million. This reflects a societal perspective of the value of illness, hence there is no particular reason the two different methods should agree as they provide different kinds of information. Both methods suggest estimating the excess BoD from the direct service provision perspective is too restrictive, and that indirect and societal costs ought be taken into account. Conclusions: Despite the high ranking of depression as a major health problem, it is often unrecognized and undertreated. The findings mandate action to explore ways of reducing the BoD borne by individuals, those affected by their illness, the health system and society generally. Given the limited information on the cost-effectiveness of different treatments, it would seem important that resources be allocated to evaluating alternative depression treatments.
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Dissertations / Theses on the topic "Family medicine Australia Evaluation"

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Basden, Jeri Ann, Ivy A. Click, and Fred Tudiver. "Developing a Role-Specific 360 Evaluation." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6398.

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Tudiver, Fred, Ivy A. Click, Patricia Ward, and Jeri Ann Basden. "Evaluation of a Quality Improvement Curriculum for Family Medicine Residents." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6370.

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BACKGROUND AND OBJECTIVES: East Tennessee State University’s (ETSU) Department of Family Medicine initiated Quality Improvement (QI) training in its three residency programs in 2008. The purpose of the project was to develop, implement, and assess a formal curriculum and experiential learning process to train family medicine residents in QI knowledge and skills. METHODS: Family medicine faculty members received training in QI theory and design. Rising second-year residents received a daylong workshop on the basics of QI principles. Residents worked in teams to develop and implement QI projects. Self-assessed QI proficiency was measured prior to and immediately following the workshop. QI knowledge was assessed with the Quality Improvement Knowledge Application Tool (QIKAT) at baseline and following project completion. RESULTS: Two groups of residents (n=37) received training and completed at least 1 year on their projects. Analyses revealed that residents’ self-assessed QI proficiency improved after receiving a day-long training workshop and was consistent for both groups of resident training. Application of QI knowledge as assessed by the QIKAT did not improve following QI project participation in resident Group 1 but did improve in resident Group 2. CONCLUSIONS: A formal QI curriculum was successfully developed and implemented into three family medicine residency programs. Residents’ QI knowledge and skills improved following training and experience conducting QI projects. Faculty and resident commitment to the program and competing time demands proved challenging to the introduction of QI training. Future studies should assess residents’ sustained learning and translating QI residency experiences into practice.
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Brummel, Mark, Reid B. Blackwelder, J. Moore, Glenda Stockwell, and Beth Anne Fox. "Rapid Resident Skills Evaluation Using the Integrated OSCE." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6934.

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Poerio, Loretta. "An evaluation of police training in handling domestic violence situations." Title page, contents and abstract only, 1991. http://web4.library.adelaide.edu.au/theses/09PM/09pmp745.pdf.

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Hammed, Shaza Mohammed Abo'Ouf. "An evaluation of family engagement with a family-based paediatric obesity intervention programme." Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/8541/.

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Kligler, Benjamin, Mary Koithan, Victoria Maizes, Meg Hayes, Craig Schneider, Patricia Lebensohn, and Susan Hadley. "Competency-based evaluation tools for integrative medicine training in family medicine residency: a pilot study." BioMed Central, 2007. http://hdl.handle.net/10150/610034.

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BACKGROUND:As more integrative medicine educational content is integrated into conventional family medicine teaching, the need for effective evaluation strategies grows. Through the Integrative Family Medicine program, a six site pilot program of a four year residency training model combining integrative medicine and family medicine training, we have developed and tested a set of competency-based evaluation tools to assess residents' skills in integrative medicine history-taking and treatment planning. This paper presents the results from the implementation of direct observation and treatment plan evaluation tools, as well as the results of two Objective Structured Clinical Examinations (OSCEs) developed for the program.METHODS:The direct observation (DO) and treatment plan (TP) evaluation tools developed for the IFM program were implemented by faculty at each of the six sites during the PGY-4 year (n = 11 on DO and n = 8 on TP). The OSCE I was implemented first in 2005 (n = 6), revised and then implemented with a second class of IFM participants in 2006 (n = 7). OSCE II was implemented in fall 2005 with only one class of IFM participants (n = 6).Data from the initial implementation of these tools are described using descriptive statistics.RESULTS:Results from the implementation of these tools at the IFM sites suggest that we need more emphasis in our curriculum on incorporating spirituality into history-taking and treatment planning, and more training for IFM residents on effective assessment of readiness for change and strategies for delivering integrative medicine treatment recommendations. Focusing our OSCE assessment more narrowly on integrative medicine history-taking skills was much more effective in delineating strengths and weaknesses in our residents' performance than using the OSCE for both integrative and more basic communication competencies.CONCLUSION:As these tools are refined further they will be of value both in improving our teaching in the IFM program and as competency-based evaluation resources for the expanding number of family medicine residency programs incorporating integrative medicine into their curriculum. The next stages of work on these instruments will involve establishing inter-rater reliability and defining more clearly the specific behaviors which we believe establish competency in the integrative medicine skills defined for the program.
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Oz, Saba. "Usability Testing Of A Family Medicine Information System." Master's thesis, METU, 2012. http://etd.lib.metu.edu.tr/upload/12614716/index.pdf.

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Healthcare is an important part of life in most societies that attract a significant amount of public investment. Primary healthcare is a fundamental branch of the healthcare system where patients and doctors initially meet. Family Medicine Information Systems are developed in an effort to ease the daily work of family doctors with the help of information technology. Such systems are generally used for handling critical tasks such as managing health records of patients, monitoring pregnancy and keeping track of children&rsquo
s vaccination. Like any medical information technology, the usability of such systems is a vital concern for enabling efficient and effective primary healthcare operations. Family Medicine is a recently established practice in Turkey and there are a number of systems in service to aid the daily work of family doctors. However, none of these systems have been subjected to a systematic usability analysis. In this study, a usability analysis of a popular Family Medicine Information System used in Turkey is conducted. By combining several usability evaluation techniques, the study identified several important usability issues and provided recommendations for further improving the system. The main usability issue observed in the system was the overall complexity of the information presented at the main interface that often confused and misled the users. In order to address this problem, it is suggested that features related to the most frequent family medicine operations should be placed on the main screen, whereas remaining features should be organized under auxiliary pages with clear navigation aids.
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Sprivulis, Peter Carl. "Evaluation of the prehospital utilisation of the Australasian Triage Scale." University of Western Australia. Emergency Medicine Discipline Group, 2004. http://theses.library.uwa.edu.au/adt-WU2004.0055.

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[Truncated abstract] Background : Triage systems have evolved from battlefield casualty prioritisation tools to integral components of civilian emergency care systems over the last 50 years. There is significant variation in prehospital triage practices in Australia and little research has been undertaken to validate the triage systems used. There is considerable evidence to support the use of the Australasian Triage Scale (ATS) for triage in the emergency department setting and the ATS is used ubiquitously for emergency department triage in Australasia ... Conclusions : The findings of this thesis support integrating prehospital ATS allocations with emergency department triage processes. It is concluded that Paramedics apply the ATS similarly to nurses ... Allocations to ATS 1, 2 and 3 and most ATS 4 allocations by paramedics are valid when compared to nurse ATS allocations. Australasian Triage Scale category 5 is used inappropriately by paramedics and should be used rarely, if at all, by paramedics. The reliability of paramedic and nurse ATS allocations is sufficient to warrant a trial of the omission of retriage of ambulance presentations at Perth metropolitan emergency departments. However, early nursing assessment of a small proportion of ATS 3 patients may be required to ensure timely assessment for some mistriaged bone fide ATS 2 patients. Paramedic ATS allocations appear sufficiently reliable and valid to warrant a trial of their use as part of a two-tier trauma team activation system ... The implementation of standardised training between paramedics and nurses based on current Australasian College for Emergency Medicine guidelines is recommended. The implementation of paramedic triage audit, including comparison of paramedic ATS allocations with nurse ATS allocations may improve reliability between paramedics and nurses, and particularly the reliability of ATS 4 and ATS 5 allocations. Prehospital ATS allocations may prove useful in prehospital casemix analysis, the evaluation of prehospital service delivery and for prehospital research. Research opportunities include actual trials of the integration of prehospital use of ATS with emergency department triage and trauma system activation, and the evaluation of the ATS as a prehospital casemix and performance evaluation tool. Research into alternative triage tools to the ATS for use in the prehospital environment and into the impact of standardised triage training is also suggested.
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Shepherdson, Robyn, Jennifer Funderburk, Nadiya Sunderji, Nadiya Sunderji, and Jodi Polaha. "Program Evaluation Intensive: Practical Training in Selecting Measures and Data Collection Methods to Obtain Useful Outcome Data." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6546.

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Do you need help determining appropriate measures and feasible data collection methods for program evaluations within integrated primary care? In this 3-hour preconference workshop, leaders from CFHA’s Research & Evaluation Committee and Families, Systems, & Health journal will provide practical training in conducting rigorous program evaluations. This workshop will help you identify appropriate measures to answer your key questions as well as data collection methods that balance quality and feasibility. This workshop is designed for those who are planning, conducting, or revising a program evaluation, as attendees will apply the material to their own personal projects within interactive small groups.
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Lilly, C., S. Henderson, Jodi Polaha, and R. Weierbach. "Evaluation of a Blended Behavioral Telehealth Model in a Rural Health Clinic: A Patient and Provider Perspective." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6588.

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Books on the topic "Family medicine Australia Evaluation"

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Britt, Helena. BEACH: Bettering the evaluation and care of health : changes in pathology ordering by general practitioners in Australia,1998-2001. Canberra: Australian Institute of Health and Welfare, 2003.

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Britt, Helena. General practice activity in Australia 2008-09. Canberra: Australian Institute of Health and Welfare, and the University of Sydney, 2009.

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Tan, Lee. Family violence data collection: Review of practices in the Pilbara and Kimberley regions of Western Australia. South Hedland, WA: Hedland College Social Research Centre, 1996.

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Crombie, D. L. Practice activity analysis. London: Royal College of General Practitioners, 1988.

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Goroll, Allan H. Primary care medicine: Office evaluation and management of the adult patient. 2nd ed. Philadelphia: Lippincott, 1987.

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(Program), BEACH. General practice activity in the states and territories of Australia, 1998-2003. Canberra: Australian Institute of Health and Welfare, 2003.

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H, Goroll Allan, and Mulley Albert G, eds. Primary care medicine: Office evaluation and management of the adult patient. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2009.

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H, Goroll Allan, May Lawrence A, Mulley Albert G, and Goroll Allan H, eds. Primary care medicine: Office evaluation and management of the adult patient. 3rd ed. Philadelphia: Lippincott, 1995.

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Primary care medicine: Office evaluation and management of the adult patient. 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2000.

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Britt, Helena. BEACH: Bettering the evaluation and care of health : a study of general practice activity. Canberra: Australian Institute of Health and Welfare, 1999.

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Book chapters on the topic "Family medicine Australia Evaluation"

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Lyons, Paul, and Nathan McLaughlin. "Newborn Evaluation." In Obstetrics in Family Medicine, 219–24. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39888-0_31.

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Lyons, Paul. "Newborn Evaluation." In Obstetrics in Family Medicine, 195–98. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20077-4_29.

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Wilson-Evered, Elisabeth, and John Zeleznikow. "Case Study: The Development and Evaluation of Relationship Australia Queensland’s Online Family Dispute Resolution System." In Law, Governance and Technology Series, 63–88. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64645-5_4.

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"Preparticipation Evaluation." In Swanson's Family Medicine Review: A Problem-Oriented Approach, 841–44. Elsevier, 2013. http://dx.doi.org/10.1016/b978-1-4557-0790-4.00161-x.

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"pology) should help the student acquire a holistic approach to health and disease and to recognize the interrelationships of cultural, social, psychologi-cal, and environmental factors with the psysiological and biochemical pro-cesses of the body" (Willard Report, 1966, p. 27). Evaluation of the Mandate The important potential role of sociology in the curriculum of the family physician programs has been endorsed repeatedly before, during, and since the publication of the above-mentioned blue-ribbon commission reports (Silver, 1963, p. 74-77; GP, 1966, p. 225-246; Harrell, 1970, p. 61-64). That potential role has been greatly enhanced by the passage of the Health Educa-tion and Manpower Act in 1976, which mandated that by 1980, 50% of all medical students graduating from medical school should be entering residen-cies in the three designated primary care specialties—internal medicine, pediatrics, and family practice. An additional aspect of this act was the allocation of some $40,000,000 for the expansion and improvement of existing family medicine residencies and for the creation of additional resi-dency programs. The question at hand—almost 12 years after these recommendations were submitted to medical educators-is whether a new breed of physicians is being produced by training in family medicine. Is there a new type of physi-cian who is "aware not only of his patient's physicial illness, but also of interrelations of family members and of family and community and socio-economic factors affecting the health of family members?" (Silver, 1965, p. 188-189). There are clearly two elements that must be distinguished in evaluating this mandate to train family physicians—one quantitative and the other qualitative. As far as quantitative changes in the attention paid to training family physicians, there can be no doubt that significant shifts have occurred in the past decade. In 1967, there were only three family medicine training programs in the United States, at the Universities of Miami (Florida), Roches-ter, and Oklahoma. By 1970 there were 49 programs, in 1975 there were 233, and in 1977 there were well over 300. In 1970 family practice became a." In Family Medicine, 126–32. Routledge, 2014. http://dx.doi.org/10.4324/9781315060781-22.

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Baglin, Trevor. "Evaluation of the patient with a bleeding tendency." In Oxford Textbook of Medicine, edited by Chris Hatton and Deborah Hay, 5509–20. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198746690.003.0544.

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An apparent bleeding tendency is a common clinical problem, with presentation varying from acute unexpected bleeding during or immediately after surgery or dental extraction, to spontaneous unusual or excessive bruising, purpura, epistaxis, or a chronic haemorrhagic tendency. Long-standing bleeding symptoms suggest a lifelong condition, whereas recent-onset bleeding suggests an acquired disorder. If a bleeding disorder has been diagnosed and characterized in another family member, then the cause of bleeding may be easily identified, but the absence of a family history does not exclude a heritable disorder. The commonest cause of an acquired bleeding disorder is antithrombotic therapy. Investigations for bleeding disorder include full blood count and film (severe bleeding rarely occurs in the absence of trauma with a platelet count of more than 20 to 30 × 109/litre), prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen level, reptilase time (useful for determining if a prolonged APTT is due to heparin), individual factor assays, mixing studies (can indicate if prolongation of PT or APTT is likely due to a factor deficiency or an inhibitor), platelet function analysis, and (rarely) bleeding time. Aside from general supportive care, specific therapy can be given when a defined haemostatic abnormality is identified. Drugs that cause bleeding should be stopped. Overanticoagulation due to a vitamin K antagonist can be reversed with vitamin K and/or prothrombin complex concentrate; dabigatran and be reversed with idarucizumab; it will soon be possible to reverse factor Xa-inhibitors (e.g. with andexanet alfa). Vitamin K should also be given to critically ill patients and those with liver disease. Early and sufficient blood product support should be given to those with massive blood loss and/or dilutional coagulopathy.
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Hee, Wenqi Jacintha, Geoffrey Jalleh, Hung-Chih Lai, and Chad Lin. "E-Commerce and IT Projects." In Hospital Management and Emergency Medicine, 454–80. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch023.

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Hospitals and healthcare organizations are facing an increasingly competitive business environment which demands the efficient use and appropriate evaluation of their tangible and intangible resources and competencies in order to continuously improve their organizational performance. The management of e-commerce/IT outsourcing is a crucial management issue for hospitals and healthcare organizations in recent years since only a small proportion of these organizations have reaped the expected benefits from their outsourcing projects. Therefore, the main objective of this article is to better understand the investment evaluation and benefits realization practices and processes of Australian and Taiwanese hospitals that have outsourced their e-commerce/IT systems. This article provides the opportunity to examine outsourcing practices of a highly developed economy (Australia) and a newly industrialized economy (Taiwan). Some e-commerce/IT outsourcing issues and challenges confronted by hospitals in Australia and Taiwan will be identified, discussed and presented. The findings of this study will assist hospitals and other healthcare organizations to formulate appropriate strategies to better handle the potential issues and challenges in undertaking e-commerce/IT outsourcing projects.
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Jee Ha, Seul, Sridhar Reddy Patlolla, and Thomas Robert Wojda. "Emotional Intelligence and Leadership Development: Implications for Family Medicine Residency Programs." In Medical Education for the 21st Century [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.99463.

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High-level emotional Intelligence (EI) and leadership skills are crucial for physicians to prioritize responsibilities and successfully interact with numerous stakeholders in an every-increasingly complex healthcare system. Although recent research has shown an association between emotional intelligence and leadership, few studies have examined this relationship among family and primary care physicians. Family physicians play an essential role in the evaluation and treatment of illnesses as well as health and wellness promotion. These providers are often the first point of contact with the patient and the use of emotional intelligence and development of leadership abilities of primary care physicians are vital to the maintenance, sustainability, and optimization of a medical organization. Furthermore, high- level emotional intelligence and sharpened leadership skills may aid the patient-provider relationship and dealings with coworkers. This chapter explores key themes of EI and physician leadership as it pertains to Family Medicine Residency.
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Pruthi, Rajiv K. "Bleeding Disorders." In Mayo Clinic Internal Medicine Board Review, edited by Christopher M. Wittich, Thomas J. Beckman, Sara L. Bonnes, Nina M. Schwenk, Jason H. Szostek, Nerissa M. Collins, and Christopher R. Stephenson, 449–60. 12th ed. Oxford University PressNew York, 2019. http://dx.doi.org/10.1093/med/9780190938369.003.0040.

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Abstract Bleeding disorders consist of clotting factor deficiencies or inhibitors, vascular bleeding disorders, and platelet disorders (quantitative and qualitative). Each of these is broadly classified into congenital disorders and acquired disorders. The best screening tool to evaluate for a bleeding disorder is a thorough clinical evaluation (personal and family bleeding history and physical examination). The presence of a bleeding disorder may be suggested from inquiry into the presence and age at onset of spontaneous bleeding (eg, epistaxis, easy bruising, or joint bleeding), unusual or unexpected posttraumatic or surgical bleeding (including from dental extractions), and family history. A thorough clinical evaluation should also include review of medications and coexisting medical problems to identify clinical risk factors for bleeding.
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MacDonald, Colla J., Martha McKeen, Donna Leith-Gudbranson, Madeleine Montpetit, Douglas Archibald, Christine Rivet, Rebecca Hogue, and Mike Hirsh. "University of Ottawa Department of Family Medicine Faculty Development Curriculum Framework." In Enterprise Resource Planning, 700–717. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-4153-2.ch042.

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In response to the challenges faced by rapid expansion and curriculum reform, the Department of Family Medicine (DFM) at the University of Ottawa (U of O) developed a Faculty Development Conceptual Framework (FDCF) and companion plan as a first step toward meeting the challenges of providing quality opportunities for the continuing professional development of preceptors in Family Medicine. The FDCF outlines the processes, opportunities and support structures needed to improve preceptors’ teaching skills and effectively deliver a newly revised “Triple C” competency-based curriculum. The FDCF acts as a quality standard to guide the design, delivery, and evaluation of a vibrant Faculty Development (FD) Program. It further provides a structure for implementing Enterprise Resource Planning (ERP) web applications to facilitate the flow of information between seven teaching sites, provide consistency among programs, and play a tactical role in the sharing of academic resources. This chapter introduces the DFM’s FDCF so other medical departments may benefit from the authors’ experiences and adapt or adopt the framework applications and methodologies to improve the effectiveness and efficiency of FD products and processes. Modifications to the framework are expected as this program continues to evolve.
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Conference papers on the topic "Family medicine Australia Evaluation"

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Bulc, Mateja. "19 Guidelines and mindlines in family medicine." In Preventing Overdiagnosis Abstracts, December 2019, Sydney, Australia. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjebm-2019-pod.125.

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Conde, Margarida Gil, Raquel Carmona Ramos, Ana Oliveira Rente, Carina Xavier Afonso, Cristina Jesus Henriques, and Rita Grossinho Reis. "68 Evalutation of prescription of blood tests in family medicine in portugal according to evidence based medicine." In Preventing Overdiagnosis Abstracts, December 2019, Sydney, Australia. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjebm-2019-pod.80.

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Conde, Margarida Gil, Raquel Carmona Ramos, Ana Rente, Carina Afonso, Cristina Jesus Henriques, and Rita Grossinho Reist. "1 Prescribing ‘routine’ blood tests in family medicine -a cross-sectional study based on the portuguese practice-." In Preventing Overdiagnosis Abstracts, December 2019, Sydney, Australia. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjebm-2019-pod.107.

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Spindler, Alexandrea, Daniela Uribe-Cano, and Brianna Berti. "Evaluation of durable medical equipment acquisition in a family medicine residency clinic." In NAPCRG 49th Annual Meeting — Abstracts of Completed Research 2021. American Academy of Family Physicians, 2022. http://dx.doi.org/10.1370/afm.20.s1.3165.

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Martin, Mary, Karen Schultz, Nancy Dalgarno, Sarah LeBlanc, and Susan MacDonald. "Development and evaluation of learning objectives for a medical assistance in dying curriculum for family medicine residency." In NAPCRG 49th Annual Meeting — Abstracts of Completed Research 2021. American Academy of Family Physicians, 2022. http://dx.doi.org/10.1370/afm.20.s1.2923.

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Mossmann, Joao Batista, Rafael Rieder, Cecilia Dias Flores, and Marcio Sarroglia Pinho. "Project and Preliminary Evaluation of VR-MED, a Domain-Specific Language for Serious Games in Family Medicine Teaching." In 2016 IEEE 40th Annual Computer Software and Applications Conference (COMPSAC). IEEE, 2016. http://dx.doi.org/10.1109/compsac.2016.171.

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Penman, Joy, and Kerre A Willsher. "New Horizons for Immigrant Nurses Through a Mental Health Self-Management Program: A Pre- and Post-Test Mixed-Method Approach." In InSITE 2021: Informing Science + IT Education Conferences. Informing Science Institute, 2021. http://dx.doi.org/10.28945/4759.

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Aim/Purpose: This research paper reports on the evaluation of a mental health self-management program provided to immigrant nurses working at various rural South Australian aged care services. Background: The residential aged care staffing crisis is severe in rural areas. To improve immigrant nurses’ employment experiences, a mental health self-management program was developed and conducted in rural and regional health care services in South Australia. Methodology: A mixed approach of pre- and post-surveys and post workshop focus groups was utilized with the objectives of exploring the experiences of 25 immigrant nurses and the impact of the mental health program. Feminist standpoint theory was used to interpret the qualitative data. Contribution: A new learning environment was created for immigrant nurses to learn about the theory and practice of maintaining and promoting mental health. Findings: Statistical tests showed a marked difference in responses before and after the intervention, especially regarding knowledge of mental health. The results of this study indicated that a change in thinking was triggered, followed by a change in behaviour enabling participants to undertake self-management strategies. Recommendations for Practitioners: Include expanding the workshops to cover more health care practitioners. Recommendations for Researchers: Feminist researchers must actively listen and examine their own beliefs and those of others to create knowledge. Extending the program to metropolitan areas and examining differences in data. E technology such as zoom, skype or virtual classrooms could be used. Impact on Society: The new awareness and knowledge would be beneficial in the family and community because issues at work can impact on the ability to care for the family, and there are often problems around family separation. Future Research: Extending the research to include men and staff of metropolitan aged care facilities.
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Devaux, Franck. "Commentaire sur l’observation du travail d’un Comité d’éthique pédiatrique, un jeu de miroirs avec l’humain en son centre." In 2ème Colloque International de Recherche et Action sur l’Intégrité Académique. « Les nouvelles frontières de l’intégrité ». IRAFPA, 2022. http://dx.doi.org/10.56240/cmb9931.

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In Belgium, the Queen Fabiola Children’s University Hospital is the only hospital entirely dedicated to children and their families. In fact, its ethics committee is also the only one that deploys such a degree of paediatrics specializations. Its interdisciplinary composition is fully focused on the question of the child and his family, from gestation to the transition to adult medicine. Therefore, the challenge of its work is to be part of a global support framework promoting specifically the absolute centricity of the human person as a vector of scientific integrity. To this end, it has developed reference tools serving as a common framework for its coordination, evaluation and consultation work by including them in checklists, training and communications, and for the referenced justifications of its criticisms, remarks, questions. and recommendations.
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Reports on the topic "Family medicine Australia Evaluation"

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Leavy, Michelle B., Danielle Cooke, Sarah Hajjar, Erik Bikelman, Bailey Egan, Diana Clarke, Debbie Gibson, Barbara Casanova, and Richard Gliklich. Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Report on Registry Configuration. Agency for Healthcare Research and Quality (AHRQ), November 2020. http://dx.doi.org/10.23970/ahrqepcregistryoutcome.

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Background: Major depressive disorder is a common mental disorder. Many pressing questions regarding depression treatment and outcomes exist, and new, efficient research approaches are necessary to address them. The primary objective of this project is to demonstrate the feasibility and value of capturing the harmonized depression outcome measures in the clinical workflow and submitting these data to different registries. Secondary objectives include demonstrating the feasibility of using these data for patient-centered outcomes research and developing a toolkit to support registries interested in sharing data with external researchers. Methods: The harmonized outcome measures for depression were developed through a multi-stakeholder, consensus-based process supported by AHRQ. For this implementation effort, the PRIME Registry, sponsored by the American Board of Family Medicine, and PsychPRO, sponsored by the American Psychiatric Association, each recruited 10 pilot sites from existing registry sites, added the harmonized measures to the registry platform, and submitted the project for institutional review board review Results: The process of preparing each registry to calculate the harmonized measures produced three major findings. First, some clarifications were necessary to make the harmonized definitions operational. Second, some data necessary for the measures are not routinely captured in structured form (e.g., PHQ-9 item 9, adverse events, suicide ideation and behavior, and mortality data). Finally, capture of the PHQ-9 requires operational and technical modifications. The next phase of this project will focus collection of the baseline and follow-up PHQ-9s, as well as other supporting clinical documentation. In parallel to the data collection process, the project team will examine the feasibility of using natural language processing to extract information on PHQ-9 scores, adverse events, and suicidal behaviors from unstructured data. Conclusion: This pilot project represents the first practical implementation of the harmonized outcome measures for depression. Initial results indicate that it is feasible to calculate the measures within the two patient registries, although some challenges were encountered related to the harmonized definition specifications, the availability of the necessary data, and the clinical workflow for collecting the PHQ-9. The ongoing data collection period, combined with an evaluation of the utility of natural language processing for these measures, will produce more information about the practical challenges, value, and burden of using the harmonized measures in the primary care and mental health setting. These findings will be useful to inform future implementations of the harmonized depression outcome measures.
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