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Artykuły w czasopismach na temat "Public health – Research – Australia"
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Kavanagh, Anne. "Disability and public health research in Australia". Australian and New Zealand Journal of Public Health 44, nr 4 (24.06.2020): 262–64. http://dx.doi.org/10.1111/1753-6405.13003.
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Hall, Jane. "Health services research in Australia". Australian Health Review 24, nr 3 (2001): 35. http://dx.doi.org/10.1071/ah010035.
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The long-awaited Wills Implementation Committee Report (CoA 2000), which was completed by Novemberlast year, has now been released. Wills' earlier Report (CoA 1998) identified the need for the development ofhealth services research capacity in Australia, and this new Report recommends how this should be done,through the establishment and support of several large multi-disciplinary centres. These should be based aroundhealth services, health policy, health economics, public health and clinical practice and these are required to givescientific leadership to Australia's efforts in priority-driven research. They are to be funded through NHMRC,with funds rising to $10m per annum.
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Keleher, Helen, i Virginia Hagger. "Health Literacy in Primary Health Care". Australian Journal of Primary Health 13, nr 2 (2007): 24. http://dx.doi.org/10.1071/py07020.
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Health literacy is fundamental if people are to successfully manage their own health. This requires a range of skills and knowledge about health and health care, including finding, understanding, interpreting and communicating health information, seeking of appropriate care and making critical health decisions. A primary health system that is appropriate and universally accessible requires an active agenda based on research of approaches to address low health literacy, while health care providers should be alert to the widespread problems of health literacy which span all age levels. This article reviews the progress made in Australia on health literacy in primary health care since health literacy was included in Australia's health goals and targets in the mid-1990s. A database search of published literature was conducted to identify existing examples of health literacy programs in Australia. Considerable work has been done on mental health literacy, and research into chronic disease self-management with CALD communities, which includes health literacy, is under way. However, the lack of breadth in research has led to a knowledge base that is patchy. The few Australian studies located on health literacy research together with the data about general literacy in Australia suggests the need for much more work to be done to increase our knowledge base about health literacy, in order to develop appropriate resources and tools to manage low health literacy in primary health settings.
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Carroll, Tom E., i Laurie Van Veen. "Public Health Social Marketing: The Immunise Australia Program". Social Marketing Quarterly 8, nr 1 (marzec 2002): 55–61. http://dx.doi.org/10.1080/15245000212542.
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The case study presented here represents the application of social marketing theory and practice to increase the levels of full age-appropriate childhood immunization as part of the Immunise Australia Program. In 1995, an Australian Bureau of Statistics survey found that only 33% of Australian children up to 6 years of age were fully immunized according to the schedule being recommended at the time, and 52% were assessed as being fully immunized according to the previous schedule (ABS, 1996). In response to this situation, the Australian Government formulated the Immunise Australia Program. This program comprised a number of initiatives, including: ▪ improvements to immunization practice and service delivery; ▪ establishment of a National Centre for Immunisation Research and Surveillance; ▪ negotiation with State and Territory Governments to introduce requirements for immunization prior to commencing school; ▪ financial incentives for doctors and parents/guardians; ▪ a national childhood immunization education campaign; and ▪ a specific Measles Control Campaign. While recognizing the key role played by structural and policy reform within the formulation and implementation of a social marketing strategy, this article focuses primarily on the community education components of this program.
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Adily, Armita, Deborah Black, Ian D. Graham i Jeanette E. Ward. "Research engagement and outcomes in public health and health services research in Australia". Australian and New Zealand Journal of Public Health 33, nr 3 (czerwiec 2009): 258–61. http://dx.doi.org/10.1111/j.1753-6405.2009.00385.x.
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Sung, Billy, Ian Phau, Isaac Cheah i Kevin Teah. "Critical success factors of public health sponsorship in Australia". Health Promotion International 35, nr 1 (17.12.2018): 42–49. http://dx.doi.org/10.1093/heapro/day107.
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Abstract Public health sponsorship is a unique phenomenon in Australia. The current research examines the critical success factors of Western Australian Health Promotion Foundation’s (Healthway) sponsorship program, Australia’s largest public health sponsorship program. Using stakeholder interviews and expert observational studies, two studies present five key success factors: (i) effective segmentation and targeting of health messages; (ii) collaboration between Healthway and partnering organization to leverage sponsored events; (iii) displacement of unhealth sponsorship; (iv) use of leveraging strategies to raise awareness of health messages; and (v) environmental changes that facilitate behavioural change. The current research provides insights into how and why sponsorship is an effective public health promotion tool.
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Karim, Shakir, i Ergun Gide. "The use of interactive mobile technology to improve the quality of health care services in private and public hospitals in Australia". Global Journal of Information Technology: Emerging Technologies 8, nr 3 (29.12.2018): 134–45. http://dx.doi.org/10.18844/gjit.v8i3.4054.
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The research questions, ‘As an Australian, can we expect fully mobile technology integrated health care services in Australia? Is it possible everywhere in Australia’? A healthcare system whether private or public should provide comprehensive health care services all over in Australia, including countryside and CBD. The term ‘Mobile Technology integrated health care’ refers to a healthcare system designed for electronic and smart devices which can be used anytime and anywhere in the world. This research paper examines ‘how patients can access GPs, specialists, private and public hospitals in Australia’, which provide interactive mobile technology-based health services. The research has mainly used secondary research data analysis and methods to provide a broad investigation of the issues relevant to interactive mobile technology and health care system in Australia, the problems, problem factors, benefits and opportunities in the health care industry. Finally, the mobile technology integrated health care system will ensure that the framework is user and environmentally friendly. Keywords: Interactive mobile technology, quality, health care, services, hospitals, Australia.
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Luu, Xuan, Kate Dundas i Erica L. James. "Opportunities and Challenges for Undergraduate Public Health Education in Australia and New Zealand". Pedagogy in Health Promotion 5, nr 3 (27.08.2019): 199–207. http://dx.doi.org/10.1177/2373379919861399.
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The international emergence of undergraduate education in public health has transformed the public health education landscape. While this shift is clearest and most widely evaluated in the United States, efforts in other parts of the world—such as Australasia—have not kept pace. This article aims to redress the evidence gap by identifying and discussing the different approaches through which Australian and New Zealand universities deliver public health education at the undergraduate level. A content analysis was conducted of online handbook information published by 47 universities across Australia and New Zealand, to gauge the various ways in which these universities implement undergraduate public health education. Each offering identified was assigned to one of four predetermined categories. Of the 47 universities, 45 were found to offer some form of undergraduate coursework in public health. Offerings took primarily the form of single subjects. Less commonly implemented were specializations ( n = 20), stand-alone undergraduate degrees ( n = 11), and double degree combinations ( n = 6). This breadth of activity highlights the need for renewed efforts in evaluating undergraduate public health education across the region. Further research is recommended into three areas: (1) emerging best practices in curriculum development and implementation, (2) explorations of public health accreditation in the region, and (3) the outcomes achieved by students and graduates of undergraduate public health degrees across Australia and New Zealand. These efforts will ultimately strengthen the operationalization and contribution of this education in helping shape the future public health workforce in Australasia.
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O'Dwyer, Lisel A., i Deborah L. Burton. "Potential meets reality: GIS and public health research in Australia". Australian and New Zealand Journal of Public Health 22, nr 7 (grudzień 1998): 819–23. http://dx.doi.org/10.1111/j.1467-842x.1998.tb01500.x.
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Shea, B. J. "THE FUTURE OF HEALTH RESEARCH IN AUSTRALIA". Community Health Studies 8, nr 1 (12.02.2010): 101–9. http://dx.doi.org/10.1111/j.1753-6405.1984.tb00432.x.
Pełny tekst źródłaRozprawy doktorskie na temat "Public health – Research – Australia"
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Leon, de la Barra Sophia. "Building research capacity for indigenous health : a case study of the National Health and Medical Research Council : the evolution and impact of policy and capacity building strategies for indigenous health research over a decade from 1996 to 2006". Thesis, The University of Sydney, 2007. http://hdl.handle.net/2123/3538.
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As Australia’s leading agency for funding health research (expending over $400 million in 2006), the National Health and Medical Research Council (NHMRC) has a major responsibility to improve the evidence base for health policy and practice. There is an urgent need for better evidence to guide policy and programs that improve the health of Indigenous peoples. In 2002, NHMRC endorsed a series of landmark policy changes to acknowledge its ongoing role and responsibilities in Indigenous health research—adopting a strategic Road Map for research, improving Indigenous representation across NHMRC Council and Principal Committees, and committing 5% of its annual budget to Indigenous health research. This thesis examines how these policies evolved, the extent to which they have been implemented, and their impact on agency expenditure in relation to People Support. Additionally, this thesis describes the impact of NHMRC policies in reshaping research practices among Indigenous populations.
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Leon, de la Barra Sophia. "Building research capacity for indigenous health : a case study of the National Health and Medical Research Council : the evolution and impact of policy and capacity building strategies for indigenous health research over a decade from 1996 to 2006". University of Sydney, 2007. http://hdl.handle.net/2123/3538.
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Master of PhilosophyAs Australia’s leading agency for funding health research (expending over $400 million in 2006), the National Health and Medical Research Council (NHMRC) has a major responsibility to improve the evidence base for health policy and practice. There is an urgent need for better evidence to guide policy and programs that improve the health of Indigenous peoples. In 2002, NHMRC endorsed a series of landmark policy changes to acknowledge its ongoing role and responsibilities in Indigenous health research—adopting a strategic Road Map for research, improving Indigenous representation across NHMRC Council and Principal Committees, and committing 5% of its annual budget to Indigenous health research. This thesis examines how these policies evolved, the extent to which they have been implemented, and their impact on agency expenditure in relation to People Support. Additionally, this thesis describes the impact of NHMRC policies in reshaping research practices among Indigenous populations.
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O'Grady, Kerry-Ann. "Pneumonia in Indigenous children in the Northern Territory, Australia, and the effectiveness of pneumococcal conjugate vaccine : 1997 - 2005". Thesis, University of Melbourne, 2008. http://purl.org/au-research/grants/nhmrc/359341.
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Li, Vincy. "Health promotion in Australia: An empirical study into the approaches adopted and evidence used by practitioners in their practice". Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/18849.
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Background: Health promotion is commonly defined as “the process of enabling people to increase control over, and to improve, their health”. This definition was originally found in the Ottawa Charter, which was written in 1986 and has been widely considered to be the founding document for health promotion practice. The existing health promotion literature suggests that practitioners have strong commitments to the values and principles presented in the Ottawa Charter and other iconic documents, but their practice contexts may not support the translation and implementation of those values and principles. We currently lack an empirical understanding of how the values and principles underpinning health promotion are conceptualised by practitioners and translated into practice. Methods: A qualitative study was conducted with health promotion practitioners in New South Wales, Australia. 58 semi-structured interviews and 250 hours of participant and non-participant observation were conducted with 54 practitioners. Interviews were recorded and transcribed, and field notes were written during the observations; these were analysed thematically. Results: Health promotion practitioners were committed to improving people’s health effectively and fairly and, to achieve this, worked iteratively between providing people with opportunities for healthy living and enabling them to use the opportunities available to them, concentrating on disadvantaged communities. Practitioners were also committed to evidence-based practice and used different types of evidence for different practical and strategic purposes. Their ideal evidence met both substantive and procedural criteria for evaluating evidence and was primarily generated by practitioners because they found it to be the most useful and relevant to their practice. However, this evidence was lacking in the current evidence base and was not often valued by the system they worked in. Conclusion: This thesis describes practitioners’ conceptualisation of health promotion and how it is translated into their day-to-day practice. It also clarifies the way evidence is valued and used by practitioners, and offers an empirically-based contribution to the ongoing discussions on what and how evidence should be used to guide health promotion practice.
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Hallam, Adrienne Louise, i n/a. "Globalisation, Human Genomic Research and the Shaping of Health: An Australian Perspective". Griffith University. School of Science, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040812.114745.
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This thesis examines one of the premier "big science" projects of the contemporary era - the globalised genetic mapping and sequencing initiative known as the Human Genome Project (HGP), and how Australia has responded to it. The study focuses on the relationship between the HGP, the biomedical model of health, and globalisation. It seeks to examine the ways in which the HGP shapes ways of thinking about health; the influence globalisation has on this process; and the implications of this for smaller nations such as Australia. Adopting a critical perspective grounded in political economy, the study provides a largely structuralist analysis of the emergent health context of the HGP. This perspective, which embraces an insightful nexus drawn from the literature on biomedicine, globalisation and the HGP, offers much utility by which to explore the basis of biomedical dominance, in particular, whether it is biomedicine's links to the capitalist infrastructure, or its inherent efficacy and efficiency, that sustains the biomedical paradigm over "other" or non-biomedical health approaches. Additionally, the perspective allows for an assessment of whether there should be some broadening of the way health is conceptualised and delivered to better account for social, economic, and environmental factors that affect living standards and health outcomes, and also the capacity of globalisation to promote such change. These issues are at the core of the study and provide the theoretical frame to examine the processes by which Australian policy makers have given an increasing level of support to human genomic research over the past decade and also the implications of those discrete policy choices. Overall, the study found that globalisation is renewing and extending the dominance of the biomedical model, which will further marginalise other models of health while potentially consuming greater resources for fewer real health outcomes. While the emerging genomic revolution in health care may lead to some wondrous innovations in the coming decades, it is also highly likely to exacerbate the problems of escalating costs and diminishing returns that characterise health care systems in industrialised countries, and to lead to greater health inequities both within and between societies. The Australian Government has chosen to underwrite human genomic research and development. However, Australia's response to the HGP has involved both convergences and variations from the experiences of more powerful industrial nations. The most significant divergence has been in industry and science policy, where until the mid-1990s, the Australian Government displayed no significant interest in providing dedicated research funding, facilities, or enabling agencies to the emerging field. Driven by the threat of economic marginalisation and cultural irrelevance, however, a transformation occurred. Beginning with the Major National Research Facilities Program of the Department of Industry, Science and Technology, and then the landmark Health and Medical Research Strategic Review, support for human genomic research grew strongly. Comprehensive policy settings have recently been established to promote the innovation, commercialisation, promotion and uptake of the products of medical biotechnology and genomics. As such, local advocates of a broader model of health will be forced to compete on the political and economic stage with yet another powerful new area of biomedicine, and thus struggle to secure resources for perhaps more viable and sustainable approaches to health care in the 21st century.
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Parker, Lisa Michelle. "An empirical ethics analysis of breast cancer screening in Australia". Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/15596.
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Breast screening is controversial. Despite many supporters and a large evidence base, some experienced breast screening experts disagree with selected policies and practices. I sought to examine the reasoning of people who have influenced breast screening in Australia. I used an empirical ethics approach, combining empirical study with theoretical analysis. I interviewed Australians with expertise and influence in breast screening across a range of professional roles. I found that participants drew on values as well as evidence when talking and reasoning about breast screening. Participants expressed a range of interpretations and prioritisations for each value and experts’ disagreements were based, at least in part, on these differences. Experts did not always acknowledge the role of values in shaping their views or recognise different ways of conceptualising or prioritising values. I recommend including values in decision making for breast screening policy and practice. I provide guidance about formats for values based discussions. I conclude that values play an important but often unrecognised role in shaping breast screening policy and practice, and propose regular review of values to deliver breast screening in the most ethically sound manner.
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Webber, Kerry, i n/a. "The research and development of a health assessment program for secondary school students". University of Canberra. Education, 1986. http://erl.canberra.edu.au./public/adt-AUC20061110.113600.
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The Field Study reports on the research and development of a
Health Assessment Program (HAP) for secondary school
students over a period of three years in the ACT.
The 'original' HAP is described, and its early
implementation methods discussed. Changes are proposed and
trialled, and further refinements made, then trialled
again. Through this process a new HAP is developed. The
'Research and Development Cycle' (Borg and Gall 1983)
provides the theoretical framework for the planning of the
field study. (See 1.4).
The 'new' HAP exhibits the characteristics of an 'education'
program. The physical components have been developed to
enable them to be administered by the teachers who are
responsible for the organisation of the HAP in their school,
and health professionals are only used for those components
which require confidential counselling. This is in contrast
to the 'original' HAP which was organised and conducted by
health professionals.
The process by which the changes took place has determined
the quality of the new HAP. The developments have been
based on the views of the teachers who used the HAP, the
students who were tested, and the health professionals who
participated. The literature has also been used to provide
the direction for, and nature of, the changes. This process
has ensured a program which is highly suitable for use in
the school environment.
It is not envisaged that the HAP has reached its final stage
of development. Each school who uses the program is
encouraged to modify and adapt it to suit the needs of their
own teachers and students.
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Gibson, Brendan John Joseph, i brendan gibson@health gov au. "From Transfer to Transformation: Rethinking the Relationship between Research and Policy". The Australian National University. National Centre for Epidemiology and Population Health, 2004. http://thesis.anu.edu.au./public/adt-ANU20040528.165124.
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The most common and enduring explanation for the way research is used (or abused or not used) in policy is the two communities theory. According to this theory, the problematic relationship between research and policy is caused by the different cultures inhabited by policy makers and researchers. The most common and enduring types of strategies that are put forward to increase research use in policy involve bridging or linking these two communities. This study challenges this way of thinking about the relationship between research and policy. Four case studies of national public health policy in Australiabreast cancer screening, prostate cancer screening, needle and syringe programs in the community, and needle and syringe programs in prisonsare used to present the context, events, processes, research, and actors involved in policy making. Three theories are deployed to explore the relationship between research and policy in each of the cases individually and across the cases as a whole. These theories bring different determinants and dynamics of the relationship to light and each is at least partially successful in increasing our understanding of the relationship between research and policy. The Advocacy Coalition Framework (ACF) understands the relationship in terms of a power struggle between competing coalitions that use research as a political resource in the policy process. The Policy Making Organisation Framework (PMOF) understands the relationship in terms of institutional and political factors that determine the way data is selected or rejected from the policy process. The Governmentality Framework (GF) understands the relationship in terms of the Foucauldian construct of power/knowledge that is created through discourse, regimes of truth and regimes of practices found in public health policy and research. This study has found that in three of the four case studies, public health policy was strongly influenced by research, the exception being NSP in prisons. In all cases, however, it is not possible to construct a robust and coherent account of the policy process or the policy outcome without considering the multifaceted role of research. When these theories are explored at a more fundamental level they support the argument that when research influences policy it is transformed into knowledge-for-policy by being invested with meaning and power. This process of transformation occurs through social and political action that mobilises ideal structures (such as harm minimisation and the World Health Organisations principles for evaluating screening programs) and material structures (such as medical journals and government advisory bodies) to resolve meta-policy problems (such as how to define complex public health problems in a way that makes them amenable to empirical research and practical action). This study provides good evidence that the notion of research transfer between two communities is a flawed way of understanding the researchpolicy relationship. Rethinking the relationship between research and policy involves building an enhanced theoretical repertoire for understanding this complex social interaction. This step is essential to the success of future efforts to make public health policy that is effective, just and emancipatory. This study makes a contribution to this task.
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Walker, Beverly C. "An action research study of strategy implementation in a not-for-profit community organisation". Monash University, Dept. of Management, 2004. http://arrow.monash.edu.au/hdl/1959.1/5186.
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McCabe, Helen, i res cand@acu edu au. "The Ethical Implications of Incorporating Managed Care into the Australian Health Care Context". Australian Catholic University. School of Philosophy, 2004. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp48.29082005.
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AIMS Managed care is a market model of health care distribution, aspects of which are being incorporated into the Australian health care environment. Justifications for adopting managed care lie in purported claims to higher levels of efficiency and greater ‘consumer’ choice. The purpose of this research, then, is to determine the ethical implications of adapting this particular administrative model to Australia’s health care system. In general, it is intended to provide ethical guidance for health care administrators and policy-makers, health care practitioners, patients and the wider community. SCOPE Managed care emerges as a product of the contemporary, neo-liberal market with which it is inextricably linked. In order to understand the nature of this concept, then, this research necessarily includes a limited account of the nature of the market in which managed care is situated and disseminated. While a more detailed examination of the neo-liberal market is worthy of a thesis in itself, this project attends, less ambitiously, to two general concerns. Firstly, against a background of various histories of health care distribution, it assesses the market’s propensity for upholding the moral requirements of health care distributive decision-making. This aspect of the analysis is informed by a framework for health care morality the construction of which accompanies an inquiry into the moral nature of health care, including a deliberation about rights-claims to health care and the proper means of its distribution. Secondly, by way of offering a precautionary tale, it examines the organisational structures and regulations by which its expansionary ambitions are promoted and realised. CONCLUSIONS As a market solution to the problem of administering health care resources, the pursuit of cost-control, if not actual profit, becomes the primary objective of health care activity under managed care. Hence, the moral purposes of health care provision, as pursued within the therapeutic relationship and expressed through the social provision of health care, are displaced by the economic purposes of the ‘free’ market. Accordingly, the integrity of both health care practitioners and communities is corrupted. At the same time, it is demonstrated that the claims of managed care proponents to higher levels of efficiency are largely unfounded; indeed, under managed care, health care costs have continued to rise. At the same time, levels of access to health care have deteriorated. These adverse outcomes of managed care are borne, most particularly, by poorer members of communities. Further, contrary to the claims of its proponents, choice as to the availability and kinds of health care services is diminished. Moreover, the competitive market in which managed care is situated has given rise to a plethora of bankruptcies, mergers and alliances in the United States where the market is now characterised by oligopoly and monopoly providers. In this way, a viable market in health care is largely disproved. Nonetheless, when protected within a non-market context and subject to the requirements of justice, a limited number of managed care techniques can assist Australia’s efforts to conserve the resources of health care. However, any more robust adoption of this concept would be ethically indefensible.
Książki na temat "Public health – Research – Australia"
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Thomas, David. The beginnings of Aboriginal health research in Australia. Melbourne: VicHealth Koori Health Research & Community Development Unit, Centre for the Study of Health & Society, University of Melbourne, 2000.
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Humphery, Kim. Indigenous health & "western research". Melbourne: VicHealth Koori Health Research & Community Development Unit, Centre for the Study of Health & Society, University of Melbourne, 2000.
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1949-, Higginbotham Howard N., Albrecht Glenn i Connor Linda 1950-, red. Health social science: A transdisciplinary and complexity perspective. Oxford: Oxford University Press, 2001.
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Christopher, Reynolds. Public health law in Australia. Sydney: Federation Press, 1995.
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Lawson, James S. Public health Australia: An introduction. Wyd. 2. Sydney: McGraw-Hill, 2001.
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The people's health: Public health in Australia. Westport, Conn: Praeger, 2003.
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Looper, Michael De. International health: How Australia compares. Canberra: Australian Institute of Health and Welfare, 1998.
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Doing health policy in Australia. Crows Nest, N.S.W: Allen & Unwin, 2008.
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George, Janet. States of health: Health and illness in Australia. Wyd. 3. South Melbourne, Vic: Addison Wesley Longman, 1998.
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Yeboah, David A. Research methodologies in public health. Hauppauge, N.Y: Nova Science Publishers, 2010.
Znajdź pełny tekst źródłaCzęści książek na temat "Public health – Research – Australia"
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Barrett, Drue H., Leonard W. Ortmann, Natalie Brown, Barbara R. DeCausey, Carla Saenz i Angus Dawson. "Public Health Research". W Public Health Ethics Analysis, 285–318. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-23847-0_9.
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Huang, Wendy Y., Stephen H. Wong i Yang Gao. "Public Health". W Encyclopedia of Quality of Life and Well-Being Research, 5208–11. Dordrecht: Springer Netherlands, 2014. http://dx.doi.org/10.1007/978-94-007-0753-5_2321.
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Carpenter, P. F. "Going Patient, Going Public". W Health Systems Research, 141–48. Berlin, Heidelberg: Springer Berlin Heidelberg, 1989. http://dx.doi.org/10.1007/978-3-642-74272-9_18.
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Evans, Neus, Michelle Lasen i Komla Tsey. "Research Method". W SpringerBriefs in Public Health, 7–18. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-17284-2_2.
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Goisis, Gianandrea, i Paola Parravicini. "Restraining Public Health Expenditure". W Operations Research Proceedings, 398–402. Berlin, Heidelberg: Springer Berlin Heidelberg, 1997. http://dx.doi.org/10.1007/978-3-642-60744-8_71.
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Watterson, Andrew, i Jenny Watterson. "Public Health Research Tools". W Public Health in Practice, 24–51. London: Macmillan Education UK, 2003. http://dx.doi.org/10.1007/978-0-230-21421-7_2.
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Drame, Imbi, Nkem P. Nonyel i Maya Harris. "Public Health Research Ethics". W Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy, 1–9. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-50247-8_74-1.
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Whiteside, Mary, Komla Tsey, Yvonne Cadet-James i Janya McCalman. "The Research Approach". W SpringerBriefs in Public Health, 7–11. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-04618-1_2.
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Schwarzwald, Heidi, Elizabeth Montgomery Collins, Susan Gillespie i Adiaha I. A. Spinks-Franklin. "Future Research Topics". W SpringerBriefs in Public Health, 75–77. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-13491-8_8.
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Rassia, Stamatina Th. "Research Data Collection". W SpringerBriefs in Public Health, 33–39. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-53444-2_6.
Pełny tekst źródłaStreszczenia konferencji na temat "Public health – Research – Australia"
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Chiu, Vivian, Kaitlyn Harper i Janni Leung. "Trends and Associates of Non-Medical Prescription Opioid Use in Australia". W The 3rd International Electronic Conference on Environmental Research and Public Health —Public Health Issues in the Context of the COVID-19 Pandemic. Basel, Switzerland: MDPI, 2021. http://dx.doi.org/10.3390/ecerph-3-09071.
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Putra, Sinar Perdana, Yulia Lanti Retno Dewi i RB Soemanto RB. Soemanto. "The Effectiveness of Web-Based Health Promotion Intervention on Fruits Consumption in Children in America, Australia, And Europe". W The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.47.
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Background: Internet-based interventions for multiple health behavior appear to be promising in changing unhealthy behaviour, such as low fruits consumption in adolescents. In addition, the use of internet technology is particularly relevant to children and adolescents, who are the major users of such technology. This study aimed to examine the effectiveness of web-based health promotion intervention on fruits consumption in children in America, Australia, and Europe. Subjects and Method: This was a meta-analysis and systematic review. The study was conducted by collect the published articles from PubMed, Science Direct, Research Gate, and Google Scholar electronic databases, from 2013 to 2020. The inclusion criteria were full text, randomized controlled trial (RCT), and web-based health promotion intervention. The study subject was children aged 2-6 years. The study outcome was fruits consumption. The articles were analyzed by PRISMA flow chart and Revman 5.3 program. Results: 6 articles had high heterogeneity between experiment groups (I2= 96%; p<0.001). Therefore, this study used random effect model (REM). Web-based health promotion intervention increased fruits consumption behavior 0.64 times in children (Mean Difference= 0.64; 95% CI= 0.07 to 1.20; p= 0.030). Conclusion: Web-based health promotion intervention increases fruits consumption behavior. Keywords: web-based health promotion intervention, fruit intake Correspondence: Sinar Perdana Putra. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: perdanasinarp@gmail.com. Mobile : +6285727777227. DOI: https://doi.org/10.26911/the7thicph.02.47
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O'Hara, Lily, i Jane Taylo. "The Impact of the Red Lotus Critical Health Promotion Model on Graduates’ Health Promotion Practice". W Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0110.
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The Red Lotus Critical Health Promotion Model (RLCHPM) is used in health promotion teaching, research and practice in multiple countries. The model is designed to support critical health promotion as a public health practice, and responds to calls to move practice away from biomedical-behavioural approaches to health promotion. The RLCHPM includes of a system of values and principles for critical practice including health equity, holistic health paradigm, strengths-based salutogenic approaches, socioecological science, non-maleficence, and empowering engagement processes. The objective of this study was to investigate the impact of the RLCHPM on the practice of graduates from health promotion programs from a university in Australia. Methods: We conducted a mixed methods study involving an online survey of graduates from 2008 to 2016, followed by semi-structured interviews with a subset of self-nominated respondents. We used descriptive analyses for survey data and thematic analysis for interview data. Results: There was a total of 95 respondents (49% response rate) and 10 of these were interviewed. Participants felt knowledgeable about the model, and confident about their ability to use it. The model was understandable, easy to use, and important, relevant and useful in practice. More than half felt that the model had an impact on their health promotion practice, however less than a quarter felt that the model had an impact on institutional policies in their workplace. Interview data revealed the need for a step-by-step guide for implementing the model in multiple sectors, access to ongoing support for model implementation, and clearer links to other relevant models. Conclusions: The RLCHPM is well understood and considered to be important, relevant and useful to the practice of graduates. The study has implications for the use of the model in health promotion degree programs, and in professional development programs for health promotion practitioners.
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Campbell, Marilyn. "What is the Place of Innovative ICT Uses in School Counseling?" W InSITE 2004: Informing Science + IT Education Conference. Informing Science Institute, 2004. http://dx.doi.org/10.28945/2823.
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With our ever-changing society there seems to be more pressures on young people. Recent epidemiological studies in Australia have found that adolescent mental health is an important public health problem (Sawyer et al., 2001). As many as one in five Australian children aged from 4 to 17 have significant mental health concerns (Zubrick, Silburn, Burton, & Blair, 2000). However, only one in four young people receive professional help (Sawyer, et al., 2001). Schools in Australia provide school counselors to assist students, yet many young people do not avail themselves of this service. However, young people do seek help from telephone help-lines (in 2002 almost 1.1 million phone calls were made to Kids Help Line) and from the Internet (Kids Help Line, 2003a). Perhaps more anonymous forms of counseling, such as cybercounseling, could deliver a more effective service within a school setting. The difficulties and benefits of school based webcounseling are discussed in terms of therapeutic, ethical and legal issues, as well as technical problems and recent research outcomes.
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Gloria, Chrismatovanie. "Compliance with Complete Filling of Patient's Medical Record at Hospital: A Systematic Review". W The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.29.
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ABSTRACT Background: The health information system, especially medical records in hospitals must be carried out accurately and completely. Medical records are important as evidence for the courts, education, research, and policy makers. This study aimed to investigate the factors affecting the compliance with completeness of filling patient’s medical records at hospitals. Subjects and Methods: A systematic review was conducted by searching from ProQuest, Scopus, and National journals using keywords medical records, filling of medical records, and non- compliance filling medical records. The abstracts and full-text articles published between 2014 to 2019 were selected for this review. A total of 62,355 articles were conducted screening of eligibility criteria. The data were reported using PRISMA flow chart. Results: Eleven articles consisting of eight articles using observational studies and three articles using experimental studies met the eligible criteria. There were two articles analyzed systematically from the United States and India, two articles reviewed literature from the United States and England, and seven articles were analyzed statistically from Indonesia, America, Australia, and Europe. Six articles showed the significant results of the factors affecting non-compliance on the medical records filling at the Hospitals. Conclusion: Non-compliance with medical record filling was found in the hospitals under study. Health professionals are suggested to fill out the medical record completely. The hospital should enforce compliance with complete medical record filling by health professionals. Keywords: medical record, compliance, hospital Correspondence: Chrismatovanie Gloria. Hospital Administration Department, Faculty Of Public Health, Universitas Indonesia, Depok, West Java. Email: chrismatovaniegloria@gmail.com. Mobile: +6281321161896 DOI: https://doi.org/10.26911/the7thicph.04.29
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Adelita, Sela Putri, Eti Poncorini Pamungkasari i Bhisma Murti. "Meta Analysis: The Effect of High-Intensity Interval Training on Low Density Lipoprotein Level in Patients with Type 2 Diabetes Melitus". W The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.42.
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ABSTRACT Background: High intensity interval training (HIIT) is a protocol of short work intervals of vigorous to high intensity interspersed with active or passive (cessation of movement) recovery periods. HIIT has been employed since the mid-20th century to improve athletic exercise performance. Regular exercise reduces elevated low-density lipoprotein (LDL), atherosclerosis formation, and risk factors of cardiovascular disease (CVD). This study aimed to examine the effect of high-intensity interval training on low density lipoprotein level in patients with type 2 diabetes mellitus (DM). Subjects and Method: This was meta-analysis and systematic review. The study was conducted by search published article from year 2010 to 2020 in PubMed, Science Direct, Research Gate, and Google Scholar databases. The inclusion criteria were full text, using randomized controlled trial study design, high-intensity interval training intervention, and reporting mean and standard deviation. Study subjects were type 2 DM patients aged 25-65 years. The study outcome was LDL reduction. The articles were analyzed by PRISMA flow chart and Revman 5.3. Results: 7 studies from America, Europe, Australia, and Asia showed that high intensity interval training reduced LDL level in type 2 DM patients (Mean Difference= -0.06; 95% CI= 1.32 to -0.47; p<0.001) with I2= 92% (p <0.93). Conclusion: High-intensity interval training reduces LDL level in type 2 DM patients. Keywords: high-intensity interval training, low density lipoprotein Correspondence: Sela Putri Adelita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Selaadelita558@gmail.com. Mobile: 085357117517. DOI: https://doi.org/10.26911/the7thicph.05.42
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Wahyuni, Dwi Reza. "Father's Experience on the Incident of Newborn Death: A Scoping Review". W The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.63.
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ABSTRACT Background: The death of a child is a painful experience for parents. The distress of bereaved fathers remained inadequately understood since most of the existing studies had concentrated mainly on the mothers’ experience. This scoping review aimed to investigate the fathers’ experience on the incident of newborn death. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included PubMed, Wiley Online Library, Science Direct, ProQuest, EBSCO, gray literature through the Google Scholar search engine databases. The inclusion criteria were English-language and primary studied full-text articles published between 2010 and 2019. A total of 307 articles were obtained by the searched database. After the review process, seven articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: A total of 307 articles were obtained by the searched databases. After screening, 55,052 articles were excluded because of 54,847 articles with irrelevant topics, 22 book review articles, and 183 duplicate articles. Of the remaining 88 articles, only 18 articles met the inclusion criteria. After conducting critical appraisal, a total of six articles from developed countries (Australia, Sweden, Spain, and Columbia) with qualitative studies was selected to further review. This review emphasized three main topics about experiences of fathers after the death of the newborn, namely psychological conditions and coping behaviors of fathers, and supportive care from health professionals. Conclusion: Further support and care of health professionals need to focus on fathers’ experience of grief following newborn death, especially on their physical and mental well-being. Keywords: newborn death, father experience, health professionals, coping behaviors Correspondence: Dwi Reza Wahyuni. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No. 63, Mlangi Nogotirto, Gamping, Sleman, Yogyakarta. Email: dwiejakwahyuni@gmail.com. Mobile: +6282211318785. DOI: https://doi.org/10.26911/the7thicph.03.63
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Pratami, Yustika Rahmawati, i Nurul Kurniati. "Sex Education Strategy for Adolescents: A Scoping Review". W The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.27.
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Background: Comprehensive Sexuality Education (CSE) plays an important role in preparing safe and productive lives of adolescents through understanding about HIV/ AIDS, sexually transmitted infections, unintended pregnancy, gender-based violence, and gender disparity. This scoping review aimed to investigate the appropriate method of sex education and information for adolescents. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included PubMed, ScienceDirect, Wiley Online Library, ProQuest, and EBSCO databases. The inclusion criteria were English-language and full-text articles published between 2009 and 2019. A total of 460 articles was obtained from the searched database. After the review process, twenty articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: Eleven articles from developing countries (Nigeria, Thailand, Iran, California, Vietnam, Spain, South Africa, Indonesia) and nine articles from developed countries (USA, England, Australia) met the inclusion criteria with quantitative (cross-sectional, quasi-experiments, cohort, RCT) and qualitative design studies. The findings discussed available sources of sex education for adolescents including peers, school, media, and other adults. Digital media (internet and TV) contributed as preferable sources for adolescents. The parents and teacher’s involvement in providing sex education remained inadequate. Inappropriate sources of sex education like invalid information from the internet and other adults caused negative consequences on the sexual and reproductive health of children and adolescents. Conclusion: Parents-school partnership strategies play an important role in delivering appropriate information about sex education for children and adolescents. Keywords: digital media, sex education, parents, schools, adolescents Correspondence: Yustika Rahmawati Pratami. Jl. Siliwangi No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: yustikarahmawati068@gmail.com. Mobile: +6282198915596. DOI: https://doi.org/10.26911/the7thicph.02.27
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Sumarni, Sumarni, i Farida Kartini. "Experience of Adolescent Mothers During Pregnancy: A Scoping Review". W The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.28.
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Background: Every year, around 14 million women and girls aged 15 to 19 (both married and unmarried) give birth. This age group might lead to negative outcomes of pregnancy and childbirth. This scoping review aimed to identify the outcomes of adolescent pregnancy and its contributing factors. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included Wiley Online Library, EBSCO, ProQuest, and PubMed databases. The inclusion criteria were English-language and full-text articles published between 2009 and 2019. A total of 307 articles were obtained by the searched database. After the review process, seven articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: Six articles from developing countries (Brazil, Mexico, Zambia, Malawi, and Romania) and one report from developed countries (Australia) met the inclusion criteria with qualitative, quantitative (cross-sectional), and descriptive studies. The existing studies stated that adolescent pregnancy had adverse effects on both mother and babies’ health and well-being. Young maternal age is associated with low parity, lack of prenatal care, premature, and low birth weight. Factors contributed to the increased adolescent pregnancy rate were early sexual initiation, low use of contraception, low educational level, low socioeconomic status, inadequate knowledge about sexual and reproductive health, and gender disparity. Conclusion: Young maternal age contributes to adverse pregnancy outcomes of both mothers and babies. Early sexual health education and health promotion on teenage girls may reduce the risk of adolescent pregnancy rates. Keywords: adolescent pregnancy, birth outcome, maternal age Correspondence: Sumarni. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ringroad Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: sumarnipino21@gmail.com. Mobile: +6282346354512. DOI: https://doi.org/10.26911/the7thicph.02.28
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"Proceedings of International Conference on Innovation and Technology (ICIT) 2019". W International Conference on Innovation and Technology 2019. Journal of Innovation and Applied Technology, 2020. http://dx.doi.org/10.21776/ub.jiat.2019.se.01.1.
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CIT 2019 is aimed to to provide platform for exchange of experiences, innovation and technological changes/advances among academia, scientists, professionals, and/or business in global environment; to initiate collaboration in research and technology withlocal, national and international stakeholders; and to disseminate research results and its application to communities or industries. The conference was attended by 150 participants from Singapore, Malaysia, Australia, South Korea and Indonesia, with 92 presenters divided in five plenary talks. The conference topics include engineering, sustainable agriculture and agricultural engineering, basic science, information system and technology, green cities, green industries, management and business, social economic and community development, education, as well as health, medicine, and public health.
Raporty organizacyjne na temat "Public health – Research – Australia"
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Blackham, Alysia. Addressing Age Discrimination in Employment: a report on the findings of Australian Research Council Project DE170100228. University of Melbourne, listopad 2021. http://dx.doi.org/10.46580/124368.
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This project aimed to research the effectiveness of Australian age discrimination laws. While demographic ageing necessitates extending working lives, few question the effectiveness of Australian age discrimination laws in supporting this ambition. This project drew on mixed methods and comparative UK experiences to offer empirical and theoretical insights into Australian age discrimination law. It sought to create a normative model for legal reform in Australia, to inform public policy and debate and improve responses to demographic ageing, providing economic, health and social benefits.
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S. Abdellatif, Omar, Ali Behbehani i Mauricio Landin. Australia COVID-19 Governmental Response. UN Compliance Research Group, luty 2021. http://dx.doi.org/10.52008/astr0501.
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The International Health Regulations (2005) are legally binding on 196 States Parties, Including all WHO Member States. The IHR aims to keep the world informed about public health risks, through committing all signatories to cooperate together in combating any future “illness or medical condition, irrespective of origin or source, that presents or could present significant harm to humans.” Under IHR, countries agreed to strengthen their public health capacities and notify the WHO of any such illness in their populations. The WHO would be the centralized body for all countries facing a health threat, with the power to declare a “public health emergency of international concern,” issue recommendations, and work with countries to tackle a crisis. Although, with the sudden and rapid spread of COVID-19 in the world, many countries varied in implementing the WHO guidelines and health recommendations. While some countries followed the WHO guidelines, others imposed travel restrictions against the WHO’s recommendations. Some refused to share their data with the organization. Others banned the export of medical equipment, even in the face of global shortages. The UN Compliance Research group will focus during the current cycle on analyzing the compliance of the WHO member states to the organizations guidelines during the COVID-19 pandemic.
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Toloo, Sam, Ruvini Hettiarachchi, David Lim i Katie Wilson. Reducing Emergency Department demand through expanded primary healthcare practice: Full report of the research and findings. Queensland University of Technology, styczeń 2022. http://dx.doi.org/10.5204/rep.eprints.227473.
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Demand for public hospital emergency departments’ services and care is increasing, placing considerable restraint on their performance and threatens patient safety. Many factors influence such demand including individual characteristics (e.g. perceptions, knowledge, values and norms), healthcare availability, affordability and accessibility, population aging, and internal health system factors (e.g patient flow, discharge process). To alleviate demand, many initiatives have been trialled or suggested, including early identification of at-risk patients, better management of chronic disease to reduce avoidable ED presentation, expanded capacity of front-line clinician to manage sub-acute and non-urgent care, improved hospital flow to reduce access block, and diversion to alternate site for care. However, none have had any major or sustained impact on the growth in ED demand. A major focus of the public discourse on ED demand has been the use and integration of primary healthcare and ED, based on the assumption that between 10%–25% of ED presentations are potentially avoidable if patients’ access to appropriate primary healthcare (PHC) services were enhanced. However, this requires not only improved access but also appropriateness in terms of the patients’ preference and PHC providers’ capacity to address the needs. What is not known at the moment is the extent of the potential for diversion of non-urgent ED patients to PHC and the cost-benefits of such policy and funding changes required, particularly in the Australian context. There is a need to better understand ED patients’ needs and capacity constraint so as to effect delivery of accessible, affordable, efficient and responsive services. Jennie Money Doug Morel
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Cooper, Danielle, Katherine Daniel, Caitlin Bakker, Andrea Ball, Jaime Blanck, Chris Childs, Ann Gleason i in. Supporting the Changing Research Practices of Public Health Scholars. Ithaka S+R, grudzień 2017. http://dx.doi.org/10.18665/sr.305867.
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Appleyard, Bruce, i Tim Garrett. Incorporating Public Health into Transportation Decision Making. Mineta Transportation Institute, styczeń 2023. http://dx.doi.org/10.31979/mti.2023.2150.
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Investments in transportation have the potential to significantly affect public health outcomes. Decisions to build highways, transit, or bikeways, for example, influence how residents and visitors move around a metropolitan area. Personal travel habits and proximity to transportation infrastructure play a role in how likely people are to be physically active or be exposed to dangerous traffic and toxic pollution. For this study, the research team reviewed the literature that links transportation infrastructure, the surrounding built environment context, and public health outcomes such as chronic heart and lung diseases, obesity, and death. The team then researched publicly available data that planners could use to inform decision-makers about the public health effects of funding certain investments. Finally, the team reviewed the guidelines of existing discretionary grant programs administered by the California Transportation Commission (CTC), and proposed improvements that would better incorporate available data on public health for consideration. These steps can positively influence funding decision-making for better public health outcomes in California.
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Philipson, Tomas, i Richard Posner. Is the Obesity Epidemic a Public Health Problem? A Decade of Research on the Economics of Obesity. Cambridge, MA: National Bureau of Economic Research, maj 2008. http://dx.doi.org/10.3386/w14010.
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Zinn, Zachary. Surveillance and the ‘New Normal’ of Covid-19: Public Health, Data, and Justice | Social Science Research Council. Social Science Research Council, luty 2021. http://dx.doi.org/10.35650/ssrc.2080.d.2021.
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Gorman- Murray, Andrew, Jason Prior, Evelyne de Leeuw i Jacqueline Jones. Queering Cities in Australia - Making public spaces more inclusive through urban policy and practice. SPHERE HUE Collaboratory, listopad 2022. http://dx.doi.org/10.52708/qps-agm.
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Building on the success of a UK-based project, Queering Public Space (Catterall & Azzouz 2021), this report refocuses the lens on Australian cities. This is necessary because the histories, legacies and contemporary forms of cities differ across the world, requiring nuanced local insight to ‘usualise’ queerness in public spaces. The report comprises the results of a desk-top research project. First, a thematic literature review (Braun & Clarke 2021) on the experiences of LGBTIQ+ individuals, families and communities in Australian cities was conducted, identifying best practices in inclusive local area policy and design globally. Building upon the findings of the literature review, a set of assessment criteria was developed: – Stakeholder engagement; – Formation of a LGBTIQ+ advisory committee; – Affirming and usualising LGBTIQ+ communities; – Staff training and awareness; and – Inclusive public space design guidelines
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Mayfield, Colin. Higher Education in the Water Sector: A Global Overview. United Nations University Institute for Water, Environment and Health, maj 2019. http://dx.doi.org/10.53328/guxy9244.
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Higher education related to water is a critical component of capacity development necessary to support countries’ progress towards Sustainable Development Goals (SDGs) overall, and towards the SDG6 water and sanitation goal in particular. Although the precise number is unknown, there are at least 28,000 higher education institutions in the world. The actual number is likely higher and constantly changing. Water education programmes are very diverse and complex and can include components of engineering, biology, chemistry, physics, hydrology, hydrogeology, ecology, geography, earth sciences, public health, sociology, law, and political sciences, to mention a few areas. In addition, various levels of qualifications are offered, ranging from certificate, diploma, baccalaureate, to the master’s and doctorate (or equivalent) levels. The percentage of universities offering programmes in ‘water’ ranges from 40% in the USA and Europe to 1% in subSaharan Africa. There are no specific data sets available for the extent or quality of teaching ‘water’ in universities. Consequently, insights on this have to be drawn or inferred from data sources on overall research and teaching excellence such as Scopus, the Shanghai Academic Ranking of World Universities, the Times Higher Education, the Ranking Web of Universities, the Our World in Data website and the UN Statistics Division data. Using a combination of measures of research excellence in water resources and related topics, and overall rankings of university teaching excellence, universities with representation in both categories were identified. Very few universities are represented in both categories. Countries that have at least three universities in the list of the top 50 include USA, Australia, China, UK, Netherlands and Canada. There are universities that have excellent reputations for both teaching excellence and for excellent and diverse research activities in water-related topics. They are mainly in the USA, Europe, Australia and China. Other universities scored well on research in water resources but did not in teaching excellence. The approach proposed in this report has potential to guide the development of comprehensive programmes in water. No specific comparative data on the quality of teaching in water-related topics has been identified. This report further shows the variety of pathways which most water education programmes are associated with or built in – through science, technology and engineering post-secondary and professional education systems. The multitude of possible institutions and pathways to acquire a qualification in water means that a better ‘roadmap’ is needed to chart the programmes. A global database with details on programme curricula, qualifications offered, duration, prerequisites, cost, transfer opportunities and other programme parameters would be ideal for this purpose, showing country-level, regional and global search capabilities. Cooperation between institutions in preparing or presenting water programmes is currently rather limited. Regional consortia of institutions may facilitate cooperation. A similar process could be used for technical and vocational education and training, although a more local approach would be better since conditions, regulations and technologies vary between relatively small areas. Finally, this report examines various factors affecting the future availability of water professionals. This includes the availability of suitable education and training programmes, choices that students make to pursue different areas of study, employment prospects, increasing gender equity, costs of education, and students’ and graduates’ mobility, especially between developing and developed countries. This report aims to inform and open a conversation with educators and administrators in higher education especially those engaged in water education or preparing to enter that field. It will also benefit students intending to enter the water resources field, professionals seeking an overview of educational activities for continuing education on water and government officials and politicians responsible for educational activities
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Rankin, Nicole, Deborah McGregor, Candice Donnelly, Bethany Van Dort, Richard De Abreu Lourenco, Anne Cust i Emily Stone. Lung cancer screening using low-dose computed tomography for high risk populations: Investigating effectiveness and screening program implementation considerations: An Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW. The Sax Institute, październik 2019. http://dx.doi.org/10.57022/clzt5093.
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Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.