Article
Health Care Sciences & Services
Anders Chen, Mariam H. Ayub, Rebecca G. Mishuris, Jorge A. Rodriguez, Kendrick Gwynn, Margaret C. Lo, Craig Noronha, Tracey L. Henry, Danielle Jones, Wei Wei Lee, Malvika Varma, Elizabeth Cuevas, Chavon Onumah, Reena Gupta, John Goodson, Amy D. Lu, Quratulain Syed, Leslie W. Suen, Erica Heiman, Bisan A. Salhi, Elaine C. Khoong, Stacie Schmidt
Summary: During the COVID-19 pandemic, telehealth services, including telemedicine audio-video and audio-only patient encounters, expanded significantly through temporary waivers and flexibilities linked to the public health emergency. Studies show that telemedicine has the potential to improve patient experience, health outcomes, cost, clinician well-being, and equity. However, if implemented poorly, telemedicine can lead to unsafe care, exacerbate disparities, and waste resources. Lawmakers and agencies need to take further action to ensure continued payment for telemedicine services. This article provides recommendations for policy, clinical practice, and education to support the appropriate implementation and sustainability of telemedicine.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Biodiversity Conservation
David M. Summers, Courtney M. Regan, Claire Settre, Jeffery D. Connor, Patrick O'Connor, Hayley Abbott, Jacqueline Frizenschaf, Leon van der Linden, Andrew Lowe, Katja Hogendoorn, Scott Groom, Timothy R. Cavagnaro
Summary: Research shows that combining carbon payments with cost savings from water quality improvements is the most promising avenue, while combining pollination services and reduced lamb mortality with carbon payments could not bridge the economic gap except under the most optimistic assumptions. The economic case for significant land use change is likely to be geographically dispersed and only viable in relatively niche landscape positions in high-cost, high-opportunity areas.
GLOBAL CHANGE BIOLOGY
(2021)
Article
Dentistry, Oral Surgery & Medicine
Charlotte C. Currie, Simon J. Stone, Paul Brocklehurst, Wendy Thompson, Justin Durham, Mark S. Pearce
Summary: This study explored trends and predictors for antibiotic prescriptions and referrals at General Medical Practitioners (GMPs) for dental care. The results showed that antibiotic prescriptions were associated with living in deprived or rural areas, while referrals were associated with living in urban or less deprived areas. The number of antibiotic prescriptions decreased over time, while the number of referrals increased. These changes were linked to dental attendance rates at GMPs and indicate the need to change current practice and policy.
JOURNAL OF DENTISTRY
(2023)
Review
Agronomy
Zhidong Li, Boru Su, Moucheng Liu
Summary: China is exploring grassland eco-compensation as a means to curb grassland degradation caused by human activity. China has invested over 170 billion yuan in grassland eco-compensation, benefiting 12 million farmer and herder households. However, current research lacks systematic reviewing and has shortcomings in precision of compensation standards and evaluation of eco-compensation effects. Future research should focus on the response mechanism of herder households and the improvement of compensation measures, while learning from advanced compensation experience in other fields.
Article
Engineering, Environmental
Johanna Kangas, Markku Ollikainen
Summary: Protecting forests has synergistic benefits for biodiversity conservation and climate change mitigation. By incorporating carbon payments into biodiversity conservation schemes, both goals can be further promoted in a cost-efficient manner. A study found that introducing a carbon payment improves both targets, with the highest synergy gains achieved at a payment level of 10-20 euro/tCO(2)(-1).
Review
Public, Environmental & Occupational Health
Anna Gkiouleka, Geoff Wong, Sarah Sowden, Clare Bambra, Rikke Siersbaek, Sukaina Manji, Annie Moseley, Rebecca Harmston, Isla Kuhn, John Ford
Summary: Although general practice has the potential to reduce health inequalities, there is a lack of evidence on how to achieve this reduction. This study reviewed interventions in general practice that influence health and care inequalities and developed a framework for action. The results suggest that to reduce health inequalities, general practice should focus on coordinated services, address differences within patient groups, accommodate diverse patient needs and preferences, integrate patient worldviews and cultures, and engage communities in service design and delivery. Further research is needed to explore how these principles can inform the organizational development of general practice.
LANCET PUBLIC HEALTH
(2023)
Article
Psychology, Developmental
Helen Taylor, Barry Ingham, David Mason, Tracy Finch, Colin Wilson, Clare Scarlett, Sebastian Moss, Carole Buckley, Anna Urbanowicz, Dora Raymaker, Charlotte Seiboth, Rhianna Lees, Deborah Garland, Malcolm Osbourne, Nicholas Lennox, Sally-Ann Cooper, Christina Nicolaidis, Jeremy R. Parr
Summary: Autistic people are more likely to experience health problems and have a shorter lifespan. This study investigated views on a primary care health check for autistic adults. The participants emphasized the importance of addressing both physical and mental health as well as social functioning. They also highlighted the need for improved communication between healthcare services and autistic individuals, and the inclusion of individual choices in how the health check is conducted. Additionally, the study revealed a call for further training of primary care staff on autism to better understand the diverse experiences and challenges faced by autistic individuals.
Article
Medicine, General & Internal
Roberta F. Lindemann, Gordon Robson, David Edward Cunningham
Summary: This study aims to identify the learning needs and factors influencing the choice of employment model among recently qualified GPs in NHS Scotland. The results suggest that lengthening the time spent in specialty training may help GPs gain more knowledge and skills in the commercial business aspects of general practice.
Article
Medicine, General & Internal
David E. Cunningham, Caroline Ward, John Kyle, Lynsey Yeoman
Summary: The study aimed to identify the learning needs and preferred methods of First5 general practitioners in NHS Scotland via qualitative research. It was found that the gaps in GP training became apparent in independent practice for First5 GPs, who preferred quick and easy learning resources compared to older generations. Additionally, challenges of learning in remote areas of NHS Scotland, such as travel costs and course accessibility, were also considered by participants.
Review
Medicine, General & Internal
John Alexander Ford, Anna Gkiouleka, Isla Kuhn, Sarah Sowden, Fiona Head, Rikke Siersbaek, Clare Bambra, Rebecca R. Harmston, Sukaina Manji, Annie Moseley, Geoff Wong
Summary: This realist review aims to identify interventions in general practice that may reduce or increase health inequalities across cardiovascular disease, cancer, diabetes and chronic obstructive pulmonary disease. The findings will be used to develop guiding principles and a toolkit for healthcare organisations to address health disparities.
Article
Environmental Sciences
Raphael Anammasiya Ayambire, Jeremy Pittman
Summary: The study focuses on environmental risks in Results-based Agreements for endangered species conservation on agricultural lands, where drought is identified as a critical factor influencing land managers' decision to participate in such agreements. Environmental risks not only limit the ability of land managers to achieve ecosystem targets but also result in additional costs. The case study highlights the participatory and result-enhancing approach of SODCAP Inc. in managing environmental risks, contributing to the scholarship on environmental risk management in Results-based Agreements.
JOURNAL OF ENVIRONMENTAL MANAGEMENT
(2021)
Article
Medicine, General & Internal
Mary Carter, Sarah Chapman, Margaret C. Watson
Summary: Prescribing in UK general practice is influenced by multiple intersecting factors. Strategies to promote evidence-based prescribing should target modifiable influences at practice and individual levels. Customizing strategies for medical and non-medical prescribers may maximize their effectiveness.
Review
Medicine, General & Internal
Emily Claire Owen, Ruth Abrams, Ziyue Cai, Claire Duddy, Nina Fudge, Julia Hamer-Hunt, Fran Husson, Kamal Ram Mahtani, Margaret Ogden, Deborah Swinglehurst, Malcolm Turner, Cate Whittlesea, Geoff Wong, Sophie Park
Summary: This study aims to understand how, when, and why collaborative and integrated working between general practice and community pharmacy can provide optimal conditions for communication, decision-making, and teamwork. The study will use a realist review approach to synthesize evidence from various sources and involve key stakeholders and patient/public engagement throughout the review process to refine the focus and program theory.
Article
Medicine, General & Internal
Brian Haskins, Ziad Nehme, Peter A. Cameron, Karen Smith
Summary: Comparing the frequency and outcomes of cardiac arrests in general practice clinics with those of paramedic-witnessed cardiac arrests, the study found that survival rates were higher in cases witnessed by paramedics. It was suggested that prompt alerting of emergency medical services and availability of automated external defibrillators in general practice clinics could significantly reduce the risk of death for cardiac arrest patients.
MEDICAL JOURNAL OF AUSTRALIA
(2021)
Article
Environmental Sciences
Marta Terrado, Dragana Bojovic, Sara Octenjak, Isadora Christel, Asun Lera St Clair
Summary: Case studies are widely used in various research fields, and are particularly suitable for capturing the complexity of climate services and making climate information actionable. However, little attention has been paid to the key elements that case studies should consider and the value they bring from interdisciplinary collaborations. In this study, the co-development of case studies in an Arctic research project is described, providing guidance for other climate services initiatives and making scientific results more accessible.
CLIMATE RISK MANAGEMENT
(2023)
Article
Endocrinology & Metabolism
Anthony W. Russell, Maria Donald, Samantha J. Borg, Jianzhen Zhang, Letitia H. Burridge, Robert S. Ware, Nelufa Begum, H. David McIntyre, Claire L. Jackson
Review
Medicine, General & Internal
Victoria Yellamaty, Lauren Ball, Lisa Crossland, Claire Jackson
AUSTRALIAN JOURNAL OF GENERAL PRACTICE
(2019)
Editorial Material
Medicine, General & Internal
Claire L. Jackson, Diana O'Halloran
MEDICAL JOURNAL OF AUSTRALIA
(2021)
Editorial Material
Medicine, General & Internal
Claire L. Jackson
Summary: COVID-19 has posed challenges to Australian general practice and highlighted its importance and potential.
MEDICAL JOURNAL OF AUSTRALIA
(2022)
Article
Medicine, Research & Experimental
Siobhan A. Loughnan, Frances M. Boyle, David Ellwood, Sara Crocker, Ann Lancaster, Chrissie Astell, Julie Dean, Dell Horey, Emily Callander, Claire Jackson, Antonia Shand, Vicki Flenady
Summary: This study aims to evaluate the efficacy and acceptability of a self-guided internet-based perinatal bereavement support program, Living with Loss (LWL), in reducing psychological distress and improving the wellbeing of parents following stillbirth or neonatal death. Through a randomized controlled trial, the research seeks to provide evidence of the role digital services may play in addressing the gap in specific bereavement support resources for parents following the death of a baby.
Review
Public, Environmental & Occupational Health
Zoe Calleja, Jennifer Job, Claire Jackson
Summary: This review examines the impact of interventions using telehealth to provide ongoing patient care in rural and remote general practices. The findings suggest that while patients and healthcare staff have positive experiences with these interventions, the impact on health outcomes is unclear.
AUSTRALIAN JOURNAL OF RURAL HEALTH
(2023)
Article
Health Care Sciences & Services
Jennifer Job, Caroline Nicholson, Zoe Calleja, Claire Jackson, Maria Donald
Summary: This study tracked the adoption of an eConsultant service in two Australian Primary Health Networks and identified key barriers and enablers to adoption. The findings showed that the service supported outpatient appointment avoidance and provided efficient, timely access to specialist support for GPs and their patients. Barriers to using the service included digital infrastructure, competing priorities, and keeping the service 'front of mind'. The relative advantage of the eConsultant option, patient benefits, and the facilitation of digital technology by COVID-19 were identified as key enablers.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Health Care Sciences & Services
Jenny Job, Caroline Nicholson, Maria Donald, Claire Jackson, Joshua Byrnes
Summary: The eConsultant model is an outpatient substitution approach that allows primary care physicians to remotely access specialist support. This study compared the cost of an eConsultant episode with a hospital-based outpatient appointment, and found that eConsultant was associated with a cost saving of $361.07 per patient.
BMC HEALTH SERVICES RESEARCH
(2023)
Article
Health Care Sciences & Services
Joel Petre, Maria Donald, Claire Jackson
Summary: This study aimed to determine the perceptions of current Royal Australasian College of Physicians (RACP) adult medicine Fellows towards establishing an eConsult model of care within their own clinical practice. Semi-structured interviews were conducted with 14 RACP adult medicine Fellows and identified several benefits of the eConsult model, including improved access to specialist care, enhanced GP-Physician relationships, and impact on physician work-life balance. The model was seen as a way to improve access to timely specialist advice, reduce outpatient waiting times, and unnecessary patient travel.
AUSTRALIAN JOURNAL OF PRIMARY HEALTH
(2023)
Article
Medicine, General & Internal
Jennifer Job, Maria Donald, Samantha J. Borg, Caroline Nicholson, Jan Chaffey, Kathleen O'Hara, Narelle Fagermo, Claire L. Jackson
Summary: This study investigates the feasibility of utilizing an 'eConsultant' model for managing complex chronic diseases in Australia, with results showing potential for improving access to specialists while reducing the need for face-to-face outpatient appointments.
AUSTRALIAN JOURNAL OF GENERAL PRACTICE
(2021)
Article
Health Care Sciences & Services
Maria Donald, Claire L. Jackson, Joshua Byrnes, Bharat Phani Vaikuntam, Anthony W. Russell, Samantha A. Hollingworth
Summary: This study compared the cost of an integrated primary-secondary care general practitioner-based Beacon model with usual care at hospital outpatient departments for patients with complex type 2 diabetes. The Beacon model was found to be cost saving, with potential savings per patient course of treatment. Key factors affecting cost savings included the average number of patients seen at each site and the additional presentations per course of treatment associated with the Beacon model.
AUSTRALIAN HEALTH REVIEW
(2021)
Article
Health Care Sciences & Services
Samantha J. Borg, Maria Donald, Koula Totsidis, Narelle Quinn, Claire L. Jackson
AUSTRALIAN JOURNAL OF PRIMARY HEALTH
(2020)
Meeting Abstract
Health Care Sciences & Services
Siyaguna Ekanayake, Claire Jackson, Maria Donald
AUSTRALIAN JOURNAL OF PRIMARY HEALTH
(2020)
Article
Health Care Sciences & Services
Samantha J. Borg, Lisa Crossland, Jo Risk, Julie Porritt, Claire L. Jackson
AUSTRALIAN JOURNAL OF PRIMARY HEALTH
(2019)
Article
Medicine, General & Internal
Claire Jackson, Lauren Ball
AUSTRALIAN JOURNAL OF GENERAL PRACTICE
(2018)
