A5019466699- Health Policy Implementation Science
- Substance Abuse Treatment and Outcomes
- Primary Care and Health Outcomes
- Alcohol Consumption and Health Effects
- Mental Health and Patient Involvement
- Public Health Policies and Education
- Alcoholism and Thiamine Deficiency
- Homelessness and Social Issues
- Antibiotic Use and Resistance
- Evaluation and Performance Assessment
- Obesity and Health Practices
- Obesity, Physical Activity, Diet
- Health Systems, Economic Evaluations, Quality of Life
- Global Public Health Policies and Epidemiology
- Opioid Use Disorder Treatment
- Child and Adolescent Health
- Diabetes Management and Education
- Health Promotion and Cardiovascular Prevention
- Indigenous Health, Education, and Rights
- Indigenous Studies and Ecology
- Pharmaceutical Practices and Patient Outcomes
- Health Sciences Research and Education
- Healthcare Systems and Technology
- Patient Satisfaction in Healthcare
- Health disparities and outcomes
The University of Sydney
1998-2020
The Australian Prevention Partnership Centre
2014-2020
Sax Institute
2011-2020
Menzies School of Health Research
2016
Western Sydney University
2011
Australian National University
2011
Royal Prince Alfred Hospital
2000-2006
World Health Organization
2005
Queensland Health
2001
Primary Health Care
2001
To examine the long-term impact of brief and early interventions for hazardous harmful alcohol consumption.A 9-month 10-year follow-up subjects recruited into a randomized controlled trial range alcohol-related interventions.General practices, outpatient or acute care services major city hospital, privately run health screening programmeme.The cohort 554 (non-dependent) drinkers Australian arm Phase II World Health Organization collaborative project on identification treatment persons with...
To determine whether naltrexone is beneficial in the treatment of alcohol dependence absence obligatory psychosocial intervention.Multicentre, randomised, double-blind, placebo-controlled trial.Hospital-based drug and clinics, 18 March 1998 - 22 October 1999.107 patients (mean age, 45 years) fulfilling Diagnostic statistical manual mental disorders (4th edition) criteria for dependence.Patients with were randomly allocated to (50 mg/day) or placebo 12 weeks. They medically assessed, reviewed...
The over-use of antibiotics, in particular, inappropriate use to treat upper respiratory tract infections (URTIs), is a global public health concern. In an attempt reduce antibiotics for URTIs, and, modify patient misconceptions about the effectiveness Australia's National Prescribing Service Ltd (NPS) has undertaken comprehensive, multistrategic programme professionals and community. Targeted strategies community, via NPS common colds community campaign, commenced 2000 have been repeated...
Objective: This study examines the impact of marketing strategies on dissemination a brief alcohol intervention program to general practitioners (GPs). The strategy was tested determine most effective way promote awareness about and consideration program. also training support program's implementation in routine primary care. Method: A pragmatic trial carried out Australia, Belgium (Flanders), Denmark, England, New Zealand Spain (Catalonia) which GPs were randomly allocated into one three...
To determine if general practitioners' (GPs) experience of education on alcohol, support in their working environment for intervening with alcohol problems, and attitudes have an impact the number patients they manage problems.1300 GPs from nine countries were surveyed a postal questionnaire as part World Health Organization (WHO) collaborative study.GPs who received more (OR = 1.5; 95% CI, 1.3-1.7), perceived that supportive 1.6; 1.4-1.9), expressed higher role security problems 2.0;...
Abstract Background Cross-sector collaborative partnerships are a vital strategy in efforts to strengthen research-informed policy and practice may be particularly effective at addressing the complex problems associated with chronic disease prevention. However, there is still limited understanding of how such implemented their implementation contributes outcomes. This paper explores operationalisation outcomes knowledge mobilisation strategies within Australian Prevention Partnership Centre...
Objective: The potential of general practitioners (GPs) to reduce the prevalence alcohol-related problems via alcohol intervention contrasts sharply with actual practice. One explanation for GPs' limited involvement in is that they have had inadequate training or continuing medical education (CME) on issues. This study examined experience CME and its possible relationship attitudes practice behavior regarding problems. Method: A questionnaire-based survey was returned by 2,139 GPs from 13...
Increasingly, theorists and academic researchers develop, implement test frameworks strategies for improving the safety, effectiveness efficiency of health care-at scale. The purpose this research was to surface views system managers frontline personnel charged with implementing these improvement processes, better understand key success from personal experience.A total 17 out 21 individuals invited participate took part. Respondents, who were experienced senior executives various agencies,...
The National Prescribing Service Ltd (NPS) aims to improve prescribing and use of medicines consistent with evidence-based best practice. This report compares two statistical methods used determine whether multiple educational interventions influenced antibiotic prescription in Australia.Monthly data (July 1996 June 2003) were obtained from a national claims database. outcome measures the median number prescriptions per 1000 consultations for each general practitioner (GP) month, mean...
Aim: To assess the effectiveness of a tailored pre-operative intervention for excessive alcohol consumption in reducing post-operative complications and thereafter. Methods: Patients scheduled elective surgery requiring at least overnight hospitalisation were screened misuse. Consenting, eligible participants with ≥7 days to time screening offered an those <7 provided usual care. Results: Over period 2 years 10 months, 3139 patients recruit 136 participants. Baseline analysis revealed mean...
Chronic diseases are a serious and urgent problem, requiring at-scale, multi-component, multi-stakeholder action cooperation. Despite numerous national frameworks agenda-setting documents to coordinate prevention efforts, Australia, like many countries internationally, is yet substantively impact the burden from chronic disease. Improved evidence on effective strategies for of disease required. This research sought articulate priority set important feasible domains inform future discussion...
There is a need and desire to improve chronic disease prevention efforts across Australia. Increasingly, scientists are urging the use of systems thinking its methods significantly shift way we think about, intervene in, diseases. This research aimed examine convergence between science literature views those working in advocating for prevention, relation value diseases.Individual small-group semistructured interviews were undertaken with 29 individuals The interviewees reflected diverse...
This study reports a qualitative investigation of the views key informants (KIs) and general practitioners (GPs) on nature extent preventive medicine early alcohol intervention in practice current barriers potential facilitating factors that influence practice. Sixty-seven KIs 126 GPs were interviewed 12 countries. There was strong personal professional support for GP-delivered problems particular. Opinions differed whether national health policies encouraged or discouraged to do more...
Alcohol misuse is a complex systemic problem. The aim of this study was to explore the feasibility using transparent and participatory agent-based modelling approach develop robust decision support tool test alcohol policy scenarios before they are implemented in real world. A consortium Australia's leading experts engaged collaboratively an model consumption behaviour related harms. As case study, four were examined. 19.5 ± 2.5% reduction acute alcohol-related harms estimated with...
Abstract Issue addressed Australian efforts to tackle the burden from chronic diseases through prevention have included numerous strategies, committees, policies and programs. This research reflects on this changing landscape, with focus most recent, significant, investment subsequent disinvestment in preventive health, National Partnership Agreement Preventive Health ( NPAPH ). The purpose is better understand place of Australia's explore views senior health department personnel identify...
Abstract Pre‐operative intervention for excessive alcohol consumption among patients scheduled elective surgery has been shown to reduce complications of surgery. However, successful depends upon an effective and practical screening procedure. This study examines current practices amongst in general hospitals. It also the appropriateness potential sites staff pre‐operative screening. Forms used routinely assess pre‐admission clinics (PAC) eight Sydney hospitals were examined. In addition,...
Chronic diseases are the biggest contributor to premature death and disability in Australia • It has been difficult systematically implement interventions that target lifestyle-related risk factors for chronic disease Multilevel, multisector whole-ofsystem approaches required effective sustained prevention of complex The Australian Prevention Partnership Centre is exploring new ways bring together researchers, policy makers practitioners determine information actions needed prevent...
The prevalence of childhood obesity poses an urgent global challenge. World Health Organization (WHO) Commission on Ending Childhood Obesity recommends the provision appropriate family-based, lifestyle weight management services through universal health care to support families children with overweight or obesity; however, there are few examples their implementation ‘at scale’. purpose this research was compare and contrast impact system organisational factors within two Australian States...
Objective Despite being a healthy country by international standards, Australia has growing and serious burden from chronic diseases. There have been several national efforts to tackle this problem, but despite some important advances much more needs be done. From the viewpoint of diverse stakeholders, present study examined two approaches controlling disease in Australia: (1) 2005 National Chronic Disease Strategy (NCDS); (2) 2008 Partnership Agreement on Preventive Health (NPAPH). Methods...