Potentially preventable hospital admission (an deemed to be potentially given appropriate care in the community-based healthcare setting) has been a topic of international research attention for almost three decades. Recently this largely driven by imperative reduce ever-increasing unplanned admissions. However, identifying admissions is difficult. As result, population level indicator ambulatory sensitive conditions (ACSCs) used as proxy measure admission. The adoption become common, and...

Abstract Background Mobile phone applications (apps) have been shown to successfully facilitate the self-management of chronic disease. This study aims evaluate firstly experiences, barriers and facilitators app usage among people with Type 2 Diabetes Mellitus (T2DM) secondly determine recommendations improve diabetes apps. Methods Participants were aged ≥ 18 years a diagnosis T2DM for 6 months. Semi-structured phone-interviews conducted 16 14 non-app users. Interviews based on Technology...

The continued increase in hospital admissions is a significant and complex issue facing health services. There little research exploring patient perspectives or examining individual among patients with frequent for chronic ambulatory care sensitive (ACS) conditions. This paper aims to describe characteristics of older, rural frequently admitted ACS conditions identify factors associated their from the perspective. Patients aged 65+ resident North Coast NSW three more selected within 12 month...

Objective Integration of mental health services is a prominent Australian policy goal; however, there little detail in the literature how integrated are established or function. This study aimed to describe nurse practitioner-led primary healthcare rural service and evidence was with other community. Design pragmatic exploratory used case methodology analysed documents, quantitative data qualitative from individual group semi-structured interviews 'stakeholder meeting'. The part formal...

Research on frequent or avoidable hospital admission has not focussed the perspectives of service providers rural settings. The link between social isolation and is well explored, although known to have negative health effects.This paper reports further analysis from a study investigating providers' factors influencing in older patients with chronic disease, explores perceived role isolation.Semi-structured interviews 15 purposively sampled community-based New South Wales, Australia were...

Australia has a universal health care system and comprehensive safety net. Despite this, outcomes for Australians living in rural remote areas are worse than those cities. This study will examine the current state of equity access to birthing services women small communities from population perspective investigates whether distributed according need.Health facilities were identified service catchment was determined around each using one-hour road travel time that facility. Catchment...

Background: Northern New South Wales in Australia is a "hotspot" for natural disaster declarations with recent extensive flooding early 2017. With limited knowledge about how climate change affects mental health and resilience, robust local assessments are required to better understand long-term impact, particularly communities prone extreme weather events. Methods: Six months post-flood, cross-sectional survey of adults living the region during flood was conducted quantify associations...

The aims of this study were to explore home smoking behaviors and the motivators barriers smoke-free homes among a group disadvantaged caregivers for young children identify positive levers that health care professionals can utilize when supporting behavior change. In-depth qualitative interviews conducted between July September 2009, with 22 caregivers, accessing Children's Centre Services in Nottingham, UK. Interviews audiorecorded transcribed verbatim. Data coded analyzed thematically...

to explore perceptions and examples of risk related pregnancy childbirth in rural remote Australia how these influence the planning maternity services.data collection this qualitative component a mixed methods study included 88 semi-structured individual group interviews (n=102), three focus groups (n=22) one information session (n=17). Researchers identified two categories for exploration: health services (including clinical corporate risks) social cultural, emotional financial risks). Data...

Climate disasters like floods and bushfires have increased in frequency intensity Australia. For many, these are associated with trauma. In order to further our understanding of the impacts on individuals communities, we need conduct research, but research design implementation be sensitive that trauma support safety both participants researchers. This paper provides a detailed description practical application trauma-informed approach taken study exploring community-led self-organising...

In 2017, marginalised groups were disproportionately impacted by extensive flooding in a rural community Northern New South Wales, Australia, with greater risk of home inundation, displacement and poor mental health. While social capital has been linked good health wellbeing, there limited investigation into its potential benefits post-disaster contexts, particularly for groups. Six months post-flood, cross-sectional survey was conducted to quantify associations between flood impact,...

Objectives In this paper, we explore the exposure to risk and experiences of people with disability carers during a flooding event subsequent mental health impacts. Design A cross-sectional survey between September November 2017. Binary logistic regression models were used investigate associations their flood. Inductive content analysis was analyse qualitative data. Setting Flood-affected communities in rural area Northern Rivers, New South Wales, Australia, 6 months after river Participants...

Climate anxiety, and the mental health wellbeing impacts of extreme weather-related events, are growing concern globally. In Australia, where current authors based, rural communities in particular dealing with unprecedented drought, fires and/or floods every few weeks. The such climate change induced events numerous varied operate within complex systems. However, little is known about what promotes resilience to these impacts. This study engaged participants from three highly impacted New...

Introduction The proportion of potentially preventable hospitalisations (PPH) which are actually is unknown, and little understood about the factors associated with individual PPH. Diagnosing Potentially Preventable Hospitalisations (DaPPHne) Study aimed to determine PPH for chronic conditions identify classified as preventable. Setting Three hospitals in NSW, Australia. Participants Community-dwelling patients unplanned hospital admissions between November 2014 June 2017 congestive heart...

Global warming is bringing with it continued long-term changes in the climate system. Extreme weather-related events, which are already becoming a daily reality around world, predicted to be more intense and frequent future. The widespread occurrence of these events change broadly being experienced collectively at scale do not affect populations evenly. These have profound impacts on mental health wellbeing. Existing reactive responses include implied direct references concept ‘recovery’....

The carcinogenicity of chewing tobacco is well established. It predominantly used by the South Asian community in England. Little known about accessibility products available for use Wards with high proportions or numbers residents from were identified using 2001 Census data. Within each ward product purchasers retail outlets and purchased them. Chewing found a broad variety premises all but one ward, easily accessible. Ninety-eight mean price £1.82. Of ninety four pre-packaged only 15% (95%...

Frequent and potentially avoidable hospital admission amongst older patients with ambulatory care sensitive (ACS) chronic conditions is a major topic for research internationally, driven by the imperative to understand therefore reduce admissions. Research date has mostly focused on analysis of routine data using ACS as proxy 'potentially avoidable'. There been less antecedents frequent and/or from perspectives or those offering community based support these patients. This study aimed...

This paper aimed to explore the association between rurality and (1) household smoking status (2) home second-hand smoke exposure, in households with children aged 0-14 years.Cross-sectional study.Households across Australia.Households country were randomly selected provide a nationally representative sample. Respondents persons 12 years or older each who next going celebrate their birthday.Household inside home.The 2010 Australian National Drug Strategy Household survey data analysed...