To measure the incidence of eclampsia, establish how often it is preceded by signs pre-eclampsia, document morbidity associated with and determine maternal case fatality rates.A prospective, descriptive study every eclampsia in United Kingdom 1992. Information was collected from reviews hospital notes questionnaires to general practitioners.All 279 hospitals a consultant obstetric unit.Obstetricians midwives notified 582 possible cases, 383 were confirmed as eclampsia. The national...

Geographic rates of preventable hospitalization are used internationally as an indicator accessibility and quality primary care. Much research has correlated the with supply care services, yet multiple other factors may influence these admissions.To quantify relative contributions general practitioners (GPs) personal sociodemographic health characteristics, to geographic variation in hospitalization.Self-reported questionnaire data for 267,091 participants 45 Up Study, Australia, were linked...

Surveys of GPs are essential to facilitate future planning and delivery health services. However, recruitment into research has been disappointing with response rates declining over recent years. This study identified factors that facilitated or hampered GP in a survey Australian where range strategies were used improve following poor initial responses. for different stages the examined compared reasons leaders university networks cited non-participation. Poor improved by including...

ABSTRACT Objective To determine the current management of severe pre‐eclampsia and eclampsia in United Kingdom. Design One‐page postal survey to all (1007) UK consultant obstetricians with questions about use antihypertensive anticonvulsant drugs eclampsia, other strategies, definition factors determining severity, protocol development regional review. Results 688 replies (69.6% response rate). The used were mainly oral labetalol (35%), methyl dopa (23%) parenteral hydralazine (29%);...

Context Although sexual harassment frequently occurs in medical education and workplaces, doctors who have been sexually harassed or assaulted by other remain a largely invisible population. This study aimed to identify, using personal accounts, the impact on of assault workplace. Methods narrative used in‐depth interviews, legal reports victim statements, tracing trajectories from event's pre‐history its aftermath professional practice. Participants were six Australian women had subjected...

Objectives Internationally, general practitioners (GPs) are being encouraged to take an active role in the care of their patients with obesity, but as yet there few tools for them implement within clinics. This study assessed self-efficacy and confidence GPs before after implementing a weight management programme practice. Design Nested mixed methods 6-month feasibility trial. Setting 4 urban practices 1 rural practice Australia. Participants All vocationally registered local region were...

Background The digital health divide for socioeconomic disadvantage describes a pattern in which patients considered socioeconomically disadvantaged, who are already marginalized through reduced access to face-to-face care, additionally hindered less patient-initiated health. A comprehensive understanding of how with and experience is essential improving the divide. Primary care patients, especially those chronic disease, have stages initial help seeking self-management their health, renders...

Australian First Nations children have poorer outcomes across a range of health measures. High levels screen time are associated with adverse outcomes. Gaps remain in our knowledge on the association between and for different demographic groups, including children. We aimed to describe behaviours non-Indigenous kindergarten Capital Territory (ACT) identify any disparities key 5,516 participated cross-sectional population-based ACT Kindergarten Health Check (KHC) survey, 146 The more than two...

Obesity is prevalent and tertiary prevention of the complications obesity can be provided through publicly funded management clinics (PFOMCs) as well private or general practice clinics. This article uses two case studies patients living with managed by same practitioner (with a special interest in obesity) to highlight differences care PFOMC compared privately billed clinic. The demonstrate that both systems have different barriers related wait times, delivery care, cost access...

Nuffield Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Oxford University, Oxford, United Kingdom. Br Med J 1994;309:1395-1400

The terms integration and integrated care describe the complex, patient-centred strategies to improve coordination of healthcare services. Frameworks exist conceptualise these terms, but have been developed from a professional viewpoint. objective this study was explore consumers' providers' concepts, expectations experience care. A key focus whether frameworks perspective are effective models people's experiences.A qualitative pilot undertaken at one Australian multidisciplinary primary...

Therapeutic alliance is a well-recognized predictor of patient outcomes within psychological therapy. It has not been applied to obesity interventions, and Bordin's theoretical framework shows particular relevance the management in primary health care. This cross-sectional study weight programme general practice aimed determine if therapeutic was associated with outcomes. The Working Alliance Inventory short revised version (WAI-SR) administered 23 patients 11 practitioners (GPs) at end...

Health policy in Australia emphasizes the role of health service users (HSU) managing their own care but does not include mechanisms to assist HSUs do so.To describe motivation towards or away from self-management a diverse group older Australians with diabetes, chronic heart failure (CHF) obstructive pulmonary disease (COPD) and suggest interventions increase patient manage effectively.Content thematic analyses in-depth semi-structured interviews. Participants were asked experience having...

Primary health care requires new approaches to assist patients with overweight and obesity. This is a particular concern for limited access specialist or allied services due financial cost location. The Change Program toolkit that provides structured approach GPs working on weight management. To assess the acceptability feasibility of GP-delivered management programme. A trial in five Australian general practices 12 23 patients. Mixed methods were used objective through participant...

Objective Several studies have demonstrated the effects of health behaviours on risk chronic diseases and mortality, but none investigated their contribution to potentially preventable hospitalisation (PPH). We aimed quantify PPH six behaviours: smoking; alcohol consumption; physical activity; fruit vegetables sitting time; sleeping time. Design/Setting Prospective observational study in New South Wales, Australia. Subjects 267,006 men women aged 45 years over. Outcome Measures admissions...

To estimate undiagnosed diabetes prevalence from general practitioner (GP) practice data and identify areas with high levels of diagnosed diabetes.Data the North-West Adelaide Health Survey (NWAHS) were used to develop a model which predicts total at small area. This was then applied cross-sectional practices predict level expected diabetes. The difference between already defined as estimated for each patterns mapped highlight prevalence.North-West Adelaide, Australia.This study two...

A 27 year old female presented for fertility preservation prior to undergoing pelvic radiotherapy. She had previously undergone a radical laparoscopic hysterectomy cervical carcinoma seven months earlier. trans-vaginal oocyte aspiration was not advisable due vaginal recurrence of the disease. Due polycystic ovarian morphology (PCO), follicle stimulating hormone (FSH) priming with no human chorionic gonadotrophin (hCG) trigger performed oophorectomy followed by ex-vivo and in vitro maturation...

To examine whether measures of remoteness areas adequately reveal high need populations, measured against socioeconomic disadvantage and physician to population ratios.Exploratory spatial analysis relationships between areas, medical workforce supply the index relative (IRSD). Bivariate analyses examined associations IRSD. From this analysis, a composite score deprivation was constructed combining ratios IRSD, validated health outcome measures. These included avoidable mortality per 100,000,...

Medical Journal of AustraliaVolume 210, Issue 7 p. 297-299.e1 Perspectives Primary care in disasters: opportunity to address a hidden burden health Penelope L Burns, Corresponding Author Burns Penelope.Burns@anu.edu.au orcid.org/0000-0002-2484-043X Australian National University, Canberra, ACT Western Sydney Sydney, NSWPenelope.Burns@anu.edu.auSearch for more papers by this authorKirsty A Douglas, Kirsty Douglas ACTSearch authorWendy Hu, Wendy Hu NSWSearch author First published: 19 March...

Obesity is commonly seen in the Australian general practice population; however, few resources are specifically targeted at GPs working with these patients. The National Health and Medical Research Council (Australia) guideline for managing patients who overweight obese supports involvement of a regular health professional. As 85 % population visit GP annually, to support this patient needed. This study describes collaborative process used develop an obesity management programme based on...