- Chronic Disease Management Strategies
- Innovations in Medical Education
- Interprofessional Education and Collaboration
- Primary Care and Health Outcomes
- Simulation-Based Education in Healthcare
- Diabetes Management and Education
- Empathy and Medical Education
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare innovation and challenges
- Global Health Workforce Issues
- Mental Health and Patient Involvement
- Patient Safety and Medication Errors
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Cultural Competency in Health Care
- Geriatric Care and Nursing Homes
- Delphi Technique in Research
- Patient-Provider Communication in Healthcare
- Mental Health and Psychiatry
- Social Media in Health Education
- Health, psychology, and well-being
- Online and Blended Learning
- Innovative Teaching Methods
- Clinical Reasoning and Diagnostic Skills
- Healthcare Quality and Management
Bond University
2023-2025
University of Auckland
2016-2025
The Centre for Health (New Zealand)
2021
Auckland City Hospital
2015-2019
The University of Sydney
2013-2018
Menzies School of Health Research
2013-2018
Marymount University
2018
Australian National University
2009-2016
Primary Health Care
2010-2015
Primary HealthCare
2015
Understanding patterns and identifying common clusters of chronic diseases may help policymakers, researchers, clinicians to understand the needs care process better potentially save both provider patient time cost. However, only limited research has been conducted in this area, ambiguity remains as those previous studies used different approaches identify findings vary with approaches. This study estimates prevalence examines co-occurrence using four approaches: (i) identification most...
Aboriginal and Torres Strait Islander people with chronic illness confront multiple challenges that contribute to their poor health outcomes, the disparities exist in Australian society. This study aimed identify barriers facilitators care support for illness. Face-to-face in-depth interviews were conducted diabetes, heart failure or obstructive pulmonary disease (n-16) family carers (n = 3). Interviews transcribed verbatim transcripts analysed using content analysis. Recurrent themes...
The increasing prevalence of chronic disease is a driver health system reform in most economically advanced nations. A consistent theme within these reforms building greater patient-centredness into the care delivery. This study aims to develop an in-depth understanding experience patients and family carers affected by illness that will be basis on which propose policy interventions are patient-centred. Participants struggled with ongoing tasks balancing their lives demands intrusion...
The management of health care, particularly for people with chronic conditions, combines the activities professionals, patients, informal carers and social networks that support them. Understanding non-professional roles in requires information about related (HRA) are undertaken by patients carers. This understanding allows planning incorporates capacity carers, as well identifying particular skills, knowledge technical necessary. review was to identify how much time illness their spend on...
Objective To explore the short-term and long-term lived experiences of patients with chronic pain angina pectoris spinal cord stimulation. Design An interpretive qualitative study thematic analysis one-off, semistructured interviews, following Braun Clarke (2006). Setting A multidisciplinary, publicly funded service in Auckland, New Zealand. Patients usually undergo a comprehensive medical, psychological functional assessment an in-house management programme before proceeding to stimulator...
In response to the escalating burden of chronic illness in Australia, recent health policies have emphasised promotion patient self-management and better preventive care. A notable omission from these is acknowledgment that patients with tend co-morbid conditions. Our objectives were: identify common challenges co-morbidity poses carers their experiences self-management; detail views perceptions professionals about challenges; discuss policy options improve care for people illness. The...
Little is known about the time spent on specific health related activities by older adult informal carers who assist people with chronic illness. Research has not yet addressed association between carer status and their care demands. Such information could inform policy system efforts to manage We conducted an Australia wide survey using recall questionnaires record use. The study asked how much "most days" for most common like taking medication, self-treatment testing, in last month less...
Most Western health systems remain single illness orientated despite the growing prevalence of multi-morbidity. Identifying how much time people with multiple chronic conditions spend managing their will help policy makers and service providers make decisions about areas patient need for support. This article presents findings from an Australian study concerning spent on related activity by older adults (aged 50 years over), most whom had conditions. A recall questionnaire was developed,...
Context Health care practitioners learn through experience in clinical environments which supervision is a key component, but how that learning occurs outside the relationship remains largely unknown. This study explores environmental factors inform and support workplace within environment. Methods An observational drawing on ethnographic methods was undertaken general medicine ward. Observers paid attention to interactions among staff members involved potential teaching moments occurred...
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...
Objective. The Serious and Continuing Illness Policy Practice Study (SCIPPS) aims to improve the care support for patients with chronic illness their family carers. Here we describe carers’ contribution self-management partnership discuss policy practice implications that are relevant improving available informal in Australia. Design. A secondary analysis of SCIPPS data. Fourteen carers between 45 85 years heart failure, obstructive pulmonary disease diabetes were conveniently sampled from...
Developing professional identity is a vital part of health professionals' education. In Auckland four tertiary institutions have partnered to run an interprofessional simulation training course called Urgent and Immediate Patient Care Week (UIPCW) which compulsory for Year Five medical, Four pharmacy, Three paramedicine nursing students. We sought understand student experiences UIPCW how those informed ideas about their emergent practice as professionals within multidisciplinary teams. 2018,...
Objectives: Ageing immigrant populations now pose problems for the management of chronic illness in Australia. This article asks questions about experiences immigrants Australia with type II diabetes mellitus (DM). What impact, if any, have health policies had on lives immigrants? How do their living DM compare those people who were born Australia? Methods: Semi-structured interviews conducted 32 participants (n = 25) or cared someone 7). Fifteen migrated to and English was not first...
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...
The use of complementary and alternative medicines (CAM) CAM practitioners is common, most frequently for the management musculoskeletal conditions. Knowledge limited about by older people, specifically those with other long term or chronic In 2011 we conducted an Australia wide survey targeting adults aged over 50 years (n = 2540). Participants were asked to identify their conditions, from which health professionals they had 'received advice treatment in last 3 months', including...