Areas of Research Excellence

Prevention and Management of Chronic and Complex Conditions

Synopsis

This theme takes a whole of life approach to managing chronic and complex illness and acknowledges the importance of work in health and wellbeing. Our research includes individual approaches with those within a practice organisational setting. Work in this cross cutting area reflects our use of data linkage and our focus on the needs of vulnerable populations. Areas of expertise and special focus are:

  • Compensable injury
  • Primary Care Aspects of Cancer
  • Dementia
  • Organisation of Primary Care
  • Guideline Development and Implementation

Current Projects

  • EQUIP GP
  • LEAD - Lung cancer diagnostic and treatment pathways: A comparison between Culturally and Linguistically Diverse (CALD) and Anglo-Australian patients
  • Clinical guideline for the diagnosis and management of work-related mental health problems
  • Improving outcomes for people with depression in community settings: A cluster RCT (led by Associate Professor Mariko Carey, The University of Newcastle)
  • An Australian Community Of practice in Research in Dementia (ACcORD) to improve health outcomes for people with dementia and their carers (led by Laureate Professor Rob Sanson-Fisher, The University of Newcastle)
  • North-West Melbourne Primary Health Network Collaboration
  • RADICALS: (‘Review of Airway Dysfunction and Interdisciplinary Community-based care in Adult Long-term Smokers’) led by Dr Johnson George Faculty of Pharmacy Monash University.
  • Reducing Medical Admissions into Hospital through Optimising Medicines (REMAIN HOME) led by Dr Chris Freeman, University of Queensland)

Completed Projects - last 5 years

  • ESSENCE
  • CDMNet
  • PEP (Putting Prevention into Practice - in conjunction with the Centre of Primary Health Care and Equity, UNSW)
  • Which test is best (led by Prof Lyndal Trevena, University of Sydney)
  • Touch Screen (led by Prof Rob Sanson- Fisher, University of Newcastle)
  • Implementation of Obesity Guidelines
  • PULSAR (led by Prof Graham Meadows, Department of Psychiatry, Monash University)
  • Shifting ground, Common ground: Understanding the evolving primary care practice
  • Fit to Work
  • Grip

Researchers

Current Collaborators

Funders (last five years)                         

  • Canadian Institutes of Health Research
  • RACGP

General Practice Data & Linkage

Synopsis

We are leading Australian researchers in using routinely-collected general practice data to develop a robust evidence base to support targeted and priority-driven strategic research in primary health care. Our expertise in linking general practice data with other datasets has generated important insights on the patient journey and strategies to improve integration of care between primary and acute care and other health services.

Future data-driven research is to continue building links with the various layers of health services, and conduct collaborative research to improve health outcomes for patients and health system sustainability.

Current Projects

  • ULTRA-GP Using data linkage to reduce avoidable hospitalizations
  • EQUIP-GP
  • Understanding the cancer patient’s primary care journey: A data linkage study
  • ENDURE-GP
  • MABEL (led by Professor Tony Scott of the Melbourne Institute: Applied Economic and Social Research Faculty of Business and Economics, The University of Melbourne)

Completed Projects – (last 5 years)

To date, our research has addressed priority areas such as avoidable hospitalisation, chronic disease management, mental health, and antibiotic and vaccine practice.

MAGNET

  • Cardiovascular disease screening in general practice: General practitioner recording of common risk factors
  • Obesity management in general practice: does current practice match guideline recommendations?
  • Risk factors of poor control of HbA1c in older Australian type 2 diabetic patients
  • Multi-morbidity in older patients attending general practice: a MAGNET analysis
  • After-hours medical deputising services: patterns of use by older people
  • GP utilisation of MBS items to support the care of older patients: findings from the REDIRECT study
  • Characteristics of patients presenting to an after-hours clinic: results of a MAGNET analysis
  • Trends in GP prescribing of psychotropic medications among young patients aged 16-24 years in Australia
  • The risk of older patients with type 2 diabetes presenting to hospital emergency departments: a database linkage study
  • Predictors of ED attendance in older patients with chronic disease: a data linkage study
  • Antimicrobial prescribing patterns for children in primary careAnalysis of general practitioner antibiotic prescriptions
  • SAFESIG: improving vaccine safety using routine general practice data

Researchers

Current Collaborators                     

  • SEMPHN
  • Monash Health
  • Outcome Health Monash Partners
  • University of Wollongong University of Tasmania
  • Peter MacCallum Cancer Centre

Funders (last five years)

  • RACGP
  • APHCRI
  • MRFF
  • Faculty Strategic Grant Monash University

Vulnerable Populations

Synopsis

We continuously build and translate the evidence-base to improve the health outcomes of vulnerable communities. We focus on several key groups including migrants and refugees, rural and remote communities, people experiencing socio-economic disadvantage and those with mental health conditions. We use innovative, person-centred research designs to generate responsive findings that shape health policy and services.

Current Projects

  • The Innovative Models Promoting Access to Care Transformation (IMPACT) Centre for Research Excellence (2013 to 2018)
  • The OPTIMISE Partnership Project (2016 – 2020)
  • EQUIP GP
  • Endure GP (2018)
  • Developing general practitioner guidelines for patients with mental health conditions from work injuries (2017-18)
  • Building a new life in Australia longitudinal data analyses: refugee health and wellbeing (2 x BMedSc projects, 2018 and 2019)

Completed Projects – (last 5 years)

  • Coordinated Primary Health Care for Refugees: A Best Practice Framework for Australia
  • Better access to MHC
  • Head Space Evaluation
  • After-hours
  • Cambodian mindfulness
  • PULSAR
  • Re-DIRECT

Researchers

Current Collaborators

  • PHN (NWMPHN, SEMPHN, SWSPHN)
  • Monash Health
  • The Department of Health and Human Services
  • Refugee Health Sector Agencies (Victorian Refugee Network) Settlement Agencies (AIMES, Settlement Services international) Southern Synergy
  • RACGP

Funders (last five years)                                                                   

  • NHMRC
  • MRFF APHCRI CIHR
  • Victorian Government (MIRF)

Women’s Health

Synopsis

Australia’s 35,000 GPs and primary care more broadly are integral to improving access to high quality evidence based sexual and reproductive health services for Australian women. Our research is focused on assisting women to achieve their reproductive life goals by closing the profound evidence practice gaps and ending the siloed delivery that exists in the primary care provision of preconception care, contraception and abortion.

Current Projects

  • SPHERE (Centre of Research Excellence in women’s sexual and reproductive health: Achieving better outcomes through primary care)
  • ACCORD (The Australian Contraceptive ChOice pRoject)
    • The ACCORd study is a cluster randomized controlled trial that is investigating the effect of a complex GP intervention on the uptake of LARCs. It is an Australian adaptation of the successful US Contraceptive CHOICE study, and is funded by NHMRC. This four-year study is expected to be completed at the end of 2018.
  • PREFER (Can the preference for and use of LARCs in young Australian women be increased using an online “LARC first” structured patient educational video?)
    • This study is investigating whether an online patient educational video "LARC first" increases young Australian women's preference for and use of LARCs. This is a follow up to another study that was also funded by Bayer, which examined the barriers and facilitators to the delivery and uptake of long-acting reversible contraception as viewed by general practitioners.
  • Evaluation of Telehealth Abortion
  • How do GPs undertake contraceptive counselling in areas of high teenage pregnancy? (BMed Sci project)
  • How do GPs undertake interconception care? (BMed Sci project)

Completed Projects (last 5 years)

Researchers

Current Collaborators                             

  • University of Sydney
  • Latrobe University
  • University of Indiana
  • University Technology Sydney
  • Family Planning NSW
  • Family Planning Victoria
  • Marie Stopes Australia
  • IBIS Reproductive Health Care

Funders (last five years)                         

  • NHMRC
  • Bayer
  • IBIS Reproductive Health