https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54135 Wed 28 Feb 2024 15:09:06 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37202 Wed 24 Nov 2021 15:51:23 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46435 Wed 23 Nov 2022 13:14:40 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48251 Wed 13 Mar 2024 08:05:12 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:4876 Wed 11 Apr 2018 16:03:27 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:16757 Wed 11 Apr 2018 14:29:41 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:12852 Wed 11 Apr 2018 10:41:46 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:34647 1 million population and other countries with > 50 million population were included (n = 49, total 5.6 billion inhabitants, 85% of global strokes). Two stroke experts from each selected country were surveyed, discrepancies resolved, and further information on identified stroke-specific curricula sought. Results: We received responses from 48 (98%) countries. Of ischemic stroke patients, 64% were reportedly treated by neurologists, ranging from 5% in Ireland to 95% in the Netherlands. Per thousand annual strokes there were average six neurologists, ranging from 0.3 in Ethiopia to 33 in Israel. Of intracerebral hemorrhage patients, 29% were reportedly treated by neurosurgeons, ranging from 5% in Sweden to 79% in Japan, with three neurosurgeons per thousand strokes, ranging from 0.1 in Ethiopia to 24 in South Korea. Most countries had a stroke society (86%) while only 10 (21%) had a degree or subspecialty for stroke medicine. Conclusions: Stroke doctor numbers, background specialties, and opportunities to specialize in stroke vary across the globe. Most countries have a scientific society to pursue advancement of stroke medicine, but few have stroke curricula.]]> Wed 09 Mar 2022 15:59:08 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:34475 Wed 06 Apr 2022 14:03:39 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36516 Tue 26 May 2020 13:17:28 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:35961 Tue 21 Jan 2020 13:28:08 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33162 Tue 03 Sep 2019 18:23:15 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38098 Tue 03 Aug 2021 18:49:28 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52070 This paper describes a rural immersive attachment program for allied health students at an Australian University Department of Rural Health and its workforce outcomes. A mixed methods longitudinal cohort study, with data collected via end-of-placement and post-graduation surveys. Over 13 years, 311 allied health ‘year-long’ immersive rural attachments, as well as short-term placements, were supported. Pre- and post-placement rural practice intention ratings were paired (from 572 end of placement surveys) for 553 (96.7%) students. Students from metropolitan (49.4%, n = 273, p < 0.001), and rural origin (50.6%, n = 280, p < 0.001) showed a significant increase in rural practice intention. At 1 year post-graduation, 40.3% (n = 145) of graduates had worked in a rural or remote location in Australia, 39.9% at 3 years (n = 87) and 36.5% (n = 42) at 5 years. Longer-term rural attachments were found to be associated with rural practice location, independent of rural background. Those who had undertaken a longer rural attachment (≥18-weeks) were twice as likely to be working in a rural or remote area than those <18 weeks at 1 year (OR 2.018 95% CI 1.204–3.382) and 2.7 times as likely at 3 years (OR 2.727, 95% CI (1.325–5.614). Supporting students to undertake rural immersive attachments appears to be associated with greater rural practice intention and later rural practice.]]> Thu 28 Sep 2023 08:59:20 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36285 Thu 19 Mar 2020 17:51:50 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:55997 Thu 18 Jul 2024 17:01:39 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20835 Diabetes Research and Clinical Practice, Diabetes Care, Diabetic Medicine, Population Health Management, Rural and Remote Health, Australian Journal of Primary Health, PLoS Medicine, Medical Journal of Australia, BMC Health Services Research, BMC Public Health, BMC Family Practice) and Commonwealth and state government health websites was undertaken to acquire Australian studies of diabetes workforce models published 2005–13. Various diabetes workforce models were examined, including ‘one-stop shops’, pharmacy care, Aboriginal services and telephone-delivered interventions. The quality of evidence was evaluated against several criteria, including relevance and replication, strength of evidence, effect size, transferability and representativeness, and value for money. Results: Of the 14 studies found, four were randomised controlled trials and one was a systematic review (i.e. Level II and I (best) evidence). Only three provided a replicable protocol or detailed intervention delivery. Eleven lacked a theoretical framework. Twelve reported significant improvements in clinical (patient) outcomes, commonly HbA1c, cholesterol and blood pressure; only four reported changes in short- and long-term outcomes (e.g. quality of life). Most studies used a small or targeted population. Only two studies assessed both benefits and costs of their intervention compared with usual care and cost effectiveness. Conclusions: More rigorous studies of diabetes workforce models are needed to determine whether these interventions improve patient outcomes and, if they do, represent value for money. What is known about the topic?: Although health systems with strong primary care orientations have been associated with enhanced access, equity and population health, the primary care workforce is facing several challenges. These include a mal-distribution of resources (supply side) and health outcomes (demand side), inconsistent support for teamwork care models, and a lack of enhanced clinical inter-professional education and/or training opportunities. These challenges are exacerbated by an ageing health workforce and general population, as well as a population that has increased prevalence of chronic conditions and multi-morbidity. Although several policy directions have been advocated to address these challenges, there is a lack of high-quality evidence about which primary care workforce models are best (and which models represent better value for money than current practice) and what the health effects are for patients. What does this paper add?: This study demonstrated several strengths and weaknesses of Australian diabetes models of care studies. In particular, only five of the 14 studies assessed were designed in a way that enabled them to achieve a Level II or I rating (and hence the ‘best’ level of evidence), based on the NHMRC’s (2000, 2001) frameworks for assessing scientific evidence. The majority of studies risked the introduction of bias and thus may have incorrect conclusions. Only a few studies described clearly what the intervention and the comparator were and thus could be easily replicated. Only two studies included cost-effectiveness studies of their interventions compared with usual care. What are the implications for practitioners?: Although there has been an increase in the number of primary care workforce models implemented in Australia, there is a need for more rigorous research to assess whether these interventions are effective in producing improved health outcomes and represent better value for money than current practice. Researchers and policymakers need to make decisions based on high-quality evidence; it is not obvious what effect the evidence is having on primary care workforce reform.]]> Thu 16 Jul 2020 10:20:24 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:40483 Thu 14 Jul 2022 08:52:18 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:7768 12 months as a registrar in a rural hospital (odds ratio 4.5 [95% CI 2.2–9.1]). Negative influences for FACEM accepting rural positions included lack of access to continuing education, less acceptable on-call arrangements, fewer employment opportunities for their partner and less educational opportunities for their children. Positive influences included acceptable remuneration, desirable lifestyle, a higher indigenous caseload and more affordable housing. Conclusions: The influence of different types of factors appears to differ between rural and metropolitan FACEM and this information might assist in the formulation of strategies aimed at increasing the rural workforce.]]> Sat 24 Mar 2018 10:48:03 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:9463 Sat 24 Mar 2018 10:45:49 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:8589 Sat 24 Mar 2018 08:38:36 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:1113 Sat 24 Mar 2018 08:32:05 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:14585 Sat 24 Mar 2018 08:20:56 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:12267 Sat 24 Mar 2018 08:10:07 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:11401 Sat 24 Mar 2018 08:09:59 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20259 Sat 24 Mar 2018 07:59:57 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:5097 Sat 24 Mar 2018 07:48:53 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:5094 Sat 24 Mar 2018 07:48:53 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:27992 Sat 24 Mar 2018 07:38:41 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:27993 Sat 24 Mar 2018 07:38:41 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:26423 Sat 24 Mar 2018 07:27:58 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:30975 Sat 24 Mar 2018 07:27:38 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:3861 Sat 24 Mar 2018 07:23:21 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38564 P < 0.0001). The majority indicated they would be ‘quite a bit’ or ‘very much’ interested in future live virtual meetings. Conclusion: The TROG 2020 ASM was conducted as a live virtual meeting. Participant satisfaction and future interest in a live virtual meeting was high, indicating this is a viable platform for other CCTG’s faced with the decision to deliver virtual content at times of global public health threats.]]> Mon 29 Jan 2024 17:56:23 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:31959 Mon 23 Sep 2019 11:55:41 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36143 Mon 17 Feb 2020 14:47:26 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:31859 Mon 09 Apr 2018 13:39:35 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:40807 Mon 08 Aug 2022 10:45:22 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53119 Fri 17 Nov 2023 12:08:07 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43412 Fri 16 Sep 2022 13:35:27 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:55424 Fri 05 Jul 2024 08:52:09 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49828 Fri 02 Jun 2023 16:10:58 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:25126 Fri 01 Apr 2022 09:29:23 AEDT ]]>