Kathleen M McElwaine1, Megan Freund1, Elizabeth M Campbell2, Carolyn Slattery3, Paula M Wye4, Christophe Lecathelinais5, Kate M Bartlem6, Karen E Gillham7, John H Wiggers8. 1. Population Health, Hunter New England Local Health District, Newcastle, Australia; Faculty of Health, The University of Newcastle, Newcastle, Australia; Hunter Medical Research Institute, Clinical Research Centre, Newcastle, Australia. Electronic address: Megan.Freund@hnehealth.nsw.gov.au. 2. Population Health, Hunter New England Local Health District, Newcastle, Australia; Faculty of Health, The University of Newcastle, Newcastle, Australia; Hunter Medical Research Institute, Clinical Research Centre, Newcastle, Australia. Electronic address: Libby.Campbell@hnehealth.nsw.gov.au. 3. Population Health, Hunter New England Local Health District, Newcastle, Australia. Electronic address: Carolyn.Slattery@hnehealth.nsw.gov.au. 4. Population Health, Hunter New England Local Health District, Newcastle, Australia; Faculty of Health, The University of Newcastle, Newcastle, Australia; Faculty of Science and Information Technology, The University of Newcastle, Newcastle, Australia. Electronic address: Paula.Wye@hnehealth.nsw.gov.au. 5. Population Health, Hunter New England Local Health District, Newcastle, Australia. Electronic address: Christophe.Lecathelinais@hnehealth.nsw.gov.au. 6. Population Health, Hunter New England Local Health District, Newcastle, Australia; Hunter Medical Research Institute, Clinical Research Centre, Newcastle, Australia; Faculty of Science and Information Technology, The University of Newcastle, Newcastle, Australia. Electronic address: Kate.Bartlem@hnehealth.nsw.gov.au. 7. Population Health, Hunter New England Local Health District, Newcastle, Australia; Hunter Medical Research Institute, Clinical Research Centre, Newcastle, Australia. Electronic address: Karen.Gillham@hnehealth.nsw.gov.au. 8. Population Health, Hunter New England Local Health District, Newcastle, Australia; Faculty of Health, The University of Newcastle, Newcastle, Australia; Hunter Medical Research Institute, Clinical Research Centre, Newcastle, Australia. Electronic address: John.Wiggers@hnehealth.nsw.gov.au.
Abstract
OBJECTIVE: Primary care clinicians have considerable potential to provide preventive care. This study describes their preventive care delivery. METHODS: A survey of 384 community health nurses and allied health clinicians from in New South Wales, Australia was undertaken (2010-11) to examine the assessment of client risk, provision of brief advice and referral/follow-up regarding smoking inadequate fruit and vegetable consumption, alcohol misuse, and physical inactivity; the existence of preventive care support strategies; and the association between supports and preventive care provision. RESULTS: Preventive care to 80% or more clients was least often provided for referral/follow-up (24.7-45.6% of clinicians for individual risks, and 24.2% for all risks) and most often for assessment (34.4-69.3% of clinicians for individual risks, and 24.4% for all risks). Approximately 75% reported having 9 or fewer of 17 supports. Provision of care was associated with: availability of a paper screening tool; training; GP referral letter; and number of supports. CONCLUSION: The delivery of preventive care was limited, and varied according to type of care and risk. Supports were variably associated with elements of preventive care. PRACTICE IMPLICATIONS: Further research is required to increase routine preventive care delivery and the availability of supports. Crown
OBJECTIVE: Primary care clinicians have considerable potential to provide preventive care. This study describes their preventive care delivery. METHODS: A survey of 384 community health nurses and allied health clinicians from in New South Wales, Australia was undertaken (2010-11) to examine the assessment of client risk, provision of brief advice and referral/follow-up regarding smoking inadequate fruit and vegetable consumption, alcohol misuse, and physical inactivity; the existence of preventive care support strategies; and the association between supports and preventive care provision. RESULTS: Preventive care to 80% or more clients was least often provided for referral/follow-up (24.7-45.6% of clinicians for individual risks, and 24.2% for all risks) and most often for assessment (34.4-69.3% of clinicians for individual risks, and 24.4% for all risks). Approximately 75% reported having 9 or fewer of 17 supports. Provision of care was associated with: availability of a paper screening tool; training; GP referral letter; and number of supports. CONCLUSION: The delivery of preventive care was limited, and varied according to type of care and risk. Supports were variably associated with elements of preventive care. PRACTICE IMPLICATIONS: Further research is required to increase routine preventive care delivery and the availability of supports. Crown
Authors: Gwendolyn P Quinn; Teresa K Woodruff; Caprice A Knapp; Meghan Lorraine Bowman; Joyce Reinecke; Susan T Vadaparampil Journal: J Adolesc Young Adult Oncol Date: 2016-03-15 Impact factor: 2.223
Authors: Gail L Rose; Gary J Badger; Joan M Skelly; Tonya A Ferraro; Charles D MacLean; John E Helzer Journal: J Gen Intern Med Date: 2016-05-20 Impact factor: 5.128
Authors: Kathleen M McElwaine; Megan Freund; Elizabeth M Campbell; Kate M Bartlem; Paula M Wye; John H Wiggers Journal: Implement Sci Date: 2016-04-06 Impact factor: 7.327
Authors: Danika Tremain; Megan Freund; Paula Wye; Jenny Bowman; Luke Wolfenden; Adrian Dunlop; Kate Bartlem; Christophe Lecathelinais; John Wiggers Journal: BMJ Open Date: 2018-08-17 Impact factor: 2.692
Authors: Kate Bartlem; Jenny Bowman; Kate Ross; Megan Freund; Paula Wye; Kathleen McElwaine; Karen Gillham; Emma Doherty; Luke Wolfenden; John Wiggers Journal: BMC Psychiatry Date: 2016-03-02 Impact factor: 3.630
Authors: Jacqueline M Bailey; Kate M Bartlem; John H Wiggers; Paula M Wye; Emily A L Stockings; Rebecca K Hodder; Alexandra P Metse; Tim W Regan; Richard Clancy; Julia A Dray; Danika L Tremain; Tegan Bradley; Jenny A Bowman Journal: Prev Med Rep Date: 2019-08-14
Authors: Michaela Prachthauser; Jeffrey E Cassisi; Thien-An Le; Andel V Nicasio Journal: Int J Environ Res Public Health Date: 2020-11-04 Impact factor: 3.390