The Medical journal of Australia
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Review Meta Analysis
Models of chronic disease management in primary care for patients with mild-to-moderate asthma or COPD: a narrative review.
To review the literature for any promising strategies for the primary care management of mild-to-moderate asthma and chronic obstructive pulmonary disease (COPD) in adults. ⋯ The role of primary health care in management of mild-to-moderate asthma and COPD requires further investigation using randomised controlled trials.
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In 1997, the University of Sydney replaced its undergraduate medical course with a new 4-year graduate medical program. The course was reaccredited by the Australian Medical Council (AMC) in 2005. Suggestions for further development by the AMC led to a comprehensive review of the course, commencing in July 2006. This article describes the review process and outlines key recommendations that came out of the review that have been or are being implemented.
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To review innovative models of primary care in different countries in order to identify potential mechanisms for reforming primary care policy in Australia. ⋯ There are tensions and tradeoffs involved in balancing professional and bureaucratic control and in linking quality and accountability mechanisms. Enhanced linkage between researchers, policymakers and professional groups could assist in exploring options for effective primary care reform.
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To identify sustainable governance arrangements for health care organisations undertaking integrated health service delivery based on best available evidence. ⋯ State governments are increasingly attempting to work with non-government organisations and the private sector to maximise scarce resources in the face of increasing health care demand. Ambitious integration agendas must be underpinned by effective governance mechanisms that are appropriate to the undertaking, the stakeholders involved and the scale of delivery.
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To determine what preventive models or programs are most likely to improve patterns of growth faltering in children aged under 5 years in remote Australian Indigenous communities. ⋯ For remote Indigenous communities, development and implementation of programs should involve a consideration of the evidence for potential impact, strength of community support and local feasibility. Given the lack of strong evidence supporting programs, any new or existing programs require ongoing evaluation and refinement.