Primary Health Care / Health Care Integration Research Priorities CPHCE Forum
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- Alban Ferguson
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1 About Sydney Local Health District: Located in the centre and inner west of Sydney with >640,000 local residents High housing density - major urban development projects - most boarding houses of any LHD - areas below national SEIFA average (former Canterbury LGA, Burwood LGA, Redfern/Waterloo) Rapid population growth (particularly older age) - 0.9% Aboriginal people - 43% LOTE at home - 8% low English proficiency Principal referral hospitals (RPA and Concord) - major metro hospital (Canterbury) - aged care and rehab specialist hospital (Balmain) - tertiary oral health facility (Sydney Dental Hospital) Network of >25 community-based health service sites ranging across child and family health, community nursing, oral health, mental health, aged care, chronic care, drug and alcohol, sexual health, Aboriginal health + significant proportion of in-home nursing care Complemented by population health programs
2 Primary Health Care / Integration Research Landscape: History of significant research achievements and affiliation with wide range of local health and medical research institutes Advanced Health Research and Translation Centre - Sydney Health Partners Cooperative Alliance - Sydney Research - CESPHN one of a number of partners (draft) SLHD Research Strategic Plan emphasises: - continued collaboration with CESPHN and Sydney Metropolitan Aboriginal Health Partnership to support the development of primary care research - developing a strong integrated care research framework to support evidence-based decisions - evaluating inter-sectoral initiatives Research output NSW Integrated Care Strategy SLHD Innovator Programs local and international interest Tier 2 Integrated Care and Research Executive Director leadership positions Health Equity Research Development Unit
3 Key Activities: NSW Integrated Care Strategy Innovator Programs (MOH funding contribution): Healthy Homes & Neighbourhoods long term care coordination and placebased programs for complex families being serviced by multiple agencies Living Well Living Longer - program addressing physical health needs of people with severe mental illness, includes GP shared care; current pilot - tech solution to improve communication loop tertiary specialists to general practice Health Pathways online management and referral guidelines Introduction of a HealthOne in Green Square Health Impact Assessment completed by HERDU - model of care will include General Practice Academic Research Unit (academic partners - CESPHN, UNSW, USYD, Notre Dame) Planning also for a HealthOne in Canterbury New RACF Outreach Team - model of care being finalised Partnership with the AMS Redfern - various clinical services - paediatrics, cardiovascular, geriatrics, chronic care, endocrinology
4 CESPHN-funded projects - Aboriginal Chronic Care; Speech Pathology Early Referrals Various inter-sectoral initiatives - core partner agencies - CESPHN, AMS Redfern, FACS, DoE, various NGOs: - Inner West Child Health & Wellbeing Plan Inner West Youth Health & Wellbeing Plan Healthy Strong Communities - Service Delivery Reform initiative stable housing for people with severe and enduring mental illness Co-location of services, eg - RedLink (FACS-led) Redfern Housing Estate; Riverwood Community Centre; range of onsite clinical services at various schools
5 Issues & Opportunities: Primary health care access - various cohorts Health inequalities amongst people with severe mental illness Addressing social isolation and related health outcomes Ageing in the urban environment Impact and access NDIS Evaluation and scaling-up innovative models of integrated care Evaluation of inter-sectoral initiatives Improved access to screening/assessment school outreach/brokerage programs
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