Bishop, J., & Ping, S. (2022) Evaluation of a novel salaried medical officer position on service provision and performance at a rural health service: An exploratory mixed-methods study. Aust J Rural Health, 30(1):65-74
Access abstract: https://onlinelibrary.wiley.com/doi/10.1111/ajr.12807
This study evaluated an on-site salaried medical officer (PGY2+, HMO) position designed to support local GPs to deliver care to EGHS patients and residents.
The study found that the HMO position improved work efficiency, increased accessibility to timely medical advice and improved quality of care, particularly in patients at risk of sudden deterioration. The findings strongly support the development and evaluation of further HMO positions in rural health services that have the capability and capacity to sustain this position.
This research was supported in-kind by East Grampians Health Service.
Gavino, A. I., Isaac, V., & McLachlan, C. S. (2018). Hypertension status and associations with self-rated health and General Practitioner health seeking in a rural Australian cohort. Journal of Cardiovascular Development and Disease, 5(4), 53.
Data is presented from 278 local residents who returned a survey as a part of the Big Ararat Health Study. This article looks in more detail at those who had self-reported high blood pressure (hypertension) and found they visited their GP more often yet were not knowledgeable about their blood pressure readings. Those with poorer self-rated health were also more likely to see their GP.
This research was supported through a research grant from East Grampians Health Service.
Leggat, S. G., Phillips, B., Pearce, P., Dawson, M., Schulz, D., & Smith, J. (2016). Clinical supervision for allied health staff: necessary but not sufficient. Australian Health Review, 40(4), 431-437
Clinical supervision for allied health professionals is a process where the clinical practitioner (supervisee) has the opportunity to meet regularly with an experienced colleague (supervisor) to discuss issues of relevance to their practice.
Responses from 82 surveys of allied health professionals indicated that clinical supervision was thought to benefit both the staff and patients. It was seen as a supportive and reflective relationship that was separate from performance management. However, this divide may not be adequately addressing clinical risk.
Brown, A., Santilli, M., & Scott, B. (2015). The internal audit of clinical areas: a pilot of the internal audit methodology in a health service emergency department. International Journal for Quality in Health Care, 27(6), 520-522.
A toolkit for a systematic approach to the internal audit of clinical care areas was developed and trialled in an emergency department. The audit successfully identified significant clinical risks that were not found by a recent NSQHS accreditation. Therefore, such clinical audits may provide more robust assurance about the management of significant clinical risks.
This research was supported in-kind by East Grampians Health Service.
Romein, J. & Bishop, J. (2020). Individual physical functioning and wellbeing of clients whose structured exercise groups were cancelled due to social distancing requirements of the COVID-19 pandemic. Ballarat Health Services Research and Innovation on the Run. Ballarat, October.
Romein, J. & Bishop, J. (2021). Individual physical functioning and wellbeing of clients whose structured exercise groups were cancelled due to social distancing requirements of the COVID-19 pandemic. ESSA Research to Practice 2021. May 6-8th
Cooper, R. (2019). Results From a two year trial of a ‘whole-of-person’ approach to improve retention of health professionals working in the rural public sector health. 13th Annual Workforce Planning for Healthcare. Sydney, November 20-22nd.
Cosgrave, C., Cooper, R. & Lowe, K. (2019). Trialling a whole-of-person approach for improving retention of rural-based allied health professionals. 3rd Victorian Allied Health Research Conference. Melbourne, March 22.
The change in individual physical functioning of clients whose structured exercise groups were cancelled due to social distancing requirements of the COVID-19 pandemic
Jake Romein and Jaclyn Bishop
This study captured the physical functioning of structured exercise group clients before and after the break from group exercise due to COVID-19 (lockdown 1), their activity during lockdown and their wellbeing on return to activity.
The study found that despite the lockdown, clients had high satisfaction, high wellbeing and normal resilience. There was high variability in individual physical functioning test results so it was not possible to identify common factors that could have predicted those clients who would experience physical functioning decline. Well-controlled studies are required to determine the true impact of COVID-19 (or similar isolation) on physical functioning.
This work is submitted for publication and undergoing review. It was presented at the Exercise & Sports Science (ESSA) Research to Practice Conference (2021) in the Practitioner Award category.
Evaluating potentially preventable hospitalisations
Jaclyn Bishop, Sarah Woodward, Sacha Burley (medical student), Antonia Rigopoulos (medical student), Dr Daniel Wilson, Dr Sophie Ping, Mario Santilli
This study is a retrospective medical record review to identify risk factors for admission in patients with potentially preventable hospitalisations.
The focus of the 2020 review was heart failure. This study found low uptake of evidence-based heart failure medicines and the presence of admission risk amplifiers (poor mobility or physical functional status, history of falls) in the 3 months prior to admission. The patients admitted were of advancing age and had multiple comorbidities. This study reminds us that that rural health services and primary care practitioners are still not receiving the support they need to implement evidence-based and holistic care for their aging patients with heart failure.
This work is submitted for publication.
The impact of the introduction of Montessori of social care related quality of life in a rural aged care facility
Maree Fraser, Jaclyn Bishop , Sue Mark (Montessori Consulting), Dr Sophie Ping, Peter Armstrong (Head of Department), Ella Ottrey
This study will evaluate the impact of the Montessori approach on the social care quality of life (SCQoL) of aged care residents at Garden View Court.
Twenty-two residents completed the first survey to measure SCQoL in April 2021. Montessori has since been implemented and twenty-three residents completed the repeat survey in February 2022. The final survey is scheduled for June 2022, along with interviews to explore the experiences of residents, families and staff with Montessori.
Efficacy of a community based modified sport program for rural community dwelling older adults: A pilot study
Jake Romein, Jaclyn Bishop, Gabrielle Hutchins and Ella Ottrey
This study will design, implement and evaluate a modified sport program for community based older adults living in a rural community.
Jake Romein received a Western Alliance Emerging Researcher Grant and an EGHS Emerging Researcher grant to complete the project.
Recruitment for the focus groups has commenced.