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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
Australian Journal of Primary Health

Australian Journal of Primary Health

Volume 28 Number 4 2022

PY22006Rapid deployment of support for a mental health crisis: 10 priorities framing Australia’s COVID-19 pandemic response

Jane Desborough 0000-0003-1406-4593, Grant Blashki, Sally Hall Dykgraaf, Ruth Vine, Mark Roddam, Ashvini Munindradasa and Michael Kidd
pp. 271-282

The COVID-19 pandemic and associated public health measuresgenerated substantial and ongoing challenges for the mental health and wellbeing of Australian communities. Australian Government funded initiatives were rapidly instituted between different levels of government and with community mental health organisations. These policy actions aimed to provide agile responses to promote community resilience and strengthen services for vulnerable groups, including older people, those with existing mental health conditions, Aboriginal and Torres Strait Islander peoples, and health and essential service providers.


The Closing the Gap policy framework has made little impact in addressing Aboriginal health disparities. However, Aboriginal Elders are quietly leading the way in community healing; represented by a suite of therapeutic practices and the promotion of cultural values to strengthen Aboriginal identity, community cohesion and connections to Country. Elders provide stakeholders with a culturally embedded framework to advance the health and well-being of Aboriginal people.

PY21290Community-driven health research in the Torres Strait

Hylda Wapau, Ella Kris, Luisa Roeder and Malcolm McDonald
pp. 289-295

Research had a bad name in the Torres Strait. People felt exploited by outside researchers over decades with few benefits for the people. A consultative group of elders and senior health providers developed a research agenda focused on local cultural and health needs, based on a learn-by-doing approach. Participants created their research proposals during four workshops. The program was interrupted by COVID-19 restrictions but should resume in 2022. The model may apply to other Australian rural and remote communities.

PY21256‘Look, wait, I’ll translate’: refugee women’s experiences with interpreters in healthcare in Aotearoa New Zealand

Shemana Cassim 0000-0001-7027-3467, Jacquie Kidd, Madiha Ali, Nur Abdul Hamid, Dina Jamil, Rawiri Keenan, Fariya Begum and Ross Lawrenson
pp. 296-302

In Aotearoa, New Zealand (NZ), discussions on the use of interpreters in healthcare for women who are refugees are long overdue in the published literature. The findings of this study highlight various barriers relating to interpreters experienced by refugee women and demonstrate that there are both ethical and practical risks to how interpreters are used in healthcare in NZ. A step to achieving equitable healthcare for refugee women entails putting in place accessible and robust communicative infrastructure in NZ healthcare settings.


This study provides a greater understanding for researchers and PHN decision-makers of the key features of PHN community-based pain programs, their alignment with expert-agreed key elements and implementation enablers, target-population gaps, and the types of program adaptations during the COVID-19 pandemic.

PY21089Process evaluation of chest camps for increased tuberculosis case finding in Punjab, Pakistan

Muhammad Amir Khan, Fouzia Perveen, Muhammad Ahmar Khan, Muhammad Jameel, Nida Khan, Zarfishan Tahir, Hussain Hadi and Haroon Jehangir Khan
pp. 315-320

Is TB really as pervasive as it seems in Pakistan? Despite its high prevalence rates, there are many TB cases that go unnoticed and unreported. This study indicates that further attention is required to address quality and efficiency concerns, while supporting the continuation of chest camp activity for increased TB case finding. This is quite essential as cases that go unreported may result in spread of the disease and increased burden on the health budget that is already severely affected, which is in addition to the effects of the coronavirus disease 2019 (COVID-19) pandemic.


This study explores nurses’ and educators’ experiences of implementing an integrated model of school-based primary health care in a local school network. We found that defining the role and working across systems were challenges to program implementation, whereas a collaborative culture, relationship building and flexibility in work processes facilitated the integration of the nurses into the school teams. This study will be of interest to those involved in school-based health care.

PY21065Evaluation of a General Practitioner with Special Interest model: lessons learned from staff experiences

L. Purtell, E. Whiting, K. Muller, C. McSherry, K. Gillespie, K. Havas and A. Bonner
pp. 330-337

Long waiting lists are a major challenge for patients referred to specialist medical services in Australia. General practitioners who have an extended scope of practice may work within public hospitals to help increase capacity to provide care in specialist clinics; we found that staff generally had a positive view of working in such a clinic and identified that adequate planning, structured support and training were important in establishing the service. Integrated primary/specialist care models should be co-designed with both GPs and hospital staff.


Consumer-directed and person-centred care is crucial in appropriately servicing all older adults, given each older adult has a diverse background, which impacts their aged care experiences. This paper reports on the development of web pages designed to support the knowledge and information needs of the aged care workforce. There is a need for such resources within this sector to inform culturally appropriate and safe care.

PY21253Understanding of advance care planning in primary care: a gap analysis

Josephine Chow 0000-0002-8911-6856, Ann Harley, Danielle Ni Chroinin, Friedbert Kohler, Janeane Harlum, Kim Jobburn, Pamela Keech, Rachael Williams, Susan Fraser and Ken Hillman
pp. 344-349

Previous research indicates that ACP can facilitate care consistent with the patient’s attitudes, beliefs and priorities, and reduce the chance of people receiving non-beneficial or inappropriate care at the end-of-life. This study conducted detailed individual interviews with senior administrators, medical and nurse practitioners of a local health district, and general practitioners and practice nurses to understand the barriers to conducting advance care planning in primary care.

PY21134A trial of the AASPIRE healthcare toolkit with Australian adults on the autism spectrum

Lisa R. J. Kang, Tim Barlott 0000-0002-7868-783X, Merrill Turpin 0000-0001-7946-0883 and Anna Urbanowicz 0000-0002-7909-4526
pp. 350-356

Autistic adults often experience barriers to accessing health care and have negative healthcare experiences. We wanted to know if an online healthcare toolkit developed with autistic adults to improve healthcare interactions between them and their primary care providers in the US, could be used in Australia. We interviewed six Australian autistic adults about using the toolkit, with positive feedback. An Australian-adapted healthcare toolkit may potentially improve the healthcare experiences of autistic adults living in Australia.

PY21273Experiences of adults with adult-onset type 1 diabetes: a cross-sectional study

Danielle Berkovic, Rebecca Fransquet, Sze-Ee Soh and Darshini Ayton
pp. 357-363

Approximately half of all type 1 diabetes (T1D) diagnoses occur in adulthood, yet scarce attention has been paid to adult-onset T1D in academic literature. Evidence suggests that adults with T1D may experience poorer long-term physical and mental health outcomes. The aim of this study was to examine the experiences of individuals living with adult-onset T1D, with particular focus on their diagnosis experience, access to healthcare, and post-diagnostic wellbeing.

Committee on Publication Ethics

Call for Papers

We are seeking contributions for Special Issues. More

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Call for Reviews

We welcome the submission of high quality review articles. Selected reviews will be offered free open access. More

Best Oral Paper Prize AAAPC 2023

Deidre McGowan has been awarded the Best Oral Paper Prize for 2023.

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