Continuing the Australian Health Journal, Pioneers in Health Care series, Geriatrician Professor Susan Kurrle, Curran Professor in Health Care of Older People at the Faculty of Medicine and Health, University of Sydney AO spoke after receiving the Australian Healthcare and Hospitals Association 2022 Sidney Sax medal award.
The Sidney Sax medal is awarded for outstanding contributions to the development and improvement of Australia’s healthcare system.
Professor Kurrle is a practicing geriatrician for the Northern Sydney Local Health District (NSLHD), specialising in the areas of dementia, frailty, elder abuse, successful ageing, and intergenerational care. In addition to her work at NSLHD, Professor Kurrle is the expert geriatrician leading the work on the internationally award-winning ABC TV documentary series ‘Old People’s Home for 4 Year Olds’.
This series showcased the benefits that intergenerational care programs can have, and their ability to promote participation and social connectedness, increasing happiness, dignity, and self-esteem for all participants.
‘Professor Kurrle’s work on the many aspects of care for older people, is an area in need of champions who take a holistic approach to their health and well-being,’ says AHHA Board Chair, the Hon Jillian Skinner.
As a well-respected leader and expert driving the research agenda in dementia and aged care, Professor Kurrle has been co-designing services with general practice for several years.
‘The Geriatric Rapid Acute Care of the Elderly or GRACE program, co-designed by Professor Kurrle, is a ground-breaking approach to helping treat older patients in the appropriate setting, be it the home, or aged care settings, rather than in emergency departments.
This program was better not only for the patient, but for hospitals struggling to meet demand for services.’
The GRACE model has since been adopted by many other Local Health Districts, now more commonly known as ‘rapid-response teams’ and ‘geriatric flying squads’.
‘Her work across professional groups, and in using an inter-generational and educative approach, has been of great benefit to older people, their families and the Australian health system as a whole.’
Australian Health Journal spoke to Professor Kurrle about commencing her work initially on bringing elder abuse to public attention, in particular to health professionals. Through her work she has also advocated the use of hip protectors and managing falls and frailty. Her work today continues on tackling ageism and in successful ageing.
The 2022 Sidney Sax medal award presentation took place on the 26th of October 2022 at the National Portrait Gallery of Australia, Canberra.
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Chiropractors commence Spinal Health Month with research in mental health
A new Australian-first clinical research study has found promising results for reducing the mental health impacts of chronic musculoskeletal pain by combining online psychological therapies with routine physical care. The research, funded by the Australian Chiropractors Association (ACA) and conducted through CQUniversity and Macquarie University’s MindSpot programme, highlights the strong connection between chronic pain and mental wellbeing.
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Continuity of Care under COVID-19
Series 3, Episode 1
Under the COVID-19 pandemic, the Australian Healthcare system has handled the public health crisis by monitoring and responding to challenges in supply chains, testing & tracing of new infections and stock piling of essential equipment.
The public has largely responded by practising social distancing, understanding how hand hygiene can spread contagion and recently installing the COVIDSafe mobile application. Public health messaging has been largely effective and literacy improve, to combat the dangers of misinformation.
To open up access to medical advice during the pandemic, in March the Australian government issued MBS item codes for telehealth consultations, for advanced practice nurses as well as GPs and other specialists.
According to AMA President Dr Tony Bartone, as of mid-May 2020, around 10 million Medicare-funded telehealth services have been provided, either over the phone or via video, a significant majority of which have been provided by GPs and other specialists since the Medicare telehealth items were introduced in March.
However in recent months, the health system has mounting concerns on:
- a reduction in general practice visits for testing, investigation or immunisation
- lower rates of elective procedures resuming since being halted
- reduction in laboratory testing
- reduction in treatments and diagnosis of chronic and acute conditions
- access to, and continuing to take medications
Those with pre-existing conditions have been urged to keep appointments and routine treatments to maintain their health.
Industry has taken action such as the newly formed Continuity of Care Collaboration (CCC). The 15 health organisations forming CCC are an Australian first national communication collaboration of Peak Bodies, Industry and Healthcare Organisations coming together to stress the importance for people to continue monitoring their health and maintaining their regular care.
This Australian Health Journal episode on the continuity of care was produced with commentary from the following health industry associations and organisations: APNA – Australian Primary Health Care Nurses Association, RACGP, Medical Technology Association of Australia (MTAA), West Cessnock Medical Practice, Consumers Health Forum of Australia, Medicines Australia
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Enhancing occupational therapy service provision with military veterans
Almost half a million Australians have served with the Australian Defence Force. Given the high prevalence of physical and mental health conditions and complexity of civilian life adjustment after military service, high-quality occupational therapy services are critical. However, there is limited description of occupational therapy service provision to individuals funded by the Australian Department of Veterans’ Affairs to inform government policy.
A cross-sectional study, led by Professor Carol McKinstry, Professor of Occupational Therapy and Deputy Dean with La Trobe University’s Rural Health School at the Bendigo campus has used an online survey to collect information from occupational therapists providing services to Department of Veterans’ Affairs clients.
