Sue Metcalf - Academia.edu (original) (raw)
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Papers by Sue Metcalf
The Medical journal of Australia, Jan 16, 2005
To describe how a novel program of diabetic retinopathy screening was conceived, refined and sust... more To describe how a novel program of diabetic retinopathy screening was conceived, refined and sustained in a remote region over 10 years, and to evaluate its activities and outcomes. Program description; analysis of regional screening database; audit of electronic client registers of Aboriginal community controlled health services (ACCHSs). 1318 Aboriginal and 271 non-Aboriginal individuals who underwent retinal screening in the 5 years to September 2004 in the Kimberley region of north-west Australia; 11 758 regular local Aboriginal clients of Kimberley ACCHSs as at January 2005. Characteristics of clients and camera operators, prevalence of retinopathy, photograph quality, screening intervals and coverage. Among Aboriginal clients, 21% had diabetic retinopathy: 19% with non-proliferative retinopathy, 1.2% with proliferative retinopathy, and 2.8% with maculopathy. Corresponding figures for non-Aboriginal clients were 11%, 11%, 0 and 0.4%, respectively. Photograph quality was general...
BMC public health, 2014
There is limited evidence regarding the best approaches to helping Indigenous Australians to stop... more There is limited evidence regarding the best approaches to helping Indigenous Australians to stop smoking. The composite analysis of the only two smoking cessation randomised controlled trials (RCTs) investigating this suggests that one-on-one extra support delivered by and provided to Indigenous Australians in a primary health care setting appears to be more effective than usual care in encouraging smoking cessation. This paper describes the lessons learnt from one of these studies, the Be Our Ally Beat Smoking (BOABS) Study, and how to develop and implement an integrated smoking cessation program. Qualitative study using data collected from multiple documentary sources related to the BOABS Study. As the project neared completion the research team participated in four workshops to review and conduct thematic analyses of these documents. Challenges we encountered during the relatively complex BOABS Study included recruiting sufficient number of participants; managing the project in ...
Health care for Aboriginal people in the Kimberley region of Western Australia is based on a pro-... more Health care for Aboriginal people in the Kimberley region of Western Australia is based on a pro-active, community-level and protocol based approach supported by a web-based clinical information system called MMEx. In MMEx, protocols are encoded as structured care plans that prompt health professionals to perform specified activities according to a specified schedule. Use of the care plans means that care for patients, who exhibit a high incidence of chronic disease in this population is more effective and efficient. Performance of the health services can be measured easily with meaningful measures of benefit to the patients they serve. This paper describes the basis for this system and how it was implemented in this remote region of Australia.
BMC Public Health, 2014
Background: Australian Aboriginal and Torres Strait Islander peoples (Indigenous Australians) smo... more Background: Australian Aboriginal and Torres Strait Islander peoples (Indigenous Australians) smoke at much higher rates than non-Indigenous people and smoking is an important contributor to increased disease, hospital admissions and deaths in Indigenous Australian populations. Smoking cessation programs in Australia have not had the same impact on Indigenous smokers as on non-Indigenous smokers. This paper describes the outcome of a study that aimed to test the efficacy of a locally-tailored, intensive, multidimensional smoking cessation program.
The Medical journal of Australia, Jan 16, 2005
To describe how a novel program of diabetic retinopathy screening was conceived, refined and sust... more To describe how a novel program of diabetic retinopathy screening was conceived, refined and sustained in a remote region over 10 years, and to evaluate its activities and outcomes. Program description; analysis of regional screening database; audit of electronic client registers of Aboriginal community controlled health services (ACCHSs). 1318 Aboriginal and 271 non-Aboriginal individuals who underwent retinal screening in the 5 years to September 2004 in the Kimberley region of north-west Australia; 11 758 regular local Aboriginal clients of Kimberley ACCHSs as at January 2005. Characteristics of clients and camera operators, prevalence of retinopathy, photograph quality, screening intervals and coverage. Among Aboriginal clients, 21% had diabetic retinopathy: 19% with non-proliferative retinopathy, 1.2% with proliferative retinopathy, and 2.8% with maculopathy. Corresponding figures for non-Aboriginal clients were 11%, 11%, 0 and 0.4%, respectively. Photograph quality was general...
BMC public health, 2014
There is limited evidence regarding the best approaches to helping Indigenous Australians to stop... more There is limited evidence regarding the best approaches to helping Indigenous Australians to stop smoking. The composite analysis of the only two smoking cessation randomised controlled trials (RCTs) investigating this suggests that one-on-one extra support delivered by and provided to Indigenous Australians in a primary health care setting appears to be more effective than usual care in encouraging smoking cessation. This paper describes the lessons learnt from one of these studies, the Be Our Ally Beat Smoking (BOABS) Study, and how to develop and implement an integrated smoking cessation program. Qualitative study using data collected from multiple documentary sources related to the BOABS Study. As the project neared completion the research team participated in four workshops to review and conduct thematic analyses of these documents. Challenges we encountered during the relatively complex BOABS Study included recruiting sufficient number of participants; managing the project in ...
Health care for Aboriginal people in the Kimberley region of Western Australia is based on a pro-... more Health care for Aboriginal people in the Kimberley region of Western Australia is based on a pro-active, community-level and protocol based approach supported by a web-based clinical information system called MMEx. In MMEx, protocols are encoded as structured care plans that prompt health professionals to perform specified activities according to a specified schedule. Use of the care plans means that care for patients, who exhibit a high incidence of chronic disease in this population is more effective and efficient. Performance of the health services can be measured easily with meaningful measures of benefit to the patients they serve. This paper describes the basis for this system and how it was implemented in this remote region of Australia.
BMC Public Health, 2014
Background: Australian Aboriginal and Torres Strait Islander peoples (Indigenous Australians) smo... more Background: Australian Aboriginal and Torres Strait Islander peoples (Indigenous Australians) smoke at much higher rates than non-Indigenous people and smoking is an important contributor to increased disease, hospital admissions and deaths in Indigenous Australian populations. Smoking cessation programs in Australia have not had the same impact on Indigenous smokers as on non-Indigenous smokers. This paper describes the outcome of a study that aimed to test the efficacy of a locally-tailored, intensive, multidimensional smoking cessation program.