Papers by James A Gillespie
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International Journal of Integrated Care
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Health literacy plays an important role in improving person-centred care and population health ou... more Health literacy plays an important role in improving person-centred care and population health outcomes. With the rate of chronic conditions increasing globally, it is important to understand the associations between levels of health literacy and the ability to navigate and engage with the healthcare system. A 39-item survey was designed and distributed to Australian adults aged ≥ 18. Participants were recruited between 29 November and 14 December 2018. In addition to researcher-devised and consumer-devised questions, items about self-reported health status, health conditions and PHI were drawn from the National Health Survey. Questions about financial stress were derived from the Household, Income and Labour Dynamics in Australia (HILDA) survey. Questions about care affordability were drawn from the Commonwealth Fund survey and questions about accessibility were sourced from the Menzies-Nous surveys. Questions about diagnosed chronic conditions were defined by the AIHW. Minor post-weighting adjustments were made by age, sex and state to ensure the data accurately reflected population distribution according to the Australian Bureau of Statistics in June 2018. Data were analysed using descriptive and inferential statistics (IBM SPSS Statistics V24). Weighting was undertaken through a survey raking technique using the anesrake package in R.The full survey questions are included in file 2, and with codes that correspond to the datasheet. <br>
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Public health research & practice, Jan 15, 2016
Manufactured nanomaterials in Australia are managed predominantly through existing chemical regul... more Manufactured nanomaterials in Australia are managed predominantly through existing chemical regulatory frameworks. Many Australian government regulators have suggested the framing of manufactured nanomaterials as 'chemicals' when communicating about manufactured nanomaterials to the general public. This paper aims to determine whether the Australian public perception of manufactured nanomaterials differs to that of 'chemicals', and to examine the relationship between attitudes towards chemicals and perceptions of nanomaterial risk. We undertook a computerised assisted telephone survey of the Australian public. Analysis was undertaken using descriptive, paired tests of proportion, paired t-test and logistic regression techniques. We explored perceptions of nanomaterial risk and their relationship to perceptions of chemical risk and 'chemical attitudes'. We found that the public perceives nanomaterials in a more favourable light than it does chemicals. Percepti...
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Health Policy and Technology, 2022
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Australian Governments and Medical Politics 1910–1960
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he next Australian Government will confront major challenges in the funding and delivery of healt... more he next Australian Government will confront major challenges in the funding and delivery of health care. Australia’s health care system ranks well internationally, as reflected in our continuing high average life expectancy and low rate of infant mortality.
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Health Expectations
The views and experiences of the Australian public are an important barometer of the health syste... more The views and experiences of the Australian public are an important barometer of the health system. This study provides key findings about the changing views held by Australians over time regarding their individual experiences and perceptions of the overall performance of the health system.
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Australian Governments and Medical Politics 1910–1960, 1991
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Executive summary Public patients are routinely being treated in Australian private hospitals. So... more Executive summary Public patients are routinely being treated in Australian private hospitals. Some jurisdictions have large-scale, planned programs where private or not-for-profit hospitals are contracted by the public sector to treat public inpatients (for example, Queensland’s Surgery Connect program). Often, however, ‘contracting’ is done on an ad hoc or short-term basis where private hospitals are asked, at relatively short notice, to treat public patients in order to relieve pressure on public hospitals. The findings from this project stem from interviews with 24 senior health executives across Australia. Interviewees were public and private hospital executives and government bureaucrats. All had experience in hospital contracting. The focus of the interviews was their experiences with contracting: why and how contracting arrangements were developed, what worked, what didn’t, and what changes to policy and practice were made over time. Interviewees were also asked about their ...
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Gesnerus
The problems of national health insurance played a prominent, but shifting role in the formation ... more The problems of national health insurance played a prominent, but shifting role in the formation of global health policy. This paper uses the work of Geneva based organizations from the end of the First World War to the 1970s to explore the crossing points between health policy and social security. From its formation the League of Nations Health Organisation had an uneasy dialogue with the social insurance and security approaches adopted by the International Labour Organization and the International Social Security Association. When the social insurance concerns of the interwar year broadened into ‘social security’, largely led by the ILO, this debate spilled over into conflicts over the leadership of global social policy and carried over into the early years of WHO. Conflicts centred on the difficult relationship between national health insurance and the other elements of what became the welfare state. The paper identifies the difficulties of constructing a global policy space for ...
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Frontiers in Education
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Geospatial Health
Access to Allied Psychological Services is a primary mental health programme targeting hard-to-re... more Access to Allied Psychological Services is a primary mental health programme targeting hard-to-reach populations throughout Australia. This research aims to identify patterns of referrals to the programme in the Western Sydney Primary Health Network region from 2012 to 2015. The referral rates were analysed by using spatial autocorrelation indexes and spatial regression. The study area was described through the identification of the most disadvantaged areas and through consideration of three socio-economic indicators: percentage of Aboriginal and Torres Strait Islander Australians, low educational attainment and low weekly incomes. A large hot spot (identifying high referral rates) was located across the duration of the study in the south-western urban area that partially covered a disadvantaged area. The main cold spot (identifying low referral rates) was located in the south-eastern urban area, covering another disadvantaged area, however critically this association disappeared ov...
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Australian Health Review
Objective Partners in Recovery (PIR) is an Australian government initiative designed to provide s... more Objective Partners in Recovery (PIR) is an Australian government initiative designed to provide support and service linkage for individuals with complex needs living with severe and persistent mental illness. The aim of the present study was to examine whether consumers engaged in PIR programs in two large regions of Sydney experienced: (1) a reduction in unmet needs (either via self- or staff report); and (2) progress in their self-reported mental health recovery. Methods Unmet needs were measured using the Camberwell Assessment of Need Short Appraisal Scale and recovery was measured using the Recovery Assessment Scale – Domains and Stages. For individuals with initial and follow-up data, paired t-tests were used to examine change over time. Results At follow-up, individuals reported an average of two to three fewer unmet needs, and recovery scores increased by approximately 5% across each domain and the total score. At follow-up, the most common unmet needs were in the areas of ‘c...
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Australian health review : a publication of the Australian Hospital Association, Jan 2, 2016
Objective The Partners in Recovery (PIR) program is an Australian government initiative designed ... more Objective The Partners in Recovery (PIR) program is an Australian government initiative designed to make the mental health and social care sectors work in more coordinated ways to meet the needs of those with severe and complex mental illness. Herein we reflect on demographic data collected during evaluation of PIR implementation in two Western Sydney sites. The aims of the present study were to: (1) explore whether two Sydney-based PIR programs had recruited their intended population, namely people living with severe and persistent mental illness; and (2) learn more about this relatively unknown population and their self-identified need priorities.Methods Routinely collected initial client assessment data were analysed descriptively.Results The data suggest that the two programs are engaging the intended population. The highest unmet needs identified included psychological distress, lack of daytime activities and company, poor physical health and inadequate accommodation. Some grou...
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Papers by James A Gillespie