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Stream One

View MJA supplement on Stream One results

View APHCRI press release - Making primary health care work: new research

Stream One of APHCRI's research program concluded with the publication of papers in a Medical Journal of Australia supplement: The Sustainability of Primary Health Care Innovation, in November 2005.

Using a common approach (described in the introductory paper by Sibthorpe, Glasgow and Wells), the research teams examined the sustainability of existing innovations in primary health care across six domains – political, institutional, financial, economic, client and workforce.

The innovations were in risk factor reduction, self-care in an Indigenous community, an integrated Aboriginal mental health program, care and prevention for people living with HIV and primary mental health care. The summative analysis by Sibthorpe, Glasgow and Wells identified three key themes:

•  The importance of social relationships, networks and champions

•  The effect of political, financial and societal forces

•  The motivation and capacity of agents within the system.

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