Health Services

We aim to study the factors influencing care of patients and outcomes of interventions in health service delivery in order to improve the quality, organisation and accessibility of local healthcare services. HIRC researchers are at the forefront of health service delivery research, from primary care to hospital-based projects. Our researchers come from a wide range of disciplines and through funding from HIRC, have formed interdisciplinary teams to collaborate on our flagship project on chronic kidney disease. Other key research strengths include: post-operative delirium care in older people, nurse-led interventions in primary care and the implementation of innovative changes to clinical practice in primary care settings. HIRC members involved in health services research collaborate with the Illawarra Shoalhaven Local Health District (ISLHD), COORDINARE (the South Eastern NSW Primary Health Network) and Illawarra and Southern Practice Research Network (ISPRN).

Some examples of our current work include:

  • Improvement in health service delivery and shared decision making for individuals living with chronic kidney disease
  • Analysis of CHRISP data 2007-2017 to investigate discrepancies in coding for acute kidney injury in the Illawarra Shoalhaven region
  • The detection and management of post-operative delirium in older people in post anaesthetic care units
  • Nurse-led hypertension interventions in Australian General Practice
  • The effectiveness of Primary Health Networks Patient in facilitating the implementation of Patient Centered Medical Homes (PCMH) change
  • The effectiveness of Quality Incentive Payments in General Practice (EQUIP-GP) trial
  • Integrating My Health Record into clinical practice (CHIME study)
  • Australia IBD Microbiome (AIM) Study: multicentre longitudinal prospective cohort study

Theme leader: Dr Jessica Nealon (School of Medical, Indigenous and Health Sciences)