Christine H Holton

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OBJECTIVE To evaluate the association of characteristics of patients and general practices with patient assessment of quality of care. DESIGN Cross-sectional multi-practice study using the general practice assessment survey. SETTING General practices in Australia. PARTICIPANTS Ninety-six general practices and 7505 chronic illness patients aged >or=18(More)
OBJECTIVES To explore the perceptions of patients with chronic conditions about the nature and quality of their care in general practice. DESIGN Qualitative study using focus group methods conducted 1 June to 30 November 2002. PARTICIPANTS AND SETTING 76 consumers in 12 focus groups in New South Wales and South Australia. MAIN OUTCOME MEASURES(More)
OBJECTIVE Teamwork in primary healthcare is associated with patient care processes and staff outcomes. The ability of teams to be innovative is a hypothesized mechanism. We examined the characteristics of general practices with good team climate for innovation, and assessed the impact of climate on chronically ill patients' assessment of their care and on(More)
AIM At a time when workforce shortages in general practices are leading to greater role substitution and skill-mix diversification, and the demand on general practices for chronic disease care is increasing, the structure and function of the general practice team is taking on heightened importance. To assist general practices and the organizations(More)
OBJECTIVE To study the work satisfaction of general practice staff, the differences between types of staff, and the individual and organisational factors associated with work satisfaction. DESIGN, SETTING AND PARTICIPANTS Cross-sectional multipractice study based on a self-completed job satisfaction survey of 626 practice staff in 96 general practices in(More)
BACKGROUND To study health-related quality of life (HRQOL) in a large sample of Australian chronically-ill patients and investigate the impact of characteristics of patients and their general practices on their HRQOL and to assess the construct validity of SF-12 in Australia. METHODS Cross sectional study with 96 general practices and 7606 chronically-ill(More)
Although we are rapidly improving our understanding of how to manage patients with chronic illness in Australian general practice, many patients are still receiving suboptimal care. General practices have limited organisational capacity to provide the structured care that is required for managing chronic conditions: regular monitoring, decision support,(More)
OBJECTIVE AND BACKGROUND We investigated the quality of primary care asthma management in a sample of Australian general practices. METHODS 247 general practitioners (GPs) from 97 practices completed a structured interview about management of asthma, diabetes and hypertension/heart disease. A further structured interview with the senior practice principal(More)
BACKGROUND AND OBJECTIVE As firefighters are at increased risk of adverse health effects, periodic examination of their respiratory health is important. The objective of this study was to establish whether the use of impulse oscillometry (IOS) reveals respiratory abnormalities in metropolitan firefighters that go undetected during routine respiratory health(More)
PURPOSE To assess health status of South Australian (SA) metropolitan fire-fighters in terms of lung function and health-related quality of life, compare these with general population controls, and explore associations between fire-fighters' self-reported occupational exposure and health status. METHODS The study was a cross-sectional comparison of(More)