Publications by authors named "Ruth Tulleners"

Background: A dramatic decline in mental health of people worldwide in the early COVID-19 pandemic years has not recovered. In rural and remote Australia, access to appropriate and timely mental health services has been identified as a major barrier to people seeking help for mental ill-health. From 2020 to 2021 a care navigation model, Navicare, was co-designed with rural and remote communities in the Greater Whitsunday Region of Central Queensland in Australia.

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Introduction: Epilepsy places a large burden on health systems, with hospitalisations for seizures alone occurring more frequently than those related to diabetes. However, the cost of epilepsy to the Australian health system is not well understood. The primary aim of this study is to quantify the health service use and cost of epilepsy in Queensland, Australia.

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Background: Non-alcoholic fatty liver disease (NAFLD) is the most common type of chronic liver disease in Australia and its recent increase mirrors the obesity and type 2 diabetes epidemics. Currently, many patients who present to primary care with abnormal liver function tests or steatosis on liver ultrasound are referred for assessment in secondary care. Due to the large number of patients with NAFLD, this results in long waits for clinical and fibrosis assessment, placing unnecessary burden on the public hospital system.

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Current provision of services for the care of chronic wounds in Australia is disjointed and costly. There is large variability in the way that services are provided, and little evidence regarding the cost-effectiveness of a specialist model of care for treatment and management. A decision-analytic model to evaluate the cost-effectiveness of a specialist wound care clinic as compared to usual care for chronic wounds is presented.

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Wound management in Australia suffers from a lack of adequate coordination and communication between sectors that impacts patient outcomes and costs. Wound Innovations is a specialist service comprising of a transdisciplinary team that aims to streamline and improve patient care and outcomes. We compared patient experiences and outcomes prior to accessing this specialist service, and the 3 months following their enrolment at the clinic.

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Article Synopsis
  • * A study in Queensland showed that patients receiving optimal care for VLUs incurred higher average weekly costs ($294.72) compared to those receiving usual care ($214.61), with this difference being statistically significant (P = 0.04).
  • * Additionally, patients in the optimal care group experienced a significantly better QoL and faster healing time (average 2.7 months) compared to the usual care group (average 3.9 months), suggesting the potential benefits of guideline-based care despite higher costs.
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Article Synopsis
  • - Chronic wounds in Australia pose a major healthcare issue, costing over AUD $3.5 billion annually, which is around 2% of the country's total healthcare spending.
  • - These wounds significantly affect individuals' quality of life, but evidence-based care can lead to better health outcomes, highlighting the need for data-driven decision-making.
  • - A systematic review was conducted, including 90 studies, to summarize vital epidemiological and clinical data on chronic wounds in Australia, covering aspects like prevalence, infection rates, hospitalizations, and healing processes.
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