Margaret Kelaher
Datos Biográficos
| ID | 83096 |
|---|---|
| NOMBRE | Margaret Kelaher |
| NOMBRES | Margaret |
| APELLIDO | Kelaher |
| FIRMA | KELAHER M |
| AFILIACIONES | The University of Melbourne |
| ORCID | 0000-0002-9899-858X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 67 |
| TOTAL DE CITAS | 166 |
| TOTAL COMO AUTOR | 67 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1992 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2022 |
| ÍNDICE H | 8 |
Questioning the ethics of evidence-based practice for Indigenous health and social settings in Australia
Australian government planning promotes evidence-based action as the overarching goal to achieving health equality for Aboriginal and Torres Strait Islander populations. However, an inequitable distribution of power and resources in the conduct of evidence-based practice produces a policy environment counterintuitive to this goal. This context of contemporary evidence-based practice gives legitimacy to ‘expert practitioners’ located in Australian…
So, if she wasn’t aware of it, then how would everybody else out there be aware of it?”—Key Stakeholder Perspectives on the Initial Implementation of Self-Collection in Australia’s Cervical Screening …
Whilst the introduction of self-collection was welcomed, clear communication from Government regarding setbacks in implementation and how to overcome these in practice were needed. As Australia moves to a policy of providing everyone eligible for screening the choice of self-collection, wider promotion to providers and eligible people, clarity around pathology processes and the scaling up of test availability, as well as timely education and comm…
Understanding the types of racism and its effect on mental health among Muslim women in Victoria
This study has found a higher prevalence of racism experienced by Muslim women compared to other ethnic minority groups and some types of racism are more likely to occur or be more toxic for Muslim women. Necessary intervention strategies should be implemented at every level of the society to raise awareness of and reduce exposure to racism among Muslim women
Using an adaptive, codesign approach to strengthen clinic-level immunisation services in Khayelitsha, Western Cape Province, South Africa
INTRODUCTION: Optimal immunisation programme service delivery and childhood vaccine coverage remains an ongoing challenge in South Africa. Previous health systems approaches have made recommendations on how to address identified barriers but detailed local implementation studies are lacking. This study aimed to improve immunisation service delivery in children under 24 months in Khayelitsha, Western Cape Province using an adaptive, co-design appr…
This is my boy’s health! Talk straight to me!” perspectives on accessible and culturally safe care among Aboriginal and Torres Strait Islander patients of clinical genetics services
There is significant scope for improving the care provided to Aboriginal and Torres Strait Islander people at clinical genetics services. Immediate attention to minimising logistical barriers, developing relationships with Aboriginal Community Controlled Health Services and providing practical and specific cultural safety training for practitioners is required at the service-level. Our findings strongly support the development of guidelines or po…
Culturally competent communication in Indigenous disability assessment
Cultural competence in disability assessment and planning can be strengthened through multi-level engagement with the Aboriginal community-controlled sector and community leaders. Implementing mechanisms to enable the involvement of families, trusted service providers and Community Connectors can support a more meaningful understanding of individuals' needs within their cultural context and in relation to their cultural roles
Evaluation of an Aboriginal and Torres Strait Islander strengths based coaching program
This trial was retrospectively registered with the ISRCTN Register on the 12/7/21 with the study ID: ISRCTN33665735
The impact of price transparency on consumers and providers
Indigenous engagement in health
The adoption of international policy frameworks forms an important step in ensuring that Indigenous peoples are able to participate in the formation and implementation of health policy and programs. However, without the relevant principles being reflected in national legislature, international agreements hold little weight. At the same time, while a national legislative framework facilitates the engagement of Indigenous peoples, such policy may n…
Physical violence and violent threats reported by Aboriginal and Torres Strait Islander people with a disability
Aboriginal and Torres Strait Islander people with disability are at heightened risk of physical violence and threats compared to Aboriginal and Torres Strait Islander people without disability, with increased exposure for people with multiple, severe or specific disabilities
Walking the talk
Notwithstanding the tensions and criticism of current practice that sees dominant governments policing Aboriginal and Torres Strait Islander populations and defining what principles should inform health policy and evaluation practice, this paper reveals shortcomings in current evaluation practice. Firstly, this paper reveals a lack of transparency about current practice, with only 2% of tenders and 25% of reports in the public domain. Secondly, t…
The distinctive roles of urban community health workers in low- and middle-income countries
Addressing urban health challenges in low- and middle-income countries (LMICs) has been hampered by lack of evidence on effective mechanisms for delivering health services to the poor. The urban disadvantaged experience poor health outcomes (often worse than rural counterparts) and face service barriers. While community health workers (CHWs) have been extensively employed in rural communities to address inequities, little attention has been given…
The future growth and spatial shift of Australia's Aboriginal and Torres Strait Islander population, 2016–2051
The Australian Aboriginal and Torres Strait Islander population more than doubled in size between 1996 and 2016. Growth was highest in urban areas and lower in rural and remote areas. An important contributor to growth was identification change, whereby individuals report their Aboriginal status differently over time. Official population projections in Australia currently do not incorporate this phenomenon, leading to underestimation of future po…
Exposure to interpersonal racism and avoidance behaviours reported by Aboriginal and Torres Strait Islander people with a disability
Using the National Aboriginal and Torres Strait Islander Social Survey, this paper examines exposure to interpersonal racism and avoidance reported by Aboriginal and Torres Strait Islander people with disabilities. We find that in 2014–2015, 32 per cent of people aged 15–64 without a disability experienced racism compared with 42 per cent of those with a disability. Half of those living with an intellectual or psychological disability reported ra…
Consumer engagement to maximise the impact of public reporting of hospital performance data in Australiapuper
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
What is the role of consensus statements in a risk society
This paper explores the role of consensus statements in a risk society. It uses Beck’s theory of risk to show that scientists have employed consensus statements in order to re-establish faith in science. Through analysing the goals of participants in consensus fora and comparing them to the fora processes, this paper considers how consensus statements and guidelines in public health can be viewed as remedies for the decline in expert trust experi…
Discrimination and avoidance due to disability in Australia
Despite protections in legislation and international accords, significant proportions of Australians with a disability experience discrimination or engage in avoidance behaviours in various settings with potentially important human capital implications. Recently, sectoral responses (eg., in education and the workplace) have been offered by Government reports, providing direction for future research and evaluation
Primary care intervention to address cardiovascular disease medication health literacy among Indigenous peoples
This customized education program was highly effective in increasing medication knowledge and health literacy practice among Indigenous people with CVD or at risk of CVD attending the program at an urban Indigenous health centre
What is meant by public
Governing the quality and safety of healthcare
Musomagic
Large (80+ participants) artist-led programmes with young people frequently take place in school settings, and the artist has limited background knowledge of those attending. This study examined the components of an artist-led programme to identify the nuanced behaviours of artists and volunteer helpers that support musical engagement, personal and social development, and promote social capital. From an analysis of videos and interviews, we exami…
Understanding the audience
Introduction: Despite its’ promise public performance reporting has had little impact on improving quality of care for consumers. In this study we examine consumer advocates, purchasers and providers’ understanding of public performance reporting and how it contributes to quality of care. The aim of the study is to improve the impact of public performance on quality of care.Theory: Public performance reporting is hypothesised to improve quality o…
Exploring the mental health benefits of participation in an Australian anti-racism intervention
There is a vast body of research demonstrating the deleterious effects of racism on health. Despite this, there is limited research that considers the health benefits of anti-racism interventions. We assess the mental health effects for young people participating in an anti-racism intervention that was based on the principles of intergroup contact theory and delivered through five projects addressing specific issues and contexts. An evaluation of…
Racism as a Determinant of Health
Priority Setting in Indigenous Health
Indigenous Australians have significantly poorer health outcomes than the non-Indigenous population worldwide. The Australian government has increased its investment in Indigenous health through the "Closing the Health Gap" initiative. Deciding where to invest scarce resources so as to maximize health outcomes for Indigenous peoples may require improved priority setting processes. Current government practice involves a mix of implicit and explici…
Experiences of Racism, Racial/Ethnic Attitudes, Motivated Fairness and Mental Health Outcomes Among Primary and Secondary School Students
Living in ‘Birdsville’
Mental health impacts of racial discrimination in Australian culturally and linguistically diverse communities
Discrimination and health in an English study
Differences in low-birthweight among documented and undocumented foreign-born and US-born Latinas
Evaluating health impacts
Money, stress, jobs’
A Woman without a Man is a Woman at Risk
Understandings of risk, derived from UN guidelines on gender, have been used to develop a category of targeted immigration, whereby the emigration of women from difficult circumstances, particularly areas of war and/or flight, is expedited. In Australia, this and other special categories are used to accept single women and women with children whose partners have been killed or are missing. In the context of discussion of immigrant policy and prog…
Understanding the types of racism and its effect on mental health among Muslim women in Victoria
This study has found a higher prevalence of racism experienced by Muslim women compared to other ethnic minority groups and some types of racism are more likely to occur or be more toxic for Muslim women. Necessary intervention strategies should be implemented at every level of the society to raise awareness of and reduce exposure to racism among Muslim women
Patterns of Intergroup Contact in Public Spaces
The use of public spaces can promote social cohesion and facilitate interpersonal interactions within the community. However, the ways racial and ethnic groups interact in public spaces can also reflect and influence informal segregation in the wider community. The present study aimed to examine patterns of intergroup contact within public spaces in Victoria, Australia through short-term observation in four localities. Data were collected on with…
The Transtheoretical Model and Cervical Screening
Classification based on the model was supported both by the decisional balance scale and measures of knowledge. Women in earlier stages of the model were more likely to express preferences for the provision of services in their own language and by a female. Cervical cancer screening among women in Action and Maintenance appeared to be better supported by GPs. Cervical cancer screening promotion for women of diverse cultures and ethnicities has te…
Towards Evidence-Based Health Promotion and Service Provision for New Migrants to Australia
The results of this study indicate that there are important differentials in knowledge of and use of the health system and these differences are unlikely to be captured by using measures based on ethnicity or country of origin alone. Predictors of health service utilization were different for men and women. In particular, age and lack of English proficiency appeared to be barriers to health service use for women. Visa category and country of birt…
Responding to concerns about a study of infant overnight care postseparation, with comments on consensus
Richard Warshak published a “consensus report” in this journal (Vol. 20, No. 1) documenting a policy position on infants and overnight care following parental separation. He asserts that “[t]here is no evidence to support postponing the introduction of regular and frequent involvement, including overnights, of both parents with their babies and toddlers” (p. 60). To support this assertion, Warshak presents a series of detailed concerns about an A…
Does more equitable governance lead to more equitable health care? A case study based on the implementation of health reform in Aboriginal health Australia
There is growing evidence that providing increased voice to vulnerable or disenfranchised populations is important to improving health equity. In this paper we will examine the engagement of Aboriginal community members and community controlled organisations in local governance reforms associated with the Aboriginal Health National Partnership Agreements (AHNPA) in Australia and its impact on the uptake of health assessments. The sample included …
Evaluating community outcomes of participation in community arts
VicHealth's Community Arts Development Scheme (CADS) funded three community arts organizations to work with people from marginalized or disadvantaged communities, to provide opportunities for personal and community development through the arts. This article investigates how CADS engages the public in thinking about and discussing social issues and, more generally, the role of community arts practice in promoting civic dialogue. A mixed method app…
Overnight care patterns following parental separation
Children living in a shared-time parenting arrangement following separation (also known as joint physical custody or dual residence) spend equal or near-equal amounts of day and night time with each parent. Little data exist regarding developmental sequelae of such arrangements for infants. The current study examined a theoretically driven question: Are there associations between quantum of overnight stays away from a primary resident parent and …
Factors Influencing Access to Urban General Practices and Primary Health Care by Aboriginal Australians-A Qualitative Study
This paper aims to explore the barriers and facilitators for Aboriginal and Torres Strait Islander Australians with chronic disease to access urban, mainstream general practice and primary health care. Six focus groups and five interviews were conducted with 40 participants that included Aboriginal people with diabetes, health service providers and policy makers. Using diabetes as the exemplar, participants were asked to relate their own experien…
Developing Qualitative Databases for Multiple Users
Conventionally, anthropological data are collected and analyzed by individuals, and although researchers may use data managers to organize their information, there is little need to classify and code systems to be accessible to others. Recently, however, qualitative and quantitative data have been collected in projects with multiple researchers. Difficulties with the establishment, verification, and management of databases for multiple users, par…
The future growth and spatial shift of Australia's Aboriginal and Torres Strait Islander population, 2016–2051
The Australian Aboriginal and Torres Strait Islander population more than doubled in size between 1996 and 2016. Growth was highest in urban areas and lower in rural and remote areas. An important contributor to growth was identification change, whereby individuals report their Aboriginal status differently over time. Official population projections in Australia currently do not incorporate this phenomenon, leading to underestimation of future po…
Governing the quality and safety of healthcare
The effect of partners’ ethnicity on the health of Filipinas in Australia
Population characteristics, health and social issues among Filipinas in Queensland, Australia
Women from the Philippines constitute one of the largest groups of female immigrants from Asia to Australia. Most women migrate to marry Australian men or to join Australian husbands. Research has tended to view Filipinas' health in Australia as intrinsically linked to their marriages rather than to the characteristics of the society in which they now live. Focus on cross-cultural marriages has tended to deny the impact of structural factors, suc…
Marital conflict and finances among Filipinas in Australia
Sources of Bias in Perception of Hiv Risk by Injecting Drug-Users
The role of bias in assessments of personal susceptibility to threat is a central concept in research on perception of risk. The current study aimed to clarify the association between perceived personal susceptibility to infection with HIV/AIDS and injecting risk behaviour with injecting drug-users' perception of the baseline rate of infection with HIV/AIDS. 1262 injecting drug-users from Australian cities were interviewed. The injecting drug-use…
Variables contributing to experiences of grief in HIV/Aids health care professionals
High patient death rates and frequent patient re-admissions are among the factors that contribute to experiences of grief in health care professionals working in the area of HIV/AIDS. This study of 134 Australian health care professionals examines why grief about patient loss is more likely to affect some people than others, the effect of high levels of grief on staff, and the effectiveness of methods of coping with the loss of patients. The vari…
The Politics of Community
In this article, we discuss the ethical positions adopted within universities, by communities and by research funding agencies to negotiate the roles of academics and others in conducting research, identifying mechanisms for community involvement, establishing ongoing consultative procedures, and clarifying areas for enquiry. Within the Australian Longitudinal Study on Women's Health, we have adopted different strategies with the various immigran…
A Woman without a Man is a Woman at Risk
Understandings of risk, derived from UN guidelines on gender, have been used to develop a category of targeted immigration, whereby the emigration of women from difficult circumstances, particularly areas of war and/or flight, is expedited. In Australia, this and other special categories are used to accept single women and women with children whose partners have been killed or are missing. In the context of discussion of immigrant policy and prog…
The Transtheoretical Model and Cervical Screening
Classification based on the model was supported both by the decisional balance scale and measures of knowledge. Women in earlier stages of the model were more likely to express preferences for the provision of services in their own language and by a female. Cervical cancer screening among women in Action and Maintenance appeared to be better supported by GPs. Cervical cancer screening promotion for women of diverse cultures and ethnicities has te…
Towards Evidence-Based Health Promotion and Service Provision for New Migrants to Australia
The results of this study indicate that there are important differentials in knowledge of and use of the health system and these differences are unlikely to be captured by using measures based on ethnicity or country of origin alone. Predictors of health service utilization were different for men and women. In particular, age and lack of English proficiency appeared to be barriers to health service use for women. Visa category and country of birt…
Marital conflict and finances among Filipinas in Australia
The effect of partners’ ethnicity on the health of Filipinas in Australia
Developing Qualitative Databases for Multiple Users
Conventionally, anthropological data are collected and analyzed by individuals, and although researchers may use data managers to organize their information, there is little need to classify and code systems to be accessible to others. Recently, however, qualitative and quantitative data have been collected in projects with multiple researchers. Difficulties with the establishment, verification, and management of databases for multiple users, par…
Young Women in Conflict
This paper discusses the tensions of adaptation as experienced by 72 young women, born in the Philippines or to immigrant mothers and resident in southeast, far west and far north Queensland, Australia. As illustrated, these women, aged 14-25 years, often have difficulty balancing their expectations with those of their families and of the society in which they live. Like most young Australians they experience some conflicts with parents, but the …
Population characteristics, health and social issues among Filipinas in Queensland, Australia
Women from the Philippines constitute one of the largest groups of female immigrants from Asia to Australia. Most women migrate to marry Australian men or to join Australian husbands. Research has tended to view Filipinas' health in Australia as intrinsically linked to their marriages rather than to the characteristics of the society in which they now live. Focus on cross-cultural marriages has tended to deny the impact of structural factors, suc…
The Health of Immigrant Women
Sex, contraception and contradiction among young Filipinas in Australia
Despite recognition of the risks of unplanned pregnancy and disease transmission, the use of contraceptives and/or prophylactics among young sexually active Filipinas in Australia is inconsistent. While this does not set them apart from Australian-born young people, sexual expression is influenced by cultural values of both the immigrant family and dominant community. Young migrant women experience particular barriers in discussing sex with their…
Differences in low-birthweight among documented and undocumented foreign-born and US-born Latinas
Ethnicity, health and health services utilization in a British study
Despite the exponential growth in the number of studies addressing ethnicity and health, there is considerable debate about definitions of ethnicity, the appropriate use of ethnicity in health research and whether research focusing on ethnicity in the health field will ultimately result in reduced disadvantage or will simply contribute to the reification of ethnic origin as a cause of health problems. The authors present and discuss health outcom…
Ethnicity, health and health services utilization in a British study
Despite the exponential growth in the number of studies addressing ethnicity and health, there is considerable debate about definitions of ethnicity, the appropriate use of ethnicity in health research and whether research focusing on ethnicity in the health field will ultimately result in reduced disadvantage or will simply contribute to the reification of ethnic origin as a cause of health problems. The authors present and discuss health outcom…
Money, stress, jobs’
Discrimination and health in an English study
A cost-based equity weight for use in the economic evaluation of primary health care interventions
Cost-based weights have the potential to provide a pragmatic method of equity weight construction which is both understandable to policy makers and sensitive to the needs of target groups. It could improve the evidence base for resource allocation decisions, and be generalised to other disadvantaged groups who share similar concepts of equity. Development of this decision-making tool represents a potentially important avenue for further health ec…
The applicability of measures of socioeconomic position to different ethnic groups within the UK
In the UK, education appears to be an effective variable for measuring variation in SEP across ethnic groups but the ability to account for SEP differences may be improved by the addition of car and home ownership, ability to obtain pound10 000, loaning money to family/friends and income from employment/self employment. Further research is required to establish the degree to which results of this study are generalisable
Living in ‘Birdsville’
Evaluating health impacts
The impact of social and cultural capital variables on parental rating of child health in Australia
The aim of this paper is to study the effects of factors broadly captured under the rubric of parental social and cultural capital on child health. The setting was 11 disadvantaged communities in Victoria, Australia during the conduct and evaluation of Best Start, an early childhood initiative of the Victorian State Government. Questionnaires were sent to parents of 3-year-old children in 2004 and 2006. The principal dependent variable was parent…
SP5-30 Evaluating the implementation of trachomoa treatment guidelines in Australia
Introduction Trachoma control guidelines for the WHO recommend the SAFE strategy which includes surgery for trichiasis, antibiotic treatment, facial cleanliness and environmental improvement. Australia is the only developed country where trachoma persists. In contrast to other countries, it has largely been assumed that lack of access to antibiotics and health services is not a major contributor to the persistence of trachoma in Australia. We ass…
P1-237 Post-separation parenting arrangements
Introduction Changes in family law in many countries have preceded research addressing the developmental impacts of different patterns of parenting after separation. We use data from the Longitudinal Study of Australian Children (LSAC) to examine differences in developmental outcomes due to different patterns of overnight care among infants and children with parents living elsewhere. Analysis LSAC includes a national random sample of Australian c…
Medicine (48 obras) · Political science (38 obras) · Sociology (38 obras) · Psychology (30 obras) · Public health (26 obras) · Nursing (25 obras) · Environmental health (24 obras) · Population (21 obras) · Health care (17 obras) · Demography (16 obras)