Yvonne Zurynski
Biographic Data
| ID | 1732135 |
|---|---|
| NAME | Yvonne Zurynski |
| GIVEN NAMES | Yvonne |
| FAMILY NAME | Zurynski |
| SIGNATURE | ZURYNSKI Y |
| AFFILIATIONS | Macquarie University |
| ORCID | 0000-0001-7744-8717 |
| VERIFIED | Yes |
| TOTAL WORKS | 44 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 44 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2015 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Care Coordination Experiences of Whole Families Caring for Children With Medical Complexity in Rural Areas
BACKGROUND: Family caring roles create significant impacts on individual family members' physical, mental and social wellbeing, and can disrupt family financial stability, relationships and functioning. The perspectives of family members other than mothers are often omitted from research, reducing understanding of the broader impacts of supportive interventions such as care coordination. OBJECTIVE: This study aimed to understand how multiple fami…
Educational standards for Australian social prescribing link workers
Background: Social prescribing integrates comprehensive health and wellbeing outcomes into routine medical care, addressing social determinants alongside biomedical treatment to support prevention and quality of life. In Australia, social prescribing is increasingly recognised in policy with the optimal model involving link workers delivering the intervention. However, no standardised educational framework exists for this emerging workforce. We a…
Do young people living with type-1 diabetes experience integrated care? The importance of integrating psychological support into interdisciplinary teams
Introduction: Type 1 diabetes (T1D) is a chronic, incurable autoimmune condition, typically diagnosed in childhood and managed in paediatric services until ages 16–18 years, when young people (YP) transition to adult services. Maintaining tight glucose control and avoiding hypoglycaemia is challenging around this time as YP face psychosocial challenges and significant life-stage changes. International guidelines suggest that YP and their clinical…
Understanding Type 1 diabetes models of care for children and young adults in Australia
Introduction: Type 1 diabetes (T1D) is a life-long condition typically diagnosed in childhood. Clinical practice guidelines recommend comprehensive multidisciplinary team-based (MDT) care led by paediatric endocrinologists. However, experiences and opinions of health professionals about the implementation of T1D MDTs in Australia are currently unknown. Aims: To describe health service teams caring for children and youth with T1D in Australia, and…
Trust Matters
Introduction: Trust is vital for relationship building and the delivery of quality care. Trust has been described as ‘the glue that makes partnerships work’. 1 But, developing trust takes time, and involves navigating different interests and priorities, imbalances in power, and vulnerabilities. 2 Relationships are often developed under significant time and resource pressures inherent in implementation trials. Intervention: The Rural Kids Guided P…
Service Mapping and Integration for Liver Health
Background: Hepatitis-related chronic liver diseases pose considerable public health challenges in New South Wales (NSW). These diseases are largely preventable through a connected, coordinated, and integrated care approach. However, fragmented services and limited data sharing delay treatment and ongoing surveillance, particularly in remote and underserviced areas. An integrated approach across public health, clinical services, and NGOs is essen…
Role experiences, organisation, and competencies of care navigators in the space between health and social care
Background: Navigating health, social, and community care systems is complex, and can overwhelm individuals and lead to poor health and wellbeing outcomes. A growing workforce of care navigators are employed to assist individuals in navigating between health and social care systems, however, the organisation and experiences of this unique workforce are poorly understood. Approach: The aim of this umbrella review is to synthesise the breadth of ca…
Care coordination for children living with medical complexity in rural Australia
Introduction: Implementation of integrated care for children living with medical complexity (CMC) and their families requires the establishment and support of key innovative workforce roles that span health, disability, community and social care systems. RuralKidsGPS is a paediatric care coordination service implemented in four Local Health Districts (LHDs) in New South Wales, Australia since 2022. Paediatric Care Coordinators (PCCs) provide fami…
Reterritorialising paediatric care in general practice clinics through a GP-paediatrician integrated care model
Evidence is building exploring the efficacy of general practitioner (GP)-paediatrician integrated care models in improving the quality of paediatric primary care and reducing GP referrals to outpatient clinics and emergency departments. However, contemporary research has not adequately explored the mechanisms of change within these models to best support their sustainability and scalability. Our analysis involved interviews and focus groups with …
Twenty‐One Years and Still Going Strong
BACKGROUND: Adolescence is a period of rapid transformation when meeting targets for optimal diabetes care is often challenging due to competing life demands. For more than two decades a diabetes transition clinic in Sydney, Australia, has sustained positive outcomes and demonstrated aspects of resilience in the care of individuals living with type 1 diabetes (T1D) who have transitioned from paediatric to adult care. Many studies have focused on …
Integrating Non-Clinical Supports into Care
Introduction: Social prescribing (SP) involves person-centred integration of non-clinical supports into care, which is critical for addressing mental health and psychosocial needs and enhancing wellbeing. This systematic review evaluated the impact of SP referral pathways on mental health, wellbeing, and psychosocial outcomes. Methods: Four databases (Medline, Embase, PsycINFO and Scopus) were searched for empirical studies of referral pathways t…
Lesson learned
Introduction: Children living with medical complexity (CMC) in rural areas without care coordination commonly experience difficulties accessing care and missed and/or duplicated care resulting in poorer health outcomes and greater costs for their families and the health system. Intervention: The Rural Kids Guided Personalised Service (RuralKidsGPS) is a co-designed integrated model of care coordination implemented in four rural local health distr…
Coordinating rural healthcare to support whole families caring for children with medical complexity
Background: Accessing healthcare for children with medical complexity (CMC) living outside of major cities is often time-consuming and challenging to navigate, impacting quality of life and wellbeing of multiple family members caring for CMC and influencing how the whole family functions. Approach: This study was nested within the implementation evaluation of Rural Kids Guided Personalised Service (RuralKidsGPS), a rural paediatric care coordinat…
Australian and UK Perspectives on Social Prescribing Implementation Research
There has been a rapid increase in the delivery of social prescribing globally in recent years. However, a lack of theoretical framework, the diversity of social prescribing interventions and outcome measures, a lack of ongoing resources to provide services equitably and a lack of coordinated research agenda make it challenging for practitioners to know how best to put social prescribing into practice. This paper summarises perspectives from 29 U…
Associations between adverse childhood experiences and health service utilisation, prescription claims, and school performance during adolescence
Analysing health system capacity and preparedness for climate change
Public Perceptions of the Australian Health System During Covid‐19
BACKGROUND: This study examines the perceptions of the Australian public canvassed in 2021 during the COVID-19 pandemic about their health system compared to four previous surveys (2008, 2010, 2012 and 2018). METHODS: In 2021, a nationwide online survey was conducted with a representative sample of Australians (N = 5100) recruited via market research panels. The results were compared to previous nationwide Australian survey samples from 2018 (N =…
Integrated Care in Epilepsy Management
Introduction: Epilepsy is the most common neurological condition globally. Integrating health and social care is fundamental in epilepsy management, but the scope of progress in this area is unclear. This scoping review aimed to capture the range and type of integrated care components and models in epilepsy management. Methods: Four databases were searched for articles published since 2010 that reported on integrated care in epilepsy. Data were e…
Determinants of women’s agency in accessing and utilising reproductive healthcare services; a systematic review
Unveiling the path to integrated paediatric care in general practices
Background: There has been an exponential rise in the demand for hospital-based care for children. In Victoria and New South Wales (NSW), children can now wait up to 12 months to receive care at a hospital outpatient medical clinic. High-quality care provided closer to home at primary level could alleviate some of the hospital burden. Therefore, there is a need to adapt the health system to improve the management and support of children in primar…
HeartConnect
Introduction: We evaluated an innovative service – HeartConnect - that aims to improve timely access to specialist cardiology services, to smooth patient journeys and to establish greater integration between primary care and specialist cardiology services. Objectives: Access to specialist cardiology services, either through private cardiology clinics or through outpatient clinics in public hospitals often requires long waiting times of 8 weeks or…
Integration of psychological support into paediatric Type 1 diabetes services in Australia
Context: Type 1 diabetes (T1D) is a chronic, incurable condition that is typically diagnosed in childhood. In 2021, there were around 8.4. million individuals living with T1D and of these, 18% were aged < 20 years. Successful health and psychosocial outcomes require education and support from a multidisciplinary team (MDT). The 2022 International Society for Pediatric and Adolescent Diabetes guidelines (ISPAD), state that psychologists are essent…
It can be a lonely job
Introduction: Implementation of integrated care for children living with medical complexity (CMC) and their families requires the establishment and support of new roles in the health system. Background: The Rural Kids Guided Personalised Service (RuralKidsGPS) is a paediatric care coordination service implemented in four Local Health Districts (LHDs) in New South Wales since 2022. RuralKidsGPS is reliant on nurse Paediatric Care Coordinators (PCC…
Impact of Agency on Iranian Women’s Access to and Utilisation of Reproductive Healthcare Services
The Patient Activation Measure (PAM) and the pandemic
BACKGROUND: Preventative healthcare is crucial for improving individual patient outcomes and is integral to sustainable health systems. The effectiveness of prevention programs is enhanced by activated populations who are capable of managing their own health and are proactive to keep themselves well. However, little is known about the level of activation among people drawn from general populations. We used the Patient Activation Measure (PAM) to …
Impact of Agency on Iranian Women’s Access to and Utilisation of Reproductive Healthcare Services
Dealing with the Hospital has Become too Difficult for Us to Do Alone” – Developing an Integrated Care Program for Children with Medical Complexity (CMC)
This Program supports families who are caring for CMC by developing shared care models that bring together local health services with the tertiary hospitals. The methodology used has resulted in comprehensive system change and transformation; reduced presentations to the Emergency Department (ED), avoidable admissions and travel time. A challenge remains in meaningfully engaging primary health care providers
Female genital mutilation and cutting
If it was your child, what rules would you break to get them good care?”- Health care providers experience of working together to care for a child with complex conditions
Introduction: There is no Australian literature on our understanding of the experiences and needs of broader groups of health care providers working in the Australian tertiary, secondary and primary health care system, whilst managing children with chronic and complex conditions. This paper addresses this knowledge gap by exploring the perceptions and experiences of health care providers in providing health care for children aged 0 to18 with chro…
Care coordination for children with chronic and complex conditions in Australia
Introduction:The Sydney Children’s Hospitals Network implemented the Kids Guided Personalised Service (Kids GPS) Care Coordination initiative in July 2015. Children with chronic and complex conditions are eligible for the service. Kids GPS Care Coordinators (CCs) work closely with families and with medical teams to improve access to care in a coordinated way, to source care closer to home and to link families with NGOs and welfare agencies where …
Dealing with the Hospital has Become too Difficult for Us to Do Alone” – Developing an Integrated Care Program for Children with Medical Complexity (CMC)
This Program supports families who are caring for CMC by developing shared care models that bring together local health services with the tertiary hospitals. The methodology used has resulted in comprehensive system change and transformation; reduced presentations to the Emergency Department (ED), avoidable admissions and travel time. A challenge remains in meaningfully engaging primary health care providers
It’s all in the App! Co-design approach in the development of the MyHealthMemory app for families caring for children with complex and chronic conditions
Introduction: Carers are the constant in their child’s medical journey and many have a much greater understanding of their child’s condition and medical needs than is evident in the medical records. Faced with limited coordination and communication among different health services and health care providers parents are often the conduit of information across these health service “silos”. Resourceful families typically carry their child’s medical re…
An evaluation of HealthPathways and its impact upon quality of referrals received by a tertiary paediatric allergy and immunology service
Introduction: HealthPathways is an online information portal for general practitioners and other health professionals, providing localised clinical management and referral information for a range of conditions. The program aims to improve the quality and appropriateness of referrals received by hospital departments, and reduce avoidable Emergency Department presentations. The Western Sydney HealthPathways program is a joint initiative between Wen…
Living in Rural and Remote Australia
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)
An evaluation of care coordination for children with chronic and complex conditions in Australia
Introduction: The SCHN which includes two hospitals, the Children’s Hospital at Westmead (CHW) and the Sydney Children’s Hospital (SCH) implemented the Kids Guided Personalised Service (Kids GPS) Care Coordination initiative in July 2015. Children with chronic and complex medical conditions are eligible for the service. Kids GPS Care Coordinators (CCs) work closely with medical teams to identify children likely to benefit from care coordination a…
Care coordination for children with medical complexity results in savings for the healthcare system and for families
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
Implementation of e‐mental health for depression and anxiety
The aim of this review was to scope the growth and development of implementation research of e‐mental healthcare programs for anxiety and depression, the research and evaluation tools used, and the specific implementation processes and outcomes examined. A search of four electronic databases (MEDLINE, EMBASE, PsycINFO, and CINAHL) was conducted from January 2000 to January 2019. Of 33 studies identified, most ( n = 28) were published in the last …
Changes in public perceptions and experiences of the Australian health‐care system
BACKGROUND: The views and experiences of the Australian public are an important barometer of the health system. This study provides key findings about the changing views held by Australians over time regarding their individual experiences and perceptions of the overall performance of the health system. METHODS: A population-based online survey was conducted in 2018 (N = 1024). Participants were recruited through market research panels. The result…
Integrated care for children with medical complexity living in rural Australia – an evaluation of family experiences using the Paediatric Integrated Care Survey
1. Introduction: The number of children with medical complexity (CMC) residing in regional/rural Australia is growing, challenging the health system to provide equitable and accessible care. Families of CMC experience problems in accessing appropriate care locally; they have high out-of-pocket costs and family disruptions because of long travel distances to access care in metropolitan paediatric hospitals. 2. The Practice Change: The Murrumbidgee…
The importance of local context and governance structures for the implementation of mental health integrated care programs for suicide prevention
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)
Families as Partners
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
Psychological distress and digital health service use during Covid-19
Rates of serious psychological distress during the second year of the pandemic remained high, providing further evidence for the serious impact of COVID-19 on the mental health of the general population. Those with psychological distress accessed digital mental health services and were satisfied with the care they received. The results highlight the continued need for mental health support and digital health services, particularly for people livi…
The Patient Activation Measure (PAM) and the pandemic
BACKGROUND: Preventative healthcare is crucial for improving individual patient outcomes and is integral to sustainable health systems. The effectiveness of prevention programs is enhanced by activated populations who are capable of managing their own health and are proactive to keep themselves well. However, little is known about the level of activation among people drawn from general populations. We used the Patient Activation Measure (PAM) to …
Integrated care in epilepsy
Introduction: Epilepsy is the most common neurological condition globally, and is associated with significant behavioural, physical, and psychological burden. People living with epilepsy and their families often face extreme difficulty receiving timely and efficient healthcare due to the fragmented nature of epilepsy care delivery and the predominance of hospital-based services. The need to integrate epilepsy care services across healthcare secto…
Integrated care for children in rural Australia
Introduction: Children and young people (CYP) with medical complexity, have high levels of healthcare needs and utilisation, representing 10% of patients attending children’s hospitals, and accounting for 60% of healthcare expenditure in the state of New South Wales (NSW), Australia. Furthermore, 30% of children in NSW live outside major cities and require enhanced local health solutions to manage healthcare needs, reduce travel and family disrup…
Evaluation of RuralkidsGPS; A Novel Integrated Paediatric Care Coordination Model of Care in Rural Australia – a Mixed-Methods Study Protocol
RuralKidsGPS, if effective, has the potential to improve equity of access to integrated care for CYP and their families and this protocol may inform other evaluations of similar models of care delivered at scale
The impact of migration and settlement context on Iranian Women's agency in accessing and using reproductive healthcare services in Australia
Analysing health system capacity and preparedness for climate change
Public Perceptions of the Australian Health System During Covid‐19
BACKGROUND: This study examines the perceptions of the Australian public canvassed in 2021 during the COVID-19 pandemic about their health system compared to four previous surveys (2008, 2010, 2012 and 2018). METHODS: In 2021, a nationwide online survey was conducted with a representative sample of Australians (N = 5100) recruited via market research panels. The results were compared to previous nationwide Australian survey samples from 2018 (N =…
Integrated Care in Epilepsy Management
Introduction: Epilepsy is the most common neurological condition globally. Integrating health and social care is fundamental in epilepsy management, but the scope of progress in this area is unclear. This scoping review aimed to capture the range and type of integrated care components and models in epilepsy management. Methods: Four databases were searched for articles published since 2010 that reported on integrated care in epilepsy. Data were e…
Determinants of women’s agency in accessing and utilising reproductive healthcare services; a systematic review
Unveiling the path to integrated paediatric care in general practices
Background: There has been an exponential rise in the demand for hospital-based care for children. In Victoria and New South Wales (NSW), children can now wait up to 12 months to receive care at a hospital outpatient medical clinic. High-quality care provided closer to home at primary level could alleviate some of the hospital burden. Therefore, there is a need to adapt the health system to improve the management and support of children in primar…
Health care (29 works) · Medicine (27 works) · Child and Adolescent Health (18 works) · Nursing (17 works) · Political science (16 works) · Primary Care and Health Outcomes (15 works) · Psychology (14 works) · Service (business (14 works) · Integrated care (13 works) · Business (11 works)