Gill Schierhout
Biographic Data
| ID | 6083907 |
|---|---|
| NAME | Gill Schierhout |
| GIVEN NAMES | Gill |
| FAMILY NAME | Schierhout |
| SIGNATURE | SCHIERHOUT G |
| AFFILIATIONS | UNSW Sydney |
| ORCID | 0000-0002-6399-7624 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Expanding access to primary care through an innovative regional model: A theory of change to inform service development and evaluation
Background: This study presents the theory of change underpinning a population-wide health systems project in a regional area in New South Wales, Australia that aims to improve people’s access to the right care at the right place - the project has an emphasis on primary care access for underserved priority populations of young people, Aboriginal and Torres Strait Islander people, and people living in lower socioeconomic geographic areas. Approach…
Shifting change off the paper and into the reality: Patient experience of a regional strategy to expand primary care access
Background: A regional 24/7 free telephonic nursing triage service including centralised bookings into general practice and community pharmacy “North Coast Health Connect” (~20,800 calls since service inception) is assessed from the perspective of service users, drawing on quantitative and qualitative data. Approach: As part of a comprehensive embedded evaluation and quality improvement activity, people who called North Coast Health Connect are s…
Local implementation of integrated care reforms: The interplay between regional context and collaborative commissioning policy in New South Wales, Australia
Background: Most public health systems necessarily entail a division of responsibility between central and local authorities – with the relationship between levels defined through a combination of hierarchical, contractual and financial structures. The implementation of new policies and initiatives are increasingly devolved to local levels for adaption and implementation; but set within boundaries of broader central policy. Collaborative Commissi…
I would be very proud to be part of an initiative that didn’t exclude people because it was hard”: Mapping and contextualising health equity responsibilities and decision-making tensions in the implem…
The distribution of heath equity responsibilities, as we demonstrated through a ToC of a decentralised, place-based reform, present risk to health equity prioritisation. Risks were particularly present when local resourcing and capacity were stretched, and limited policy guardrails were in place to counteract decision-making tensions, such as clear health equity accountabilities, responsibilities, and actions
The impact of a multi-faceted intervention on non-prescription dispensing of antibiotics by urban community pharmacies in Indonesia: A mixed methods evaluation
Introduction Non-prescription antibiotic dispensing is prevalent among community pharmacies in several low- and middle-income countries. We evaluated the impact of a multi-faceted intervention to address this challenge in urban community pharmacies in Indonesia. Methods A pre-post quasi-experimental study was carried out in Semarang city from January to August 2022 to evaluate a 7-month long intervention comprising: (1) online educational session…
Where is the ‘theory’ in theory of change? Analysing four local theories of change in a systemwide integrated care initiative
Background and context: Theory of change is a structured participatory process that articulates how and why an intervention is assumed to work. Theories of change are often ‘atheoretical’, in that they reflect a bottom-up approach to understanding how a program works, and seldom systematically integrate knowledge of theoretical frameworks and empirical evidence. This means that a key component of the theory of change approach, that of knowledge g…
Innovating Health Governance in Australian Integrated Care
Background: Australia is one of many countries implementing integrated care initiatives to facilitate the Quadruple Aim (the improvement of health outcomes, patient experience, provider experience and health system sustainability). These initiatives can be complex while working within a fragmented and siloed health system. NSW Health has created the Patient Centred Collaborative Commissioning Groups (PCCGs) program facilitating Local Health Distr…
“We face the same risk as the other health workers”: Perceptions and experiences of community pharmacists in Indonesia during the Covid-19 pandemic
In many countries, community pharmacies have played an important role during the COVID-19 pandemic, providing essential medicines and personal protective equipment (PPE), disseminating information on disease prevention and management, and referring clients to health facilities. In recognition of this, there are increasing calls for an improved understanding of the challenges and experiences faced by these providers during the COVID-19 pandemic, w…
Why do strategies to strengthen primary health care succeed in some places and fail in others? Exploring local variation in the effectiveness of a community health worker managed digital health interv…
INTRODUCTION: Digital health interventions (DHIs) have huge potential as support modalities to identify and manage cardiovascular disease (CVD) risk in resource-constrained settings, but studies assessing them show modest effects. This study aims to identify variation in outcomes and implementation of SMARTHealth India, a cluster randomised trial of an ASHA-managed digitally enabled primary healthcare (PHC) service strengthening strategy for CVD …
Prevalence and determinants of inappropriate antibiotic dispensing at private drug retail outlets in urban and rural areas of Indonesia: A mixed methods study
INTRODUCTION: The aim of this mixed-method study was to determine the extent and determinants of inappropriate dispensing of antibiotics by licensed private drug retail outlets in Indonesia. METHODS: Standardised patients (SPs) made a total of 495 visits to 166 drug outlets (community pharmacies and drug stores) between July and August 2019. The SPs presented three clinical cases to drug outlet staff: parent of a child at home with diarrhoea; an …
Epidemic surveillance in a low resource setting: Lessons from an evaluation of the Solomon Islands syndromic surveillance system, 2017
The system has made a significant contribution to public health security in Solomon Islands, but remains insufficiently sensitive to detect small-moderate sized outbreaks and hence should not be relied upon as a stand-alone surveillance strategy. Rather, the system should sit within a complementary suite of early warning surveillance activities including event-based, in-patient- and laboratory-based surveillance methods. Future investments need t…
Predictors of Low Back Pain Onset in a Prospective British Study
Objectives. This study examined predictors of low back pain onset in a British birth cohort. Methods. Univariate and multivariate analyses focused on individuals who experienced onset of low back pain at 32 to 33 years of age (n= 571) and individuals who were pain free (n = 5210). Participants were members of the 1958 British birth cohort. Results. Incident pain was elevated among those with psychological distress at 23 years of age (adjusted odd…
Predictors of Low Back Pain Onset in a Prospective British Study
Objectives. This study examined predictors of low back pain onset in a British birth cohort. Methods. Univariate and multivariate analyses focused on individuals who experienced onset of low back pain at 32 to 33 years of age (n= 571) and individuals who were pain free (n = 5210). Participants were members of the 1958 British birth cohort. Results. Incident pain was elevated among those with psychological distress at 23 years of age (adjusted odd…
Predictors of Low Back Pain Onset in a Prospective British Study
Objectives. This study examined predictors of low back pain onset in a British birth cohort. Methods. Univariate and multivariate analyses focused on individuals who experienced onset of low back pain at 32 to 33 years of age (n= 571) and individuals who were pain free (n = 5210). Participants were members of the 1958 British birth cohort. Results. Incident pain was elevated among those with psychological distress at 23 years of age (adjusted odd…
Epidemic surveillance in a low resource setting: Lessons from an evaluation of the Solomon Islands syndromic surveillance system, 2017
The system has made a significant contribution to public health security in Solomon Islands, but remains insufficiently sensitive to detect small-moderate sized outbreaks and hence should not be relied upon as a stand-alone surveillance strategy. Rather, the system should sit within a complementary suite of early warning surveillance activities including event-based, in-patient- and laboratory-based surveillance methods. Future investments need t…
Why do strategies to strengthen primary health care succeed in some places and fail in others? Exploring local variation in the effectiveness of a community health worker managed digital health interv…
INTRODUCTION: Digital health interventions (DHIs) have huge potential as support modalities to identify and manage cardiovascular disease (CVD) risk in resource-constrained settings, but studies assessing them show modest effects. This study aims to identify variation in outcomes and implementation of SMARTHealth India, a cluster randomised trial of an ASHA-managed digitally enabled primary healthcare (PHC) service strengthening strategy for CVD …
Prevalence and determinants of inappropriate antibiotic dispensing at private drug retail outlets in urban and rural areas of Indonesia: A mixed methods study
INTRODUCTION: The aim of this mixed-method study was to determine the extent and determinants of inappropriate dispensing of antibiotics by licensed private drug retail outlets in Indonesia. METHODS: Standardised patients (SPs) made a total of 495 visits to 166 drug outlets (community pharmacies and drug stores) between July and August 2019. The SPs presented three clinical cases to drug outlet staff: parent of a child at home with diarrhoea; an …
“We face the same risk as the other health workers”: Perceptions and experiences of community pharmacists in Indonesia during the Covid-19 pandemic
In many countries, community pharmacies have played an important role during the COVID-19 pandemic, providing essential medicines and personal protective equipment (PPE), disseminating information on disease prevention and management, and referring clients to health facilities. In recognition of this, there are increasing calls for an improved understanding of the challenges and experiences faced by these providers during the COVID-19 pandemic, w…
Innovating Health Governance in Australian Integrated Care
Background: Australia is one of many countries implementing integrated care initiatives to facilitate the Quadruple Aim (the improvement of health outcomes, patient experience, provider experience and health system sustainability). These initiatives can be complex while working within a fragmented and siloed health system. NSW Health has created the Patient Centred Collaborative Commissioning Groups (PCCGs) program facilitating Local Health Distr…
The impact of a multi-faceted intervention on non-prescription dispensing of antibiotics by urban community pharmacies in Indonesia: A mixed methods evaluation
Introduction Non-prescription antibiotic dispensing is prevalent among community pharmacies in several low- and middle-income countries. We evaluated the impact of a multi-faceted intervention to address this challenge in urban community pharmacies in Indonesia. Methods A pre-post quasi-experimental study was carried out in Semarang city from January to August 2022 to evaluate a 7-month long intervention comprising: (1) online educational session…
Where is the ‘theory’ in theory of change? Analysing four local theories of change in a systemwide integrated care initiative
Background and context: Theory of change is a structured participatory process that articulates how and why an intervention is assumed to work. Theories of change are often ‘atheoretical’, in that they reflect a bottom-up approach to understanding how a program works, and seldom systematically integrate knowledge of theoretical frameworks and empirical evidence. This means that a key component of the theory of change approach, that of knowledge g…
I would be very proud to be part of an initiative that didn’t exclude people because it was hard”: Mapping and contextualising health equity responsibilities and decision-making tensions in the implem…
The distribution of heath equity responsibilities, as we demonstrated through a ToC of a decentralised, place-based reform, present risk to health equity prioritisation. Risks were particularly present when local resourcing and capacity were stretched, and limited policy guardrails were in place to counteract decision-making tensions, such as clear health equity accountabilities, responsibilities, and actions
Expanding access to primary care through an innovative regional model: A theory of change to inform service development and evaluation
Background: This study presents the theory of change underpinning a population-wide health systems project in a regional area in New South Wales, Australia that aims to improve people’s access to the right care at the right place - the project has an emphasis on primary care access for underserved priority populations of young people, Aboriginal and Torres Strait Islander people, and people living in lower socioeconomic geographic areas. Approach…
Shifting change off the paper and into the reality: Patient experience of a regional strategy to expand primary care access
Background: A regional 24/7 free telephonic nursing triage service including centralised bookings into general practice and community pharmacy “North Coast Health Connect” (~20,800 calls since service inception) is assessed from the perspective of service users, drawing on quantitative and qualitative data. Approach: As part of a comprehensive embedded evaluation and quality improvement activity, people who called North Coast Health Connect are s…
Local implementation of integrated care reforms: The interplay between regional context and collaborative commissioning policy in New South Wales, Australia
Background: Most public health systems necessarily entail a division of responsibility between central and local authorities – with the relationship between levels defined through a combination of hierarchical, contractual and financial structures. The implementation of new policies and initiatives are increasingly devolved to local levels for adaption and implementation; but set within boundaries of broader central policy. Collaborative Commissi…
Medicine (8 works) · Nursing (6 works) · Health care (5 works) · Integrated care (4 works) · Political science (4 works) · Business (3 works) · Environmental health (3 works) · Family medicine (3 works) · Health Policy Implementation Science (3 works) · Internal Medicine (3 works)