David P Peiris
Dados Biográficos
| ID | 5548532 |
|---|---|
| NOME | David P Peiris |
| PRENOMES | David P |
| SOBRENOME | Peiris |
| ASSINATURA | PEIRIS D P |
| AFILIAÇÕES | UNSW Sydney |
| ORCID | 0000-0002-6898-3870 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 30 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 30 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2016 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Expanding access to primary care through an innovative regional model
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
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
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”
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
Strengthening China’s National Essential Public Health Services Package for hypertension and diabetes care
The study has been registered on Chinese Clinical Trial Registry at https://www.chictr.org.cn/ (Registration number ChiCTR2400082036, on March 19th 2024)
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…
“We just have to help”
Introduction: Nigeria's skilled health professional health workforce density is insufficient to achieve its national targets for non-communicable diseases (NCD) which include 25% reduction in the prevalence of diabetes and hypertension, particularly at the primary health care (PHC) level. This places a great demand on community health workers (CHWs) who constitute the majority of PHC workers. Traditionally, CHWs are mainly involved in infectious …
The systematic medical appraisal, referral and treatment (SMART) mental health programme
Gaps exist between prevalence and treatment options for mental disorders in India. Limited awareness, poor help-seeking, scarcity of trained mental health professionals, limited mental health services and stigma are few examples of reasons contributing to treatment gap. This paper highlights findings from formative research of a primary mental healthcare model comprising of a preliminary feasibility testing of the Electronic Decision Support Syst…
Scope of health worker migration governance and its impact on emigration intentions among skilled health workers in Nigeria
The growing trends for skilled health worker (SHW) migration in Nigeria has led to increased concerns about achieving universal health coverage in the country. While a lot is known about drivers of SHW migration, including national/sub-national government’s inability to address them, not enough is known about its governance. Underpinning good governance systems is a commitment to human rights norms, that is, principles that enshrine non-discrimin…
The Winter Strategy – a Multifaceted Integrated Care Intervention to Support People with Chronic and Complex Care Needs during the Australian Winter Period
Introduction: Health care demands increase over the winter period, especially for people with chronic diseases. Hospital avoidance programs have potential to address seasonal surges. Methods: An integrated care intervention was provided to patients at high risk of hospitalisation during the 2017 and 2018 winters in Northern New South Wales, Australia. Patients received increased support including general practice sick day action plans, automated …
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…
It is not all about salary
INTRODUCTION: Community health workers (CHWs) constitute the majority of primary healthcare (PHC) workers in Nigeria, yet little is understood about their motivations or the most effective interventions to meet their needs to ensure quality health coverage across the country. We aimed to identify factors that would motivate CHWs for quality service delivery. METHODS: A discrete-choice experiment was conducted among 300 CHWs across 44 PHC faciliti…
Exploring complementary and competitive relations between non-communicable disease services and other health extension programme services in Ethiopia
BACKGROUND: Ethiopia has recently revitalised its health extension programme (HEP) to address the rising burden of non-communicable diseases (NCDs). We examined the effects of existing essential HEP services on the uptake of NCD preventive services. METHODS: We applied a mixed-effect non-linear model with a logit link function to identify factors associated with a community resident's probability of receiving NCD prevention services through the H…
Community prevalence and dyad disease pattern of multimorbidity in China and India
CRD42020176774
Cómo la investigación influencia las políticas en salud
Editorial in Spanish - No abstract available
Community health extension workers’ training and supervision in Ethiopia
Training and supervision of health workers are critical components of any health system;thus, we assessed how they impact health extension workers’ (HEWs) role in non-communicable disease (NCD) service delivery in Ethiopia’s health extension program (HEP), using an in-depth qualitative study conducted in 2019.The study covered two regions—the Tigray and the South Nations, Nationalities and Peoples Region (SNNPR)—and involved the Federal Ministry …
The organisation of primary health care service delivery for non-communicable diseases in Nigeria
As chronic diseases, non-communicable diseases (NCDs) require sustained person-centred and community-based care. Given its direct link to communities and households, Primary Health Care (PHC) is well positioned to achieve such care. In Nigeria, the national government has prioritized PHC system strengthening as a means of achieving national NCD targets. However, strengthening PHC systems for NCDs require re-organization of PHC service delivery, b…
Governance systems for skilled health worker migration, their public value and competing priorities
BACKGROUND: Governments worldwide participate in skilled health worker (SHW) migration agreements to protect access to health services in their countries. Previous studies have described the value offered by these agreements in separate source and destination country perspectives. OBJECTIVE: We sought to identify and summarise existing literature on shared value creation for both source and destination countries. METHOD: We conducted a systematic…
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 …
Principles guiding ethical research in a collaboration to strengthen Indigenous primary healthcare in Australia
Our findings show that principles guiding collaborations are valuable in providing a focus, direction and a way of working together when they are collaboratively developed, hold genuine meaning for all members and are implemented within a culture of continuous critical reflection, learning and adaptation, with ongoing reinterpretation of the principles over time
Health system capacity and readiness for delivery of integrated non-communicable disease services in primary health care
Background Non-communicable diseases (NCDs) now account for about 71% and 32% of all the deaths globally and in Ethiopia. Primary health care (PHC) is a vital instrument to address the ever-increasing burden of NCDs and is the best strategy for delivering integrated and equitable NCD care. We explored the capacity and readiness of Ethiopia’s PHC system to deliver integrated, people-centred NCD services. Methods A qualitative study was conducted i…
Aligning policymaking in decentralized health systems
Noncommunicable diseases (NCDs) are leading causes of death globally and in Nigeria they account for 29% of total deaths. Nigeria’s health system is decentralized. Fragmentation in governance in federalised countries with decentralised health systems is a well-recognised challenge to coherent national health policymaking. The policy response to the rising NCD burden therefore requires strategic intent by national and sub-national governments. Thi…
Cardiovascular disease risk and comparison of different strategies for blood pressure management in rural India
Clinical Trials Registry of India CTRI/2013/06/003753 , 14 June 2013
Is Australia ready for Accountable Care? - academic, policy and service provider perspectives
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 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Improving preventive health care in Aboriginal and Torres Strait Islander primary care settings
BACKGROUND: Like other colonised populations, Indigenous Australians experience poorer health outcomes than non-Indigenous Australians. Preventable chronic disease is the largest contributor to the health differential between Indigenous and non-Indigenous Australians, but recommended best-practice preventive care is not consistently provided to Indigenous Australians. Significant improvement in health care delivery could be achieved through ident…
Sem obras proeminentes nesta página.
Towards sustainable partnerships in global health
Human capital requires opportunities to develop and capacity to overcome challenges, together with an enabling environment that fosters critical and disruptive innovation. Exploring such features is necessary to establish the foundation of solid long-term partnerships. In this paper we describe the experience of the CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia in Lima, Peru, as a case study for …
Improving preventive health care in Aboriginal and Torres Strait Islander primary care settings
BACKGROUND: Like other colonised populations, Indigenous Australians experience poorer health outcomes than non-Indigenous Australians. Preventable chronic disease is the largest contributor to the health differential between Indigenous and non-Indigenous Australians, but recommended best-practice preventive care is not consistently provided to Indigenous Australians. Significant improvement in health care delivery could be achieved through ident…
Developing consensus measures for global programs
BACKGROUND: The imperative to improve global health has prompted transnational research partnerships to investigate common health issues on a larger scale. The Global Alliance for Chronic Diseases (GACD) is an alliance of national research funding agencies. To enhance research funded by GACD members, this study aimed to standardise data collection methods across the 15 GACD hypertension research teams and evaluate the uptake of these standardised…
Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease
Australian New Zealand Clinical Trials Registry ACTRN 126080005833347
What can we learn from the US experiences on Accountable Care Organizations? Reflections from Germany, the UK, France and 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)
Can ‘meso-tier’ healthcare organizations enhance health system performance? - lessons from US Accountable Care Organizations (ACOs) and a discussion of the implications for Australia
Background: USA: ACOs are becoming a prominent feature of the US healthcare system. ACOs are groups of physicians, hospitals, and other providers that agree to be held financially responsible for the total cost and quality of care for a defined patient population. There are currently over 800 ACOs covering around 28 million people. With new Medicare reforms coming into effect soon, the ACO sector may cover over 100 million people in the next five…
Cardiovascular disease risk and comparison of different strategies for blood pressure management in rural India
Clinical Trials Registry of India CTRI/2013/06/003753 , 14 June 2013
Is Australia ready for Accountable Care? - academic, policy and service provider perspectives
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 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
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 …
Principles guiding ethical research in a collaboration to strengthen Indigenous primary healthcare in Australia
Our findings show that principles guiding collaborations are valuable in providing a focus, direction and a way of working together when they are collaboratively developed, hold genuine meaning for all members and are implemented within a culture of continuous critical reflection, learning and adaptation, with ongoing reinterpretation of the principles over time
Health system capacity and readiness for delivery of integrated non-communicable disease services in primary health care
Background Non-communicable diseases (NCDs) now account for about 71% and 32% of all the deaths globally and in Ethiopia. Primary health care (PHC) is a vital instrument to address the ever-increasing burden of NCDs and is the best strategy for delivering integrated and equitable NCD care. We explored the capacity and readiness of Ethiopia’s PHC system to deliver integrated, people-centred NCD services. Methods A qualitative study was conducted i…
Aligning policymaking in decentralized health systems
Noncommunicable diseases (NCDs) are leading causes of death globally and in Nigeria they account for 29% of total deaths. Nigeria’s health system is decentralized. Fragmentation in governance in federalised countries with decentralised health systems is a well-recognised challenge to coherent national health policymaking. The policy response to the rising NCD burden therefore requires strategic intent by national and sub-national governments. Thi…
It is not all about salary
INTRODUCTION: Community health workers (CHWs) constitute the majority of primary healthcare (PHC) workers in Nigeria, yet little is understood about their motivations or the most effective interventions to meet their needs to ensure quality health coverage across the country. We aimed to identify factors that would motivate CHWs for quality service delivery. METHODS: A discrete-choice experiment was conducted among 300 CHWs across 44 PHC faciliti…
Exploring complementary and competitive relations between non-communicable disease services and other health extension programme services in Ethiopia
BACKGROUND: Ethiopia has recently revitalised its health extension programme (HEP) to address the rising burden of non-communicable diseases (NCDs). We examined the effects of existing essential HEP services on the uptake of NCD preventive services. METHODS: We applied a mixed-effect non-linear model with a logit link function to identify factors associated with a community resident's probability of receiving NCD prevention services through the H…
Community prevalence and dyad disease pattern of multimorbidity in China and India
CRD42020176774
Cómo la investigación influencia las políticas en salud
Editorial in Spanish - No abstract available
Community health extension workers’ training and supervision in Ethiopia
Training and supervision of health workers are critical components of any health system;thus, we assessed how they impact health extension workers’ (HEWs) role in non-communicable disease (NCD) service delivery in Ethiopia’s health extension program (HEP), using an in-depth qualitative study conducted in 2019.The study covered two regions—the Tigray and the South Nations, Nationalities and Peoples Region (SNNPR)—and involved the Federal Ministry …
The organisation of primary health care service delivery for non-communicable diseases in Nigeria
As chronic diseases, non-communicable diseases (NCDs) require sustained person-centred and community-based care. Given its direct link to communities and households, Primary Health Care (PHC) is well positioned to achieve such care. In Nigeria, the national government has prioritized PHC system strengthening as a means of achieving national NCD targets. However, strengthening PHC systems for NCDs require re-organization of PHC service delivery, b…
Governance systems for skilled health worker migration, their public value and competing priorities
BACKGROUND: Governments worldwide participate in skilled health worker (SHW) migration agreements to protect access to health services in their countries. Previous studies have described the value offered by these agreements in separate source and destination country perspectives. OBJECTIVE: We sought to identify and summarise existing literature on shared value creation for both source and destination countries. METHOD: We conducted a systematic…
“We just have to help”
Introduction: Nigeria's skilled health professional health workforce density is insufficient to achieve its national targets for non-communicable diseases (NCD) which include 25% reduction in the prevalence of diabetes and hypertension, particularly at the primary health care (PHC) level. This places a great demand on community health workers (CHWs) who constitute the majority of PHC workers. Traditionally, CHWs are mainly involved in infectious …
The systematic medical appraisal, referral and treatment (SMART) mental health programme
Gaps exist between prevalence and treatment options for mental disorders in India. Limited awareness, poor help-seeking, scarcity of trained mental health professionals, limited mental health services and stigma are few examples of reasons contributing to treatment gap. This paper highlights findings from formative research of a primary mental healthcare model comprising of a preliminary feasibility testing of the Electronic Decision Support Syst…
Scope of health worker migration governance and its impact on emigration intentions among skilled health workers in Nigeria
The growing trends for skilled health worker (SHW) migration in Nigeria has led to increased concerns about achieving universal health coverage in the country. While a lot is known about drivers of SHW migration, including national/sub-national government’s inability to address them, not enough is known about its governance. Underpinning good governance systems is a commitment to human rights norms, that is, principles that enshrine non-discrimin…
The Winter Strategy – a Multifaceted Integrated Care Intervention to Support People with Chronic and Complex Care Needs during the Australian Winter Period
Introduction: Health care demands increase over the winter period, especially for people with chronic diseases. Hospital avoidance programs have potential to address seasonal surges. Methods: An integrated care intervention was provided to patients at high risk of hospitalisation during the 2017 and 2018 winters in Northern New South Wales, Australia. Patients received increased support including general practice sick day action plans, automated …
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…
Strengthening China’s National Essential Public Health Services Package for hypertension and diabetes care
The study has been registered on Chinese Clinical Trial Registry at https://www.chictr.org.cn/ (Registration number ChiCTR2400082036, on March 19th 2024)
Medicine (21 obras) · Nursing (16 obras) · Political science (15 obras) · Business (14 obras) · Health care (12 obras) · Global Maternal and Child Health (11 obras) · Public health (11 obras) · Environmental health (10 obras) · Primary Care and Health Outcomes (9 obras) · Economic growth (7 obras)