John Fraser

John Fraser
University of New England | UNE · School of Rural Medicine

MD, FRACGP, FAFPHM, FACRRM

About

151
Publications
29,561
Reads
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710
Citations
Introduction
John Fraser is a Rural General Practitioner and Public Health Physician with an interest in rural health, public health, Aboriginal Health and medical education
Additional affiliations
February 2008 - present
Naresuan University
Position
  • • Advisor to the Dean and Senior Faculty Member of the Centre of Expertise on Leadership in Health Management (CE-LHM)
Description
  • Applied Health Services Research and capacity building in Family Medicine, Health Management and Public Health Practice and Research
January 2006 - December 2008
Hunter New England Health
January 2006 - present
University of New England

Publications

Publications (151)
Article
Full-text available
To identify the needs of the region's general practitioners concerning diagnosing, treating and referring patients with mental health disorders and major barriers to the general practitioners' management of these patients. Cross-sectional survey. All general practitioners working in rural north-western New South Wales. Self-assessed levels of confi...
Article
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Occupational violence is a worldwide, multifaceted problem affecting all industries, including healthcare. We conducted a cross-sectional survey of the experiences of 158 allied health professionals, 135 doctors, and 1229 nurses working in a rural area in eastern Australia. Response rates were 72 percent for allied health professionals and 62 perce...
Article
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To determine the prevalence of overweight and obese children in north-western New South Wales and to assess caregivers' ability to detect adiposity in their children. A cross-sectional survey using a standardised caregiver questionnaire and anthropometric measurements of school children attending 10 primary schools selected by stratified random sam...
Article
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Background: The recruitment, retention and migration of health workers is a global phenomenon. The literature shows push factors associated with leaving rural areas and developing countries in general are explored in depth. However importantly, some health workers behave differently and decide to stay in or return to a developing country. Less is...
Article
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Background This systematic review used qualitative methodologies to examine the role of quality improvement collaboratives (QICs) in general practice. The aim was to inform implementers and participants about the utility of using or participating in QICs in general practice. Methods Included studies were published in English, used a QIC interventi...
Article
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Individuals who experience a traumatic injury or an acute illness are often reliant on initial healthcare assessment and support from a pre‐hospital emergency medical service (EMS). These community‐based support models perform a vital role in the provision of life‐saving support, but research indicates that the availability, accessibility and resou...
Article
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Supporting improved general practice is urgent, and quality improvement collaboratives are an effective Australian strategy
Article
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OBJECTIVE: Pre-hospital emergency medical services (EMS) are a vital component of health management, however there are disparities in the provision of EMS between rural and urban locations. While rural people experience lower levels of pre-hospital care, there has been little examination of the reasons underpinning these differences through discus...
Article
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Background There is a disparity in outcomes between rural and urban emergency medical services (EMS) around the world. However, there is a scarcity of research that directly asks EMS staff in both rural and urban areas how service delivery could be improved. The aim of the present study is to gain insights from frontline workers regarding organisat...
Preprint
Full-text available
Background: There is a disparity in outcomes between rural and urban emergency medical services (EMS) in both developed and developing countries. However, there is a scarcity of research that directly asks EMS staff in both rural and urban areas of developing countries how service delivery could be improved. The aim of the present study is to gain...
Article
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Background: Callouts resulting in patient nontransportation can impact the overall quality of prehospital Emergency Medical Service (EMS), as resources in health care are finite. While some studies have investigated the causes of nontransportation, few have examined whether there are differences between urban and rural patients. Similarly, there ha...
Article
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Background: There is limited research outside the USA, Europe, or Australia on the capacity, efficiency, and development of prehospital emergency medicine services (EMS) between urban and rural areas. This study aimed to examine the usage of prehospital EMS across rural and urban areas in Riyadh region in the Kingdom of Saudi Arabia. Methods: A ran...
Article
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Background Response impacts on treatment outcomes, particularly for time-sensitive illnesses, including trauma. This study compares key outcome measures for emergency medical services (EMS) operating in urban versus rural areas in the Riyadh region of Saudi Arabia. Methods A cross-sectional study of EMS users was conducted using a random sampling...
Article
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Invasive fungal infections are becoming increasingly more prevalent in clinical practice. This corresponds with more patients living with immunosuppression and improved techniques to identify fungal infections. Subcutaneous fungal masses can often masquerade and imitate common dermatological lesions such as cysts. Querying a fungal aetiology of a m...
Article
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Objective: This study investigated Pakistani physicians’ decision-making concerning their decisions to stay in Pakistan, migrate abroad, or resettle back into their country after working abroad. Methods: This qualitative study employed a phenomenological research design. Thirteen Pakistani physicians characterised as ‘stayers’, ‘leavers’ and ‘rese...
Article
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The goal of this systematic review was to examine the existing literature base regarding the factors impacting patient outcomes associated with use of emergency medical services (EMS) operating in urban versus rural areas. A specific subfocus on low and lower-middle-income countries was planned but acknowledged in advance as being potentially limit...
Article
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Strongyloides stercoralis is a nematode which can cause fatal systemic or disseminated infections in immunocompromised persons. It is known to be endemic in tropical Australia. Sporadic cases arising from temperate regions are reported in Russia and North America. A 71-year-old Aboriginal woman with ovarian carcinoma developed worsening lethargy an...
Chapter
Full-text available
Overview of this chapter In this chapter we discuss writing for publication, with a focus on practical advice to clearly define writing as a reflexive learning process and a means of adding to the health care knowledge base. The chapter includes key messages about writing style, different types of writing and publication processes, as well as refer...
Conference Paper
The Emergency Medical Services (EMS) is an important system ensuring an effective, timely, and well-coordinated delivery of health and safety services to the people affected by sudden illness or injuries. From studies conducted in many developed and developing countries, it is evident that there exist discrepancies between rural and urban health pa...
Article
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Background Mentoring medical students in general practices is becoming more common in Australia due to formalised scholarship programs and informal approaches by students. Objective This paper defines mentoring in Australian general practice. Practical suggestions are made on how to structure a mentorship program in your practice. Discussion Men...
Article
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In 2001, the universal health coverage policy was adopted by Thailand with primary healthcare (PHC) as the major focus of the policy. In order to understand the structural and institutional factors affecting the implementation of PHC in rural Thailand, a qualitative study, utilising individual interviews with national and provincial policy decision...
Article
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In 2001, Thailand adopted the Universal Health Coverage (UHC) policy. This policy focuses on primary health care (PHC), with the aim of reforming the Thai health system to provide health services to all, regardless of a person's ability to pay. The community hospital director (CHD) is the middle manager of the provincial health system and the leade...
Article
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There have been recent calls for a renewed worldwide focus on primary health care. The Thai-Australian Health Alliance addresses this call by developing health care management capability in primary health care professionals in rural Thailand. This paper describes the history and current activities of the Thai-Australian Health Alliance and its appr...
Conference Paper
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An Overview of the First Triennium of the School of Rural Medicine from opening in 2007 to 2010. A description of the establishment of the School of Rural Medicine, University of New England.
Article
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This paper describes stages in the research literature related to recruitment and retention of health professionals to rural health careers. Electronic databases accessed included Medline, CINAHL, Social Sciences and Humanities. Key search terms included 'high school', 'career choices', 'rural', 'attachment', 'recruitment' and 'retention'. We ident...
Conference Paper
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BACKGROUND: Collaborations between organisations from developed and developing nations in the Asia Pacific region have secured partnerships in education, training, research and professional development that target enhancement of capacity building in health management. Although 'Declarations' supporting various social, political, economic and health...
Conference Paper
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Title: Collaborative capacity building in applied health systems research Authors: David Briggs1, 2, Mary Cruickshank1, 3, Steven Campbell1, K Fisher1 John Fraser1, 4 and Prawit Taytiwat 1, 5 Background Five years of sustained collaboration between a Thai and an Australian university known as the Thai–Australian Alliance, has included participat...
Article
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In 2006, the Thai National Health Security Office and the Ministry of Public Health, through the Nakhonratchasima Provincial Health Office in Thailand, asked the Thai-Australian Health Alliance to identify competencies and skills for a health management curriculum for health professionals working in primary healthcare in rural Thailand. The study w...
Article
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To measure the health-related quality of life (HRQOL) of rural Australian Hepatitis C virus (HCV)-infected patients living in north-western New South Wales. A cross-sectional survey, including the Short Form 36 (SF36) questionnaire as well as topics concerning demographic data and items relating to the perceived mode and duration of HCV infection....
Article
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External clinical teaching (ECT) visits provide structured feedback to general practice registrars concerning their performance during training. This study sought to evaluate the acceptability to general practice registrars of a quantitative, criterion based, formative assessment tool to be administered during ECT visits. We used a standardised, va...
Article
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In Australia, population health and public health are core aspects of postgraduate general practice training. This paper describes an academic general practice training post in population health and public health for rural GP registrars in North Western New South Wales. Furthermore, this paper describes how this training post incorporates the princ...
Article
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This paper evaluates a Research Methods Support Structure (RMSS) to foster research capacity in the New England region of rural New South Wales. A quasi-experimental design with a historical control for comparing changes in the number of research submissions and research approval rates since the RMSS inception in July 1998 until December 2004. Comp...
Article
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Health researchers must weigh the benefits and risks of publishing their findings. To explore differences in decision making between rural health researchers and managers on the publication of research from small identifiable populations. A survey that investigated the attitudes of Australian rural general practitioners (GPs) to nurse practitioners...
Article
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Internationally, rising financial costs and increasing expectations of health care delivery have increased regulation and decreased the autonomy of general practitioners and other health care professionals. This article explores professional autonomy within Australian general practice, and outlines the importance of autonomy in systems approaches t...
Article
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Changes to the Australian General Practice Training Program occurred in 2001 allowing registrars in small rural communities to undertake all of their training in one practice. A disadvantage of this change was that there was limited exposure for registrars to different types of general practice. An interpractice visit program utilising peer review...
Article
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Aim: To describe early stages in the development of a cross-cultural strategic alliance known as the 'Thai- Australian Health Alliance'. The aim of the alliance is to improve rural medical workforce recruitment, retention, education and training. Early stage development focuses on achieving a sustainable set of relationships between participating o...
Article
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The Australian general practice workforce increasingly comprises international medical graduates. These doctors come from a range of professional backgrounds. This project aimed to document the current education, training and support needs of the general practice workforce, including international medical graduates, who currently train and/or pract...
Article
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This case series presents two general practice cases where HIV testing occurred, or results suggestive of HIV were received, before informed consent was obtained. Bioethical and professional principles are used to explore these dilemmas.

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