Research Interests

Professor Mark Harris

(Position Details)
Phone 02 9385 8384
Email
Qualifications MB BS MD Syd, DRACOG, FRACGP
 
School/Unit
Centre for Primary Health Care and Equity
http://www.cphce.unsw.edu.au
 
Broad Research Areas
Primary Health Care
Cardiology and Vascular Disease
Diabetes
Preventive Medicine
Health Services Research
 
Specific Research Keywords
Primary Health Care
Preventative Medicine
Diabetes and Endocrinology
Health inequalities
Cardiology and Vascular Disease
 
Research Interests

Major research interests include:- 1. Prevention and management chronic diseases especially diabetes cardiovascular disease, in primary care. 2. Health inequalities research including interventions to improve the health status of disadvantaged groups including the unemployed, refugees (asylum seekers) and Aboriginal people.
 
ILP Research Interests (Will supervise ILP students)
Cardiovascular Diseases
Chronic Disease
Diabetes Mellitus Type Ii
Disadvantage
Preventive Medicine
Primary Health Care
Risk Behaviour
 
Project Topics for current Honours Students
Absolute cardiovascular risk assessment
Prevention of cardiovascular disease and diabetes in primary health care
Health literacy
Shared decision making in chronic disease management
Self management of chronic disease
 
Teaching Interests
In undergraduate medicine major interests are :
1. General practice and primary health care
2. Society and Health

In postgraduate course work :
1. Primary health care
2. Health inequalities and health equity
 
Society Memberships & Professional Activities
1. Member of Australian Government Expert Advisory Committee on Population Health 2006-8
2. Member of National Vascular Disease Partnership advisory group on Absolute Cardiovascular Risk 2006-7
3. Member of the National Heart Foundation Clinical Issues Committee 2003-2007
4. Member of National Diabetes Data Working Group 1998 to present
5. Member of Chronic disease Chronic, Aged and Community Health Health Priority Task Force for NSW Health Department 2005 to present
6. Member of Quality Committee and Chair of Red Book Task Force for RACGP 2002 to present.
7. Member of Diabetes Australia NHMRC Type 2 Diabetes Guidelines Steering Group
8. Member of Council of Australian Government Expert Advisory Group on Diabetes Prevention 2007-
9. Member of Steering Committee COAG standards for Lifestyle Modification Programs for Diabetes 2008-
10. Senior Examiner for Australian Medical Council
11. Member of Expert Advisory Group on Primary Health Strategy for Australian Department of Health and Ageing 2008-9
 
Funding Sources
Integration of General Practitioners with Health Services 1996 - 2001. $724,000 total as at December 1999. Dept. of Health and Family Services.

Support and Evaluation Resource Unit: Integration of General Practice. 1996 /2000, $2,522,000 as at March 1999. Dept. Health and Family Services. Additional funding for 1st July 1999 - 31st January 2000 $406,478.

Home based care of Patients with Chronic Obstructive Pulmonary Disease. Department of Health and Aged Care (GPEP) August 1999 $15,006.

Divisions and Hospital Integration Program (DHIP) Department of Health and Aged Care 1998 - 2000 $154,800 as at December 1999.

Mental Health Program Strategy, Department of Health and Aged Care 1999/2000 as at December 1999 $51,101.

Research Evaluation and Development in General Practice Integration. Dept of Health and Aged Care. March 2000. $628,600.

Illicit Drug Program Department of Health and Aged Care. May 2002 $381,000

Mapping the Role of General Practice in Strengthening the Australian Primary Health Care Sector Dept of Health & Aged Care Sector February 2001. $186,016

Research, Evaluation & Development in Diabetes, CVD, Register and Recall Systems & Primary Health Care Integration. June 2001 $359.658

GP IM/IT Projects GPCG#10 – The development of HL7 messaging standards for communication between GP Clinical Management software and Div Register Recall Systems May 2001 $219,353

A review of the impact of GP Liaison Officers on integration of the general practice/community care and hospital sectors. Sept 2001 – Dec 2001 $50,847.27.

New South Wales Primary Health Care Research Capacity Building Program. Commonwealth Department of Health and Aging 2001 to 2004. $929,125

Research Evaluation and Development in Diabetes, Cardiovascular Disease, Register/Recall Systems and Primary Health Care Integration. Commonwealth Department of Health and Aging 2001 to 2004 $2,100,000

Trial of SNAP in two divisions of general practice. NSW Department of Health. 2001-2003 $200,000

NHMRC Public Health Scholarship 2002-2005: Vanessa Rose. Access to general practice by disadvantaged patients with diabetes

Identifying the standard functionality required to support General Practitioners effectively manage chronic diseases Common wealth Department of Health and Aging 2003: $298,000

NHMRC PHCRED 2002: Evaluation of multidisciplinary care plans for patients with diabetes. $81,400

NHMRC 2003 200439: Health status and development among Aboriginal infants in an urban community.

NHMRC 2003: Trial of structured care for patients with moderate to severe asthma in general practice.

NHMRC 2004: 350931 2005-2007 A trial of structured support support to enhance the role of non-GP staff in chronic disease management in general practice $768,000

UNSW Faculty Grant 2004: Shared Decision Making: helping GPs to work with patients who have diabetes in planning their care. $20,000

NHMRC PHC Scholarship 2005-2007: Tim Shortus. Shared Decision Making

UNSW Faculty Grant 2004: Equity of access to quality diabetes care: a case study using the 2002/3 NSW Health Survey. $13,000

AHMAC PDR (Via NHMRC): Outcomes of multidisciplinary care in general practice 2005-2010. $450,000

APHCRI: Systematic Review of models of chronic disease in general practice 2005. $133,000

APHCRI: Systematic Review of models of chronic disease in general practice 2005. $154,000

APHCRI: Systematic Review of models of comprehensive primary health care 2005. $136,000

Harris MF et al. Sax Institute/NSW Health. 2005-2006 A feasibility study of diabetes prevention in high risk populations 56,000

Harris et al. NSW Health Capacity Building Infrastructure Grant. 2006-2009. 490,000 per year for 3 years.

Harris et al. Prevention of Vascular Disease in General Practice NHMRC 2007-9 $ 760,000

Harris MF Department of Health and Ageing Primary Health Care Senior Professorial Fellowship. $150,000 per year 2007-2010.

Perkins, McDonald, Powell Davies, Harris. APHCRI: Systematic review of general mental health workforce innovation.$160,000 2007

Vagholkar S, Zwar N, Harris MF. Cardiovascular Research in General Practice. Royal Australian College of General Practitioners. Absolute risk assessment in general practice - a pilot study to measure impact on prescribing and adherence to guidelines. 2007: $24 529

Williams A, Harris MF. Evaluation of Moving On Chronic Disease Program. Arhritis Foundation 2007-8 $260,000.

Harris MF, Zwar N, Campbell T, Patel A, Vagholkar S, Wan Q, Mckenzie S, Walker C. Absolute risk assessment in general practice NHMRC 780,000 2008-2010

Harris MF, Spigelman A, O'Connell D, Barton M, Veitch C, Beilby J. Referral pathways in colorectal cancer: general practitioners' patterns of referral and factors that influence referral. NHMRC $598750 2008-2010

Harris MF, Williams A, Dennis S, Newall A. Effective determinants for supporting lifestyle health literacy and self management skills in primary health care. APHCRI 13 Grant 2009 $248,000

Comino E, Harris MF. Haas M, Furler J. Optimizing access to ‘best practice’ primary health care. APHCRI 13 Grant. 2009 $200,000
 
Other Postgraduate Research

Self management for chronic disease
Prevention of vascular disease in general practice
 
Key works/Publications
Newland H S, Harris M F, Walland M, McKnight D, Galbrith J E, Iwasaki W, Momonura K, Epidemiology of blindness and visual impairment Vanuatu. Bulletin of the World Health Organisation 1992; 70 (3):369-37.
Harris M, Silove D, Kehag E, Barratt A, Manicavasager V, Pan J, Frith J F, Blaszczynski A, Pond D. Anxiety and Depression in general practice patients: prevalence and management. The Medical Journal of Australia 1996; 164:526-529.
Harris E, Webster I, Harris M F, Lee P J. Unemployment and health: the healthcare system's role. The Medical Journal of Australia 1998; 186 (6): 291-296.
Harris M, Powell Davies G, Integration between GPs, hospitals and community health services. Chapter 9 in General Practice in Australia: 2000 Canberra Commonwealth Department of Health and Aged Care, 311-344 2000, ISBN 0642 41607 9.
Tom M Blakeman, Mark F Harris, Elizabeth J Comino, Nicholas A Zwar Evaluating general practitioners' views about the implementation of the Enhanced Primary Care Medicare items
Medical Journal of Australia 2001; 175: 95-98
Harris M, Powell Davies G, Integration between GPs, hospitals and community health services. Chapter 9 in General Practice in Australia: 2000 Canberra Commonwealth Department of Health and Aged Care, 311-344 2000, ISBN 0642 41607 9.
Outcomes in primary care research Chapter 14.6. Jones et al Editors. Oxford Textbook of Primary Care; Vol 1: pages 525-530. Oxford. 2004 ISBN 0 19 852963 5
Harris M, Bailey L, Bridges-Webb C, Furler J, Joyner B, Litt J, Smith J, Zurynski Y. Guidelines for preventive activities in general practice. RACGP. 6th Edition; 2005.
Harris M.F., Telfer B.L The health needs of asylum seekers living in the community. Medical Journal of Australia. Vol 175 17 December 2001 589 – 592.
Harris MF, Furler J. How can primary care increase equity in health? NSW Public Health Bulletin March 2002; 13(2): 35-38.
Harris MF, Priddin D, Ruscoe W, Infante FA, O’Tool BI. Quality of care provided by general practitioners using or not using division based registers. MJA 2002; 177: 250-252
Hermiz O, Comino E, Marks G, Daffurn K, Wilson S, and Harris MF. Randomised controlled trial of home based care of patients with chronic obstructive pulmonary disease. BMJ 2002; 325: 938.
Infante FA, Proudfoot JG, Powell Davies G, Bubner TK, Holton CH, Beilby JJ and Harris MF. How people with chronic illnesses view their care in general practice: a qualitative study. Medical J of Australia 2004; 181 (2): 70-73
Georgiou A, Burns J, Harris MF. GP Claims for completing diabetes ‘cycle of care’. Aust Family Physician 2004; 33: 755-7
Harris MF, Harris E, Roland M. Access to primary health care: three challenges to equity. Australian Journal of Primary Health. 2004; 10(3): 21-29
Harris MF, Wan Q. Keeping the diabetic heart healthy. Australian Family Physician 2005; 34: 441-445
Zwar NA, Comino EJ, Hasan I and Harris MF, on behalf of the Primary Health Care Research Network. General practitioner views on barriers and facilitators to implementation of the Asthma 3+ Visit Plan. MJA 2005; 183 (2): 64-67
Torley D, Zwar N, Comino E, Harris M. GPs’ views of absolute cardiovascular risk and its role in primary prevention. Aust Family Physician 2005; 34: 503-505
Harris MF and Zwar N. Refugee Health. Aust Fam Physician 2005; 34: 825-829
Harris MF, Hobbs C, Powell Davies G, Simpson S, Bernard D, Stubbs A. Implementation of a SNAP intervention in two divisions of general practice: a feasibility study. MJA 2005; 183: s54-s58
Powell Davies G, Hu W, McDonald J, Furler J, Harris E, Harris M. Developments in Australian general practice 2000-2002: what did these contribute to a well functioning and comprehensive Primary Health Care System? Australia and New Zealand Health Policy 2006, 3:1 (15 January 2006)
Georgiou A, Burns J, McKenzie S, Penn D, Flack J, Harris MF. Monitoring change in diabetes care using diabetes registers: experience from Divisions of General Practice. Aust Fam Physician 2006, 35: 77-80
Wan Q, Harris MF, Jayasinghe UW, Flack J, Georgiou A, Penn DL, Burns JR. Quality of diabetes care and coronary heart disease absolute risk in patients with type 2 diabetes mellitus in Australian general practice. Quality and Safety in Health Care; 15, Issue: 2, 2006: 131-135
Harris MF, Harris E. Facing the challenges: general practice in 2020 Med J Aust 2006; 185 (2): 122-124
Harris MF, McKenzie S. Men’s health. What’s a GP to do? Med J Aust 2006; 185: 440-444
Shakeshaft A, Fawcett J, Mattick RP, Richmond R, Wodak A, Harris MF, Doran CM. Patient driven computers in primary care: their use and feasibility. Health Education,2006; 106: 400-411
Comino EJ, Hermiz O, Flack J, Harris E, Powell Davies G, Harris M. Using population health surveys to provide information on access to and use of quality primary health care. Australian Health Review 2006; 30: 485-495
Comino EJ, Harris MF, Harris E, Powell Davies G, T Chey, Lillioja S. The National Health Survey 2001: usefulness to inform a discussion on access to and use of quality primary health care using type 2 diabetes mellitus as an example. Australian Health Review, 2006; 30: 496-506
Comino EJ, Hermiz O, Harris MF, Harris E, Zwi A. Evaluating access to and use of primary health care: what does the 2002/3 NSW Health Survey contribute? Aust J of Primary Health, 2006; 12 (3): 26-3
Zwar NA, Hermiz O, Comino EJ, Shortus T, Burns J, Harris MF. Do multidisciplinary care plans result in better care for type 2 diabetes? Aust Fam Physician. 2007; 36: 85-9.
Amoroso C, Proudfoot J, Bubner T, Swan E, Espinel P, Barton C, Beilby J, Harris M. Quality improvement activities associated with organizational capacity in general practice. Australian Family Physician 2007; 36: 81-84
Proudfoot J, Jayasinghe U, Holton C, Grimm J, Bubner T, Amoroso C, Beilby J, Harris MF. Team Climate for Innovation in Australian General Practices. Int J of Quality in Health Care. 2007 doi: 10.1093/intqhc/mzm005
Proudfoot J, Infante F, Holton C, Powell-Davies G, Bubner T, Beilby J, Harris M. Organisational capacity and chronic disease care - An Australian general practice perspective. Aust Fam Physician. 2007 Apr; 36 (4):286-8
139. Vagholkar S, Hermiz O, Zwar NA, Shortus T, Comino EJ, Harris MF. Multidisicplinary care plans for diabetes patients: what do they contain? Aust Fam Physician. 2007; 36: 279-282
140. Harris MF, Proudfoot JG, Jayasinghe UW, Holton CH, Powell Davies GP, Amoroso CL, Bubner TK, Beilby JJ. The job satisfaction of general practice staff and the team environment. MJA 2007; 186: 570-572
141. Harris MF, Zwar N. Care of patients with chronic disease: the challenge for general practice. MJA 2007; 187: 104-107
142. Dennis SM, Zwar NA, Hasan I, Harris MF. Chronic disease self-management education programs: challenges ahead. MJA; 2007; 186: 103-4
143. Shortus TD, McKenzie SH, Kemp LA, Proudfoot JG, Harris MF. Multidisciplinary care plans for diabetes: how are they used? MJA 2007; 187: 78-81
144. Proudfoot J, Jayasinghe U, Infante F, Beilby J, Amoroso C, Powell Davies G, Grimm J, Holton C, Bubner T and Harris MF. Quality of chronic disease care in general practice: the development and validation of a provider interview tool BMC Family Practice 2007 8:21
145. Williams A, Harris M, Daffurn K, Powell Davies G, Pascoe S, Zwar N. Sustaining Chronic Disease Management in Primary Care: Lessons from a demonstration project. Australian J of Primary Health 2007; 13: 121-128
146. McDonald J, Powell Davies G, Cumming J, Harris MF. What can the experiences of primary care organizations in England, Scotland and New Zealand suggest about the potential role of Divisions of General Practice and Primary care networks/partnerships in Addressing Australian Challenges? Australian J of Primary Health 2007; 13(2): 46-55
147. Wan Q, Harris MF, Powell-Davies G, Jayasinghe UW, Flack J, Georgeiou A, Burns JR, Penn DL. Cardiovascular risk levels in general practice patients with type 2 diabetes in rural and urban areas. Aust J Rural Health 2007; 15: 327-333
148. 45 and Up Study Collaborators. Cohort profile: The 45 and Up Study. International Journal of Epidemiology. 2007; 1-6 doi:10.10993/ijc/dym184
149. Furler J, Harris E, Harris MF, Naccarella L, Young D and Snowdon T. Health inequalities, physician citizens and professional medical associations: an Australian case study BMC Medicine 2007, 5:23 doi:10.1186/1741-7015-5-23
150. Zwar N, Hasan I, Harris M and Traynor V. Barriers and facilitators to influenza vaccination among high-risk groups aged less than 65 years – views from general practitioners and practice nurses. Aust N Z J Public Health. 2007;31:558-61
151. Amoroso C, Proudfoot J, Bubner T, Jayasinghe UW, Holton C, Winstanley J, Beilby J, Harris MF. Validation of an instrument to measure inter-organisational linkages in general practice, International Journal of Integrated Care 2007 Nov 29;7 Available from http://www.ijic.org/.
152. Upali W. Jayasinghe, Judy Proudfoot, Chris Holton, Gawaine Powell Davies, Cheryl Amoroso, Tanya Bubner, Justin Beilby, and Mark F. Harris Chronically ill Australians' satisfaction with accessibility and patient-centredness International Journal for Quality in Health Care Int J Qual Health Care 2008 20: 105-114
153. Wan Q, Harris MF, Powell Davies G, Jayasinghe UW, Flack J, Georgious A, Burns JR, Penn DL. Cardiovascular risk management and its impact in Australian general practice patients with type 2 diabetes in urban and rural areas. Int J Clin Pract, 2008, 62, 1, 53–58
154. Zwar N, Richmond RL, Harris M. General practice patients: their readiness to quit smoking. Aust Fam Physician 2008: 37: 81-83
155. Laws R, Kirby S, Powell Davies PG, Williams A, Jayasinghe U, Amoroso C, Harris MF. “Should I and Can I?" : A mixed methods study of clinician beliefs and attitudes in the management of lifestyle risk factors in primary health care. BMC Health Services Research Feb 2008, 8:44
157. Booth BJ, Snowdon T, Harris MF, Tomlins R. Safety and Quality in Primary Care: The View from General Practice. Aust J of Primary Health 2008; 14: 19-27
158. Chong BH, Briathwaite J, Harris MF, Fletcher JP. Venous Thromboembolism – a major health and financial burden: how can we do better to prevent disease. Med J Aust 2008; 189: 134-5
159. Harris MF. Challenges in diabetes management. Aust Fam Physician. 2008; 37: 716-720
160. Chan A, Amoroso C, Harris MF. New 45–49 year health checks - GP uptake of MBS item 717. Aust Fam Physician 2008; 37: 765-768
161. Perkins D, Harris MF, Tan J, Christl B, Taggart J, Fanaian M. Engaging participants in a complex intervention trial in Australian General Practice. BMC Medical Research Methodology 2008 8:55
162. Wan Q, Taggart J, Harris MF, Jayasinghe UJ, Ruscoe W, Snow J, Powell Davies G. Investigation of cardiovascular risk factors in type 2 diabetes in a rural Australian Division of General Practice. Med J Aust 2008; 189 (2): 86-89
163. Hanks H, Harris MF, Veitch C. Managing Colorectal Cancer: The General Practitioner’s Roles. Australian J of Primary Health 2008; 14: 78-84
164. Zwar N, Hasan I, Hermiz O, Vagholkar S, Comino E, Harris MF. Mutlidisciplinary care plans and diabetes. Benefits for patients with poor glycaemic control. Aust Fam Physician 2008; 37: 960-962
165. Harris MF, Williams A, Dennis S, Zwar N. Powell Davies G. Chronic disease self-management: implementation with and in Australian general practice. MJA 2008; 189: S17-20
166. Hanks, H., Veitch, PC & Harris, M. (2008). A rural/urban comparison of the roles of the general practitioner in colorectal cancer management. Australian Journal of Rural Health, 16, 376-382.
167. Harris MF, Laws R, Amoroso C. Moving towards a more integrated approach to chronic disease prevention in Australian general practice. Australian J of Primary Health. 2008; 14: 112-119.
168. Laws R, Williams A, Powell Davies G, Eames-Brown R, Amoroso C and Harris MF on behalf of the Community Health SNAP Project Team. A Square Peg in a Round Hole? Approaches to incorporating Lifestyle Counselling into Routine Primary Health Care. Australian J of Primary Health. 2008; 14: 101-111.
169. Chapman NH, Brighton T, Harris MF, Caplan GC, Braithwaite J, Chong BH. Venous thromboembolism – management in general practice. Australian Family Physician 2009; 38: 36-40
170. Wan Q, Harris MF, Zwar N, Campbel T, Patel A, Vagholkar S, McKenzie S, Walker C, Denney-Wilson E on behalf of the ART study group. Study protocol for a randomized controlled trial: The feasibility and impact of cardiovascular absolute risk assessment in Australian general practice. Am Heart J 2009; 157: 436-41.
 
Attachments

Publications.doc
 
Further Information
http://www.cphce.unsw.edu.au


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