https://nova.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Supporting complex dynamic health journeys using conversation to avert hospital readmissions from the community: An ecological perspective incorporating interoception https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:35472  90% and MW 60%), self-rated health and rates of acute problems (red alerts) requiring prompt intervention were similar in both groups. Typical presentations were different in the two groups with IPCC presenting with age-related multimorbidity problems and MW with a cluster of pain, depression, and drug and alcohol problems in the context of psychosocial and environmental problems with many more instances of not coping (pink alerts). PaJR was well received with very low dropout rates in either group. This approach identified problems, generally amenable to intervention, but many psychosocial problems, particularly in MW, were challenging to solve within existing health service structures and resources. In conclusion supporting complex health journeys through conversations using lay care guides and an adaptive systems approach is feasible in at least two very different settings and patient groups.]]> Tue 13 Aug 2019 12:27:16 AEST ]]> Complex adaptive chronic care https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:8016 Sat 24 Mar 2018 08:36:50 AEDT ]]>