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Australian Health Review: a Publication of the Australian Hospital Association

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https://read.qxmd.com/read/30738490/costs-and-consequences-of-an-intervention-based-program-to-reduce-hospital-acquired-pressure-injuries-in-one-health-district-in-australia
#1
Michelle Barakat-Johnson, Michelle Lai, Timothy Wand, Kathryn White, Richard De Abreu Lourenco
Objectives The aims of this study were to determine the costs of hospital-acquired pressure injuries (HAPIs) in one local health district in Australia and compare the costs and consequences of an intervention-based program with current practice to reduce HAPI incidence and prevalence. Methods A retrospective cost-consequence analysis was conducted using HAPI incidence rate per occupied bed days, point prevalence rates, Australian Refined-Diagnosis Related Group (AR-DRG) costs and the costs of the program to reduce the HAPI rate...
February 11, 2019: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30728095/community-based-case-management-does-not-reduce-hospital-admissions-for-older-people-a-systematic-review-and-meta-analysis
#2
Nerissa Poupard, Clarice Y Tang, Nora Shields
Objective The aim of this study was to investigate the effectiveness of community-based case management in reducing hospital admissions for older people. Methods Five databases were searched from inception to March 2018. Trials were included if: (1) participants were community-dwelling adults aged ≥65 years; (2) intervention was community-based case management for ≥3 months; (3) outcomes related to hospital admissions; and (4) the design included a control group. The quality of evidence was independently assessed by two reviewers using the Physiotherapy Evidence Database (PEDro) scale and the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach...
February 7, 2019: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30700371/shared-decision-making-implementation-a-case-study-analysis-to-increase-uptake-in-new-south-wales
#3
Tara Dimopoulos-Bick, Regina Osten, Chris Shipway, Lyndal Trevena, Tammy Hoffmann
The aim of this study was to identify potential implementation interventions to increase the uptake of shared decision making (SDM) in clinical practice in New South Wales (NSW) Health. The Agency for Clinical Innovation hosted a full-day SDM masterclass in May 2017 and 53 attendees completed a survey to identify barriers to implementing SDM. The Theoretical Domains Framework, COM-B ('capability', 'opportunity', motivation' and 'behaviour') Model and Behaviour Change Wheel were used to conduct a theoretical analysis of the barriers and identify potential interventions to increase the uptake of SDM...
January 31, 2019: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30696546/allied-health-professionals-in-queensland-health-returning-to-work-after-maternity-leave-hours-of-work-and-duration-of-time-on-part-time-hours
#4
Julie Hulcombe, Sandra Capra, Gillian Whitehouse
Objective The aim of this study was to provide a detailed description of the flexible working arrangements (FWA) used by allied health professionals (AHP) on return from maternity leave. This is a crucial issue for staff management practices in a changing regulatory context. Methods A retrospective convenience sample of AHP employed by Queensland Health (QH) in 2006, using deidentified payroll data, was analysed descriptively to determine employment status on return from maternity leave in 2006 to December 2014...
January 30, 2019: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30654857/examination-of-the-dependency-and-complexity-of-patients-admitted-to-in-patient-rehabilitation-in-australia
#5
Duncan McKechnie, Julie Pryor, Murray J Fisher, Tara Alexander
Objective The aim of this study was to determine whether there has been a measurable change in the dependency and complexity of patients admitted to in-patient rehabilitation in Australia between 2007 and 2016. Methods A retrospective cohort study design was used to examine in-patient rehabilitation data held in the Australasian Rehabilitation Outcomes Centre Registry Database for the period 2007-16. Epidemiological descriptive analysis was used to examine datasets for difference between four discrete years (2007, 2010, 2013 and 2016)...
January 18, 2019: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30654856/barriers-to-and-facilitators-of-health-services-utilisation-by-refugees-in-resettlement-countries-an-overview-of-systematic-reviews
#6
Jamuna Parajuli, Dell Horey
Objective The aim of this study was to provide an overview of the previously reviewed research literature to identify barriers and facilitators to health service utilisation by refugees in resettlement countries. Methods An overview of systematic reviews was conducted. Seven electronic databases (Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, ProQuest Central, Scopus, EBSCO and Google Scholar) were searched for systematic reviews of barriers and facilitators to health-seeking behaviour and utilisation of health services by refugees following resettlement...
January 18, 2019: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30621851/-right-fit-right-job-right-time
#7
Toni Withiel, Lucinda Marr, Genevieve Juj
Objective Staff turnover remains a significant financial burden across the healthcare sector. Traditional approaches to recruitment continue to prioritise competency-based outcomes over the cultural fit of applicants. This brief case study sought to evaluate the effectiveness of a new recruitment intervention on allied health staff attrition rates at the Royal Melbourne Hospital, Australia. Methods The study used a single-site, prospective, mixed-methodology research design. Staff attrition rate, defined as the number of staff who ceased employment within 12 months of starting (both voluntarily and involuntarily), was selected as the primary outcome measure...
January 9, 2019: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30573003/how-local-health-districts-can-prepare-for-the-effects-of-climate-change-an-adaptation-model-applied-to-metropolitan-sydney
#8
Lucie Rychetnik, Peter Sainsbury, Greg Stewart
Climate change adaptation can be defined as a form of risk management (i.e. assessing climate change-related risks and responding appropriately so that the risks can be pre-emptively minimised and managed as they arise). Adapting to climate change by hospital and community health services will entail responding to changing health needs of the local population, and to the likely effects of climate change on health service resources, workforce and infrastructure. In this paper we apply a model that health services can use to predict and respond to climate change risks and illustrate this with reference to Sydney's Local Health Districts (LHDs)...
December 21, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30558709/investment-in-australian-mental-health-carer-services-how-much-and-does-it-reflect-evidence-of-effectiveness
#9
Jaclyn Schess, Sandra Diminic, Emily Hielscher, Meredith G Harris, Yong Yi Lee, Jan Kealton, Harvey A Whiteford
Objective The aims of this study were to quantify Australian federal and state government expenditure on mental health carer services for 2014-15, map the types of services being provided and explore how funded service types compare with the evidence base for the outcomes of these carer services. Methods Web searches were conducted to identify in-scope mental health carer services in Australia funded by federal and state and territory governments. Funding estimates were confirmed where possible with available government and carer organisation contacts...
December 18, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30558708/revenue-of-consultant-physicians-for-private-out-patient-consultations
#10
Gary L Freed, Amy R Allen
Objective The aim of this study was to determine the revenue to consultant physicians for private out-patient consultations. Specifically, the study determined changing patterns in revenue from 2011 to 2015 after accounting for bulk-billing rates, changes in gap fees and inflation. Methods An analysis was performed of consultant physician Medicare claims data from 2011 to 2015 for initial (Item 110) and subsequent (Item 116) consultations and, for patients with multiple morbidities, initial management planning (Item 132) and review consultations (Item 133)...
December 18, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30543764/prevalence-and-characteristics-associated-with-concurrent-smoking-and-alcohol-misuse-within-australian-general-practice-patients
#11
Breanne Hobden, Jamie Bryant, Kristy Forshaw, Christopher Oldmeadow, Tiffany-Jane Evans, Rob Sanson-Fisher
Objectives This study sought to determine, among a large sample of Australian general practice patients: (1) the prevalence of smoking among different levels of alcohol misuse; and (2) whether the associations between demographic characteristics and alcohol use differ according to smoking status. Methods A cross-sectional survey was administered from 2010 to 2011 to 3559 patients from 12 Australian urban general practices. Patients reported their demographic details, smoking status and their alcohol intake...
December 14, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30526798/road-deaths-relating-to-the-attendance-of-medical-appointments-in-queensland
#12
Edwin Phillip Greenup, Boyd Alexander Potts
Objective This study sought to estimate and observe the risks imposed on patients as they travel to hospital for referred treatment. Factors such as distance and remoteness were compared to understand how they affect this risk. Methods This study focused on Queensland residents attending specialist out-patient appointments in a Queensland public hospital throughout 2016. Deidentified information on all recipients of a specialist out-patient appointment in 2016 (n = 2 946 584) were included in the study...
December 10, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30526796/are-the-benefits-of-new-health-services-greater-than-their-opportunity-costs
#13
Laura Edney, Hossein Haji Ali Afzali, Jonathan Karnon
The Australian health system performs well compared with other developed countries, but there is potential for improved health outcomes through the consideration of the opportunity costs of funding new health services. The opportunity costs of funding a new health service are the benefits forgone from the activities that would be funded if the new health service was not funded. When the forgone activity cannot be observed directly, the expected opportunity costs have been estimated as the expected gain in quality-adjusted life years (QALYs) associated with marginal increases in government expenditure on health...
December 10, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30514433/work-related-injury-and-illness-in-the-victorian-healthcare-sector-a-retrospective-analysis-of-workers
#14
Ting Xia, Alex Collie
Objective Health and social care workers have a significantly higher rate of work-related injury and illness than workers in other industries. The objective of this study was to examine the rate and distribution of work-related injury and illness in the Victorian health and social care sector by demographic, occupation and injury characteristics. Methods A retrospective cohort analysis was conducted of population-level workers' compensation claim records, including 43910 claims from the Victorian health and social care over a 10-year period from 2006 to 2015...
December 5, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30497543/supporting-northern-territory-top-end-allied-health-graduates-and-early-career-staff-by-means-of-an-interprofessional-graduate-program
#15
Prasha Sooful, Justine Williams, Renae Moore
Objectives For allied health graduate staff, entry into the workforce can be challenging and complex to navigate. Formal, structured graduate programs in the Northern Territory are limited and are typically discipline specific. Discipline-specific graduate programs focus on clinical and specific skill sets. However, there is a need to support graduates and early career staff within a diverse and large health service by developing and encouraging interprofessional practice, as well as reflective and critical thinking skills...
November 30, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30496035/documenting-the-process-of-developing-the-victorian-voluntary-assisted-dying-legislation
#16
Margaret M O'Connor, Roger W Hunt, Julian Gardner, Mary Draper, Ian Maddocks, Trish Malowney, Brian K Owler
Many countries across the world have legislated for their constituents to have control over their death. Commonalities and differences can be found in the regulations surrounding the shape and practices of voluntary assisted dying (VAD) and euthanasia, including an individual's eligibility and access, role of health professions and the reporting. In Australia there have been perennial debates across the country to attempt legislative change in assisting a terminally ill person to control the ending of their life...
November 30, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30466504/-we-get-so-task-orientated-at-times-that-we-forget-the-people-staff-communication-experiences-when-caring-for-aboriginal-cardiac-patients
#17
Janet Kelly, Anna Dowling, Katharine McBride, Wendy Keech, Alex Brown
Objective The aim of this study was to describe the experiences of communication for staff providing cardiac care for Aboriginal and Torres Strait Islander patients in hospital and discuss potential improvements. Methods Focus group discussions were performed with 58 multidisciplinary staff who provide care for Aboriginal and Torres Strait Islander cardiac patients in two metropolitan and two regional hospitals in South Australia and Northern Territory. Inductive thematic analysis was undertaken to identify staff perceptions of communication challenges and strategies for improvement...
November 23, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30465706/future-of-assisted-dying-reform-in-australia
#18
Ben White, Lindy Willmott
The Voluntary Assisted Dying Act 2017 (Vic) will come into force in June 2019, becoming the first law in Australia in 20 years to permit voluntary assisted dying (VAD). This paper considers how other Australian states and territories are likely to respond to this development. It analyses three key factors that suggest that law reform is likely to occur in other parts of Australia: (1) the growing international trend to permit VAD; (2) social science evidence about how VAD regimes operate; and (3) changes to the local political environment...
November 23, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30463661/allied-health-pre-entry-student-clinical-placement-capacity-can-it-be-sustained
#19
Liza-Jane McBride, Cate Fitzgerald, Claire Costello, Kristy Perkins
Objective Meeting the demand for clinical placements in an environment of increasing university cohort growth and changes in health service delivery models is challenging. This paper describes the outcomes of a quality review activity designed to gain key stakeholder perspectives on the enablers and barriers to sustaining effort to placement provision and reports on: (1) measures used to determine the effect of a jurisdiction-wide initiative in clinical education for five allied health professions; (2) outcomes of data related to key factors affecting placement supply and demand; and (3) qualitative perspectives from management, workforce and university stakeholders on placement sustainability...
November 22, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/30463660/improving-the-utility-of-multisource-feedback-for-medical-consultants-in-a-tertiary-hospital-a-study-of-the-psychometric-properties-of-a-survey-tool
#20
Helen Corbett, Kristen Pearson, Leila Karimi, Wen Kwang Lim
Objective The aim of this study was to investigate the psychometric properties of a multisource review survey tool for medical consultants in an Australian health care setting. Methods Two sets of survey data from a convenience sample of medical consultants were analysed using SPSS, comprising self-assessment data from 73 consultants and data from 734 peer reviewers. The 20-question survey consisted of three subscales, plus an additional global question for reviewers. Analysis included the reliability coefficient (α) of the scale and the three subscales, inter-rater reliability or agreement and validity of the model, correlation between the single global question, the total performance score and the three survey subfactors (Pearson's), interrater agreement (rWG(J)), the optimal number of peer reviewers required and model-based reliability (ρ)...
November 22, 2018: Australian Health Review: a Publication of the Australian Hospital Association
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