journal
Journals Australian Health Review : a P...

Australian Health Review : a Publication of the Australian Hospital Association

https://read.qxmd.com/read/38281312/investigating-allied-health-professionals-attitudes-perceptions-and-acceptance-of-an-electronic-medical-record-using-the-unified-theory-of-acceptance-and-use-of-technology
#21
JOURNAL ARTICLE
Alison Qvist, Leanne Mullan, Lemai Nguyen, Karen Wynter, Bodil Rasmussen, Min Goh, Kath Feely
ObjectiveThis study aimed to investigate allied health professionals' (AHPs') perspectives pre- and post-implementation of an electronic medical record (EMR) in a tertiary health service in Australia and examine factors influencing user acceptance.MethodsData were collected pre- and post-EMR implementation via cross-sectional online surveys based on the Unified Theory of Acceptance and Usage of Technology (UTAUT). All AHPs at a large tertiary hospital were invited to complete the surveys. Data analysis included descriptive analysis, Mann-Whitney U tests for pre-post item- and construct-level comparison and content analysis of free-text responses...
January 29, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38266497/an-economic-evaluation-of-point-of-care-ultrasound-for-children-presenting-to-the-emergency-department-with-suspected-septic-arthritis-of-the-hip
#22
JOURNAL ARTICLE
Cate Bailey, Heather Deane, Adam O'Brien, Kim Dalziel
ObjectiveDiagnosing septic arthritis of the hip in children is time-sensitive, with earlier diagnosis improving outcomes. Point-of-care ultrasound (POCUS) requires specialised training and resources in emergency departments (ED) to potentially lower costs through reducing patient time in ED. We aimed to compare the costs of using POCUS for suspected septic arthritis of the hip to current practice.MethodsThis study is embedded in a retrospective review of 190 cases of suspected cases of septic hip joint collected over 5 years to investigate patient length of stay and time to perform ultrasound...
January 25, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38266308/what-would-it-take-to-improve-the-uptake-and-utilisation-of-mhealth-applications-among-older-australians-a-qualitative-study
#23
JOURNAL ARTICLE
Tanja Schroeder, Karla Seaman, Amy Nguyen, Joyce Siette, Heiko Gewald, Andrew Georgiou
ObjectiveHealth-related apps on mobile devices (mHealth apps) have become an effective self-management tool and treatment support for patients. There is limited research, however, on how older people (50 and over) perceive the opportunity of using mHealth apps. Our aim was to investigate the perceptions of older people in Australia regarding the opportunity of using prescribed or doctor-recommended mHealth apps and provide insights which can enhance their uptake of mHealth.MethodsThis was a qualitative study using semi-structured interviews involving 21 participants aged 51-82 years...
January 25, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38245912/medicare-benefits-schedule-mbs-review-advisory-committee-post-implementation-review-of-mbs-telehealth-items-abolition-of-initial-telehealth-consultations-for-non-general-practitioner-specialists
#24
JOURNAL ARTICLE
Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, William Pring
In 2022, the Australian Federal Minister for Health and Aged Care commissioned the Medicare Benefits Schedule (MBS) Review Advisory Committee (MRAC) to conduct a post-implementation review of MBS telehealth services, including settings of video and telephone consultations. The MRAC has made a series of administrative recommendations for telehealth practice that appear at cross-purposes to the evidence-base on medical consultations and that would limit patient access to medical specialist assessment in Australia...
January 22, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38245911/reforming-allied-health-service-provision-in-residential-aged-care-to-improve-the-rehabilitation-reach-a-feasibility-study
#25
JOURNAL ARTICLE
Natasha Brusco, Christina Ekegren, Helen Rawson, Nicholas F Taylor, Julia Morphet, Keith Hill, Jennifer Anderson, Kelly Stephen, Amelia Crabtree, Pazit Levinger, Sara L Whittaker, Sze-Ee Soh, Fiona Dulfer, Katherine Lawler
ObjectiveMy Therapy is an allied health guided, co-designed rehabilitation self-management program for residents of aged care facilities. This study aimed to determine the feasibility of implementing My Therapy in a residential aged care setting.MethodsThis observational study was conducted on a 30-bed wing, within a 90-bed metropolitan residential aged care facility, attached to a public health service, in Victoria, Australia. Staff and resident data were collected prospectively over 6 weeks (staff focus groups, patient surveys, and audits) to evaluate the feasibility domains of acceptability, reach and demand, practicality, integration, limited efficacy testing and adaptations...
January 22, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38232375/national-disability-insurance-scheme-timeframes-and-functional-outcomes-for-inpatient-rehabilitation-patients-a-5-year-retrospective-audit
#26
JOURNAL ARTICLE
David Kellett, Alexandra G Adams, Michael Pollack
ObjectiveThe aim of this study was to compare National Disability Insurance Scheme (NDIS) timeframes and functional outcomes for a patient population managed in an inpatient hospital rehabilitation unit.MethodsA retrospective hospital audit was undertaken of adult patients admitted to a tertiary-level, regional inpatient rehabilitation unit between January 2017 and December 2021 who were either referred, or not, to the NDIS. A hospital NDIS patient database, Australasian Rehabilitation Outcome Centre episode data, and patient medical records were analysed...
January 18, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38219279/exploring-strengths-and-weaknesses-in-health-services-research-culture-and-capacity
#27
JOURNAL ARTICLE
Nicole Stormon, Peter Lawrenson, Ann Rahmann, Sally Eames, Nicole Gavin
ObjectiveFostering a research culture and enhancing research capacity within the workforce is essential for any health service aiming to provide evidence-based care. This study aims to explore the research culture and capacity in a community health service setting and provide a comparison to previous published research in other health service settings.MethodsParticipants were invited to complete a survey consisting of demographics and the Research Capacity and Culture (RCC) tool. Median and interquartile ranges were calculated for each RCC item and compared to three Australian and one international comparison...
January 15, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38300254/futile-treatment-when-is-enough-enough
#28
JOURNAL ARTICLE
Roy G Beran, J A Devereux
Objective This paper examines two aspects of treatment decision making: withdrawal of treatment decisions made by a patient; and decisions to not proceed with treatment by a health professional. The paper aims to provide an overview of the law relating to the provision of treatment, then highlight the uncertainty as to the meaning of and costs associated with futile treatment. Methods The paper reviews the current legal and medical literature on futile treatment. Results Continuing treatment which is futile is not in the patient's best interests...
February 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38127823/clinical-innovation-and-scope-of-practice-regulation-a-case-study-of-the-charlie-teo-decision
#29
JOURNAL ARTICLE
Jill Walsh, Sharon Downie, Eric Windholz, Andrea Kirk-Brown, Terry P Haines
The issue of regulation of scope of practice (SOP) has recently been highlighted through the high-profile case of New South Wales-based neurosurgeon, Mr Charles Teo and specifically the finding of 'unsatisfactory professional conduct' by the NSW Health Care Complaints Commission (HCCC) in Teo, Charles (2023) NSWMPSC 2 (12 July 2023). The HCCC decision went to two issues in Teo's practice: (1) his decision to perform a surgery not within the SOP of his profession [at 238]; and (2) his failure to gain patient informed consent for that surgery [at 245]...
December 22, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38127822/healthcare-costs-attributable-to-e-cigarette-use-and-subsequent-uptake-of-cigarette-smoking-by-australians-who-have-never-smoked
#30
JOURNAL ARTICLE
Louisa G Gordon, Paige Preston
ObjectiveNew legislation to curb the rapid increase in e-cigarette use among youth is underway. We estimated the future healthcare costs for chronic diseases from e-cigarette use among never smokers who transition to tobacco smoking.MethodsUsing population-attributable fractions, we estimated the health expenditure attributable to e-cigarettes based on the prevalence of e-cigarette use, uptake of tobacco smoking, and risk of smoking on developing chronic disease. Data for men and women were derived from published reports on e-cigarette use prevalence, risk of smoking-related disease and addiction, and health expenditure for 25 diseases...
December 22, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38118279/the-burdensome-logistics-of-data-linkage-in-australia-the-example-of-a-national-registry-for-congenital-heart-disease
#31
JOURNAL ARTICLE
Larissa K Lloyd, Calum Nicholson, Geoff Strange, David S Celermajer
ObjectiveData linkage is a very powerful research tool in epidemiology, however, establishing this can be a lengthy and intensive process. This paper reports on the complex landscape of conducting data linkage projects in Australia.MethodsWe reviewed the processes, required documentation, and applications required to conduct multi-jurisdictional data linkage across Australia, in 2023.ResultsObtaining the necessary approvals to conduct linkage will likely take nearly 2 years (estimated 730 days, including 605 days from initial submission to obtaining all ethical approvals and an estimated further 125 days for the issuance of unexpected additionally required approvals)...
December 21, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38109886/mitigating-the-consequences-of-electronic-health-record-data-breaches-for-patients-and-healthcare-workers
#32
JOURNAL ARTICLE
Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Paul A Maguire, Steve Kisely, Richard C H Looi
Electronic health records (EHRs) have been widely adopted in Australian public sector healthcare and will remain an ongoing, essential data system. However, recent substantial data breaches from hacked business data systems in Australian enterprises, as well as international healthcare providers, mean that EHR data breaches are increasingly likely in Australia. Risks include medical identity theft and extortion attempts based on threats to release sensitive patient information. Hacking is now a foreseeable additional risk of medical treatment...
December 19, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38105034/review-of-australia-s-funding-commitments-for-suicide-prevention-from-2021-22-to-2026-27
#33
JOURNAL ARTICLE
Di Hu, Charlotte Comben, Sandra Diminic, Claudia Pagliaro
ObjectiveExamine the distribution of funding for suicide prevention in Australia from 2021-22 to 2026-27.MethodsGovernment websites were reviewed to locate budget documents related to suicide prevention funding. Information was extracted on the program/service to be funded, and the funder entity, duration, and year allocation. Extracted data was reviewed to identify commonly targeted sub-populations.ResultsThe majority of suicide prevention-related funding was allocated to aftercare for persons who have attempted suicide, consistent with the effectiveness of these services, followed by programs targeting the general population...
December 18, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38081044/the-role-of-law-in-end-of-life-decision-making-in-emergency-departments-and-intensive-care-units-a-retrospective-review-of-current-practice-in-a-queensland-health-service
#34
JOURNAL ARTICLE
Jayne Hewitt, Nemat Alsaba, Katya May, Colleen Cartwright, Lindy Willmott, Ben P White, Andrea P Marshall
ObjectiveThere is limited evidence about how legal frameworks that underpin end-of-life decisions are applied in practice. This study aimed to identify how end-of-life decisions are made and documented in emergency departments and intensive care units. The secondary aim was to explore the extent to which the legal processes featured in these decisions.MethodsA retrospective chart audit of 85 adult patients who died in the emergency departments and intensive care units of a Queensland health service was undertaken...
December 12, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38011828/the-economic-burden-of-myalgic-encephalomyelitis-chronic-fatigue-syndrome-in-australia
#35
JOURNAL ARTICLE
Ting Zhao, Ingrid A Cox, Hasnat Ahmad, Julie A Campbell, Martin Hensher, Andrew J Palmer, Ryan M Kelly, Melissa J Rogerson, Karen Wills, Barbara de Graaff
Objective This study aimed to estimate costs of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) to patients, government and Australian society. Methods Australian ME/CFS patients and their carers were recruited using convenience sampling. Patients completed an online retrospective cost diary, providing ME/CFS-related direct medical, non-medical and indirect costs. Informal care costs were collected directly from carers. Data from the Pharmaceutical Benefits Scheme and Medicare Benefits Schedule were linked to participant survey data...
December 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38029447/delivering-complex-surgical-services-lessons-learned-from-the-evolution-of-a-specialised-pelvic-exenteration-centre
#36
JOURNAL ARTICLE
Kilian G M Brown, Kate E McBride, Teresa Anderson, Michael J Solomon
Pelvic exenteration (PE) is a potentially curative, ultra-radical surgical procedure for the treatment of advanced pelvic tumours, which involves surgical resection of multiple pelvic organs. Delivering such a complex low-volume, high-cost surgical program presents a number of unique health management challenges, and requires an organisation-wide approach involving both clinical and administrative teams. In contrast to the United Kingdom and France, where PE services have been historically decentralised, a centralised approach was developed early on in Australia and New Zealand (ANZ) with referral of these complex patients to a small number of quaternary centres...
November 30, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38011832/intensive-care-utilisation-after-elective-surgery-in-australia-and-new-zealand-getting-the-balance-right
#37
JOURNAL ARTICLE
Philip Emerson, Arthas Flabouris, Josephine Thomas, Jeremy Fernando, Siva Senthuran, Krishnaswamy Sundararajan
Of the total intensive care unit (ICU) admissions in Australia and New Zealand, 36.6% occur following an elective surgical procedure. How best to use ICU services in this setting is not clear, despite this being an expensive and resource-intensive method of care delivery. The literature relating to this area has not demonstrated a clear association between improved outcomes and routine ICU utilisation. It has, however, demonstrated that methods of care delivery in this setting vary at the local, national and international level...
November 28, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38011831/systematic-audit-of-australian-specialty-colleges-policies-on-bullying-discrimination-and-harassment
#38
JOURNAL ARTICLE
Thomas Haskell, Nancy Merridew
ObjectiveTo support policy makers and healthcare workers to reduce high rates of bullying, discrimination, and harassment (BDH) that affect doctors in Australian specialty training sites.MethodsThis audit assessed the quality of policies regarding BDH and associated complaints of the Australian Medical Council-accredited Australasian specialty training Colleges (Colleges). Policies were systematically identified and scored against a national standard BDH policy checklist.ResultsFourteen of the 16 Colleges have each written and curated their own BDH policies for their members, with wide variation between Colleges regarding content and processes...
November 28, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38011830/general-practice-accreditation-does-time-spent-on-site-matter
#39
JOURNAL ARTICLE
Michael Jones, David McNaughton, Paul Mara
BackgroundAccreditation to the Royal Australian College of General Practitioners Standards for general practices was developed with the intent of giving assurance to the public as to the safety and quality of general practice. The standards have undergone several iterative changes but have had little empirical validation since the original entry standards.ObjectiveTo compare the rate of indicator non-conformity between a full-day survey visit conducted under the 5th edition standards against the half-day visit conducted under the 4th edition standards...
November 28, 2023: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/37992315/a-conceptual-framework-to-support-hospitals-to-measure-and-realise-financial-benefits-from-process-improvement-programs-perspectives-from-australia-usa-and-uk
#40
JOURNAL ARTICLE
Jane Evans, Sandra G Leggat, Daniel Samson
ObjectiveThe objective of this research is to appraise current practice in hospitals against the 'Framework to achieve value in healthcare' (the Framework) and to identify additional contributory factors that support or hinder its application.MethodsA multi-site case study was undertaken with five hospitals in Australia, the USA and UK using purposeful sampling to identify hospitals to participate. Data collection took place between September and November 2022. The hospitals included in the study had Process Improvement (PI) programs of more than 5 years duration, with strong executive engagement and broad outcomes measurement, including financial benefits...
November 23, 2023: Australian Health Review: a Publication of the Australian Hospital Association
journal
journal
28426
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.