Opportunities for further changes to the Medicare Benefits Schedule to support Aboriginal Community Controlled Health Organisations
Aust Health Rev. 2021 Nov 25. doi: 10.1071/AH21234. Online ahead of print.ABSTRACTThe Australian Government responded promptly to the need for minimising patient-clinician contact in the primary care setting during COVID-19 by introducing new funding for telehealth services as part of the Medicare Benefits Schedule (MBS). Funding for both telephone and videoconferencing provided primary care organisations, including Aboriginal Community Controlled Health Organisations (ACCHOs), with the ability to continue meeting the healthcare needs of their Communities, particularly given that Aboriginal and Torres Strait Islander Peopl...
Source: Australian Health Review - November 24, 2021 Category: Hospital Management Authors: H Beks V L Versace R Zwolak T Chatfield Source Type: research

Opportunities for further changes to the Medicare Benefits Schedule to support Aboriginal Community Controlled Health Organisations
Aust Health Rev. 2021 Nov 25. doi: 10.1071/AH21234. Online ahead of print.ABSTRACTThe Australian Government responded promptly to the need for minimising patient-clinician contact in the primary care setting during COVID-19 by introducing new funding for telehealth services as part of the Medicare Benefits Schedule (MBS). Funding for both telephone and videoconferencing provided primary care organisations, including Aboriginal Community Controlled Health Organisations (ACCHOs), with the ability to continue meeting the healthcare needs of their Communities, particularly given that Aboriginal and Torres Strait Islander Peopl...
Source: Australian Health Review - November 24, 2021 Category: Hospital Management Authors: H Beks V L Versace R Zwolak T Chatfield Source Type: research

Closing the Gap in Aboriginal health disparities: is there a place for Elders in the neoliberal agenda?
ConclusionThe findings are reflective of tensions that arise when neoliberal policies are imposed on Aboriginal ways of knowing, being and doing. The Elders premised cultural well-being as the key determinant of Aboriginal community health.What is known about the topic?Closing the Gap represents successive neoliberal policy responses of Australian governments to address ongoing Aboriginal disadvantage.What does this paper add?Closing the Gap programs were recognised by Aboriginal Elders for providing the community with improved services, but also a threat to the community's cultural foundations and self-determination. The ...
Source: Australian Health Review - November 23, 2021 Category: Hospital Management Authors: Terrance Cox Ha Hoang Jonathon Mond Merylin Cross Source Type: research

Implementing recovery-oriented practice in older people
Aust Health Rev. 2021 Nov 23. doi: 10.1071/AH21155. Online ahead of print.ABSTRACTPersonal recovery is central to Australian mental health standards, but promoting recovery-oriented practice remains a wicked problem (ie complex, with definitions and appropriate interventions impacted upon by context and values), with limited evidence regarding effective implementation. This case study re-examines a statewide initiative to enhance recovery-oriented practice in older people's mental health services in New South Wales from the perspective of complex adaptive systems. The initiative consisted of three key strategies: (1) state...
Source: Australian Health Review - November 23, 2021 Category: Hospital Management Authors: Roderick McKay Kate Jackson John Stevens Source Type: research

Closing the Gap in Aboriginal health disparities: is there a place for Elders in the neoliberal agenda?
ConclusionThe findings are reflective of tensions that arise when neoliberal policies are imposed on Aboriginal ways of knowing, being and doing. The Elders premised cultural well-being as the key determinant of Aboriginal community health.What is known about the topic?Closing the Gap represents successive neoliberal policy responses of Australian governments to address ongoing Aboriginal disadvantage.What does this paper add?Closing the Gap programs were recognised by Aboriginal Elders for providing the community with improved services, but also a threat to the community's cultural foundations and self-determination. The ...
Source: Australian Health Review - November 23, 2021 Category: Hospital Management Authors: Terrance Cox Ha Hoang Jonathon Mond Merylin Cross Source Type: research

Implementing recovery-oriented practice in older people
Aust Health Rev. 2021 Nov 23. doi: 10.1071/AH21155. Online ahead of print.ABSTRACTPersonal recovery is central to Australian mental health standards, but promoting recovery-oriented practice remains a wicked problem (ie complex, with definitions and appropriate interventions impacted upon by context and values), with limited evidence regarding effective implementation. This case study re-examines a statewide initiative to enhance recovery-oriented practice in older people's mental health services in New South Wales from the perspective of complex adaptive systems. The initiative consisted of three key strategies: (1) state...
Source: Australian Health Review - November 23, 2021 Category: Hospital Management Authors: Roderick McKay Kate Jackson John Stevens Source Type: research

Optimising emergency department and acute care for people experiencing mental health problems: a nominal group study
ConclusionsCoherent and multifaceted approaches to the provision of care to people with mental health problems and diagnosed mental illnesses who are requiring emergency care include the linking and sharing of systems and information, changing the built environment and exploring new models of service delivery.What is known about the topic?There is considerable evidence of interventions used in the emergency department and acute healthcare settings for this vulnerable group of people with mental health problems and diagnosed mental illnesses; however, the evidence for appropriate model of care approaches and systems process...
Source: Australian Health Review - November 18, 2021 Category: Hospital Management Authors: Donna Marynowski-Traczyk Marianne Wallis Marc Broadbent Paul Scuffham Jesse T Young Amy N B Johnston Gerard FitzGerald Ed Heffernan Stuart A Kinner Ping Zhang Gerben Keijzers Emma Bosley Melinda Martin-Khan Laurie Shevlin Julia Crilly Source Type: research

Optimising emergency department and acute care for people experiencing mental health problems: a nominal group study
ConclusionsCoherent and multifaceted approaches to the provision of care to people with mental health problems and diagnosed mental illnesses who are requiring emergency care include the linking and sharing of systems and information, changing the built environment and exploring new models of service delivery.What is known about the topic?There is considerable evidence of interventions used in the emergency department and acute healthcare settings for this vulnerable group of people with mental health problems and diagnosed mental illnesses; however, the evidence for appropriate model of care approaches and systems process...
Source: Australian Health Review - November 18, 2021 Category: Hospital Management Authors: Donna Marynowski-Traczyk Marianne Wallis Marc Broadbent Paul Scuffham Jesse T Young Amy N B Johnston Gerard FitzGerald Ed Heffernan Stuart A Kinner Ping Zhang Gerben Keijzers Emma Bosley Melinda Martin-Khan Laurie Shevlin Julia Crilly Source Type: research

Optimising emergency department and acute care for people experiencing mental health problems: a nominal group study
ConclusionsCoherent and multifaceted approaches to the provision of care to people with mental health problems and diagnosed mental illnesses who are requiring emergency care include the linking and sharing of systems and information, changing the built environment and exploring new models of service delivery.What is known about the topic?There is considerable evidence of interventions used in the emergency department and acute healthcare settings for this vulnerable group of people with mental health problems and diagnosed mental illnesses; however, the evidence for appropriate model of care approaches and systems process...
Source: Australian Health Review - November 18, 2021 Category: Hospital Management Authors: Donna Marynowski-Traczyk Marianne Wallis Marc Broadbent Paul Scuffham Jesse T Young Amy N B Johnston Gerard FitzGerald Ed Heffernan Stuart A Kinner Ping Zhang Gerben Keijzers Emma Bosley Melinda Martin-Khan Laurie Shevlin Julia Crilly Source Type: research

Optimising emergency department and acute care for people experiencing mental health problems: a nominal group study
ConclusionsCoherent and multifaceted approaches to the provision of care to people with mental health problems and diagnosed mental illnesses who are requiring emergency care include the linking and sharing of systems and information, changing the built environment and exploring new models of service delivery.What is known about the topic?There is considerable evidence of interventions used in the emergency department and acute healthcare settings for this vulnerable group of people with mental health problems and diagnosed mental illnesses; however, the evidence for appropriate model of care approaches and systems process...
Source: Australian Health Review - November 18, 2021 Category: Hospital Management Authors: Donna Marynowski-Traczyk Marianne Wallis Marc Broadbent Paul Scuffham Jesse T Young Amy N B Johnston Gerard FitzGerald Ed Heffernan Stuart A Kinner Ping Zhang Gerben Keijzers Emma Bosley Melinda Martin-Khan Laurie Shevlin Julia Crilly Source Type: research

Optimising emergency department and acute care for people experiencing mental health problems: a nominal group study
ConclusionsCoherent and multifaceted approaches to the provision of care to people with mental health problems and diagnosed mental illnesses who are requiring emergency care include the linking and sharing of systems and information, changing the built environment and exploring new models of service delivery.What is known about the topic?There is considerable evidence of interventions used in the emergency department and acute healthcare settings for this vulnerable group of people with mental health problems and diagnosed mental illnesses; however, the evidence for appropriate model of care approaches and systems process...
Source: Australian Health Review - November 18, 2021 Category: Hospital Management Authors: Donna Marynowski-Traczyk Marianne Wallis Marc Broadbent Paul Scuffham Jesse T Young Amy N B Johnston Gerard FitzGerald Ed Heffernan Stuart A Kinner Ping Zhang Gerben Keijzers Emma Bosley Melinda Martin-Khan Laurie Shevlin Julia Crilly Source Type: research

Implementation and evaluation of a university-hospital partnership program for Type 2 diabetes
ConclusionThe partnership resulted in a new model of care for patients with T2D and increased learning experiences for students.What is known about the topic?Diabetes is the fastest growing disease in Australia, placing unsustainable demands on the health system. Access to patient-centred care and self-management education is essential to optimise glycaemic control, prevent or delay complications and maintain quality of life. The increasing demand of diabetes on the health system affects access to timely care, with unacceptably long wait times reported, resulting in an increase in morbidity and mortality and poor patient s...
Source: Australian Health Review - November 16, 2021 Category: Hospital Management Authors: Jane Musial Andrea Cawte Robert Mullins Mary Hannan-Jones Susan de Jersey Source Type: research

Paying for value: options for value-based payment reform in Australia
Aust Health Rev. 2021 Nov 16. doi: 10.1071/AH21115. Online ahead of print.ABSTRACTValue-based health care has gained increasing prominence among funders and providers in efforts to improve the outcomes important to patients relative to the resources used to deliver care. In Australia, the value-based healthcare agenda has focused on reducing the use of 'low-value' interventions, redesigning models of care to improve integration between providers and increasing the use of patient-reported measures to drive improvement; all have occurred within existing payment structures. In this paper we describe options for value-based pa...
Source: Australian Health Review - November 16, 2021 Category: Hospital Management Authors: Sarah Wise Jane Hall Philip Haywood Nikita Khana Lutfun Hossain Kees van Gool Source Type: research

Implementation and evaluation of a university-hospital partnership program for Type 2 diabetes
ConclusionThe partnership resulted in a new model of care for patients with T2D and increased learning experiences for students.What is known about the topic?Diabetes is the fastest growing disease in Australia, placing unsustainable demands on the health system. Access to patient-centred care and self-management education is essential to optimise glycaemic control, prevent or delay complications and maintain quality of life. The increasing demand of diabetes on the health system affects access to timely care, with unacceptably long wait times reported, resulting in an increase in morbidity and mortality and poor patient s...
Source: Australian Health Review - November 16, 2021 Category: Hospital Management Authors: Jane Musial Andrea Cawte Robert Mullins Mary Hannan-Jones Susan de Jersey Source Type: research

Paying for value: options for value-based payment reform in Australia
Aust Health Rev. 2021 Nov 16. doi: 10.1071/AH21115. Online ahead of print.ABSTRACTValue-based health care has gained increasing prominence among funders and providers in efforts to improve the outcomes important to patients relative to the resources used to deliver care. In Australia, the value-based healthcare agenda has focused on reducing the use of 'low-value' interventions, redesigning models of care to improve integration between providers and increasing the use of patient-reported measures to drive improvement; all have occurred within existing payment structures. In this paper we describe options for value-based pa...
Source: Australian Health Review - November 16, 2021 Category: Hospital Management Authors: Sarah Wise Jane Hall Philip Haywood Nikita Khana Lutfun Hossain Kees van Gool Source Type: research

Communication as a clinical skill: a challenge in the delivery of safe and effective patient care
Aust Health Rev. 2021 Nov 11. doi: 10.1071/AH21082. Online ahead of print.ABSTRACTCommunication in clinical practice has been the focus of linguistic, psychological, and sociological research for half a century, yet there is still so little emphasis on using that research to improve communication in practice. In this article, we urge for a repositioning of communication as a clinical skill, along with a stronger reliance on communication research evidence and collaboration with experts in studying and teaching these skills.PMID:34758898 | DOI:10.1071/AH21082 (Source: Australian Health Review)
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Sarah J White Veronica Preda Source Type: research

Patient satisfaction with a consumer codesigned lower limb cellulitis leaflet
ConclusionThe provision of a consumer codesigned leaflet increased patient satisfaction with the information received about cellulitis. Real-world strategies to embed the delivery of such resources are required to ensure that more patients receive the benefit.What is known about the topic?There are known deficiencies in the information provided to patients about the common skin condition cellulitis. There is little published evaluation of strategies to address these knowledge deficiencies.What does this paper add?This study evaluated a simple strategy to address patient knowledge deficiencies on cellulitis. It highlights t...
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Jaclyn L Bishop Mark Jones James Farquharson Kathrine Summerhayes Roxanne Tucker Mary Smith Raquel Cowan N Deborah Friedman Thomas R Schulz David C M Kong Kirsty L Buising Source Type: research

Communication as a clinical skill: a challenge in the delivery of safe and effective patient care
Aust Health Rev. 2021 Nov 11. doi: 10.1071/AH21082. Online ahead of print.ABSTRACTCommunication in clinical practice has been the focus of linguistic, psychological, and sociological research for half a century, yet there is still so little emphasis on using that research to improve communication in practice. In this article, we urge for a repositioning of communication as a clinical skill, along with a stronger reliance on communication research evidence and collaboration with experts in studying and teaching these skills.PMID:34758898 | DOI:10.1071/AH21082 (Source: Australian Health Review)
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Sarah J White Veronica Preda Source Type: research

Patient satisfaction with a consumer codesigned lower limb cellulitis leaflet
ConclusionThe provision of a consumer codesigned leaflet increased patient satisfaction with the information received about cellulitis. Real-world strategies to embed the delivery of such resources are required to ensure that more patients receive the benefit.What is known about the topic?There are known deficiencies in the information provided to patients about the common skin condition cellulitis. There is little published evaluation of strategies to address these knowledge deficiencies.What does this paper add?This study evaluated a simple strategy to address patient knowledge deficiencies on cellulitis. It highlights t...
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Jaclyn L Bishop Mark Jones James Farquharson Kathrine Summerhayes Roxanne Tucker Mary Smith Raquel Cowan N Deborah Friedman Thomas R Schulz David C M Kong Kirsty L Buising Source Type: research

Communication as a clinical skill: a challenge in the delivery of safe and effective patient care
Aust Health Rev. 2021 Nov 11. doi: 10.1071/AH21082. Online ahead of print.ABSTRACTCommunication in clinical practice has been the focus of linguistic, psychological, and sociological research for half a century, yet there is still so little emphasis on using that research to improve communication in practice. In this article, we urge for a repositioning of communication as a clinical skill, along with a stronger reliance on communication research evidence and collaboration with experts in studying and teaching these skills.PMID:34758898 | DOI:10.1071/AH21082 (Source: Australian Health Review)
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Sarah J White Veronica Preda Source Type: research

Patient satisfaction with a consumer codesigned lower limb cellulitis leaflet
ConclusionThe provision of a consumer codesigned leaflet increased patient satisfaction with the information received about cellulitis. Real-world strategies to embed the delivery of such resources are required to ensure that more patients receive the benefit.What is known about the topic?There are known deficiencies in the information provided to patients about the common skin condition cellulitis. There is little published evaluation of strategies to address these knowledge deficiencies.What does this paper add?This study evaluated a simple strategy to address patient knowledge deficiencies on cellulitis. It highlights t...
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Jaclyn L Bishop Mark Jones James Farquharson Kathrine Summerhayes Roxanne Tucker Mary Smith Raquel Cowan N Deborah Friedman Thomas R Schulz David C M Kong Kirsty L Buising Source Type: research

Communication as a clinical skill: a challenge in the delivery of safe and effective patient care
Aust Health Rev. 2021 Nov 11. doi: 10.1071/AH21082. Online ahead of print.ABSTRACTCommunication in clinical practice has been the focus of linguistic, psychological, and sociological research for half a century, yet there is still so little emphasis on using that research to improve communication in practice. In this article, we urge for a repositioning of communication as a clinical skill, along with a stronger reliance on communication research evidence and collaboration with experts in studying and teaching these skills.PMID:34758898 | DOI:10.1071/AH21082 (Source: Australian Health Review)
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Sarah J White Veronica Preda Source Type: research

Patient satisfaction with a consumer codesigned lower limb cellulitis leaflet
ConclusionThe provision of a consumer codesigned leaflet increased patient satisfaction with the information received about cellulitis. Real-world strategies to embed the delivery of such resources are required to ensure that more patients receive the benefit.What is known about the topic?There are known deficiencies in the information provided to patients about the common skin condition cellulitis. There is little published evaluation of strategies to address these knowledge deficiencies.What does this paper add?This study evaluated a simple strategy to address patient knowledge deficiencies on cellulitis. It highlights t...
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Jaclyn L Bishop Mark Jones James Farquharson Kathrine Summerhayes Roxanne Tucker Mary Smith Raquel Cowan N Deborah Friedman Thomas R Schulz David C M Kong Kirsty L Buising Source Type: research

Communication as a clinical skill: a challenge in the delivery of safe and effective patient care
Aust Health Rev. 2021 Nov 11. doi: 10.1071/AH21082. Online ahead of print.ABSTRACTCommunication in clinical practice has been the focus of linguistic, psychological, and sociological research for half a century, yet there is still so little emphasis on using that research to improve communication in practice. In this article, we urge for a repositioning of communication as a clinical skill, along with a stronger reliance on communication research evidence and collaboration with experts in studying and teaching these skills.PMID:34758898 | DOI:10.1071/AH21082 (Source: Australian Health Review)
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Sarah J White Veronica Preda Source Type: research

Patient satisfaction with a consumer codesigned lower limb cellulitis leaflet
ConclusionThe provision of a consumer codesigned leaflet increased patient satisfaction with the information received about cellulitis. Real-world strategies to embed the delivery of such resources are required to ensure that more patients receive the benefit.What is known about the topic?There are known deficiencies in the information provided to patients about the common skin condition cellulitis. There is little published evaluation of strategies to address these knowledge deficiencies.What does this paper add?This study evaluated a simple strategy to address patient knowledge deficiencies on cellulitis. It highlights t...
Source: Australian Health Review - November 11, 2021 Category: Hospital Management Authors: Jaclyn L Bishop Mark Jones James Farquharson Kathrine Summerhayes Roxanne Tucker Mary Smith Raquel Cowan N Deborah Friedman Thomas R Schulz David C M Kong Kirsty L Buising Source Type: research

Comparison of the quality of documentation between electronic and paper medical records in orthopaedic trauma patients
This study compared the completeness of orthopaedic documentation between the electronic medical record (EMR) and paper medical record (PMR).MethodsA review was undertaken of 400 medical records (200 EMR, 200 PMR) of patients with operatively managed traumatic lower limb injury. The operative report, discharge summary and first and second out-patient reviews were evaluated using criteria designed by a senior orthopaedic surgeon and senior physiotherapist. The criteria included information deemed critical to the post-operative care of the patient in the first 6 weeks post-surgery.ResultsIn all cases, an operative report was...
Source: Australian Health Review - November 9, 2021 Category: Hospital Management Authors: Chris Witkowski Lara Kimmel Elton Edwards Filip Cosic Source Type: research

Racism complaints in the Australian health system: an overview of existing approaches and some recommendations
Aust Health Rev. 2021 Nov 9. doi: 10.1071/AH21189. Online ahead of print.ABSTRACTPatients from racial/ethnic minority backgrounds can experience racism and race-based discrimination in the health system, enduring unfair and inferior treatment that negatively affects physical and mental health and well-being and may, in some cases, lead to premature and avoidable death. Racism within the health system also acts as a deterrent to health care access because individuals may choose to avoid healthcare settings for fear of repeated exposure to racism. Racism and its impacts in health are well documented and health care-related r...
Source: Australian Health Review - November 9, 2021 Category: Hospital Management Authors: Mandy Truong Dominique Allen Jocelyn Chan Yin Paradies Source Type: research

Royal Commission into Aged Care recommendations on minimum staff time standard for nursing homes
Aust Health Rev. 2021 Nov 9. doi: 10.1071/AH21283. Online ahead of print.ABSTRACTThe Royal Commission's recommendation for nursing home minimum time standards and the Australian Government's response do not support best practice resident care. We recommend that higher mandated minimum staffing levels and skills mix should be phased in by mid-2026.What is known about the topic?The Australian Government has not committed to fully implementing the Commission's recommendations for mandated minimum staff time standards.What does this paper add?We highlight issues with the Commission's recommendations and the Australian Governme...
Source: Australian Health Review - November 9, 2021 Category: Hospital Management Authors: Micah D J Peters Casey Marnie Annie Butler Source Type: research

What has driven acute public hospital expenditure growth in South Australia? An analysis of the relative importance of major expenditure drivers between 2006-07 and 2017-18
ConclusionOver the 12 years to 2017-18, real growth in average clinical salaries was a more important driver of real growth in per capita total acute public hospital expenditure than rates of hospital utilisation. This would be facilitated by improvements in the scope, accuracy, quality and consistency of published national hospital data.What is known about the topic?Public hospital expenditure is one of the largest and fastest growing areas of government expenditure in Australia. Policy narratives often centre around demand pressures from an increasingly older, overweight, and chronically ill population. Comparatively lit...
Source: Australian Health Review - November 9, 2021 Category: Hospital Management Authors: Allison Larg John R Moss Source Type: research

Comparison of the quality of documentation between electronic and paper medical records in orthopaedic trauma patients
This study compared the completeness of orthopaedic documentation between the electronic medical record (EMR) and paper medical record (PMR).MethodsA review was undertaken of 400 medical records (200 EMR, 200 PMR) of patients with operatively managed traumatic lower limb injury. The operative report, discharge summary and first and second out-patient reviews were evaluated using criteria designed by a senior orthopaedic surgeon and senior physiotherapist. The criteria included information deemed critical to the post-operative care of the patient in the first 6 weeks post-surgery.ResultsIn all cases, an operative report was...
Source: Australian Health Review - November 9, 2021 Category: Hospital Management Authors: Chris Witkowski Lara Kimmel Elton Edwards Filip Cosic Source Type: research

Racism complaints in the Australian health system: an overview of existing approaches and some recommendations
Aust Health Rev. 2021 Nov 9. doi: 10.1071/AH21189. Online ahead of print.ABSTRACTPatients from racial/ethnic minority backgrounds can experience racism and race-based discrimination in the health system, enduring unfair and inferior treatment that negatively affects physical and mental health and well-being and may, in some cases, lead to premature and avoidable death. Racism within the health system also acts as a deterrent to health care access because individuals may choose to avoid healthcare settings for fear of repeated exposure to racism. Racism and its impacts in health are well documented and health care-related r...
Source: Australian Health Review - November 9, 2021 Category: Hospital Management Authors: Mandy Truong Dominique Allen Jocelyn Chan Yin Paradies Source Type: research

Royal Commission into Aged Care recommendations on minimum staff time standard for nursing homes
Aust Health Rev. 2021 Nov 9. doi: 10.1071/AH21283. Online ahead of print.ABSTRACTThe Royal Commission's recommendation for nursing home minimum time standards and the Australian Government's response do not support best practice resident care. We recommend that higher mandated minimum staffing levels and skills mix should be phased in by mid-2026.What is known about the topic?The Australian Government has not committed to fully implementing the Commission's recommendations for mandated minimum staff time standards.What does this paper add?We highlight issues with the Commission's recommendations and the Australian Governme...
Source: Australian Health Review - November 9, 2021 Category: Hospital Management Authors: Micah D J Peters Casey Marnie Annie Butler Source Type: research

What has driven acute public hospital expenditure growth in South Australia? An analysis of the relative importance of major expenditure drivers between 2006-07 and 2017-18
ConclusionOver the 12 years to 2017-18, real growth in average clinical salaries was a more important driver of real growth in per capita total acute public hospital expenditure than rates of hospital utilisation. This would be facilitated by improvements in the scope, accuracy, quality and consistency of published national hospital data.What is known about the topic?Public hospital expenditure is one of the largest and fastest growing areas of government expenditure in Australia. Policy narratives often centre around demand pressures from an increasingly older, overweight, and chronically ill population. Comparatively lit...
Source: Australian Health Review - November 9, 2021 Category: Hospital Management Authors: Allison Larg John R Moss Source Type: research

Effect of a state hospital formulary on medicines utilisation in Australia
ConclusionThe LAM is a highly effective state medicines policy tool with demonstrable effects on PBS utilisation. With increased use of statewide medicines formularies, this will be an increasingly relevant aspect of Australia's overall medicines policy.What is known about the topic?State medicines policy is comparatively restrictive compared with the federal PBS. Most Australian states have, or are developing, statewide medicines formularies.What does this paper add?By examining several classes of medicines, a substantial quantitative effect of the Queensland state formulary on both state and PBS medicines utilisation can...
Source: Australian Health Review - November 8, 2021 Category: Hospital Management Authors: Joel Iedema Source Type: research

Better Access: substantial shift to telehealth for allied mental health services during COVID-19 in Australia
ConclusionsAllied mental health services via MBS-subsidised telehealth items greatly increased during 2020. Telehealth is an effective, flexible option for receiving psychological care which should be made available beyond the pandemic.What is known about the topic?Little is known about the transition to and delivery of new, temporary Better Access telehealth services by AMHPs during the COVID-19 pandemic.What does this paper add?This paper provides valuable data on the rapid transition to telehealth by AMHPs to provide levels of psychological care commensurate to 2019. Data extends from April to December 2020 and includes...
Source: Australian Health Review - November 8, 2021 Category: Hospital Management Authors: Rebecca Reay Stephen R Kisely Jeffrey C L Looi Source Type: research

Effect of a state hospital formulary on medicines utilisation in Australia
ConclusionThe LAM is a highly effective state medicines policy tool with demonstrable effects on PBS utilisation. With increased use of statewide medicines formularies, this will be an increasingly relevant aspect of Australia's overall medicines policy.What is known about the topic?State medicines policy is comparatively restrictive compared with the federal PBS. Most Australian states have, or are developing, statewide medicines formularies.What does this paper add?By examining several classes of medicines, a substantial quantitative effect of the Queensland state formulary on both state and PBS medicines utilisation can...
Source: Australian Health Review - November 8, 2021 Category: Hospital Management Authors: Joel Iedema Source Type: research

Better Access: substantial shift to telehealth for allied mental health services during COVID-19 in Australia
ConclusionsAllied mental health services via MBS-subsidised telehealth items greatly increased during 2020. Telehealth is an effective, flexible option for receiving psychological care which should be made available beyond the pandemic.What is known about the topic?Little is known about the transition to and delivery of new, temporary Better Access telehealth services by AMHPs during the COVID-19 pandemic.What does this paper add?This paper provides valuable data on the rapid transition to telehealth by AMHPs to provide levels of psychological care commensurate to 2019. Data extends from April to December 2020 and includes...
Source: Australian Health Review - November 8, 2021 Category: Hospital Management Authors: Rebecca Reay Stephen R Kisely Jeffrey C L Looi Source Type: research

Actual and projected gaps in the provision of residential aged care in New South Wales, Australia
ConclusionsNSW was not providing an adequate level of residential aged care and, under current allocations, this problem will worsen substantially over time, with flow-on impacts for the health sector. With aged care reform a current federal government focus, the results of this study may guide decisions that better support the provision of residential aged care.What is known about this topic?The recently completed Australian Royal Commission into aged care noted widespread system failure and highlighted the gaps in medical services that older Australians were experiencing.What does this paper add?This paper reports that d...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Adam Austin Thomas-Hoang Le Thomas Moss Stuart Wark Source Type: research

Healthcare resource utilisation and predictors for critical care unit admissions after primary bariatric surgery in an Australian public hospital setting: an exploratory study using a mixed-methods approach
ConclusionsBariatric surgery patients often have significant comorbidities. This study demonstrates that patients with higher levels of morbidity are more likely to require critical care postoperatively. Because this is elective surgery, being able to identify patients who are at increased risk is important to plan either the availability of critical care or even interventions to improve patients' preoperative risk. Further work is required to refine the pre-existing conditions that contribute most to the requirement for critical care management (particularly in the ICU setting) in the perioperative period.What is known ab...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Qing Xia Julie A Campbell Lei Si Hasnat Ahmad Barbara de Graaff Kevin Ratcliffe Julie Turtle John Marrone Alexandr Kuzminov Andrew J Palmer Source Type: research

Actual and projected gaps in the provision of residential aged care in New South Wales, Australia
ConclusionsNSW was not providing an adequate level of residential aged care and, under current allocations, this problem will worsen substantially over time, with flow-on impacts for the health sector. With aged care reform a current federal government focus, the results of this study may guide decisions that better support the provision of residential aged care.What is known about this topic?The recently completed Australian Royal Commission into aged care noted widespread system failure and highlighted the gaps in medical services that older Australians were experiencing.What does this paper add?This paper reports that d...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Adam Austin Thomas-Hoang Le Thomas Moss Stuart Wark Source Type: research

Healthcare resource utilisation and predictors for critical care unit admissions after primary bariatric surgery in an Australian public hospital setting: an exploratory study using a mixed-methods approach
ConclusionsBariatric surgery patients often have significant comorbidities. This study demonstrates that patients with higher levels of morbidity are more likely to require critical care postoperatively. Because this is elective surgery, being able to identify patients who are at increased risk is important to plan either the availability of critical care or even interventions to improve patients' preoperative risk. Further work is required to refine the pre-existing conditions that contribute most to the requirement for critical care management (particularly in the ICU setting) in the perioperative period.What is known ab...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Qing Xia Julie A Campbell Lei Si Hasnat Ahmad Barbara de Graaff Kevin Ratcliffe Julie Turtle John Marrone Alexandr Kuzminov Andrew J Palmer Source Type: research

Actual and projected gaps in the provision of residential aged care in New South Wales, Australia
ConclusionsNSW was not providing an adequate level of residential aged care and, under current allocations, this problem will worsen substantially over time, with flow-on impacts for the health sector. With aged care reform a current federal government focus, the results of this study may guide decisions that better support the provision of residential aged care.What is known about this topic?The recently completed Australian Royal Commission into aged care noted widespread system failure and highlighted the gaps in medical services that older Australians were experiencing.What does this paper add?This paper reports that d...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Adam Austin Thomas-Hoang Le Thomas Moss Stuart Wark Source Type: research

Healthcare resource utilisation and predictors for critical care unit admissions after primary bariatric surgery in an Australian public hospital setting: an exploratory study using a mixed-methods approach
ConclusionsBariatric surgery patients often have significant comorbidities. This study demonstrates that patients with higher levels of morbidity are more likely to require critical care postoperatively. Because this is elective surgery, being able to identify patients who are at increased risk is important to plan either the availability of critical care or even interventions to improve patients' preoperative risk. Further work is required to refine the pre-existing conditions that contribute most to the requirement for critical care management (particularly in the ICU setting) in the perioperative period.What is known ab...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Qing Xia Julie A Campbell Lei Si Hasnat Ahmad Barbara de Graaff Kevin Ratcliffe Julie Turtle John Marrone Alexandr Kuzminov Andrew J Palmer Source Type: research

Actual and projected gaps in the provision of residential aged care in New South Wales, Australia
ConclusionsNSW was not providing an adequate level of residential aged care and, under current allocations, this problem will worsen substantially over time, with flow-on impacts for the health sector. With aged care reform a current federal government focus, the results of this study may guide decisions that better support the provision of residential aged care.What is known about this topic?The recently completed Australian Royal Commission into aged care noted widespread system failure and highlighted the gaps in medical services that older Australians were experiencing.What does this paper add?This paper reports that d...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Adam Austin Thomas-Hoang Le Thomas Moss Stuart Wark Source Type: research

Healthcare resource utilisation and predictors for critical care unit admissions after primary bariatric surgery in an Australian public hospital setting: an exploratory study using a mixed-methods approach
ConclusionsBariatric surgery patients often have significant comorbidities. This study demonstrates that patients with higher levels of morbidity are more likely to require critical care postoperatively. Because this is elective surgery, being able to identify patients who are at increased risk is important to plan either the availability of critical care or even interventions to improve patients' preoperative risk. Further work is required to refine the pre-existing conditions that contribute most to the requirement for critical care management (particularly in the ICU setting) in the perioperative period.What is known ab...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Qing Xia Julie A Campbell Lei Si Hasnat Ahmad Barbara de Graaff Kevin Ratcliffe Julie Turtle John Marrone Alexandr Kuzminov Andrew J Palmer Source Type: research

Actual and projected gaps in the provision of residential aged care in New South Wales, Australia
ConclusionsNSW was not providing an adequate level of residential aged care and, under current allocations, this problem will worsen substantially over time, with flow-on impacts for the health sector. With aged care reform a current federal government focus, the results of this study may guide decisions that better support the provision of residential aged care.What is known about this topic?The recently completed Australian Royal Commission into aged care noted widespread system failure and highlighted the gaps in medical services that older Australians were experiencing.What does this paper add?This paper reports that d...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Adam Austin Thomas-Hoang Le Thomas Moss Stuart Wark Source Type: research

Healthcare resource utilisation and predictors for critical care unit admissions after primary bariatric surgery in an Australian public hospital setting: an exploratory study using a mixed-methods approach
ConclusionsBariatric surgery patients often have significant comorbidities. This study demonstrates that patients with higher levels of morbidity are more likely to require critical care postoperatively. Because this is elective surgery, being able to identify patients who are at increased risk is important to plan either the availability of critical care or even interventions to improve patients' preoperative risk. Further work is required to refine the pre-existing conditions that contribute most to the requirement for critical care management (particularly in the ICU setting) in the perioperative period.What is known ab...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Qing Xia Julie A Campbell Lei Si Hasnat Ahmad Barbara de Graaff Kevin Ratcliffe Julie Turtle John Marrone Alexandr Kuzminov Andrew J Palmer Source Type: research

Actual and projected gaps in the provision of residential aged care in New South Wales, Australia
ConclusionsNSW was not providing an adequate level of residential aged care and, under current allocations, this problem will worsen substantially over time, with flow-on impacts for the health sector. With aged care reform a current federal government focus, the results of this study may guide decisions that better support the provision of residential aged care.What is known about this topic?The recently completed Australian Royal Commission into aged care noted widespread system failure and highlighted the gaps in medical services that older Australians were experiencing.What does this paper add?This paper reports that d...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Adam Austin Thomas-Hoang Le Thomas Moss Stuart Wark Source Type: research

Healthcare resource utilisation and predictors for critical care unit admissions after primary bariatric surgery in an Australian public hospital setting: an exploratory study using a mixed-methods approach
ConclusionsBariatric surgery patients often have significant comorbidities. This study demonstrates that patients with higher levels of morbidity are more likely to require critical care postoperatively. Because this is elective surgery, being able to identify patients who are at increased risk is important to plan either the availability of critical care or even interventions to improve patients' preoperative risk. Further work is required to refine the pre-existing conditions that contribute most to the requirement for critical care management (particularly in the ICU setting) in the perioperative period.What is known ab...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Qing Xia Julie A Campbell Lei Si Hasnat Ahmad Barbara de Graaff Kevin Ratcliffe Julie Turtle John Marrone Alexandr Kuzminov Andrew J Palmer Source Type: research

Actual and projected gaps in the provision of residential aged care in New South Wales, Australia
ConclusionsNSW was not providing an adequate level of residential aged care and, under current allocations, this problem will worsen substantially over time, with flow-on impacts for the health sector. With aged care reform a current federal government focus, the results of this study may guide decisions that better support the provision of residential aged care.What is known about this topic?The recently completed Australian Royal Commission into aged care noted widespread system failure and highlighted the gaps in medical services that older Australians were experiencing.What does this paper add?This paper reports that d...
Source: Australian Health Review - October 29, 2021 Category: Hospital Management Authors: Adam Austin Thomas-Hoang Le Thomas Moss Stuart Wark Source Type: research