How general practitioners perceive access needs of vulnerable patients and act to address these needs: a mixed-methods study in south-east Melbourne, Australia.
ConclusionGPs understand the nature of access barriers for local vulnerable groups and have the potential to improve equitable access to primary health care. GPs need support in the on-going application and further development of strategies to accommodate access needs of vulnerable patients.What is known about the topic?Access to primary health care (PHC) is integral to reducing gaps in health outcomes for vulnerable groups. Vulnerable groups often encounter challenges in accessing PHC, and GPs have the potential to improve PHC access.What does this paper add?GPs thought that the vulnerable patients they frequently treat e...
Source: Australian Health Review - September 18, 2020 Category: Hospital Management Authors: Kunin M, Advocat J, Wickramasinghe SM, Dionne E, Russell G Tags: Aust Health Rev Source Type: research

Challenges in obtaining research ethics and governance approvals for an Australian national intersector, multisite audit study.
ConclusionFurther improvements are needed to reduce duplication and increase the efficiency of Australian ethics and governance review processes.What is known about the topic?The process for obtaining ethics approval for multicentre research has been streamlined through the introduction of single-site ethics review. However, the process of gaining ethics and governance approvals for national multicentre research continues to be time-consuming, resource-intensive and duplicative.What does this paper add?This is the first study to examine the challenges of obtaining ethics and governance approvals for a non-interventional mu...
Source: Australian Health Review - September 18, 2020 Category: Hospital Management Authors: Buck K, Nolte L, Kelly H, Detering K, Sinclair C, White BP, Sellars M Tags: Aust Health Rev Source Type: research

Mapping non-malignant respiratory palliative care services in Australia and New Zealand.
ConclusionsThere is limited availability of integrated respiratory and palliative care or specialised breathlessness services in Australia and New Zealand despite widespread support by palliative care physicians. This study provides a snapshot to inform strategic service development.What is known about the topic?People with advanced respiratory disease have very significant morbidity with complex needs equivalent to, and in many cases more intense than, people with end-stage lung cancer; they also have significant mortality. Yet, these people frequently do not access palliative care services. The establishment of integrate...
Source: Australian Health Review - September 18, 2020 Category: Hospital Management Authors: Philip J, Wiseman R, Eastman P, Li C, Smallwood N Tags: Aust Health Rev Source Type: research

Implementation pilot of a novel electronic bedside nursing chart: a mixed-methods case study.
Abstract The aim of this study was to investigate the implementation of a novel electronic bedside nursing chart in an acute hospital setting. The case study used multiple data sources captured within a real-life clinical ward context. Quantitative findings included significant reductions in nurse-reported missed care (P
Source: Australian Health Review - September 16, 2020 Category: Hospital Management Authors: Bail K, Davey R, Currie M, Gibson J, Merrick E, Redley B Tags: Aust Health Rev Source Type: research

Welcome to The Lucky Country: the Royal Australian College of General Practitioners deters overseas-trained academic general practitioners.
Abstract In assessing overseas-trained general practitioners (GPs) applying for specialist recognition in Australia, the Royal Australian College of General Practitioners (RACGP) sets a minimum requirement of 2 days per week 'undertaking general practice activities' over the 3 years prior to application. The RACGP does not consider academic practice (i.e. relevant teaching and research) to be a 'general practice activity', thereby blocking overseas-trained full-time academic GPs from specialist recognition in Australia. The actions of the RACGP have implications for access to quality primary health care in Austral...
Source: Australian Health Review - September 16, 2020 Category: Hospital Management Authors: Wallis KA, Wallis KA Tags: Aust Health Rev Source Type: research

'I just hope they take it seriously.
ConclusionsImprovements are needed in care integration and the de-escalation of potentially confrontational interactions. Effective, safe and compassionate system responses to presentations of psychological distress and pain should be collaboratively developed. Some current responses may entrench stigma, further traumatising vulnerable patients.What is known about the topic?Men who experience homelessness have poor health outcomes and present challenges to healthcare systems.What does this paper add?This paper describes healthcare experiences and insights of men who are experiencing homelessness in Australia. These men rep...
Source: Australian Health Review - September 14, 2020 Category: Hospital Management Authors: Sturman N, Matheson D Tags: Aust Health Rev Source Type: research

Surveying perceptions of the early impacts of an integrated electronic medical record across a hospital and healthcare service.
ConclusionOn average, staff viewed the ieMR mildly positively immediately after implementation (despite significant changes to work practices), but differences exist across professional groups.What is known about the topic?Hospitals globally are in the midst of a digital transformation. Yet, reported impacts are mixed and there have been few studies of the effects of comprehensive electronic medical record (EMR) implementations.What does this paper add?This paper evaluates a comprehensive EMR immediately after go-live. We found positive early perceptions of system quality, information quality, individual benefits and expec...
Source: Australian Health Review - September 10, 2020 Category: Hospital Management Authors: Eden R, Burton-Jones A, Staib A, Sullivan C Tags: Aust Health Rev Source Type: research

General practice.
Abstract The COVID-19 pandemic has resulted in multiple changes in the delivery of general practice services. In response to the threat of the pandemic and in order to keep their businesses safe and viable, general practices have rapidly moved to new models of care, embraced Medicare-funded telehealth and responded to uncertain availability of personal protective equipment with innovation. These changes have shown the adaptability of general practice, helped keep patients and practice staff safe, and undoubtedly reduced community transmission and mortality. The pandemic, and the response to it, has emphasised the ...
Source: Australian Health Review - September 3, 2020 Category: Hospital Management Authors: Wright M, Versteeg R, Hall J Tags: Aust Health Rev Source Type: research

Time to rethink our approach to the Pharmaceutical Benefits Scheme (PBS) listing of medicines: the case of pregabalin.
PMID: 32878686 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - September 3, 2020 Category: Hospital Management Authors: Winckel K, Daglish M, Pache D, Hollingworth SA Tags: Aust Health Rev Source Type: research

Description of the effect of patient flow, junior doctor supervision and pandemic preparation on the ability of emergency physicians to provide direct patient care.
Abstract ObjectiveA pilot study to: (1) describe the ability of emergency physicians to provide primary consults at an Australian, major metropolitan, adult emergency department (ED) during the COVID-19 pandemic when compared with historical performance; and (2) to identify the effect of system and process factors on productivity.MethodsA retrospective cross-sectional description of shifts worked between 1 and 29 February 2020, while physicians were carrying out their usual supervision, flow and problem-solving duties, as well as undertaking additional COVID-19 preparation, was documented. Effect of supervisory lo...
Source: Australian Health Review - August 31, 2020 Category: Hospital Management Authors: Lim A, Gupta N, Lim A, Hong W, Walker K Tags: Aust Health Rev Source Type: research

Factors affecting hepatitis C treatment intentions among Aboriginal people in Western Australia: a mixed-methods study.
ConclusionThis mixed methods study with Aboriginal people living with self-reported HCV indicates interventions focused on reducing stigma and unstable housing could positively affect hepatitis C treatment intentions. These findings have implications for developing holistic programs to promote and support people on hepatitis C treatment.What is known about the topic?Substantial knowledge gaps need to be resolved if HCV elimination among Aboriginal Australians is to be achieved. Current research has prioritised non-Aboriginal communities.What does this paper add?This study found that stigma and unstable housing require atte...
Source: Australian Health Review - August 28, 2020 Category: Hospital Management Authors: Rashidi A, Higgs P, Carruthers S Tags: Aust Health Rev Source Type: research

How often are patients with clinically apparent inguinal hernias referred to a surgeon accompanied with an ultrasound? A prospective multicentre study.
ConclusionThis study found that almost one in two patients referred to a surgeon with a clinically obvious inguinal hernia also underwent a groin ultrasound. These studies represent an unnecessary waste of limited healthcare resources and low-value medical care because they rarely affect the final diagnosis or surgical management.What is known about the topic?Inguinal hernias are one of the most common presenting complaints to surgeons in Australia. Currently, there are no accepted Australian guidelines for the diagnosis of inguinal hernias. Ultrasound investigation has been shown to aid diagnosis when there is uncertainty...
Source: Australian Health Review - August 28, 2020 Category: Hospital Management Authors: Naidoo P, Levett K, Lord S, Meagher A, Williams N, Aczel T Tags: Aust Health Rev Source Type: research

Differential access to continuity of midwifery care in Queensland, Australia.
Abstract ObjectiveTo determine maternal access to continuity of midwifery care in public maternity hospitals across the state of Queensland, Australia.MethodsMaternal access to continuity of midwifery care in Queensland was modelled by considering the proportion of midwives publicly employed to provide continuity of midwifery care alongside 2017 birth data for Queensland Hospital and Health Services. The model assumed an average caseload per full-time equivalent midwife working in continuity of care with 35 women per annum, based on state Nursing and Midwifery Award conditions. Hospitals were grouped into five clu...
Source: Australian Health Review - August 28, 2020 Category: Hospital Management Authors: Donnellan-Fernandez RE, Creedy DK, Callander EJ, Gamble J, Toohill J Tags: Aust Health Rev Source Type: research

Should Australian states and territories have designated COVID hospitals in low community transmission? Case study for Western Australia.
Abstract This case study describes the process of selecting the most appropriate state-wide hospital system to manage COVID-19 cases in a setting of low community transmission of COVID-19 infection. A rapid review of the literature was conducted of the advantages and disadvantages of having designated COVID hospitals. This led to three different options being presented for discussion. Following consultation, the option chosen was for all hospital facilities to remain prepared to care for COVID-19 patients where they present rather than having specified designated hospitals because this was considered the most prac...
Source: Australian Health Review - August 28, 2020 Category: Hospital Management Authors: Ferguson C, Fletcher R, Ho P, MacLeod E Tags: Aust Health Rev Source Type: research

Characteristics and predictors of regulatory immediate action imposed on registered health practitioners in Australia: a retrospective cohort study.
ConclusionsHealth practitioner regulatory boards in Australia rarely used immediate action as a regulatory tool, but were more likely to do so in response to mandatory notifications or notifications pertaining to substance abuse or sexual misconduct.What is known about this topicHealth practitioner regulatory boards protect the public from harm and maintain quality and standards of health care. Where the perceived risk to public safety is high, boards may suspend or restrict the practice of health practitioners before an investigation has concluded.What does this paper add?This paper is the first study in Australia, and th...
Source: Australian Health Review - August 28, 2020 Category: Hospital Management Authors: Bradfield OM, Bismark MM, Studdert DM, Spittal MJ Tags: Aust Health Rev Source Type: research

Using a computerised database (REDCap) to monitor influenza vaccination coverage of healthcare workers and staff in South Eastern Sydney Local Health District.
ConclusionsREDCap was successfully used as a data collection tool to track the influenza vaccination rates of staff. The data assisted the District Workforce Services in ensuring that facilities complied with NSW Health policy. This study highlights how REDCap may be used by similar organisations to monitor influenza vaccination of HCWs.What is known about the topic?There is increasing recognition of the need to ensure high-quality monitoring of HCW influenza vaccination rates, yet coverage is often difficult to measure accurately due to a lack of centralised reporting and monitoring systems.What does this paper add?This p...
Source: Australian Health Review - August 28, 2020 Category: Hospital Management Authors: Gadsden T, Bateman-Steel CR, Chaverot S, Ressler KA, Chee K, Redwood L, Ferson MJ Tags: Aust Health Rev Source Type: research

Telehealth uptake in general practice as a result of the coronavirus (COVID-19) pandemic.
Abstract In March 2020, the Australian Government added new temporary telehealth services to the Medicare Benefits Schedule (MBS) to reduce the risk of patient-patient and patient-clinician transmission of the 2019 coronavirus (COVID-19). Here, the MBS statistics for general practitioner activity and the associated costs are described; a small increase in both activity and costs for the new MBS telehealth items were observed. The opportunities for future research and policy implications are also discussed. PMID: 32853536 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - August 28, 2020 Category: Hospital Management Authors: Snoswell CL, Caffery LJ, Haydon HM, Thomas EE, Smith AC Tags: Aust Health Rev Source Type: research

Complex care needs and devolution in Greater Manchester: a pilot study to explore social care innovation in newly integrated service arrangements for older people.
ConclusionComponents of partnerships promoting integrated care have been highlighted and understanding of the complexity of measuring integrated care enhanced. Means of information sharing and work force development require further consideration.What is known about the topic?The devolution of health and social care arrangements in Greater Manchester has aroused considerable interest in much wider arenas. Necessarily much of the focus in available material has been upon strategic development, analysis of broader trends and mechanisms and a concern with changes in the healthcare system.What does this paper add?The findings f...
Source: Australian Health Review - August 13, 2020 Category: Hospital Management Authors: Malik B, Wells J, Hughes J, Clarkson P, Keady J, Young A, Challis D Tags: Aust Health Rev Source Type: research

Engaging consumers in health research: a narrative review.
ConclusionBest practice standards, organisational commitments and resources are needed to improve the status quo in Australia and to provide health research end-users with research outcomes that better align with their priorities and needs.What is known about the topic?Consumer and community engagement (CCE) in research is increasing in prevalence and is likely to be beneficial to both consumers and healthcare providers and researchers.What does this paper add?Following review of the available research findings and governance statements about CCE, enabling strategies are presented in light of a case series among Sydney-bas...
Source: Australian Health Review - August 12, 2020 Category: Hospital Management Authors: Anderst A, Conroy K, Fairbrother G, Hallam L, McPhail A, Taylor V Tags: Aust Health Rev Source Type: research

Implementing national mental health carer partnership standards in South Australia.
ConclusionSignificant improvement is needed to meet the partnership standards. Brief exposure to the Guide is not, in itself, sufficient to effect change in the overall attitudes, skills and knowledge of clinical staff about engaging carers. Significantly more focus on staff education, clinical discussions and supervision is needed to meet the MH carer partnership standards.What is known about the topic?Partnership with MH consumers and carers is an established key principle within national MH policies and accreditation standards. Family carers play an important role in supporting consumers' recovery, yet many carers conti...
Source: Australian Health Review - August 5, 2020 Category: Hospital Management Authors: Lawn S, Waddell E, Cowain T, Turnbull C, McMahon J Tags: Aust Health Rev Source Type: research

How much 'lived experience.
ConclusionThis study suggests the ongoing expansion of the lived experience workforce is affected by challenges in defining 'lived experience' as a requirement for designated roles and fears regarding stigmatised identities.What is known about the topic?In the mental health sector, opportunities and challenges exist in attempting to effectively incorporate the emerging lived experience or peer workforce. Research has highlighted the need for support from senior management, the need for role clarity and the risk of 'othering' for the lived experience workforce.What does this paper add?This paper responds to the gap in exist...
Source: Australian Health Review - August 5, 2020 Category: Hospital Management Authors: Roennfeldt H, Byrne L Tags: Aust Health Rev Source Type: research

There can be no quality without equity.
PMID: 32755533 [PubMed - in process] (Source: Australian Health Review)
Source: Australian Health Review - August 1, 2020 Category: Hospital Management Authors: Feeley D Tags: Aust Health Rev Source Type: research

Positives to be found in COVID response.
PMID: 32755534 [PubMed - in process] (Source: Australian Health Review)
Source: Australian Health Review - August 1, 2020 Category: Hospital Management Authors: Evans B Tags: Aust Health Rev Source Type: research

Corrigendum to: Cancer patients' use of and attitudes towards medicinal cannabis.
ConclusionThis study is the first of its kind to survey the use of and attitudes towards medicinal cannabis in a broad sample of Australian people with cancer. Few respondents were currently using cannabis for medicinal purposes, but an overwhelming majority were in favour of increasing access and would consider using a prescribed product.What is known about the topic?Cannabis may have a wide variety of medicinal uses, particularly in the cancer setting. Currently, people with cancer in Victoria have limited access to medicinal cannabis despite recent legislative changes.What does this paper add?In a general sample of peop...
Source: Australian Health Review - August 1, 2020 Category: Hospital Management Authors: Drosdowsky A, Blaschke S, Koproski T, Fullerton S, Thakerar A, Ellen S, Phipps-Nelson J, de Neef C Tags: Aust Health Rev Source Type: research

Risk factors for non-participation in a universal developmental surveillance program in a population in Australia.
ConclusionsIn this population, children exposed to socioeconomic disadvantage are less likely to have attended a Well Child Visit and to have a completed PEDS in their PHR at 12 and/or 18 months of age.What is known about the topic?Developmental problems are common in early childhood, and children from socioeconomically disadvantaged households are at higher risk. Universal developmental surveillance programs may be effective at early identification of children at risk of developmental problems. Early childhood interventions, when accessed, can lessen the effects of developmental problems in later years.What does this pape...
Source: Australian Health Review - July 31, 2020 Category: Hospital Management Authors: Ayer C, Eapen V, Overs B, Descallar J, Jalaludin B, Eastwood JG, Dissanayake C, Williams K, Murphy E, Woolfenden S Tags: Aust Health Rev Source Type: research

Young people in Australian residential aged care: evaluating trends from 2008 to 2018.
Abstract ObjectiveOver the past decade, various programs and reforms have targeted the issue of people aged
Source: Australian Health Review - July 29, 2020 Category: Hospital Management Authors: Brown MG, Bishop GM, Winkler D, Douglas JM Tags: Aust Health Rev Source Type: research

Promoting hospital and primary care collaboration for timely and effective care for chronic hepatitis B in western Melbourne.
Abstract ObjectiveThe aims of this study were to: (1) identify the characteristics of patients with chronic hepatitis B (CHB) who do not attend their hospital liver clinic appointments; and (2) raise awareness among general practitioners (GP) of alternative pathways to care for CHB in order to prevent long-term complications of CHB (liver cancer and cirrhosis).MethodsThis prospective study was conducted between May 2018 and January 2019 at one site of a tertiary referral hospital in western Melbourne. Patients with minimal liver complications who did not attend their first two initial appointments were included in...
Source: Australian Health Review - July 28, 2020 Category: Hospital Management Authors: Sievert K, Liddle R, Tan A, Arachchi N, Valaydon Z, Allard N Tags: Aust Health Rev Source Type: research

Quantitative fit testing with limited supplies of respirator masks in hospital personnel during the COVID-19 pandemic.
PMID: 32718421 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - July 28, 2020 Category: Hospital Management Authors: Cameron S, Cheung W, Cronin N, Griffiths K, Hunt R, Innes L, Kol M, Lawrence A, Shah A, Skylas K, Wagh A Tags: Aust Health Rev Source Type: research

Provision of a consistent national approach to radiation therapy workforce protection measures in Australia during the COVID-19 pandemic.
Abstract Healthcare workers are at the frontline managing COVID-19 patients with transmission of the COVID-19 virus to healthcare workers evident in many Australian states. Minimisation of this spread is vital to protecting the healthcare workforce with individual organisations detailing best practice for infection and control. However, interpretation and implementation of infection control guidelines is varied across Australian Radiation Therapy Departments, highlighting inconsistencies. Strong leadership, quality communication and clear direction is required during this crisis to ensure that radiation therapists...
Source: Australian Health Review - July 23, 2020 Category: Hospital Management Authors: Ku M, Morgan T, Malbon A, Bartram T, Cavanagh J, Halvorsen B Tags: Aust Health Rev Source Type: research

Evaluation of HealthPathways: an appraisal of usage, experiences and opinions of healthcare professionals in Australia and New Zealand.
ConclusionThe results suggest that HealthPathways is having a positive effect on healthcare systems in New Zealand and Australia. However, differences in uptake suggests the need for focused implementation, integration into eReferral software and expanding the tool to medical students, registrars, allied health professionals and potentially patients to encourage behavioural change.What is known about the topic?Early evaluations suggest that HealthPathways is a useful tool for health professionals, although uptake and utilisation may be limited. However, there is no comparative evidence regarding uptake and implementation o...
Source: Australian Health Review - July 22, 2020 Category: Hospital Management Authors: Goddard-Nash A, Makate M, Varhol R, Quirk F, Larsen R, McGeoch G, Shand B, Robinson S Tags: Aust Health Rev Source Type: research

Estimating the prevalence of life-limiting conditions in Queensland for children and young people aged 0-21 years using health administration data.
Abstract ObjectiveThe prevalence of life-limiting conditions in children in Australia is unknown; such data are needed to inform health service planning for paediatric palliative care. The aim of this study was to estimate the prevalence of life-limiting conditions for children and young people aged 0-21 years living in Queensland, Australia.MethodsAn observational study using linked administrative health data from the 2011 and 2016 calendar years was performed for all individuals with an International Statistical Classification of Diseases and Related Health Problems 10th Revision Australian Modification code rel...
Source: Australian Health Review - July 20, 2020 Category: Hospital Management Authors: Bowers AP, Chan RJ, Herbert A, Yates P Tags: Aust Health Rev Source Type: research

Does policy change to allow pharmacist provision of influenza vaccination increase population uptake? A systematic review.
ConclusionsThe effect of allowing pharmacists to administer influenza vaccinations appears positive, but small. Given that pharmacists are likely to provide vaccinations at a lower cost than doctors, there may be cost-savings to the health system and consumers. Future research may include evaluating pharmacist-provided vaccinations compared with (or in combination with) other strategies, such as advertising, to increase access and uptake across the range of providers, as well as ongoing research to address vaccine hesitancy.What is known about the topic?In Australia, and many other countries, community pharmacies provide a...
Source: Australian Health Review - July 17, 2020 Category: Hospital Management Authors: Spinks J, Bettington E, Downes M, Nissen L, Wheeler A Tags: Aust Health Rev Source Type: research

Predictors of ED attendance in older patients with chronic disease: a data linkage study.
ConclusionThis study suggests that ED presentation is associated with greater frailty and multimorbidity in patients. Further research is necessary to determine why higher rates of chronic disease management through GP management plans and more frequent visits did not mediate higher rates of presentation and the reasons behind the socioeconomic differences in ED presentation for patients in this age group.What is known about the topic?Increases in the volume and rate of ED presentations by older people will markedly affect emergency and acute hospital care and patient flow as the proportion of older Australians increases.W...
Source: Australian Health Review - July 17, 2020 Category: Hospital Management Authors: Xia T, Enticott J, Pearce C, Mazza D, Turner LR Tags: Aust Health Rev Source Type: research

Efficiency gains from a standardised approach to older people presenting to the emergency department after a fall.
Abstract ObjectiveFalls are a major cause of hospital-related costs in people aged ≥65 years. Despite this, falls are often seen as trivial and given low priority in an emergency department (ED), especially in the absence of overt major injury. ED systems that care for falls patients are often inefficient. The aims of this study were to: (1) design and implement a standardised and systematic approach to patients presenting to an ED after a fall; and (2) achieve hospital efficiency gains, such as reduced hospital length of stay, through implementation of this approach.MethodsA prospective study was conducted wit...
Source: Australian Health Review - June 30, 2020 Category: Hospital Management Authors: Arendts G, Leyte N, Dumas S, Ahamed S, Khokulan V, Wahbi O, Lomman A, Hughes D, Clayden V, Mandal B Tags: Aust Health Rev Source Type: research

Service use of young people with Type 1 diabetes after transition from paediatric to adult-based diabetes health care.
ConclusionsLack of specialist care in early adult years and non-metropolitan relative disadvantage compromise the present and future health of young people with diabetes.What is known about the topic?Well-managed transition is thought to offer the best chance of achieving cost-effective continuing engagement with specialist services for planned preventive care, effective T1D self-management and deferral or early attention to diabetes-related vascular complications. However, transition is commonly reported as problematic.What does this paper add?The findings of this study indicate a positive trend but continuing need to imp...
Source: Australian Health Review - June 30, 2020 Category: Hospital Management Authors: Perry L, Dunbabin J, Xu X, Lowe J, Acharya S, James S, Steinbeck KS Tags: Aust Health Rev Source Type: research

Assessing the support of health leadership for increased Indigenous participation in the health workforce.
ConclusionGreater alignment of state and territory Indigenous health workforce plans with contemporary diversity management knowledge could improve recruitment and retention of Indigenous peoples and, ultimately, Indigenous health outcomes.What is known about the topic?The diversity management and change management literature highlights the importance of demonstrated leadership. Dependency messaging is the clear articulation of the benefit that members of minority and diversity groups bring to an organisation's performance; this is regarded as highly influential for diversity recruitment and retention.What does this paper ...
Source: Australian Health Review - June 30, 2020 Category: Hospital Management Authors: Bourke C, Lahn J, Gibbs C, Lennard N Tags: Aust Health Rev Source Type: research

Scoping review of Australian evaluations of healthcare delivery models: are we making the most of the evidence?
ConclusionEvaluations of healthcare delivery models provide important evidence that can be used to improve the use of the most important and costly assets of health systems, namely the healthcare practitioners who deliver health care. A nationally coordinated system is required to support local health services to assess the local value of alternative healthcare delivery models.What is known about the topic?The organisation and delivery of health care is continuously evolving in response to changes in the demand and supply of health care. New healthcare delivery models are often evaluated in specific locations, but it is no...
Source: Australian Health Review - June 30, 2020 Category: Hospital Management Authors: Roseleur J, Partington A, Karnon J Tags: Aust Health Rev Source Type: research

It.
This article summarises what the disciplines of Human Factors/Ergonomics and Simulation can offer to the design and testing of new hospital builds. It argues the incorporation of both disciplines throughout the planning, design, commissioning and operations phases of the building project can minimise latent safety risks to promote patient safety and staff well-being across the building lifecycle. Future directions and policies should include incorporation of human factors design and mandatory process testing before opening. PMID: 32600528 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - June 30, 2020 Category: Hospital Management Authors: Dench B, Barwick S, Barlow M Tags: Aust Health Rev Source Type: research

Evolving experience of operating theatre staff with the implementation of robotic-assisted surgery in the public sector.
Abstract ObjectivesThe use of robotic-assisted surgery (RAS) remains predominantly in the private sector. In the public sector, the effect of the implementation of RAS on theatre staff is unknown. The aim of this study was to examine the knowledge and attitudes of theatre staff before and after implementation of RAS in the public sector.MethodsIn all, 250 theatre staff, including nursing, medical and support staff, were invited to participate in the study. A survey investigating the benefits of RAS for patients and staff, concerns towards the workplace environment and facilitators towards the implementation of new...
Source: Australian Health Review - June 19, 2020 Category: Hospital Management Authors: Steffens D, McBride KE, Roberts R, Bannon PG, Solomon MJ Tags: Aust Health Rev Source Type: research

Characterising the number and type of presentations to a tertiary emergency department by young people affected by drugs and alcohol.
ConclusionDA are involved in a substantial number of presentations of young people to the ED and are associated with an increased risk of assault and aggression. Public health strategies should target the links between DA use and mental health in young people.What is known about the topic already?It is known that the use of alcohol and drugs in young people is an ongoing public health concern. Research suggests this cohort of the population is more likely to present to an ED with an injury than the comparative age group not intoxicated by drugs or alcohol, and is more likely to be reviewed after hours. Alcohol is the predo...
Source: Australian Health Review - June 19, 2020 Category: Hospital Management Authors: Nagree Y, Darwent B Tags: Aust Health Rev Source Type: research

Are pharmacists willing to work in disasters?
PMID: 32539929 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - June 16, 2020 Category: Hospital Management Authors: McCourt EM, Watson KE, Singleton JA, Tippett V, Nissen LM Tags: Aust Health Rev Source Type: research

Responsibility for evidence-based policy in cardiovascular disease in rural communities: implications for persistent rural health inequalities.
ConclusionThere was a lack of clarity about who is responsible for driving evidence-based policy generation to address the high burden of CVD in Australia, providing one possible explanation for the lack of policy action. Clarity among policy makers over shared roles and leadership for policy making must be addressed to overcome the current burden of CVD in rural communities.What is known about the topic?Rural health inequalities, such as the increased burden of CVD in rural Australia are persistent. Such health inequalities are unjust, with global theory suggesting political processes have facilitated, in part, the inequa...
Source: Australian Health Review - June 5, 2020 Category: Hospital Management Authors: Alston L, Bourke L, Nichols M, Allender S Tags: Aust Health Rev Source Type: research

Table of Contents and Advertisements.
Authors: PMID: 32492360 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - June 1, 2020 Category: Hospital Management Tags: Aust Health Rev Source Type: research

Governance lessons from COVID-19.
PMID: 32492361 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - June 1, 2020 Category: Hospital Management Authors: Duckett S Tags: Aust Health Rev Source Type: research

The 'Australia Model': how industry and government collaboration is showing us how MedTech can lead the way to a world class advanced manufacturing capability.
PMID: 32492362 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - June 1, 2020 Category: Hospital Management Authors: Burgess I Tags: Aust Health Rev Source Type: research

Do disasters predict international pharmacy legislation?
Conclusions It is evident from this review that there are inconsistencies as to the level of assistance pharmacists can provide during times of crisis depending on their jurisdiction and location of practice. It is not a question of whether pharmacists have the skills and capabilities to assist, but rather what legislative barriers are preventing them from being able to contribute further to the disaster healthcare team. What is known about the topic? The contributing factors to disaster-specific pharmacy legislation has not previously been explored in Australia. It can be postulated that the number of disasters experience...
Source: Australian Health Review - June 1, 2020 Category: Hospital Management Authors: Watson KE, Singleton JA, Tippett V, Nissen LM Tags: Aust Health Rev Source Type: research

Sustainability of antimicrobial stewardship programs in Australian rural hospitals: a qualitative study.
Conclusions Strategies to increase the sustainability of AMS programs in rural hospitals include using accreditation as a mechanism to drive direct resource allocation, explicit staffing recommendations for rural hospitals, greater support to develop formal network arrangements and a framework for integrated AMS programs across primary, aged and acute care. What is known about the topic? AMS programs facilitate the responsible use of antimicrobials. Implementation challenges have been identified for rural hospitals, but the sustainability of AMS programs has not been explored. What does this paper add? Factors that positiv...
Source: Australian Health Review - June 1, 2020 Category: Hospital Management Authors: Bishop JL, Schulz TR, Kong DCM, Buising KL Tags: Aust Health Rev Source Type: research

Corrigendum to: Cost-benefit analysis of enhancing the uptake of long-acting reversible contraception in Australia.
ConclusionGreater use of LARC would result in a net gain in economic benefits to Australia. These benefits are largely driven by women switching from an OCP to LARC who have reduced costs, as well as women wishing to avoid pregnancy who choose to use LARC rather than no method. This evidence will support women making an informed contraceptive choice and policy makers in increasing the accessibility of LARC.What is known about the topic?LARC is the most effective form of reversible contraception, but uptake in Australia is relatively low.What does this paper add?There are economic benefits to society for women who switch fr...
Source: Australian Health Review - June 1, 2020 Category: Hospital Management Authors: Concepcion K, Lacey S, McGeechan K, Estoesta J, Bateson D, Botfield J Tags: Aust Health Rev Source Type: research

Health today versus health tomorrow: does Australia really care less about its future health than other countries do?
Abstract Economic evaluation provides important evidence on value for money in health care and is routinely used in health technology assessment processes. The relevant costs and benefits of health care that are considered may arise now and/or in the future, and the relative importance placed on costs and benefits in the future is reflected in the discount rate applied to them. In this paper we note that Australia appears to apply one of the highest discount rates in the world to the assessment of future healthcare benefits. At a time when healthcare systems worldwide are calling for a rebalance of effort towards ...
Source: Australian Health Review - June 1, 2020 Category: Hospital Management Authors: Devlin N, Scuffham P Tags: Aust Health Rev Source Type: research

When we truly need single-use equipment, will we have enough? Single-use versus reusable anaesthesia equipment: a qualitative analysis of Western Australian hospitals.
PMID: 32466825 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 29, 2020 Category: Hospital Management Authors: Hii J, Sharples M, Anstey M, McGain F Tags: Aust Health Rev Source Type: research