The impact of management option on out-of-pocket costs and perceived financial burden among men with localised prostate cancer in Australia within 6 months of diagnosis
ConclusionLargely attributable to being managed with active surveillance, Australian men diagnosed with localised prostate cancer reported relatively low OOP costs and financial burden in the first 6 months post-diagnosis. Together with clinical outcomes, clinicians can use this up to date evidence on costs and perceived financial burdens to assist localised prostate cancer patients and their families make informed decisions about their preferred management option.PMID:38342484 | DOI:10.1071/AH23231 (Source: Australian Health Review)
Source: Australian Health Review - February 11, 2024 Category: Hospital Management Authors: Daniel Lindsay Penelope Schofield Doreen Nabukalu Matthew J Roberts John Yaxley Stephen Quinn Natalie Richards Mark Frydenberg Robert Gardiner Nathan Lawrentschuk Ilona Juraskova Declan G Murphy Louisa G Gordon Source Type: research
The impact of management option on out-of-pocket costs and perceived financial burden among men with localised prostate cancer in Australia within 6 months of diagnosis
ConclusionLargely attributable to being managed with active surveillance, Australian men diagnosed with localised prostate cancer reported relatively low OOP costs and financial burden in the first 6 months post-diagnosis. Together with clinical outcomes, clinicians can use this up to date evidence on costs and perceived financial burdens to assist localised prostate cancer patients and their families make informed decisions about their preferred management option.PMID:38342484 | DOI:10.1071/AH23231 (Source: Australian Health Review)
Source: Australian Health Review - February 11, 2024 Category: Hospital Management Authors: Daniel Lindsay Penelope Schofield Doreen Nabukalu Matthew J Roberts John Yaxley Stephen Quinn Natalie Richards Mark Frydenberg Robert Gardiner Nathan Lawrentschuk Ilona Juraskova Declan G Murphy Louisa G Gordon Source Type: research
What are the cost and resource implications of voluntary assisted dying and euthanasia?
ConclusionsThere is a lack of publicly available information related to the costs associated with implementing VAD. Given that this is a significant change in policy and many multidisciplinary practitioners may be directly or indirectly involved in VAD it is important that associated costs are clearly outlined so that appropriate resources can be allocated.PMID:38316056 | DOI:10.1071/AH24016 (Source: Australian Health Review)
Source: Australian Health Review - February 5, 2024 Category: Hospital Management Authors: Peter Hudson David Marco Richard De Abreu Lourenco Jennifer Philip Source Type: research
Private health insurance incentives and passive adverse selection: is Lifetime Health Cover responsible for the excess ageing of Australia's hospital cover risk pool?
ConclusionsThis study supports the retention of LHC. Nonetheless, it highlights the risk of passive age-based adverse selection created by incentivising insured individuals to retain PHI-HC in the presence of distortions in the age distribution of the PHI-HC risk pool. Early targeted interventions are required when such distortions arise.PMID:38316057 | DOI:10.1071/AH23228 (Source: Australian Health Review)
Source: Australian Health Review - February 5, 2024 Category: Hospital Management Authors: Jonathon Bruce Ryan Source Type: research
Futile treatment - when is enough, enough?
Conclusions As Australia's population ages, there is likely to be an increased focus on the allocation of scarce health resources. This will, inevitably, place constraints on the number and variety of treatments offered to patients. The level of constraint will be felt acutely where a proposed treatment offers little clinical efficacy. It is time to try to understand and agree on a workable definition of futility.PMID:38300254 | DOI:10.1071/AH22277 (Source: Australian Health Review)
Source: Australian Health Review - February 1, 2024 Category: Hospital Management Authors: Roy G Beran J A Devereux Source Type: research
Scope of practice regulation in medicine: balancing patient safety, access to care and professional autonomy
Aust Health Rev. 2024 Feb;48(1):1-3. doi: 10.1071/AH24012.ABSTRACTScope of practice regulation in medicine is crucial for ensuring patient safety, access to care and professional autonomy. This paper explores the impact of scope of practice regulation on healthcare delivery, professional responsibilities and patient outcomes. It discusses the variability in standards for safe practice, the challenges in defining boundaries between medical specialties and the recent controversies in cosmetic surgery practice. The paper also examines the potential benefits and drawbacks of rigorous scope of practice regulations, including th...
Source: Australian Health Review - January 31, 2024 Category: Hospital Management Authors: Christian A Gericke Source Type: research
Investigating allied health professionals' attitudes, perceptions and acceptance of an electronic medical record using the Unified Theory of Acceptance and Use of Technology
Conclusions As AHPs increase EMR system familiarity, their positivity towards its use increases. An understanding of what influences AHPs when implementing new compulsory technology can inform change management strategies to improve adoption.PMID:38281312 | DOI:10.1071/AH23092 (Source: Australian Health Review)
Source: Australian Health Review - January 28, 2024 Category: Hospital Management Authors: Alison Qvist Leanne Mullan Lemai Nguyen Karen Wynter Bodil Rasmussen Min Goh Kath Feely Source Type: research
What would it take to improve the uptake and utilisation of mHealth applications among older Australians? A qualitative study
Conclusion Our analyses provide additional insights complementing existing technology adoption research. Their successful adoption and utilisation require further empirical evidence on its effectiveness along with attention to the voices of those who are meant to use them. To address potential barriers, improve the quality and security of mHealth apps, and thus achieve greater patient safety, the involvement of consumers, regulators and health professionals is necessary.PMID:38266308 | DOI:10.1071/AH23119 (Source: Australian Health Review)
Source: Australian Health Review - January 24, 2024 Category: Hospital Management Authors: Tanja Schroeder Karla Seaman Amy Nguyen Joyce Siette Heiko Gewald Andrew Georgiou Source Type: research
An economic evaluation of point-of-care ultrasound for children presenting to the emergency department with suspected septic arthritis of the hip
Conclusion There was significant cost saving potential for hospitals by switching to POCUS for suspected septic arthritis of the hip.PMID:38266497 | DOI:10.1071/AH23214 (Source: Australian Health Review)
Source: Australian Health Review - January 24, 2024 Category: Hospital Management Authors: Cate Bailey Heather Deane Adam O'Brien Kim Dalziel Source Type: research
Reforming allied health service provision in residential aged care to improve the rehabilitation reach: a feasibility study
Conclusion My Therapy has the potential to improve the rehabilitation reach of allied health services in residential aged care. While introducing this low-cost intervention is feasible, adaptations were required for successful implementation.PMID:38245911 | DOI:10.1071/AH23206 (Source: Australian Health Review)
Source: Australian Health Review - January 21, 2024 Category: Hospital Management Authors: 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 Source Type: research
Medicare Benefits Schedule (MBS) Review Advisory Committee post-implementation review of MBS telehealth items: abolition of initial telehealth consultations for non-general practitioner specialists
Aust Health Rev. 2024 Feb;48(1):34-36. doi: 10.1071/AH23237.ABSTRACTIn 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. These recommendations particularly underesti...
Source: Australian Health Review - January 21, 2024 Category: Hospital Management Authors: Jeffrey C L Looi Stephen Allison Tarun Bastiampillai Steve Kisely William Pring Source Type: research
National Disability Insurance Scheme timeframes and functional outcomes for inpatient rehabilitation patients: a 5-year retrospective audit
Conclusions NDIS timeframes for rehabilitation inpatients incur a significant opportunity cost for the provision of efficient inpatient rehabilitation services that are unaccounted for in current benchmarking performance standards.PMID:38232375 | DOI:10.1071/AH23216 (Source: Australian Health Review)
Source: Australian Health Review - January 17, 2024 Category: Hospital Management Authors: David Kellett Alexandra G Adams Michael Pollack Source Type: research
Exploring strengths and weaknesses in health services research culture and capacity
Conclusions Team-level scores were substantially lower when compared to individual and organisational levels. The item 'team leaders that support research' was positively correlated with various organisation-level items, indicating that if the respondent perceived the team leader as a low supporter of research the respondent perceived several organisation items also poorly. As an important stakeholder in enabling research in a health service, organisations should investigate the challenges experienced by team leaders in facilitating research and the support or training they may need.PMID:38219279 | DOI:10.1071/AH23241 (Sou...
Source: Australian Health Review - January 14, 2024 Category: Hospital Management Authors: Nicole Stormon Peter Lawrenson Ann Rahmann Sally Eames Nicole Gavin Source Type: research
Healthcare costs attributable to e-cigarette use and subsequent uptake of cigarette smoking by Australians who have never smoked
Conclusion High avoidable health system costs are predicted for the treatment of chronic conditions created by e-cigarette-initiated smoking. These costs exclude the immediate and direct healthcare harms of e-cigarette-related poisoning, lung injury, and respiratory problems, and costs associated with the unknown health harms of e-cigarette use alone. The proposed regulations to curb recreational e-cigarette use in Australia are set to prevent expensive health care arising sometime in the future from new cigarette smokers.PMID:38127822 | DOI:10.1071/AH23178 (Source: Australian Health Review)
Source: Australian Health Review - December 21, 2023 Category: Hospital Management Authors: Louisa G Gordon Paige Preston Source Type: research
Clinical innovation and scope of practice regulation: a case study of the Charlie Teo decision
Aust Health Rev. 2024 Feb;48(1):91-94. doi: 10.1071/AH23157.ABSTRACTThe 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]. This ...
Source: Australian Health Review - December 21, 2023 Category: Hospital Management Authors: Jill Walsh Sharon Downie Eric Windholz Andrea Kirk-Brown Terry P Haines Source Type: research
