Intensive care utilisation after elective surgery in Australia and New Zealand: getting the balance right
Aust Health Rev. 2023 Nov 28. doi: 10.1071/AH23187. Online ahead of print.ABSTRACTOf the total intensive care unit (ICU) admissions in Australia and New Zealand, 36.6% occur following an elective surgical procedure. How best to use ICU services in this setting is not clear, despite this being an expensive and resource-intensive method of care delivery. The literature relating to this area has not demonstrated a clear association between improved outcomes and routine ICU utilisation. It has, however, demonstrated that methods of care delivery in this setting vary at the local, national and international level. There is now ...
Source: Australian Health Review - November 27, 2023 Category: Hospital Management Authors: Philip Emerson Arthas Flabouris Josephine Thomas Jeremy Fernando Siva Senthuran Krishnaswamy Sundararajan Source Type: research

The economic burden of myalgic encephalomyelitis/chronic fatigue syndrome in Australia
ConclusionsME/CFS poses a significant economic burden in Australia, owing mainly to high indirect and informal care costs.PMID:38011828 | DOI:10.1071/AH23106 (Source: Australian Health Review)
Source: Australian Health Review - November 27, 2023 Category: Hospital Management Authors: Ting Zhao Ingrid A Cox Hasnat Ahmad Julie A Campbell Martin Hensher Andrew J Palmer Ryan M Kelly Melissa J Rogerson Karen Wills Barbara de Graaff Source Type: research

General practice accreditation - does time spent on-site matter?
DiscussionThe difference in conformity between editions does not appear to relate to different requirements in the two standards editions. The key variable affecting the different outcomes between the edition assessments was time spent on-site by surveyors during a survey visit.PMID:38011830 | DOI:10.1071/AH23094 (Source: Australian Health Review)
Source: Australian Health Review - November 27, 2023 Category: Hospital Management Authors: Michael Jones David McNaughton Paul Mara Source Type: research

Systematic audit of Australian specialty colleges' policies on bullying, discrimination, and harassment
ConclusionsKey areas for improvement were identified. A checklist is proposed that is specific to College BDH policies and processes involving specialty training sites.PMID:38011831 | DOI:10.1071/AH23156 (Source: Australian Health Review)
Source: Australian Health Review - November 27, 2023 Category: Hospital Management Authors: Thomas Haskell Nancy Merridew Source Type: research

Intensive care utilisation after elective surgery in Australia and New Zealand: getting the balance right
Aust Health Rev. 2023 Nov 28. doi: 10.1071/AH23187. Online ahead of print.ABSTRACTOf the total intensive care unit (ICU) admissions in Australia and New Zealand, 36.6% occur following an elective surgical procedure. How best to use ICU services in this setting is not clear, despite this being an expensive and resource-intensive method of care delivery. The literature relating to this area has not demonstrated a clear association between improved outcomes and routine ICU utilisation. It has, however, demonstrated that methods of care delivery in this setting vary at the local, national and international level. There is now ...
Source: Australian Health Review - November 27, 2023 Category: Hospital Management Authors: Philip Emerson Arthas Flabouris Josephine Thomas Jeremy Fernando Siva Senthuran Krishnaswamy Sundararajan Source Type: research

A conceptual framework to support hospitals to measure and realise financial benefits from process improvement programs: perspectives from Australia, USA and UK
ConclusionsThe 'Framework to achieve value in healthcare' provides a practical guide for hospitals to reduce non-value adding activities, improve the value of clinical care and reduce costs. Further research is indicated to establish its reliability in hospitals in other countries and hospitals that do not have an established PI program.PMID:37992315 | DOI:10.1071/AH23113 (Source: Australian Health Review)
Source: Australian Health Review - November 22, 2023 Category: Hospital Management Authors: Jane Evans Sandra G Leggat Daniel Samson Source Type: research

A conceptual framework to support hospitals to measure and realise financial benefits from process improvement programs: perspectives from Australia, USA and UK
ConclusionsThe 'Framework to achieve value in healthcare' provides a practical guide for hospitals to reduce non-value adding activities, improve the value of clinical care and reduce costs. Further research is indicated to establish its reliability in hospitals in other countries and hospitals that do not have an established PI program.PMID:37992315 | DOI:10.1071/AH23113 (Source: Australian Health Review)
Source: Australian Health Review - November 22, 2023 Category: Hospital Management Authors: Jane Evans Sandra G Leggat Daniel Samson Source Type: research

A conceptual framework to support hospitals to measure and realise financial benefits from process improvement programs: perspectives from Australia, USA and UK
ConclusionsThe 'Framework to achieve value in healthcare' provides a practical guide for hospitals to reduce non-value adding activities, improve the value of clinical care and reduce costs. Further research is indicated to establish its reliability in hospitals in other countries and hospitals that do not have an established PI program.PMID:37992315 | DOI:10.1071/AH23113 (Source: Australian Health Review)
Source: Australian Health Review - November 22, 2023 Category: Hospital Management Authors: Jane Evans Sandra G Leggat Daniel Samson Source Type: research

A conceptual framework to support hospitals to measure and realise financial benefits from process improvement programs: perspectives from Australia, USA and UK
ConclusionsThe 'Framework to achieve value in healthcare' provides a practical guide for hospitals to reduce non-value adding activities, improve the value of clinical care and reduce costs. Further research is indicated to establish its reliability in hospitals in other countries and hospitals that do not have an established PI program.PMID:37992315 | DOI:10.1071/AH23113 (Source: Australian Health Review)
Source: Australian Health Review - November 22, 2023 Category: Hospital Management Authors: Jane Evans Sandra G Leggat Daniel Samson Source Type: research

A conceptual framework to support hospitals to measure and realise financial benefits from process improvement programs: perspectives from Australia, USA and UK
ConclusionsThe 'Framework to achieve value in healthcare' provides a practical guide for hospitals to reduce non-value adding activities, improve the value of clinical care and reduce costs. Further research is indicated to establish its reliability in hospitals in other countries and hospitals that do not have an established PI program.PMID:37992315 | DOI:10.1071/AH23113 (Source: Australian Health Review)
Source: Australian Health Review - November 22, 2023 Category: Hospital Management Authors: Jane Evans Sandra G Leggat Daniel Samson Source Type: research

A cross-sectional study exploring equity of access to telehealth in culturally and linguistically diverse communities in a major health service
ConclusionThere is a gap in Australian telehealth service use for people with culturally diverse backgrounds and limited English proficiency. This study highlights a critical need to determine how people from culturally diverse backgrounds would like to engage with digital care options such as telehealth and the necessary support to enable this.PMID:37983641 | DOI:10.1071/AH23125 (Source: Australian Health Review)
Source: Australian Health Review - November 20, 2023 Category: Hospital Management Authors: Victor M Gallegos-Rejas Jaimon T Kelly Karen Lucas Centaine L Snoswell Helen M Haydon Sue Pager Anthony C Smith Emma E Thomas Source Type: research

A cross-sectional study exploring equity of access to telehealth in culturally and linguistically diverse communities in a major health service
ConclusionThere is a gap in Australian telehealth service use for people with culturally diverse backgrounds and limited English proficiency. This study highlights a critical need to determine how people from culturally diverse backgrounds would like to engage with digital care options such as telehealth and the necessary support to enable this.PMID:37983641 | DOI:10.1071/AH23125 (Source: Australian Health Review)
Source: Australian Health Review - November 20, 2023 Category: Hospital Management Authors: Victor M Gallegos-Rejas Jaimon T Kelly Karen Lucas Centaine L Snoswell Helen M Haydon Sue Pager Anthony C Smith Emma E Thomas Source Type: research

An analysis of legislation and policies that guide maternity leave decision making in Australian midwifery students
ConclusionTransition to motherhood during the postnatal period is an important time. Clear national guidelines are needed to provide support and recommendations regarding a safe and optimal time to return to study and placement.PMID:37980714 | DOI:10.1071/AH23099 (Source: Australian Health Review)
Source: Australian Health Review - November 19, 2023 Category: Hospital Management Authors: Michelle Gray Liz McNeill Terri Downer Dianne Bloxsome Elaine Jefford Source Type: research

The incidence of personal importation of prescription medicines among Australians 45 and older: a cross-sectional survey
ConclusionsPotentially hundreds of thousands of Australians are importing prescription medicines from abroad, and many Australians indicate they are willing to import medicines to save money.PMID:37980715 | DOI:10.1071/AH23143 (Source: Australian Health Review)
Source: Australian Health Review - November 19, 2023 Category: Hospital Management Authors: Narcyz Ghinea Andrew Roberts Tania Prvan Wendy Rogers Source Type: research

An analysis of legislation and policies that guide maternity leave decision making in Australian midwifery students
ConclusionTransition to motherhood during the postnatal period is an important time. Clear national guidelines are needed to provide support and recommendations regarding a safe and optimal time to return to study and placement.PMID:37980714 | DOI:10.1071/AH23099 (Source: Australian Health Review)
Source: Australian Health Review - November 19, 2023 Category: Hospital Management Authors: Michelle Gray Liz McNeill Terri Downer Dianne Bloxsome Elaine Jefford Source Type: research