The carbon footprint of an Australian satellite haemodialysis unit.
Conclusions. State-by-state contributions of energy and water use to the carbon footprint of satellite HD appear to vary significantly. Performing emissions planning and target setting at the state level may be more appropriate in the Australian context. What is known about the topic? Healthcare provision carries a significant environmental footprint. In particular, conventional HD uses substantial amounts of electricity and water. In the UK, provision of HD and peritoneal dialysis was found to have an annual per-patient carbon footprint of 7.1t CO2-eq. What does this paper add? This is the first carbon-footprinting study ...
Source: Australian Health Review - June 1, 2013 Category: Hospital Management Authors: Lim AE, Perkins A, Agar JW Tags: Aust Health Rev Source Type: research

Understanding the drivers on medical workloads: an analysis of spectators at the Australian Football League.
Abstract Objective. The present study was designed to further understand the psychosocial drivers of crowds impacting on the demand for healthcare. This involved analysing different spectator crowds for medical usage at mass gatherings; more specifically, did different football team spectators (of the Australian Football League) generate different medical usage rates. Methods. In total, 317 games were analysed from 10 venues over 2 years. Data were analysed by the ANOVA and Pearson correlation tests. Results. Spectators who supported different football teams generated statistically significant differences in patie...
Source: Australian Health Review - June 1, 2013 Category: Hospital Management Authors: Zeitz K, Haghighi PD, Burstein F, Williams J Tags: Aust Health Rev Source Type: research

Leading for health and wellbeing.
PMID: 23731964 [PubMed - in process] (Source: Australian Health Review)
Source: Australian Health Review - June 1, 2013 Category: Hospital Management Authors: Dugdale RB Tags: Aust Health Rev Source Type: research

Corrigendum to: Prevalence and prevention of workplace aggression in Australian clinical medical practice.
Conclusions. Many Australian doctors experience workplace aggression. The more widespread adoption of measures that support the prevention and minimisation of aggression in medical practice settings appears necessary. What is known about the topic? The limited research on workplace aggression in Australian medical practice primarily focusses on the prevalence of patient aggression in General Practice. What does this paper add? Current evidence is provided on the extent of workplace aggression directed towards Australian doctors from multiple sources and the implementation of workplace aggression prevention and minimisation...
Source: Australian Health Review - June 1, 2013 Category: Hospital Management Authors: Hills DJ, Joyce CM, Humphreys JS Tags: Aust Health Rev Source Type: research

Table of contents and advertisements.
Authors: PMID: 23731966 [PubMed - in process] (Source: Australian Health Review)
Source: Australian Health Review - June 1, 2013 Category: Hospital Management Tags: Aust Health Rev Source Type: research

Breaking the mould without breaking the system: the development and pilot of a clinical dashboard at The Prince Charles Hospital.
PMID: 23701819 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 24, 2013 Category: Hospital Management Authors: Clark KW, Whiting E, Rowland J, Thompson LE, Missenden I, Schellein G Tags: Aust Health Rev Source Type: research

Preferences, barriers and facilitators for establishing comprehensive stroke units: a multidisciplinary survey.
PMID: 23701844 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 24, 2013 Category: Hospital Management Authors: O'Rourke F, Chan DK, Chan DL, Man Ding X Tags: Aust Health Rev Source Type: research

Estimating the risk of functional decline in the elderly after discharge from an Australian public tertiary hospital emergency department.
PMID: 23701875 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 24, 2013 Category: Hospital Management Authors: Grimmer K, Beaton K, Kumar S, Hendry K, Moss J, Hillier S, Forward J, Gordge L Tags: Aust Health Rev Source Type: research

Hospital readmission among older adults with congestive heart failure.
PMID: 23701906 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 24, 2013 Category: Hospital Management Authors: Islam T, O'Connell B, Lakhan P Tags: Aust Health Rev Source Type: research

Do people with existing chronic conditions benefit from telephone coaching? A rapid review.
PMID: 23701944 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 24, 2013 Category: Hospital Management Authors: Dennis SM, Harris M, Lloyd J, Powell Davies G, Faruqi N, Zwar N Tags: Aust Health Rev Source Type: research

Developing a hospital travel plan: process and baseline findings from a western Sydney hospital.
PMID: 23701971 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 24, 2013 Category: Hospital Management Authors: Petrunoff N, Rissel C, Wen LM, Xu H, Meikeljohn D, Schembri A Tags: Aust Health Rev Source Type: research

Gatekeepers to home and community care services: the link between client characteristics and source of referral.
PMID: 23702004 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 24, 2013 Category: Hospital Management Authors: Vecchio N Tags: Aust Health Rev Source Type: research

Do patents impede the provision of genetic tests in Australia?
PMID: 23702081 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 24, 2013 Category: Hospital Management Authors: Nicol D, Liddicoat J Tags: Aust Health Rev Source Type: research

Health for all? Patterns and predictors of allied health service use in Australia.
PMID: 23679962 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 17, 2013 Category: Hospital Management Authors: Foster M, O'Flaherty M, Haynes M, Mitchell G, Haines TP Tags: Aust Health Rev Source Type: research

Multi-morbidity: a system design challenge in delivering patient-centred care.
PMID: 23680011 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 17, 2013 Category: Hospital Management Authors: Ceramidas DM, Glasgow NJ Tags: Aust Health Rev Source Type: research

Length of stay variations between rural and urban patients with acute myeloid leukemia: a case-matched study.
PMID: 23680024 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 17, 2013 Category: Hospital Management Authors: Heinz SJ, Milliken S Tags: Aust Health Rev Source Type: research

Clinician and patient perspectives of a new model of triage in a community rehabilitation program that reduced waiting time: a qualitative analysis.
PMID: 23680046 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 17, 2013 Category: Hospital Management Authors: Harding KE, Taylor NF, Bowers B, Stafford M, Leggat SG Tags: Aust Health Rev Source Type: research

The time has come for an Australian Centre for Disease Control.
PMID: 23680069 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 17, 2013 Category: Hospital Management Authors: McCall BJ, Young MK, Cameron S, Givney R, Hall R, Kaldor J, Koehler A, Krause V, Selvey C Tags: Aust Health Rev Source Type: research

Professional support framework: improving access to professional support for professionals.
PMID: 23680624 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 17, 2013 Category: Hospital Management Authors: Hall F, Bell K Tags: Aust Health Rev Source Type: research

Fall-related sub-acute and non-acute care and hospitalised rehabilitation episodes of care: what is the injury burden?
PMID: 23651495 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 8, 2013 Category: Hospital Management Authors: Mitchell RJ, Close J, Cameron ID, Lord S Tags: Aust Health Rev Source Type: research

General practitioners and consultation drift: the effects of supply-side changes and reforms on service delivery patterns.
PMID: 23632204 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - May 1, 2013 Category: Hospital Management Authors: Taylor MJ, Horey D, Livingstone C, Chan SP, Swerissen H Tags: Aust Health Rev Source Type: research

What makes a hospital manager competent at the middle and senior levels?
PMID: 23601561 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - April 22, 2013 Category: Hospital Management Authors: Liang Z, Leggat SG, Howard PF, Koh L Tags: Aust Health Rev Source Type: research

The Mental Health Nurse Incentive Program: reactions of general practitioners and their patients.
PMID: 23601584 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - April 22, 2013 Category: Hospital Management Authors: Meehan T, Robertson S Tags: Aust Health Rev Source Type: research

How mental health clinicians want to evaluate the care they give: a Western Australian study.
PMID: 23601621 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - April 22, 2013 Category: Hospital Management Authors: Davison S, Hauck Y, Martyr P, Rock D Tags: Aust Health Rev Source Type: research

Performance-based criteria are used in participant selection for pulmonary rehabilitation programs.
PMID: 23601668 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - April 22, 2013 Category: Hospital Management Authors: Walsh JR, McKeough ZJ, Morris NR, Paratz JD Tags: Aust Health Rev Source Type: research

Innovations in primary mental healthcare.
PMID: 23601705 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - April 22, 2013 Category: Hospital Management Authors: Reifels L, Bassilios B, King KE, Fletcher JR, Blashki G, Pirkis JE Tags: Aust Health Rev Source Type: research

Use of standardised assessment forms in referrals to hepatology outpatient services: implications for accurate triaging of patients with chronic hepatitis C.
Conclusions. Hepatitis C virus accounts for the majority of non-urgent referrals waiting to access hepatology outpatient consultations. Using a standardised assessment form as part of the referral process provides more information on comorbidities and risk factors and facilitates more accurate triaging of clinical urgency. Wider adoption of this strategy may increase appropriate access to hepatology services and reduce the future burden of cirrhosis and hepatocellular cancer. What is known about the topic? Little published data are available that describe the content and standard of hepatology referrals, or the urgency wit...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Horsfall L, Macdonald G, Scott I, Skoien R, Khatun M, Moss C, Seligman C, Kardash C, Poxon V, Powell EE Tags: Aust Health Rev Source Type: research

Communicating in the pre-hospital emergency environment.
Conclusion. These results suggest that a communication board can be applied in the pre-hospital setting to support communication success with patients. What is known about the topic? It is imperative that communication between patient and paramedic is clear and effective. Research has shown that communication boards have been effective with people with temporary or permanent communication difficulties. What does this paper add? This is the first paper outlining the development and use of a communication board by paramedics in the pre-hospital setting in Australia. The paper details the design of the communication board for...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Eadie K, Carlyon MJ, Stephens J, Wilson MD Tags: Aust Health Rev Source Type: research

Enhancing the Australian healthcare sector's responsiveness to environmental sustainability issues: suggestions from Australian healthcare professionals.
Conclusions. By implementing the strategies described, a more cohesive effort to address sustainability issues across the sector can be made. This may improve local and global health, within current and future generations. What is known about the topic? Healthcare has a significant impact on the natural and social environments, which in turn have a significant impact upon health and healthcare. What does this paper add? This paper describes strategies to alter healthcare to better support environmental sustainability. What are the implications for practitioners? Collective implementation of the described strategies may all...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Dunphy JL Tags: Aust Health Rev Source Type: research

The role of social isolation in frequent and/or avoidable hospitalisation: rural community-based service providers' perspectives.
Conclusions. Social isolation is perceived to contribute to admission in ways that may be amenable to intervention. Further research is needed to understand patients' perspectives on the role of social isolation in admission, in order to inform policy and programs aimed at reducing hospitalisation among older people with chronic disease. What is known about the topic? Social isolation has been shown to adversely affect physical health and mental health and wellbeing across a range of populations. However, less is known about the influence of social isolation on hospital admission among older people with chronic disease, an...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Longman J, Passey M, Singer J, Morgan G Tags: Aust Health Rev Source Type: research

Increasing the influence of one's research on policy.
PMID: 23490025 [PubMed - in process] (Source: Australian Health Review)
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Dwan KM, McInnes PC Tags: Aust Health Rev Source Type: research

What is the 'real' admission rate of acute pancreatitis in a regional Australian population?
Conclusions. In this clinical setting, admissions for acute pancreatitis are grossly underestimated by the standard case ascertainment method. The reasons for this are not clear. Hospital discharge records are nevertheless more effective than prospective case ascertainment for certain cases, such as brief admissions and those in holiday periods. What is known about the topic? Capture-recapture analysis was originally developed in animal ecology, but has since been used to estimate both prevalent and incident cases of human disease. What does this paper add? This study exposes possible deficiencies in the single-source case...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Turner RC, D'Onise K, Wang Y Tags: Aust Health Rev Source Type: research

A preliminary study of the relationship between general practice care and hospitalisation using a diabetes register, CARDIAB.
Conclusions. These data suggest that receipt of processes of care, rather than clinical targets, will prevent admission. One explanation may be that continuity of care in GP provides opportunity for early intervention and treatment. What is known about the topic? Diabetes is a serious public health problem that is largely managed in primary care. Health care planners use health service use (hospital admissions) for diabetes as an indicator of primary care. Guidelines for diabetes care are known to be effective in reducing diabetes-related complications. What does this paper add? This paper created a linked data collection ...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Comino EJ, Tran DT, Taggart JR, Liaw ST, Ruscoe W, Snow JM, Harris MF Tags: Aust Health Rev Source Type: research

Snakes and ladders: the barriers and facilitators of elective hip- and knee-replacement surgery in Australian public hospitals.
Conclusions. Given the complexity of the elective surgery system, it is not surprising that single-item reforms have not created lasting reductions in waiting times. Multifaceted, whole-system reforms may be more successful. What is known about the topic? Waiting lists and waiting times for surgery are controversial, associated with frequent reforms and negative emotive headlines. We know from existing literature and anecdotal reports that individuals frequently experience lengthy delays before receiving elective surgery. Anecdotal reports also suggest that there are inefficiencies within elective surgery systems that cont...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Walters JL, Mackintosh SF, Sheppard L Tags: Aust Health Rev Source Type: research

What is a reasonable length of employment for health workers in Australian rural and remote primary healthcare services?
Conclusions. Workforce-retention benchmarks that differ according to geographic location and profession can be empirically derived, facilitating opportunities for managers to improve retention performance and reduce the high costs of staff replacement. What is known about the topic? Health services located in small rural and remote locations are likely to continue to experience workforce shortages and high costs of recruitment. Health workforce retention is therefore crucial. However, effective rural health workforce planning and use of strategies to maximise retention of existing health workers is hindered by inadequate k...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Russell DJ, Wakerman J, Humphreys JS Tags: Aust Health Rev Source Type: research

Health services management development: what formal knowledge should support the skills and experience required?
This study reports on an analysis of 17 postgraduate programs in health services management. Public information was collected from websites in February 2010. Data analysed included core subject abstracts, admission requirements and length and aims of each course. Findings indicate that only three out of 16 subjects identified as core are common to more than 50% of the programs, with the eight most common individual subjects appearing in only a third of programs. This suggests diversity in what is deemed core foundational knowledge in managing health services and the approach taken to management development. We believe ther...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Ritchie DJ, Yen ML Tags: Aust Health Rev Source Type: research

Effective clinical supervision for regional allied health professionals: the supervisor's perspective.
Conclusions. The results identified AHP supervisors' perceptions of CS and possible improvements to CS processes, including differentiating CS from line management, protecting CS time and the provision of critical feedback. What is known about the topic? There are limited published reports about CS for AHPs, with AHP supervisor experience and knowledge not previously reported. What does the paper add? This is the first study to identify current supervisor understanding and practice of CS for AHPs. What are the implications for practitioners? CS is a valued activity, the effectiveness of which may be supported by education ...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Dawson M, Phillips B, Leggat SG Tags: Aust Health Rev Source Type: research

The impact of care recipient falls on caregivers.
This study sought to explore the impact of care recipient falls on caregivers. Methods. Ninety-six community-dwelling caregiver-care recipient dyads participated in a 12-month prospective study. Falls and other accidents and service use were recorded. Dyads were assessed at baseline and after each fall. Assessment included the Zarit Burden Interview and a post-accident survey developed for the present study. Focus groups were then conducted to further explore the impact of falls on caregivers. Results. Fifty-four care recipients (56%) experienced falls within the 12 months of the study. There was a significant increase in ...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Dow B, Meyer C, Moore KJ, Hill KD Tags: Aust Health Rev Source Type: research

Prescribing and medication-initiation roles based on the perspectives of rural healthcare providers in a study community in Queensland.
Conclusions. Rural communities have unique needs that require consideration of multidisciplinary support to assist medical practitioners in coping with prescription demands for timely medical treatment. What is known about the topic? Extension of prescribing rights to non-medical prescribers has been a topic of considerable debate in Australia for some decades. Several extended-prescribing or medication-initiation roles were established to supplement and support the medical workforce, particularly in rural areas, where health service inequalities and inefficiencies in prescribing and provision of medications are recognised...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Tan AC, Emmerton LM, Hattingh HL Tags: Aust Health Rev Source Type: research

In-hospital cardiac arrests: effect of amended Australian Resuscitation Council 2006 guidelines.
Conclusions There are multiple factors that influence clinical outcomes following an in-hospital cardiac arrest and further research to refine these significant variables will assist in the future management of cardiac arrests. What is known about this topic? The evaluation of outcomes from in-hospital cardiac arrests focuses on immediate survival expressed as ROSC and survival to hospital discharge. These clinical outcomes have not improved substantially over the last two decades. What does this paper add? This paper identifies the factors that are related to ROSC and survival to discharge following the implementation of ...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Boyde MS, Padget M, Burmeister E, Aitken LM Tags: Aust Health Rev Source Type: research

Social impact bonds and their application to preventive health.
Abstract Although preventive health in Australia has been acknowledged as central to national health and wellbeing, efforts to reform the delivery of preventive health have to date produced limited results. The financing of preventive health at a national level is based on outcome- or performance-based funding mechanisms; however, delivery of interventions and activities at a state level have not been subjected to outcome-based funding processes. A new financing tool being applied in the area of social services (social impact bonds) has emerged as a possible model for application in the prevention arena. This pape...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Fitzgerald JL Tags: Aust Health Rev Source Type: research

An evaluation of New Zealand's iterative Workforce Service Reviews: a new way of thinking about health workforce planning.
Conclusions. Evidence now exists at a point in time about what makes the WSR processes work. Implications for HWNZ are presented using a capacity-building framework to inform future decision making regarding WSRs. What is known about the topic? More appropriate workforce planning is required to meet the challenges facing the health workforce, from both the demand and the workforce side. To ensure New Zealand's healthcare workforce was fit for purpose, HWNZ initiated an iterative WSR process in topic specific areas. The WSRs process was designed to develop a vision of the relevant health service and workforce for 2020, and ...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Naccarella L, Greenstock L, Wraight B Tags: Aust Health Rev Source Type: research

Attributes for effective nurse management within the health services of Western Australia, Singapore and Tanzania.
Conclusions. Participants desired a different relative mix of attributes in their nurse managers, with Western Australian respondents most likely to indicate that transformational leadership contributed most to managerial effectiveness. Tanzanian nurse managers were most likely to advocate transactional leadership, whereas Singaporean nurse managers' views were located somewhere between. Given that these perceptions are valid, the content and curricula of management-development courses need to be cognisant of the cultural backgrounds of participants. What is known about the topic? Views differ as to the extent to which the...
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Boldy D, Della P, Michael R, Jones M, Gower S Tags: Aust Health Rev Source Type: research

Health workforce governance - improved access, good regulatory practice, safer patients.
PMID: 23575510 [PubMed - in process] (Source: Australian Health Review)
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Authors: Collyer RB Tags: Aust Health Rev Source Type: research

Table of contents and advertisements.
Authors: PMID: 23575511 [PubMed - in process] (Source: Australian Health Review)
Source: Australian Health Review - April 1, 2013 Category: Hospital Management Tags: Aust Health Rev Source Type: research

Chronic condition management and self-management in Aboriginal communities in South Australia: outcomes of a longitudinal study.
PMID: 23369208 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - February 1, 2013 Category: Hospital Management Authors: Harvey PW, Petkov J, Kowanko I, Helps Y, Battersby M Tags: Aust Health Rev Source Type: research

Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?
PMID: 23369237 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - February 1, 2013 Category: Hospital Management Authors: Donato R, Segal L Tags: Aust Health Rev Source Type: research

Shaping our workforce: a Tasmanian development program.
PMID: 23369870 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - February 1, 2013 Category: Hospital Management Authors: Shannon EA, Burchill TA Tags: Aust Health Rev Source Type: research

Validation of Jarman.
PMID: 23369931 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - February 1, 2013 Category: Hospital Management Authors: Bhat SK, Malla S Tags: Aust Health Rev Source Type: research

Out of the frying pan? Streamlining the ethics review process of multisite qualitative research projects.
PMID: 23257167 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - December 21, 2012 Category: Hospital Management Authors: Iedema RA, Allen S, Britton K, Hor S Tags: Aust Health Rev Source Type: research