Improving the pre-medical emergency team: the case for a behavioural theoretical lens
Aust Health Rev. 2024 Apr 5. doi: 10.1071/AH24041. Online ahead of print.ABSTRACTThere is mounting evidence that the pre-medical emergency team (pre-MET) of rapid response systems is underutilised in clinical practice due to suboptimal structures and processes and resource constraints. In this perspective article, we argue for examining the pre-MET through a 'Behaviour Change Wheel' lens to improve the pre-MET and maximise the associated patient safety benefits. Using pre-MET communication practices as an example, we illustrate the value of the COM-B model, where clinicians' 'capability', 'opportunity', and 'motivation' dr...
Source: Australian Health Review - April 4, 2024 Category: Hospital Management Authors: Judy Currey Stephanie K Sprogis Daryl Jones Julie Considine Ao Source Type: research
The cultural shift towards a value-based approach to healthcare
Aust Health Rev. 2024 Apr;48:AH24005. doi: 10.1071/AH24005.NO ABSTRACTPMID:38573780 | DOI:10.1071/AH24005 (Source: Australian Health Review)
Source: Australian Health Review - April 4, 2024 Category: Hospital Management Authors: Sally Lewis Source Type: research
Is the strategy to fix healthcare in shared value?
Aust Health Rev. 2024 Apr;48:AH24008. doi: 10.1071/AH24008.NO ABSTRACTPMID:38573781 | DOI:10.1071/AH24008 (Source: Australian Health Review)
Source: Australian Health Review - April 4, 2024 Category: Hospital Management Authors: Olivia Pantelidis Source Type: research
From integrated care to value-based healthcare in New South Wales
Aust Health Rev. 2024 Apr;48:AH24018. doi: 10.1071/AH24018.NO ABSTRACTPMID:38573782 | DOI:10.1071/AH24018 (Source: Australian Health Review)
Source: Australian Health Review - April 4, 2024 Category: Hospital Management Authors: The Hon Jillian Skinner Source Type: research
Health systems model for chronic disease secondary prevention in rural and remote areas - Chronic disease: Road to health
ConclusionA Chronic disease: Road to health model could provide effective and efficient secondary prevention for people with chronic diseases in rural and remote areas. It is proposed that this approach could reduce gaps and duplication in current healthcare services and provide flexible, client-centred, holistic, culturally responsive services, and improve client outcomes.PMID:38574378 | DOI:10.1071/AH23180 (Source: Australian Health Review)
Source: Australian Health Review - April 4, 2024 Category: Hospital Management Authors: Pat Field Richard C Franklin Ruth Barker Ian Ring Peter Leggat Source Type: research
Improving the pre-medical emergency team: the case for a behavioural theoretical lens
Aust Health Rev. 2024 Apr 5. doi: 10.1071/AH24041. Online ahead of print.ABSTRACTThere is mounting evidence that the pre-medical emergency team (pre-MET) of rapid response systems is underutilised in clinical practice due to suboptimal structures and processes and resource constraints. In this perspective article, we argue for examining the pre-MET through a 'Behaviour Change Wheel' lens to improve the pre-MET and maximise the associated patient safety benefits. Using pre-MET communication practices as an example, we illustrate the value of the COM-B model, where clinicians' 'capability', 'opportunity', and 'motivation' dr...
Source: Australian Health Review - April 4, 2024 Category: Hospital Management Authors: Judy Currey Stephanie K Sprogis Daryl Jones Julie Considine Ao Source Type: research
Designing and implementing a bundle of care for patients with early-stage breast cancer: lessons from a pilot program
We present a case study on the design and implementation of a value-based bundled package of care for patients with early-stage breast cancer treated in the private health sector in Australia. Value-based healthcare is an essential change to how we deliver healthcare, shifting the focus from paying for individual services provided to a focus on the health outcomes gained over a full cycle of care. The Australian health system has unintentionally created barriers to value-based cancer care through fragmented care pathways and complex funding arrangements where patients can unexpectedly encounter high out-of-pocket costs. A ...
Source: Australian Health Review - April 3, 2024 Category: Hospital Management Authors: Yvonne Zissiadis Helen Ballal Nicola Forsyth Angela Ives Lee Jackson Anna Montgomery Sarah Wise Wen Chan Yeow Christobel Saunders Source Type: research
Lessons from the 'legitimate' misuse of Medicare Benefits Schedule Item 45503
Aust Health Rev. 2024 Apr 4. doi: 10.1071/AH24073. Online ahead of print.ABSTRACTThis Perspective begins with a case study that raises two important questions: who is responsible for the existence of non-compliant Medicare billing, and who is responsible for eliminating it? In the discussion that follows, I argue, first, that the problem has been created by individual clinicians and by Medicare itself (i.e. the organisational structure that administers Medicare). Second, and more importantly, I argue that the ethical obligation to eliminate the problem extends more broadly to include both the government and the medical pro...
Source: Australian Health Review - April 3, 2024 Category: Hospital Management Authors: Jonathon Bruce Ryan Source Type: research
Younger people with dementia registered to public mental health services in Victoria, Australia
ConclusionFindings provide important information for service planning in Victoria. Recommendations include upskilling and education for the assessment of dementia for those clinicians who work in mental health services, particularly in rural regions.PMID:38569532 | DOI:10.1071/AH23253 (Source: Australian Health Review)
Source: Australian Health Review - April 3, 2024 Category: Hospital Management Authors: Samantha M Loi Dhamidhu Eratne Dennis Velakoulis Source Type: research
Designing and implementing a bundle of care for patients with early-stage breast cancer: lessons from a pilot program
We present a case study on the design and implementation of a value-based bundled package of care for patients with early-stage breast cancer treated in the private health sector in Australia. Value-based healthcare is an essential change to how we deliver healthcare, shifting the focus from paying for individual services provided to a focus on the health outcomes gained over a full cycle of care. The Australian health system has unintentionally created barriers to value-based cancer care through fragmented care pathways and complex funding arrangements where patients can unexpectedly encounter high out-of-pocket costs. A ...
Source: Australian Health Review - April 3, 2024 Category: Hospital Management Authors: Yvonne Zissiadis Helen Ballal Nicola Forsyth Angela Ives Lee Jackson Anna Montgomery Sarah Wise Wen Chan Yeow Christobel Saunders Source Type: research
Poor policy and inadequate regulation of medical technology is driving low-value care in Australia's private health system
Aust Health Rev. 2024 Mar 28. doi: 10.1071/AH24006. Online ahead of print.ABSTRACTMillions of Australians use the private health system every year. They should receive safe, high-quality, value-based care. However, poor policy and inadequate regulation of medical technology is driving low-value care at great expense to consumers and the broader health system. Key drivers include the Prescribed List of Medical Devices and Human Tissue, gaps in quality and safety controls for devices being used, and marketing and conflicts of interest. All of these should be addressed to reduce low-value care in Australia's private health sy...
Source: Australian Health Review - March 27, 2024 Category: Hospital Management Authors: Rachel David Source Type: research
Hospitalisations and emergency department presentations by older individuals accessing long-term aged care in Australia
ConclusionsWhile a high proportion of older people in long-term care have ED presentations, unplanned hospitalisations and potentially preventable hospitalisations, people in the community with home care packages experience these events at a higher frequency.PMID:38537302 | DOI:10.1071/AH24019 (Source: Australian Health Review)
Source: Australian Health Review - March 27, 2024 Category: Hospital Management Authors: Stephanie L Harrison Catherine Lang Tesfahun C Eshetie Maria Crotty Craig Whitehead Keith Evans Megan Corlis Steve Wesselingh Gillian E Caughey Maria C Inacio Source Type: research
Experiences and learnings from developing and implementing a co-designed value-based healthcare framework within Victorian public oral health sector
ConclusionThe potential for health system transformation through implementation of VBHC is significant, however, its implementation needs to extend beyond organisational approaches and focus on sustaining the principles of VBHC across healthcare systems, policy and practice.PMID:38537306 | DOI:10.1071/AH24017 (Source: Australian Health Review)
Source: Australian Health Review - March 27, 2024 Category: Hospital Management Authors: Shalika Hegde Susan McKee Deborah Cole Zoe Wainer Source Type: research
Poor policy and inadequate regulation of medical technology is driving low-value care in Australia's private health system
Aust Health Rev. 2024 Mar 28. doi: 10.1071/AH24006. Online ahead of print.ABSTRACTMillions of Australians use the private health system every year. They should receive safe, high-quality, value-based care. However, poor policy and inadequate regulation of medical technology is driving low-value care at great expense to consumers and the broader health system. Key drivers include the Prescribed List of Medical Devices and Human Tissue, gaps in quality and safety controls for devices being used, and marketing and conflicts of interest. All of these should be addressed to reduce low-value care in Australia's private health sy...
Source: Australian Health Review - March 27, 2024 Category: Hospital Management Authors: Rachel David Source Type: research
Hospitalisations and emergency department presentations by older individuals accessing long-term aged care in Australia
ConclusionsWhile a high proportion of older people in long-term care have ED presentations, unplanned hospitalisations and potentially preventable hospitalisations, people in the community with home care packages experience these events at a higher frequency.PMID:38537302 | DOI:10.1071/AH24019 (Source: Australian Health Review)
Source: Australian Health Review - March 27, 2024 Category: Hospital Management Authors: Stephanie L Harrison Catherine Lang Tesfahun C Eshetie Maria Crotty Craig Whitehead Keith Evans Megan Corlis Steve Wesselingh Gillian E Caughey Maria C Inacio Source Type: research
