SCReening Evaluation of the Evolution of New Heart Failure Study (SCREEN-HF): early detection of chronic heart failure in the workplace.
Conclusions A large burden of asymptomatic left ventricular dysfunction (AVLD) was observed in subjects aged 60 and over with plasma NT-proBNP in the top quintile that was independent of conventional risk factors and work status. HWE does not appear to operate in AVLD. NT-proBNP testing in a population with HF risk factors may cost-effectively identify those at greatest risk of developing HF in a working population and facilitate early diagnosis, treatment and maintenance of work capacity.What is known about the topic? Chronic heart failure (CHF) has several causes, the most common being hypertension and coronary ischaemia...
Source: Australian Health Review - April 21, 2016 Category: Hospital Management Authors: Boffa U, McGrady M, Reid CM, Shiel L, Wolfe R, Liew D, Campbell DJ, Stewart S, Krum H Tags: Aust Health Rev Source Type: research

Urban Australian general practitioners.
Conclusions GPs were knowledgeable about falls risk factors but this did not result in consistent falls risk screening, assessment or referral practices. Due to the small sample, further research is needed with a larger sample to augment these results.What is known about the topic? Falls are a common and serious health issue for older people and fall prevention is vital, especially in the primary care setting. General practitioners (GPs) are key health professionals to identify older people at risk of falls and refer them to appropriate health professionals for intervention. Evidence-based falls prevention interventions ex...
Source: Australian Health Review - April 21, 2016 Category: Hospital Management Authors: Kielich K, Mackenzie L, Lovarini M, Clemson L Tags: Aust Health Rev Source Type: research

Is health systems integration being advanced through Local Health District planning?
Conclusions Despite the importance of health systems integration and finding that all NSW LHDs have made some commitment towards integration in their current strategic health plans, this analysis suggests that health systems integration is in relatively early development across NSW.What is known about the topic? Effective approaches to managing complex chronic diseases have been found to involve health systems integration, which necessitates sound communication and connection between healthcare providers across community and hospital settings. Planning based on current health systems integration knowledge to ensure the eff...
Source: Australian Health Review - April 21, 2016 Category: Hospital Management Authors: Saunders C, Carter DJ Tags: Aust Health Rev Source Type: research

Advancing general practice nursing in Australia: roles and responsibilities of primary healthcare organisations.
Conclusions Advancement of nursing in general practice requires system-level support from a range of organisations. PHCOs play a significant role in education and leadership development for nurses and linking national nursing organisations with general practices.What is known about the topic? The role of nurses in Australian general practice has grown in the last decade, yet they face limited career pathways and opportunities for career advancement. Some nations have forged interprofessional primary care teams that use nurses' skills to the full extent of their scope of practice. PHCOs have played important roles in the de...
Source: Australian Health Review - April 21, 2016 Category: Hospital Management Authors: Lane R, Halcomb E, McKenna L, Zwar N, Naccarella L, Davies GP, Russell G Tags: Aust Health Rev Source Type: research

Organisational benefits of a strong research culture in a health service: a systematic review.
Conclusions A stronger research culture appears to be associated with benefits to patients, staff and the organisation.What is known about this topic? Research investment in the health workforce can increase research productivity of the health workforce. In addition, investment in clinical research can lead to positive health outcomes. However, it is not known whether a positive research culture among the health workforce is associated with improved organisational performance.What does this paper add? The present systematic review of the literature provides evidence that a positive research culture and interventions direct...
Source: Australian Health Review - April 14, 2016 Category: Hospital Management Authors: Harding K, Lynch L, Porter J, Taylor NF Tags: Aust Health Rev Source Type: research

Roles and competencies of the Support Facilitator in Australia.
Conclusions The roles and competencies of the SF in the Partners in Recovery initiative in Gippsland were congruent with the defined characteristics of a care coordination approach. The results highlight how the SF role differs from that of traditional clinical case managers. These findings are important for future mental health service policy development, education and training of mental health practitioners and recruitment of personnel to care coordination roles.What is known about the topic? There is a growing body of literature highlighting the importance of care coordination in delivery of positive outcomes for people...
Source: Australian Health Review - April 14, 2016 Category: Hospital Management Authors: Sutton K, Isaacs AN, Dalziel K, Maybery D Tags: Aust Health Rev Source Type: research

Steam sterilisation.
Abstract Objective The aim of the present study was to quantify hospital steam steriliser resource consumption to provide baseline environmental data and identify possible efficiency gains. We sought to find the amount of steriliser electricity and water used for active cycles and for idling (standby), and the relationship between the electricity and water consumption and the mass and type of items sterilised.Methods We logged a hospital steam steriliser's electricity and water meters every 5 min for up to 1 year. We obtained details of all active cycles (standard 134°C and accessory or 'test' cycles), recordi...
Source: Australian Health Review - April 14, 2016 Category: Hospital Management Authors: McGain F, Moore G, Black J Tags: Aust Health Rev Source Type: research

Effect of a smoke-free policy on staff attitudes and behaviours within an Australian metropolitan health service: a 3 year cross-sectional study.
Abstract Objective In 2010, Peninsula Health (Vic., Australia), became smoke free as part of the locally developed smoking prevention and cessation strategy. The aim of the present study was to determine the effect of a smoke-free policy on smoking status and employee attitudes over a 3-year period.Methods Data were collected by three surveys 6 months before and 6 months and 3 years after policy introduction. Demographic data, smoking status and attitudes to the introduction of the smoke-free policy were collected for analysis.Results There were 3224 individual responses collected over three time points with simil...
Source: Australian Health Review - April 7, 2016 Category: Hospital Management Authors: Hale N, Murphy AM, Adams JR, Williams CM Tags: Aust Health Rev Source Type: research

Planning for subacute care: predicting demand using acute activity data.
Conclusions The existing concept of rehabilitation-sensitive DRGs was revised and extended. When applied to national data, the model provided a conservative estimate of 83% of the activity actually provided. An example demonstrates the application of the model for service planning.What is known about the topic? Health service planning is core business for jurisdictions and local areas. With populations ageing and an acknowledgement of the underservicing of subacute care, it is timely to find improved methods of estimating demand for this type of care. Traditionally, age-sex standardised utilisation rates for individual DRG...
Source: Australian Health Review - April 7, 2016 Category: Hospital Management Authors: Green JP, McNamee JP, Kobel C, Seraji MH, Lawrence SJ Tags: Aust Health Rev Source Type: research

Community views and perspectives on public engagement in health technology assessment decision making.
Conclusions The public do see a role for themselves in the HTA decision-making process. This is distinct to the involvement of patients and carers. It is important that any future public engagement strategy in this field distinguishes between stakeholder groups and outline approaches that will involve members of the public in the decision-making process, especially if public expectations of involvement in healthcare decision-making continue to increase.What is known about this topic? The views and perspectives of patients and consumers are important in the HTA decision-making process. There is a move to involve the broader...
Source: Australian Health Review - April 7, 2016 Category: Hospital Management Authors: Wortley S, Tong A, Howard K Tags: Aust Health Rev Source Type: research

Is Western Australia.
Conclusions Relatively few resident rural surgeons are servicing large areas of WA, assisted by the widespread provision of FIFO surgical services. The present audit demonstrates strength in general surgical skills throughout regional WA, and augers well for the training of general surgeons.What is known about the topic? A paper published in 1998 suggested that Australia's rural surgeons were soon to reach retirement age. However, there have been no published peer-reviewed papers on Australia's surgical workforce since then. More recent workforce statistics released from the RACS suggest that the rural workforce is in cris...
Source: Australian Health Review - March 31, 2016 Category: Hospital Management Authors: Shanmugakumar S, Playford D, Burkitt T, Tennant M, Bowles T Tags: Aust Health Rev Source Type: research

Health technology assessment in Australia: a role for clinical registries?
Conclusions Clinical registries are underused as a source of evidence for resolving uncertainties around promising new health technologies in Australia. An open dialogue between stakeholders on the role of registries in this context is needed.What is known about the topic? HTA is a process of assessing the evidence to inform policy decisions about public subsidy of new health technologies (e.g. pharmaceuticals, diagnostic tests, medical procedures). Where evidence is uncertain but the technology under evaluation is promising, funders may recommend the funding of the technology on a temporary basis while additional evidence...
Source: Australian Health Review - March 31, 2016 Category: Hospital Management Authors: Scott AM Tags: Aust Health Rev Source Type: research

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease.
Abstract Objective The aim of the present study was to evaluate the effect of a high-speed telemonitoring project for older people with chronic disease in a regional Australian town. Participants' vital signs were monitored and triaged daily by a telehealth nurse.Methods A prospective, uncontrolled study design evaluated the effect of home-based telemonitoring on older people with chronic disease. Evaluation included surveys (including the Stanford Chronic Disease Self-Efficacy tool and the Self-Rated Health Questionnaire), self-reported health service use and interviews and focus groups exploring client experienc...
Source: Australian Health Review - March 31, 2016 Category: Hospital Management Authors: Nancarrow S, Banbury A, Buckley J Tags: Aust Health Rev Source Type: research

Stranded: causes and effects of discharge delays involving non-acute in-patients requiring maintenance care in a tertiary hospital general medicine service.
Conclusions Delayed discharge of non-acute maintenance care patients results principally from impaired access to residential care, administrative delays involving external agencies and patient or family refusal of care. Proposed remedial actions require concerted interjurisdictional advocacy.What is known about this topic? Delays in discharge of non-acute patients requiring maintenance care can occur for many reasons and incur inordinately long hospital stays.What does this paper add? The present detailed chart review of 131 long-stay non-acute patients identified causes of serial discharge delays and quantified their prev...
Source: Australian Health Review - March 31, 2016 Category: Hospital Management Authors: Salonga-Reyes A, Scott IA Tags: Aust Health Rev Source Type: research

Platelet-rich plasma: a case study for the identification of disinvestment opportunities using horizon scanning.
Conclusions This assessment highlights the potential of using established horizon scanning methodologies to identify targets for full or partial disinvestment of ineffective, inefficient or harmful clinical practices.What is known about the topic? PRP is rapidly diffusing in the private health system in Australia, however the use of a Medicare Benefits Schedule item number meant that this practice was being subsidised by the public reimbursement of treatment fees.What does this paper add? Traditional horizon scanning tends to identify technologies for health systems to invest in. The evidence on the effectiveness of PRP wa...
Source: Australian Health Review - March 24, 2016 Category: Hospital Management Authors: Mundy L Tags: Aust Health Rev Source Type: research

Costs and returns on training investment for empirically supported psychological interventions.
Conclusions This hypothetical model highlights why training costs should be considered in decisions about disseminating and implementing novel empirically supported psychological interventions, particularly within private workforces. In addition, the direct return on training investment for practitioners in private practice is unclear, and may vary based on caseloads and current treatment modalities. Initiatives to track competence, support training and identify novel training solutions may be required to ensure the sustainability of high-quality mental healthcare.What is known about the topic? Financial costs are one of t...
Source: Australian Health Review - March 24, 2016 Category: Hospital Management Authors: Crome E, Shaw J, Baillie A Tags: Aust Health Rev Source Type: research

Integrated mental health atlas of the Western Sydney Local Health District: gaps and recommendations.
Conclusions The integrated mental health atlas of the Western Sydney LHD provides a tool for evidence-informed planning and critical analysis of the pattern of adult mental health care.What is known about the topic? Several reports have highlighted that the Australian mental health system is hospital based and fragmented. However, this knowledge has had little effect on actually changing the system.What does this paper add? This paper provides a critical analysis of the pattern of adult mental health care provided within the boundaries of the Western Sydney LHD using a standard, internationally validated tool to describe a...
Source: Australian Health Review - March 24, 2016 Category: Hospital Management Authors: Fernandez A, Gillespie JA, Smith-Merry J, Feng X, Astell-Burt T, Maas C, Salvador-Carulla L Tags: Aust Health Rev Source Type: research

Private general paediatric care availability in Melbourne.
Conclusions Private paediatric care in the Melbourne metropolitan region is generally available. The out-of-pocket cost of private paediatric out-patient care may present a potential economic barrier for some families.What is known about the topic? In Australia, out-of-pocket expenses for private specialist care are not covered by private health insurance. There are no data available on the actual cost of private paediatric consultations that are based on real-time assessments. Data collected in 1998 suggested that the average waiting time for a first standard consultation with a general paediatrician in a private room was...
Source: Australian Health Review - March 24, 2016 Category: Hospital Management Authors: Kunin M, Allen AR, Nicolas C, Freed GL Tags: Aust Health Rev Source Type: research

Using a community of practice to evaluate falls prevention activity in a residential aged care organisation: a clinical audit.
Conclusion A CoP was able to effectively conduct an evidence-based falls prevention activity audit and identify gaps in practice. CoP members were well positioned, as site staff, to overcome barriers and facilitate action in falls prevention practice.What is known about the topic? Audit and feedback is an effective way of measuring clinical quality and safety. CoPs have been established in healthcare using workplace staff to address clinical problems but little is known about their ability to audit and influence practice change.What does this paper add? This study contributes to the body of knowledge on CoPs in healthcare ...
Source: Australian Health Review - March 17, 2016 Category: Hospital Management Authors: Francis-Coad J, Etherton-Beer C, Bulsara C, Nobre D, Hill AM Tags: Aust Health Rev Source Type: research

Costs of paying higher prices for equivalent effects on the Pharmaceutical Benefits Scheme.
Conclusions Potential savings from maintaining equivalent prices for all pharmaceuticals listed on the PBS on a cost-minimisation basis could be over A$500 million per year. Actions to reduce these costs can be taken within existing policy frameworks, but legislative and political barriers may need to be addressed to minimise these costs, which are incurred by the taxpayer for no additional benefit.What is known about the topic? Pharmaceuticals listed on the PBS must provide value for money. Many pharmaceuticals achieve this by demonstrating equal effectiveness to an already listed pharmaceutical and requesting the same pr...
Source: Australian Health Review - March 9, 2016 Category: Hospital Management Authors: Karnon J, Edney L, Sorich M Tags: Aust Health Rev Source Type: research

Exploring Aboriginal patients.
Conclusion Cardiac crises are stressful and hospital stays were particularly disorienting for Aboriginal people dislocated from their home land and community.What is known about the topic? Aboriginal people have higher mortality rates due to cardiovascular diseases compared with other Australians. Along with different factors contributing to the life expectancy gap, Aboriginal people also face significant barriers in the use of the healthcare system.What does this paper add? Aboriginal patients' lived experience of cardiac care at a major metropolitan hospital in Melbourne is explored in this paper. Different issues were r...
Source: Australian Health Review - March 9, 2016 Category: Hospital Management Authors: Worrall-Carter L, Daws K, Rahman MA, MacLean S, Rowley K, Andrews S, MacIsaac A, Lau PM, McEvedy S, Willis J, Arabena K Tags: Aust Health Rev Source Type: research

Paediatric emergency department referrals from primary care.
Abstract Background Over the last decade, paediatric referrals from general practitioners (GPs) to the emergency department (ED) have increased by 60% in Australia.Objective To investigate the characteristics of Victorian children referred by GPs to the ED with lower-urgency conditions.Method Data were collected from four hospital EDs in Victoria, May-November 2014. Parents attending the ED with their child triaged as lower urgency were surveyed. Descriptive, frequency, and bivariate analyses were performed.Results Of the 1150 responses, 28% (320) visited their GP before attending ED. Of these 66% (212), were refe...
Source: Australian Health Review - March 9, 2016 Category: Hospital Management Authors: Turbitt E, Freed GL Tags: Aust Health Rev Source Type: research

Evaluation of patient quality of life and satisfaction with home enteral feeding and oral nutrition support services: a cross-sectional study.
Abstract Objective The aims of the present study, in home enteral nutrition (HEN) patients, were to assess patient satisfaction with the service and quality of life (QOL) scores, and to compare QOL scores in HEN patients with general Australian population values.Methods Self-administered voluntary questionnaires for the present cross-sectional study were mailed out to 322 eligible participants registered with HEN for>5 months. The questionnaires used included a patient satisfaction survey and a validated QOL questionnaire. Data analysis consisted of cross-tabulation, Chi-squared tests and t-tests.Results There ...
Source: Australian Health Review - March 3, 2016 Category: Hospital Management Authors: Faruquie SS, Parker EK, Talbot P Tags: Aust Health Rev Source Type: research

Screening for important unwarranted variation in clinical practice: a triple-test of processes of care, costs and patient outcomes.
Conclusions The joint analysis of processes, outcomes and costs as alternative measures of performance inform the importance of reducing variation in clinical practice, as well as identifying specific targets for quality improvement along clinical pathways. Such analyses could be undertaken across a wide range of clinical areas to inform the potential value and prioritisation of quality improvement initiatives.What is known about the topic? Variation in clinical practice is a long-standing issue that has been analysed from many different perspectives. It is neither possible nor desirable to address all forms of variation i...
Source: Australian Health Review - March 3, 2016 Category: Hospital Management Authors: Partington A, Chew DP, Ben-Tovim D, Horsfall M, Hakendorf P, Karnon J Tags: Aust Health Rev Source Type: research

Does evidence influence policy? Resource allocation and the Indigenous Burden of Disease study.
Conclusions The present study found only indirect and inconsistent correlational evidence of the potential influence of the IBoD report on Indigenous health expenditure and research funding. Further assessment of the potential influence of the IBoD report on Indigenous health policy will require more targeted research, including interviews with key informants involved in developing health policy.What is known about the topic? There are currently no publications that consider the potential effed of the IBoD study on Indigenous health expenditure and research funding.What does this paper add? This paper offers the first cons...
Source: Australian Health Review - March 3, 2016 Category: Hospital Management Authors: Doran CM, Ling R, Searles A, Hill P Tags: Aust Health Rev Source Type: research

The role of technology in Australian youth mental health reform.
Abstract This paper describes the extent and nature of Internet use by young people, with specific reference to psychological distress and help-seeking behaviour. It draws on data from an Australian cross-sectional study of 1400 young people aged 16 to 25 years. Nearly all of these young people used the Internet, both as a source of trusted information and as a means of connecting with their peers and discussing problems. A new model of e-mental health care is introduced that is directly informed by these findings. The model creates a system of mental health service delivery spanning the spectrum from general heal...
Source: Australian Health Review - March 3, 2016 Category: Hospital Management Authors: Burns JM, Birrell E, Bismark M, Pirkis J, Davenport TA, Hickie IB, Weinberg MK, Ellis LA Tags: Aust Health Rev Source Type: research

Consumers.
Conclusions Participants clearly identified that the status quo needs to change and conveyed urgency for action. Participants suggested that the involvement of supporters and a range of consumer roles are integral to reducing the use of seclusion and restraint. The findings support the current policy emphasis of working towards the elimination of these practices.What is known about the topic? Mental health policies across many jurisdictions support the reduction and elimination of restraint and seclusion. Evidence suggests those subjected to restraint and seclusion largely experience a range of harmful consequences. No stu...
Source: Australian Health Review - March 3, 2016 Category: Hospital Management Authors: Brophy LM, Roper CE, Hamilton BE, Tellez JJ, McSherry BM Tags: Aust Health Rev Source Type: research

Lung cancer interval times from point of referral to the acute health sector to the start of first treatment.
Conclusion The present study highlights the effect of treatment type on lung cancer referral interval times. It demonstrates the benefits of using evidenced-based interval target times to benchmark and compare performance outcomes in lung cancer.What is known about the topic? Lung cancer is the leading cause of cancer mortality in Australia and has the lowest 5-year survival rate of all cancer types. Delays in the diagnosis of lung cancer can change the prognosis from potentially curable to incurable, particularly in faster-growing tumours.What does this paper add? This study reveals treatment type was a greater factor in ...
Source: Australian Health Review - February 25, 2016 Category: Hospital Management Authors: Largey G, Ristevski E, Chambers H, Davis H, Briggs P Tags: Aust Health Rev Source Type: research

Health-related quality of life in people with Parkinson.
Conclusions Compared with those attending standard neurological out-patient clinics, individuals referred to an inter-professional PD program are more likely to have advanced disease and poorer HRQOL. This observation has implications for the way in which people with PD are recruited for future clinical trials, because uneven recruitment from different sources may be a potential source of bias.What is known about the topic? Given that PD is associated with a complex array of motor and non-motor symptoms, an inter-professional team approach to service provision is argued to be optimal for individuals living with this debili...
Source: Australian Health Review - February 25, 2016 Category: Hospital Management Authors: Soh SE, Morris ME, Watts JJ, McGinley JL, Iansek R Tags: Aust Health Rev Source Type: research

How do rural placements affect urban-based Australian junior doctors.
Conclusions Adequate professional support and supervision in rural placements is essential to encourage junior doctors' interests in rural medicine. Having a degree of choice about placements and a positive and supported learning experience increases the likelihood of a positive experience. Doctors open to working outside a metropolitan area should be preferentially allocated an intern position in a non-metropolitan hospital and rotated to more rural locations.What is known about the topic? The maldistribution of the Australian medical workforce has led to the introduction of several initiatives to provide regional and rur...
Source: Australian Health Review - February 25, 2016 Category: Hospital Management Authors: Brodribb W, Zadoroznyj M, Martin B Tags: Aust Health Rev Source Type: research

Discharge from the acute hospital: trauma patients.
Conclusion The insights provided by the participants in the present study will help us improve our discharge practice, especially the need to address the concerns of inadequate information provision regarding discharge and the role of in-patient rehabilitation.What is known about the topic? There is no current literature describing trauma patient involvement in decision-making regarding discharge from the acute hospital and the perception of how this decision (and destination choice; e.g. home or in-patient rehabilitation) affects their outcome.What does this paper add? The present large qualitative study provides informat...
Source: Australian Health Review - February 25, 2016 Category: Hospital Management Authors: Kimmel LA, Holland AE, Hart MJ, Edwards ER, Page RS, Hau R, Bucknill A, Gabbe BJ Tags: Aust Health Rev Source Type: research

Job satisfaction of village doctors during the new healthcare reforms in China.
Abstract Objective China launched new healthcare reforms in 2009 and several policies targeted village clinics, which affected village doctors' income, training and duties. The aim of the present study was to assess village doctors' job satisfaction during the reforms and to explore factors affecting job satisfaction.Methods Using a stratified multistage cluster sampling process, 935 village doctors in Jiangxi Province were surveyed with a self-administered questionnaire that collected demographic information and contained a job satisfaction scale and questions regarding their work situation and individual percept...
Source: Australian Health Review - February 25, 2016 Category: Hospital Management Authors: Zhang X, Fang P Tags: Aust Health Rev Source Type: research

National registration scheme at 5 years: not what it promised.
Abstract A national registration scheme for health professionals was introduced in Australia 5 years ago, replacing the long-standing state-based schemes. This review examines whether the scheme has delivered what it promised and makes recommendations for change. The available evidence indicates that the scheme's design and its implementation were rushed and that the legislation has serious flaws. Two parliamentary inquiries and the experience of registrants confirm that the system is more expensive, remote and bureaucratic than the previous state-based systems. The scheme has delivered benefits only in relation t...
Source: Australian Health Review - February 18, 2016 Category: Hospital Management Authors: Breen KJ Tags: Aust Health Rev Source Type: research

Medical record keeping and system performance in orthopaedic trauma patients.
Discussion Orthopaedic medical record documentation remains an area for improvement. In addition, hospital out-patient systems perform suboptimally and may affect patient outcomes.What is known about the topic? Medical records are an essential tool in modern medical practice. Despite the importance of comprehensive documentation in the medical record, numerous examples of poor documentation have been demonstrated, including substandard documentation during consultant ward rounds by junior doctors leading to a breakdown in healthcare professional communication and potential patient mismanagement. Further inadequacies of med...
Source: Australian Health Review - February 18, 2016 Category: Hospital Management Authors: Cosic F, Kimmel L, Edwards E Tags: Aust Health Rev Source Type: research

Improving the management and care of refugees in Australian hospitals: a descriptive study.
Abstract Objectives The aim of the present study was to investigate healthcare provider perceptions of the impact of refugee patients at two public hospitals, one rural and one urban, in designated refugee resettlement areas. Healthcare professionals' views regarding improvements that could be made in this area were also sought.Methods Two-page anonymous questionnaires containing demographic, quantitative and open-ended questions were distributed to 150 healthcare providers at each research site.Results Response rates at the rural and urban sites were 50% and 49%, respectively. Refugees were seen at least monthly ...
Source: Australian Health Review - February 18, 2016 Category: Hospital Management Authors: Ross L, Harding C, Seal A, Duncan G Tags: Aust Health Rev Source Type: research

?Right for publication.
PMID: 26852299 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - February 8, 2016 Category: Hospital Management Authors: Matsubara S, Lefor AK Tags: Aust Health Rev Source Type: research

Champions.
Conclusions Providers and practitioners can leverage the opportunity to increase organisational levels of inclusivity, demonstrate organisational support to improve outcomes for clients and stakeholders and, importantly, provide staff training and development critical to the successful implementation of the Strategy.What is known about the topic? Many LGBTI elders have faced a lived history of oppression and discrimination and have special health care needs. As they age, their needs for greater levels of care increase, but for many so to do their concerns about receiving equitable treatment.What does this paper add? The Na...
Source: Australian Health Review - February 1, 2016 Category: Hospital Management Authors: McPhail R, Fulop L Tags: Aust Health Rev Source Type: research

Demographics of the Australian orthotic and prosthetic workforce 2007?12.
Conclusions The orthotic and prosthetic workforce has increased proportionately to Australia's population growth, become younger and more female. The proportion of practitioners in regional and remote areas has remained unchanged. These data can help inform workforce initiatives to increase the number of orthotist/prosthetists relative to the Australian population and make the services of orthotist/prosthetists more accessible to Australians in regional and remote areas.What is known about the topic? Currently, there are no demographic data describing changes in the Australian orthotic and prosthetic workforce over time. T...
Source: Australian Health Review - February 1, 2016 Category: Hospital Management Authors: Ridgewell E, Dillon M, O'Connor J, Anderson S, Clarke L Tags: Aust Health Rev Source Type: research

Survey of research activity among multidisciplinary health professionals.
Conclusion Employees of the health service recognised the importance of research and had a range of research skills, knowledge and experience. They also identified several opportunities for building research capacity in this service.What is known about the topic? Building research capacity among healthcare professionals is important for enabling the conduct of high-quality research in healthcare institutions. However, building research capacity is complex and influenced by the uniqueness of organisational context. In order to successfully build research capacity among employees at any health service, current research activ...
Source: Australian Health Review - February 1, 2016 Category: Hospital Management Authors: Marshall AP, Roberts S, Baker MJ, Keijzers G, Young J, Stapelberg NJ, Crilly J Tags: Aust Health Rev Source Type: research

Preferred strategies for workforce development: feedback from aged care workers.
Conclusions A wholly practice-based continuing education and training model is best suited for aged care workers. Two variations of this model could be considered: (1) a wholly practice-based model for individual learning; and (2) a wholly practice-based model with guidance from coworkers or other experts. Although the model is preferred by workers and convenient for employers, it needs to be well resourced.What is known about the topic? Learning needs for aged care workers are increasing significantly because of an aging population that demands more care workers. Workforce development is largely 'episodic', based on organ...
Source: Australian Health Review - January 25, 2016 Category: Hospital Management Authors: Choy S, Henderson A Tags: Aust Health Rev Source Type: research

Integrated health care: it.
This article argues it is time for the discipline of integrated health care to be recognised on its own and investment be driven into the establishment of integrated care centres. PMID: 26803320 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - January 25, 2016 Category: Hospital Management Authors: Reddy S Tags: Aust Health Rev Source Type: research

General practice trainees face practice ownership with fear.
Conclusions Graduation of a cohort of new general practitioners (GPs) who express fear towards practice ownership is concerning. Creating more positive learning environments and opportunity for open discussion regarding practice management and ownership is an important step in providing adequate support for new GPs to give serious consideration to career options.What is known about the topic? The traditional model of general practice ownership has been for a doctor to own and/or manage the practice. Fewer new GPs are taking on the role of owning a general practice, and disinterest has been presumed to play a significant ro...
Source: Australian Health Review - January 25, 2016 Category: Hospital Management Authors: Sturgiss E, Haesler E, Anderson K Tags: Aust Health Rev Source Type: research

Becoming a clinician researcher in allied health.
Conclusion The clinician researcher career trajectory contributes to a better understanding of how a research career commences and develops in clinical settings. It may assist to develop strategies to support research capacity building.What is known about the topic? There are potential benefits for clinicians and health services that flow from incorporating research into clinical roles. Factors that motivate, enable and constrain allied health research in clinical settings have been identified, but little is known about how a research career is initiated and progresses over time.What does this paper add? The present study ...
Source: Australian Health Review - January 25, 2016 Category: Hospital Management Authors: Harvey D, Plummer D, Nielsen I, Adams R, Pain T Tags: Aust Health Rev Source Type: research

Comparison of medication policies to guide nursing practice across seven Victorian health services.
Conclusions The policies of the seven health services contained standard information about staff authorisation, controlled medications and poisons, labelling injections and infusions, patient self-administration, documentation and managing medication errors. However, policy related to individual health professional responsibilities, single- and double-checking medications, telephone orders and expected staff competencies varied across the seven health services. Some inconsistencies in health professionals' responsibilities among medication management policies were identified.What is known about the topic? Medication errors...
Source: Australian Health Review - January 25, 2016 Category: Hospital Management Authors: Fossum M, Hughes L, Manias E, Bennett P, Dunning T, Hutchinson A, Considine J, Botti M, Duke MM, Bucknall T Tags: Aust Health Rev Source Type: research

Identifying the factors that affect the job satisfaction of early career Notre Dame graduate physiotherapists.
Conclusions Job satisfaction in early career physiotherapists varies across different clinical areas of practice related to several factors, including challenge and flexibility. New roles in the profession, including extended scope roles, may impact on the future job satisfaction of physiotherapists. Further studies are needed to explore the effect of these roles on workforce trends, including attrition rates.What is known about the topic? Physiotherapists predict careers of 10 years or less on entry into the profession. No previous studies have explored the individual factors influencing job satisfaction in early career p...
Source: Australian Health Review - January 18, 2016 Category: Hospital Management Authors: Bacopanos E, Edgar S Tags: Aust Health Rev Source Type: research

On the right path? Exploring the experiences and opinions of clinicians involved in developing and implementing HealthPathways Barwon.
Abstract The aims of this paper are to present the findings of a process evaluation exploring the experiences and opinions of clinicians who have been involved in the HealthPathways Barwon clinical workgroups and discuss implications for further development of the program, as well as regional health service initiatives more broadly. HealthPathways Barwon is a web-based program comprising locally agreed-upon evidence-based clinical pathways that assist with assessment, management and region-specific referral for various clinical conditions. Clinical workgroup members participated in focus groups. Coding and themati...
Source: Australian Health Review - December 22, 2015 Category: Hospital Management Authors: Mansfield SJ, Quirk F, von Treuer K, Gill G Tags: Aust Health Rev Source Type: research

Flying blind: trying to find solutions to Indigenous oral health.
Conclusions The present study documents the published prevalence and severity of caries in Indigenous children living in Australia and highlights that limited oral health data are available for this priority population. Although risk factors for oral disease are well known, most of the studies did not analyse the link between these factors and oral disease present. There is also inconsistency in how caries is reported in terms of age and caries criteria used. We cannot rely on the available data to inform the development of policies and programs to address the oral health differences in Indigenous populations living contem...
Source: Australian Health Review - December 22, 2015 Category: Hospital Management Authors: de Silva AM, Martin-Kerry J, Geale A, Cole D Tags: Aust Health Rev Source Type: research

Comment on ?Building allied health workforce capacity: a strategic approach to workforce innovation.
PMID: 26677794 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - December 18, 2015 Category: Hospital Management Authors: Wallace S Tags: Aust Health Rev Source Type: research

Continuity of care in the post partum period: general practitioner experiences with communication.
Conclusions Information flow from hospital to general practice and between other post partum care providers is less than ideal and may affect ongoing care for mothers and infants, especially those at risk. Knowledge exchange between healthcare services and initiatives to improve information sharing needs to be developed and implemented.What is already known on this topic? Transitions from tertiary or secondary care to primary care and between primary care providers are often times of vulnerability for patients, including women and infants in the post partum period. There is little information documenting communications bet...
Source: Australian Health Review - December 18, 2015 Category: Hospital Management Authors: Brodribb WE, Mitchell BL, Van Driel ML Tags: Aust Health Rev Source Type: research

Alcohol industry and governmental revenue from young Australians.
Conclusions Alcohol consumption by young Australians is prevalent, and young Australian drinkers consume alcohol in substantial amounts. The industry and taxation revenue from young drinkers is also considerable. It would be in the public interest to divert some of this revenue towards health initiatives to reduce drinking by young people, especially given the high societal costs of alcohol consumption.What is known about the topic? Australian adolescents aged 12-17 years consume substantial amounts of alcohol, and substantial amounts of revenue are generated from alcohol sales to them.What does this paper add? This paper ...
Source: Australian Health Review - December 18, 2015 Category: Hospital Management Authors: Li IW, Si J Tags: Aust Health Rev Source Type: research