Contribution of mobile health applications to self-management by consumers: review of published evidence.
Conclusions There are limited controlled trials testing the contribution of health apps to consumers' self-management. Further evidence in this field is required to inform health policy and practice relating to self-management.What is known about the topic? Australian health policy encourages self-care by health consumers to reduce expenditure in health services. A fundamental component of self-care in chronic health conditions is self-monitoring, which can be used to assess progress towards treatment goals, as well as signs and symptoms of disease exacerbation. An abundance of mobile health apps is available for self-moni...
Source: Australian Health Review - December 18, 2015 Category: Hospital Management Authors: Anderson K, Emmerton LM Tags: Aust Health Rev Source Type: research

Trends and disparities in sepsis hospitalisations in Victoria, Australia.
Abstract Objective The aim of the present study was to determine the clinical and epidemiological characteristics of patients with sepsis admitted to hospitals in Victoria, Australia, during the period 2004-14. The data include incidence, severity and mortality.Methods In all, 44 222 sepsis hospitalisations were identified between 2004-05 and 2013-14 from the Victorian Admitted Episodes Dataset. The dataset contains clinical and demographic information on all admissions to acute public and private hospitals. Using the International Classification of Diseases (10th Revision) Australian Modification codes, incidence...
Source: Australian Health Review - December 14, 2015 Category: Hospital Management Authors: Ore T Tags: Aust Health Rev Source Type: research

Nursing staff work patterns in a residential aged care home: a time?motion study.
Conclusion Medication administration, documentation and verbal communication were the major tasks in morning shifts in a residential aged care home. Future research can investigate how verbal communication supports nursing care.What is known about the topic? The aging population will substantially increase the demand for residential aged care services. There is a lack of research on nurses' work patterns in residential aged care homes.What does this paper add? The present study provides a comprehensive understanding of nurses' work patterns in a residential aged care home. There is a common work process followed by nurses ...
Source: Australian Health Review - November 30, 2015 Category: Hospital Management Authors: Qian S, Yu P, Hailey D Tags: Aust Health Rev Source Type: research

Communication and general concern criterion prior to activation of the rapid response team: a grounded theory.
Conclusions This study highlighted that in the surveillance and management of the deteriorating patient and in the absence of effective communication there is a subsequent increase in anxiety, fear or concern that can be directly attributed to the activation of an RRT for the 'general concern' calling criteria.What is known about the topic? Deficiencies in collaboration and communication between healthcare professionals (HCPs) increase the stress and anxiety of healthcare staff and correspond to poorer outcomes for patients. The RRT can be activated as a 'general concern RRT' without observation of physiological derangemen...
Source: Australian Health Review - November 30, 2015 Category: Hospital Management Authors: Martland J, Chamberlain D, Hutton A, Smigielski M Tags: Aust Health Rev Source Type: research

Health service utilisation by people living with chronic non-cancer pain: findings from the Pain and Opioids IN Treatment (POINT) study.
Conclusions Patients on long-term opioid therapy report using multiple types of pain treatments. High rates of CAM use are concerning given limited evidence of efficacy for some therapies and the low-income status of most people with CNCP. Financial and insurance barriers highlight the importance of considering how different types of treatments are paid for and subsidised.What is known about the topic? Given concerns regarding long-term efficacy, adverse side-effects and risk of misuse and dependence, prescribing guidelines recommend caution in prescribing pharmaceutical opioids in cases of CNCP, typically advising a multi...
Source: Australian Health Review - November 25, 2015 Category: Hospital Management Authors: Nielsen S, Campbell G, Peacock A, Smith K, Bruno R, Hall W, Cohen M, Degenhardt L Tags: Aust Health Rev Source Type: research

Approaches to management of complaints and notifications about health practitioners in Australia.
Abstract In 2005, the Australian Productivity Commission made a recommendation that a national health registration regimen and a consolidated national accreditation regimen be established. On 1 July 2010, the National Registration and Accreditation Scheme (NRAS) for health practitioners came into effect and the Australian Health Practitioner Regulation Agency (AHPRA) became the single national oversight agency for health professional regulation. It is governed by the Health Practitioner Regulation National Law Act (the National Law). While all states and territories joined NRAS for registration and accreditation, ...
Source: Australian Health Review - November 23, 2015 Category: Hospital Management Authors: Satchell CS, Walton M, Kelly PJ, Chiarella EM, Pierce SM, Nagy MT, Bennett B, Carney T Tags: Aust Health Rev Source Type: research

Advance care planning in Australia: what does the law say?
This article outlines the legal status of ACDs, within Australian jurisdictions, including the legal validity of interstate ACDs, and argues that uniform laws and documents would assist with awareness and understanding of, and compliance with, ACDs. PMID: 26567895 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - November 16, 2015 Category: Hospital Management Authors: Carter RZ, Detering KM, Silvester W, Sutton E Tags: Aust Health Rev Source Type: research

Improving healthcare: Transforming concepts into action with one patient at a time.
PMID: 26568163 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - November 16, 2015 Category: Hospital Management Authors: Pham C Tags: Aust Health Rev Source Type: research

Implementing Indigenous community control in health care: lessons from Canada.
Conclusions We conclude that although the Canadian experience is based on a different context, the processes and tools created to implement community control in Canada can help inform the Australian context.What is known about the topic? Although Australia has promoted Indigenous control over primary healthcare (PHC) services, implementation remains incomplete. Enduring barriers to the transfer of PHC services to community control have not been addressed in the largely sporadic attention to this challenge to date, despite significant recent efforts in some jurisdictions.What does this paper add? The Canadian experience ind...
Source: Australian Health Review - November 10, 2015 Category: Hospital Management Authors: Lavoie JG, Dwyer J Tags: Aust Health Rev Source Type: research

Developing an Australian health and aged care research agenda: a systematic review of evidence at the subacute interface.
Conclusions There is limited high-quality research investigating the effectiveness of interventions at the health and aged care interface of subacute care. Further research is needed.What is known about the topic? Subacute care offers important healthcare programs for older people, operating at the interface between health and aged care. However, for the most part this has not been subject to research scrutiny.What does this paper add? Identified studies were predominantly hospital oriented and designed to avoid hospital admission and associated costs. Locally integrated, collaborative and multidiscipline based interventio...
Source: Australian Health Review - November 5, 2015 Category: Hospital Management Authors: Davis J, Morgans A, Stewart J Tags: Aust Health Rev Source Type: research

Normalising advance care planning in a general medicine service of a tertiary hospital: an exploratory study.
Abstract Objective The aim of the present study was to develop, implement and explore the effects of a program in advance care planning (ACP) within a tertiary hospital general medicine service.Methods Before-after exploratory mixed-methods analysis was conducted of an ACP program comprising seven components designed to overcome well-documented barriers to ACP in clinical practice. The results of pre-ACP program audits performed in June 2014 were compared with those of post-ACP audits performed over 5 months from July to November 2014. The main outcome measure was the number of advance care plans completed in pati...
Source: Australian Health Review - November 5, 2015 Category: Hospital Management Authors: Scott IA, Rajakaruna N, Shah D, Miller L, Reymond E, Daly M Tags: Aust Health Rev Source Type: research

Australian physiotherapy workforce at a glance: a narrative review.
Conclusion Increasing retention of qualified and skilled physiotherapists nationally will help build workforce capacity, meeting the needs of the growing, changing and aging community.What is known about the topic? The demand for physiotherapists is growing significantly in Australia and the ability of the workforce to meet growing demands is uncertain.What does this paper add? Many physiotherapists in Australia leave the workforce and the profession early in their careers. Addressing modifiable factors of attrition could help improve the retention of practitioners and skills in the profession, building workforce capacity....
Source: Australian Health Review - November 5, 2015 Category: Hospital Management Authors: Pretorius A, Karunaratne N, Fehring S Tags: Aust Health Rev Source Type: research

Role of non-Indigenous researchers in Indigenous health research in Australia: a review of the literature.
Conclusion It is important that non-Indigenous researchers become more aware of culturally appropriate ways in which to undertake Indigenous research and to ensure that the research undertaken is safe, ethical and useful for participants. Fostering partnerships between non-Indigenous academic organisations and researchers and Indigenous health researchers is an important development that can promote and enhance the emerging field of Indigenous inquiry. Actively contributing to capacity building with Indigenous researchers and research initiatives is a key role that non-Indigenous researchers and academic institutions can h...
Source: Australian Health Review - October 26, 2015 Category: Hospital Management Authors: Gray MA, Oprescu FI Tags: Aust Health Rev Source Type: research

Mealtime interruptions, assistance and nutritional intake in subacute care.
In conclusion, mealtime practices were suboptimal, with particularly high rates of negative interruptions. Protected mealtimes is one strategy that may improve the mealtime environment to support patients' dietary intake. Prospective studies are needed to evaluate its implementation and effects.What is known about this topic? The mealtime environment on a hospital ward may influence the nutritional intake of patients. Protected mealtimes is a systems approach that aims to minimise negative interruptions and promote positive interruptions to enhance the nutritional intake and nutritional status of patients. Whilst the appro...
Source: Australian Health Review - October 19, 2015 Category: Hospital Management Authors: Porter J, Wilton A, Collins J Tags: Aust Health Rev Source Type: research

Consequences for overcrowding in the emergency room of a change in bed management policy on available in-hospital beds.
Conclusions Changing policies for hospital bed management is worth exploring to improve hospital patient flow and length of stay.What is known about the topic? The lack of available hospital beds is a major difficulty in managing patient flow in emergency rooms (ERs). The ER patient flow competes against a flow of planned hospital admissions for the same beds and the lack of a clearly defined policy on either prioritising ER patient flow over planned admissions or vice versa contributes to a disordered system.What does this paper add? We compared several simulated scenarios corresponding to different bed management policie...
Source: Australian Health Review - October 19, 2015 Category: Hospital Management Authors: Claret PG, Boudemaghe T, Bobbia X, Stowell A, Miard É, Sebbane M, Landais P, De La Coussaye JE Tags: Aust Health Rev Source Type: research

Our red?green world.
PMID: 26476553 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - October 19, 2015 Category: Hospital Management Authors: Habibzadeh P Tags: Aust Health Rev Source Type: research

Patient satisfaction with a hospital-based neuropsychology service.
Conclusions The patient satisfaction scale can be used as a quality assurance tool to evaluate neuropsychological service delivery. Large-scale research is needed to confirm the scale's psychometric properties. Further research may also include a broader perspective on the consumers' experience of neuropsychological services. PMID: 26477017 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - October 19, 2015 Category: Hospital Management Authors: Foran A, Millar E, Dorstyn D Tags: Aust Health Rev Source Type: research

A system dynamics modelling approach to studying the increasing prevalence of people with intellectual developmental disorders in New South Wales.
Conclusions This modelling technique forecast an increase in the prevalence count of people with intellectual developmental disorders in NSW over the period 2003-43 from 57000 (85 per 10000) to 135905 (135 per 10000). These predictions may have important implications for the planning of specialist health services for this group of people.What is known about the topic? The prevalence ratio of people with intellectual developmental disorders is quoted at lying between 1% and 2% of the Australian population, depending on the definition adopted. It is known that life expectancy for this group of people is increasing. Many peop...
Source: Australian Health Review - October 12, 2015 Category: Hospital Management Authors: Lee L, Heffernan M, McDonnell G, Short SD, Naganathan V Tags: Aust Health Rev Source Type: research

Point prevalence of suboptimal footwear features among ambulant older hospital patients: implications for fall prevention.
Conclusions Admitted patients frequently use footwear with 'suboptimal' features for ambulation in hospital. While some footwear options (for example well-fitting slippers) could be suited for limited in-hospital ambulation, others are clearly hazardous and might cause falls. Since footwear choices are influenced by multiple factors in this population, footwear education strategies alone may be insufficient to address the problem of hazardous footwear in at-risk patients. Footwear requirements may be more effectively addressed within a multidisciplinary team approach encompassing foot health, mobility and safety.What is kn...
Source: Australian Health Review - October 12, 2015 Category: Hospital Management Authors: Chari SR, McRae P, Stewart MJ, Webster J, Fenn M, Haines TP Tags: Aust Health Rev Source Type: research

Benefit of hindsight: systematic analysis of coronial inquest data to inform patient safety in hospitals.
Conclusions The analysis provided a retrospective review of coronial inquest data associated with hospital care over a 20-year period. The findings highlight specific areas of concern for patient safety over that time. More broadly, this analysis contributes to an emerging body of evidence in the Australian academic literature that demonstrates the value of systematic analysis of coronial data at a system level to inform patient safety improvement in Australian healthcare.What is known about the topic? Australian coroners have an important role to play in public health and safety. Many areas of social inquiry across Austra...
Source: Australian Health Review - October 12, 2015 Category: Hospital Management Authors: Pudney V, Grech C Tags: Aust Health Rev Source Type: research

Structured social relationships: a review of volunteer home visiting programs for parents of young children.
Conclusion In recognition of the importance of peer support for new parents, the not-for-profit sector has been involved in providing volunteer home visiting services to families for decades. However, the body of research to support this work is characterised by methodological limitations, and rigorous evidence is limited. What is clear anecdotally and qualitatively from the existing research is that parents who are in need of additional support value engagement with a community volunteer. These structured social relationships appear to fulfil a service need within the community, helping build bridges to support social net...
Source: Australian Health Review - October 12, 2015 Category: Hospital Management Authors: Byrne F, Grace R, Tredoux J, Kemp L Tags: Aust Health Rev Source Type: research

Healthcare-associated infections in Australia: is it time for national surveillance?
PMID: 26456886 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - October 12, 2015 Category: Hospital Management Authors: Shalit N Tags: Aust Health Rev Source Type: research

Selecting cases for feedback to pre-hospital clinicians ? a pilot study.
Conclusion A modest proportion of cases demonstrated discordance between the pre-hospital and in-hospital diagnoses. Selective case identification and feedback to pre-hospital services using a combination of informatics extraction and clinician consensus approach can be used to promote ongoing improvements to pre-hospital patient care.What is known about the topic? Highly trained pre-hospital clinicians perform patient assessments and early interventions while transporting patients to healthcare facilities for ongoing management. Feedback is necessary to allow for continual improvements; however, the provision of formal se...
Source: Australian Health Review - October 5, 2015 Category: Hospital Management Authors: Brichko L, Jennings P, Bain C, Smith K, Mitra B Tags: Aust Health Rev Source Type: research

An express sexual health service: in and out in a jiffy.
Conclusions The express service was well received by clients and has the potential to improve client waiting times, increase clinic capacity and improve the overall client journey through the clinic.What is known about the topic? Express service options for testing for sexually transmitted infections (STIs) are being introduced both in Australia and overseas. Express services have been shown to increase clinic capacity and can create cost savings. They appear to be acceptable to clients.What does this paper add? This paper demonstrates that an express service option can be successfully introduced in an at-risk multicultura...
Source: Australian Health Review - October 5, 2015 Category: Hospital Management Authors: Harrison P, Ooi C, Schlub TE Tags: Aust Health Rev Source Type: research

Report on the 4-h rule and National Emergency Access Target (NEAT) in Australia: time to review.
Conclusions Time-based access targets for emergency presentations are associated with significant improvements in in-hospital mortality for emergency admissions. However, other patient-important outcomes are deserving of attention, choice of targets needs to be validated by empirical evidence of patient benefit and single targets need to be partitioned into separate targets pertaining to admitted and discharged patients.What is known about the topic? Time targets for emergency care originated in the UK. The introduction of NEAT in Australia has been controversial. NEAT directs that a certain proportion of patients will be ...
Source: Australian Health Review - October 5, 2015 Category: Hospital Management Authors: Staib A, Sullivan C, Griffin B, Bell A, Scott I Tags: Aust Health Rev Source Type: research

Picture of the health status of Aboriginal children living in an urban setting of Sydney.
Conclusions Aboriginal children living in this urban setting had high levels of need. Routinely recorded data were suboptimal for monitoring local health status and needed to reflect national and state health indicators. Routinely collected data can identify service gaps and guide service development.What is known about this topic? Despite improvements in some areas, there continue to be significant gaps in maternal and child health outcomes between Aboriginal and non-Aboriginal Australians. These are poorly documented at a local service level.What does this paper add? Intensive, local services offered to Aboriginal women ...
Source: Australian Health Review - September 28, 2015 Category: Hospital Management Authors: Gardner S, Woolfenden S, Callaghan L, Allende T, Winters J, Wong G, Caplice S, Zwi K Tags: Aust Health Rev Source Type: research

Hospital-based education support for students with chronic health conditions.
Conclusions All Australian states and territories make provision for hospitalised students to continue with their education, however the services in some states are closer to the best-practice model than others.What is known about the topic? It is well known that children and young people living with health conditions are at higher risk of educational underachievement and premature disengagement from school than their healthy peers. Although each state and territory across Australia offers some form of educational support to students during periods of hospitalisation, this support differs widely in each jurisdiction in fun...
Source: Australian Health Review - September 28, 2015 Category: Hospital Management Authors: Hopkins LJ Tags: Aust Health Rev Source Type: research

Clinical supervision for allied health staff: necessary but not sufficient.
Conclusions Although clinical supervision is included as a pillar of clinical governance, current practice may not be effective in addressing clinical risk. Australian health services need clear organisational policies that outline the relationship between supervisor and supervisee, the role and responsibilities of managers, the involvement of patients and the types of situations to be communicated to the line managers.What is known about the topic? Clinical supervision for allied health professionals is an essential component of clinical governance and is aimed at ensuring safe and high-quality care. However, there is var...
Source: Australian Health Review - September 28, 2015 Category: Hospital Management Authors: Leggat SG, Phillips B, Pearce P, Dawson M, Schulz D, Smith J Tags: Aust Health Rev Source Type: research

Effects of socioeconomic disadvantage on renal failure hospital admissions in Victoria.
PMID: 26386545 [PubMed - as supplied by publisher] (Source: Australian Health Review)
Source: Australian Health Review - September 21, 2015 Category: Hospital Management Authors: Ore T Tags: Aust Health Rev Source Type: research

Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study.
Conclusion Frequent bed moves affect patient safety and prolong length of stay.What is known about the topic? Retrospective and qualitative studies suggest that patient safety and costs may be affected by frequent patient moves.What does this paper add? The present study is the first prospective study to assess the negative effects of frequent patient moves on specific patient outcomes, such as adverse events, length of stay and satisfaction with care.What are the implications for practitioners? Within- and between-ward moves may affect patient safety. Patients should be moved only when there is a clear and unavoidable rea...
Source: Australian Health Review - September 21, 2015 Category: Hospital Management Authors: Webster J, New K, Fenn M, Batch M, Eastgate A, Webber S, Nesbit A Tags: Aust Health Rev Source Type: research

Service distribution and models of rural outreach by specialist doctors in Australia: a national cross-sectional study.
Conclusions Service distribution and models of outreach vary according to where specialists live as well as the practice sector of rural specialists. Multilevel policy and planning is needed to manage the risks and benefits of different service patterns by metropolitan and rural specialists so as to promote integrated and accessible services.What is known about this topic? There are numerous case studies describing outreach by specialist doctors. However, there is no systematic evidence describing the distribution of rural outreach services and models of outreach by specialists living in different locations and the broad-l...
Source: Australian Health Review - September 21, 2015 Category: Hospital Management Authors: O'Sullivan BG, McGrail MR, Joyce CM, Stoelwinder J Tags: Aust Health Rev Source Type: research

Future of medical engagement.
Abstract Although it has long been recognised that doctors play a crucial role in the effectiveness and efficiency of health organisations, patient experience and clinical outcomes, over the past 20 years the topic of medical engagement has started to garner significant international attention. Australia currently lags behind other countries in its heedfulness to, and evidence base for, medical engagement. This Perspective piece explores the link between medical engagement and health system performance and identifies some key questions that need to be addressed in Australia if we are to drive more effective engage...
Source: Australian Health Review - September 21, 2015 Category: Hospital Management Authors: Dickinson H, Bismark M, Phelps G, Loh E Tags: Aust Health Rev Source Type: research

Evaluation of a hybrid paper?electronic medication management system at a residential aged care facility.
Conclusion Medication discrepancies and delays were common. Improved systems for managing medication orders and charts are needed.What is known about the topic? Hybrid paper-electronic medication management systems, in which prescribers' orders are transcribed into an electronic system by pharmacy technicians and pharmacists to create medication administration charts, are increasingly replacing paper-based medication management systems in Australian residential aged care facilities. The accuracy and safety of these systems has not been studied.What does this paper add? The present study identified discrepancies between gen...
Source: Australian Health Review - September 21, 2015 Category: Hospital Management Authors: Elliott RA, Lee CY, Hussainy SY Tags: Aust Health Rev Source Type: research

Understanding the perspectives of health service staff on the Friends and Family Test.
Conclusions Majority of respondents based their perceptions on personal expectations, with smaller numbers citing personal experience and hearsay. Staff would need to see changes both in the quality of care and management practice to amend their recommendation on the Friends and Family Test.What is known about the topic? The Friends and Family Test is seen as a useful tool to gather the opinions of patients and staff on the patient experience, yet there has been little validation of this question.What does this paper add? The present study suggests that, as currently worded, the question does not reliably report staff perc...
Source: Australian Health Review - September 21, 2015 Category: Hospital Management Authors: Leggat SG Tags: Aust Health Rev Source Type: research

Emergency response readiness for primary school children.
Abstract Objective The aim of the present study was to determine whether a 1-day basic life support (BLS) training program can significantly increase emergency response readiness for primary school children.Methods One hundred and seven children aged 11-12 years completed a program led by surf lifesaving instructors. A 50-item quiz was administered 1 week before and 1 and 8 weeks after training.Results Significant improvements were gained in knowledge of cardiopulmonary resuscitation (CPR; P
Source: Australian Health Review - September 14, 2015 Category: Hospital Management Authors: Wilks J, Kanasa H, Pendergast D, Clark K Tags: Aust Health Rev Source Type: research

Medical innovation laws: an unnecessary innovation.
Conclusions The law not only supports innovation and development in medical treatment but encourages it as central to a functioning medical system. There is no need to introduce specific laws aimed at medical innovation; to do so represents an unnecessary legal innovation and serves to complicate matters.What is known about the topic? Over recent months, there has been a great deal of discussion surrounding the law in the context of medical innovation. This was driven by the attempts in the UK to introduce specific laws in the Medical Innovation Bill. The general subject matter - negligence and the expected standard of car...
Source: Australian Health Review - September 14, 2015 Category: Hospital Management Authors: Richards B Tags: Aust Health Rev Source Type: research

Incremental cost-effectiveness of trauma service improvements for road trauma casualties: experience of an Australian major trauma centre.
Conclusion Trauma service funding enhancements that enabled a quality improvement program at a single major trauma centre were found to be cost-effective based on current international and Australian standards.What is known about this topic? Trauma quality improvement programs have been implemented across most designated trauma hospitals in an effort to improve hospital care processes and outcomes for injured patients. These involve a combination of education and training, the use of audit and key performance indicators.What does this paper add? A trauma quality improvement program initiated at an Australian Major Trauma C...
Source: Australian Health Review - September 14, 2015 Category: Hospital Management Authors: Dinh MM, Bein KJ, Hendrie D, Gabbe B, Byrne CM, Ivers R Tags: Aust Health Rev Source Type: research

New Zealand patients.
Conclusion The findings of the present study suggest that although most patients have experienced brand changes without any problems occurring, a lack of knowledge about substitution does persist. There may be some additional gain in ensuring New Zealanders are aware of the full cost of their medicines at the point of dispensing to reinforce the benefits of the Pharmaceutical Management Agency (PHARMAC) purchasing model.What is known about the topic? Generic reference pricing is used as a mechanism to make savings to pharmaceutical budgets; however, reticence to the use of generic medicines persists.What does this paper ad...
Source: Australian Health Review - September 14, 2015 Category: Hospital Management Authors: Lessing C, Ashton T, Davis P Tags: Aust Health Rev Source Type: research

Learning in the workplace: the role of Nurse Managers.
Conclusions This study purports that NMs influence workplace learning in ways that are seldom recognised. A more conscious understanding of the impact of their role can enable NMs to more purposefully influence workplace learning. Such understanding also has implications for the professional preparation of NMs for their role in the context of workplace learning, facilitating learning for change and enabling the advancement of quality and safety in healthcare.What is known about the topic? Studies exploring the influence of Nurse Managers in workplace learning have been limited to their role in the facilitation of formal le...
Source: Australian Health Review - September 14, 2015 Category: Hospital Management Authors: Yen M, Trede F, Patterson C Tags: Aust Health Rev Source Type: research

National dental waitlists: what would it take to reset to zero?
Conclusion The design of the Australian public dental care system that is targeted at meeting the needs of eligible patients into the future, in addition to being effective and sustainable, must also offer a level of protection to the taxpayer. The ability to address waitlist backlog identified in the present study clearly would require a mix of service models depending on service availability at different locations. Further research is needed to optimise the mix of service providers to address community needs.What is known about the topic? Long public dental waitlists across Australia have received much attention from the...
Source: Australian Health Review - September 14, 2015 Category: Hospital Management Authors: Dudko Y, Kruger E, Tennant M Tags: Aust Health Rev Source Type: research

Two heads are better than one: Australian tobacco control experts.
Conclusions Collaboration would raise the priority of the issue, reduce the debilitating effect of stigma and discrimination within the mental health sector and would place smoking reduction firmly on the political and public agenda. A recovery-orientated focus would increase the skill base and be inclusive of workers, families and carers of people with mental illness who face smoking issues on a daily basis. Reconceptualising this as an issue that would benefit from cooperation and partnerships would disrupt the notion that the problem is solely the responsibility of the mental health sector.What is known about the topic?...
Source: Australian Health Review - September 14, 2015 Category: Hospital Management Authors: Rowley D, Lawn S, Coveney J Tags: Aust Health Rev Source Type: research

A new venture in interdisciplinary student learning in a co-located health service.
The objectives of the program were for students to: (1) understand the range of patient needs in primary healthcare (PHC); (2) identify circumstances in which the involvement of another professional may benefit patients; and (3) learn more about team work. Despite barriers, the practice environment was found to be suitable for student learning. Program modifications were made in response to the need for scheduled time for clinic staff to work with students, non-simultaneous student placements, a need for a coordinator, the availability of discipline-specific supervision and the need to provide incentives for students to pa...
Source: Australian Health Review - September 7, 2015 Category: Hospital Management Authors: Powell K, Stocks N, Laurence C Tags: Aust Health Rev Source Type: research

Hospital employees.
This study examines the relationships between job satisfaction and organisational justice during a time of transformational change.Methods Data collection occurred immediately before a major regional hospital's move to a greenfield site. Existing measures of job satisfaction and organisational justice were used. Data were analysed (n = 316) using descriptive, correlation and regression methods together with interactions between predictor variables.Results Correlation coefficients for satisfaction and organisational justice variables were high and significant at the P
Source: Australian Health Review - September 7, 2015 Category: Hospital Management Authors: Brandis S, Fisher R, McPhail R, Rice J, Eljiz K, Fitzgerald A, Gapp R, Marshall A Tags: Aust Health Rev Source Type: research

Innovative medical devices and hospital decision making: a study comparing the views of hospital pharmacists and physicians.
Conclusions The present study highlights differences in perceptions related to professional affiliation. The findings suggest several ways in which current practices for local health technology assessment in French university hospitals could be improved and studied.What is known about the topic? Hospitals are faced with ever-growing demands for innovative and costly medical devices. To help hospital management deal with technology acquisition issues, hospital-based health technology assessment has been developed to support decisions. However, little is known about the different perceptions of innovative medical devices amo...
Source: Australian Health Review - September 7, 2015 Category: Hospital Management Authors: Billaux M, Borget I, Prognon P, Pineau J, Martelli N Tags: Aust Health Rev Source Type: research

Reducing hospitalisation among people living with severe mental illness.
Conclusions The findings of the present study add support to the hypothesis that supported housing and recovery-oriented support can be effective approaches to reducing hospital admissions for people with chronic mental illness, and that these changes can be sustained over time.What is known about this topic? People living with severe mental illness are heavy users of health and hospitalisation services. Research into the effects of partnership programs on preventing unnecessary admissions is limited because of short periods of comparison and small sample sizes.What does this paper add? The present study extends previous r...
Source: Australian Health Review - September 7, 2015 Category: Hospital Management Authors: McDermott S, Bruce J, Muir K, Ramia I, Fisher KR, Bullen J Tags: Aust Health Rev Source Type: research

Haematology patients.
Conclusions There are a group of patients who have experiences that lead them to distrust non-metropolitan hospitals and motivate them to travel long distances to attend specialist treating centres for 'quality' care. The literature affirms the concerns of this group. It is the hope and expectation in publishing this article that these patients' concerns will be taken into consideration in the development of health services and policy so that eventually all regional, rural and remote patients will be provided with equitable choice with regard to the location of accessing specialist care.What is known about the topic? The l...
Source: Australian Health Review - August 31, 2015 Category: Hospital Management Authors: McGrath P Tags: Aust Health Rev Source Type: research

Models of care involving district hospitals: a rapid review to inform the Australian rural and remote context.
Conclusion District hospitals play an important role in the delivery of care, particularly at key times in a person's life (birth, death, episodes of illness). They enable people to remain in or near their own community with support from a range of services. They also play an important role in the essential fabric of the community and the vertical integration of the health services.What is known about the topic? Little has been published on the function of small-to-medium district hospitals in rural and remote Australia, and almost nothing is known about models of care that are relevant to these settings.What does this pap...
Source: Australian Health Review - August 17, 2015 Category: Hospital Management Authors: Nancarrow SA, Roots A, Grace S, Saberi V Tags: Aust Health Rev Source Type: research

Who is less likely to die in association with improved National Emergency Access Target (NEAT) compliance for emergency admissions in a tertiary referral hospital?
Abstract Objective The aim of the present study was to identify patient and non-patient factors associated with reduced mortality among patients admitted from the emergency department (ED) to in-patient wards in a major tertiary hospital that had previously reported a near halving in mortality in association with a doubling in National Emergency Access Target (NEAT) compliance over a 2-year period from 2012 to 2014.Methods We retrospectively analysed routinely collected data from the Emergency Department Information System (EDIS) and hospital discharge abstracts on all emergency admissions during calendar years 20...
Source: Australian Health Review - August 17, 2015 Category: Hospital Management Authors: Sullivan C, Staib A, Eley R, Griffin B, Cattell R, Flores J, Scott I Tags: Aust Health Rev Source Type: research

Using evaluation to improve medical student rural experience.
Conclusions The interventions contributed to a more effective rural medical education experience, providing students with the opportunity to develop skills and knowledge relevant for rural medicine and to gain an understanding of the context in which rural medicine is practiced.What is known about the topic? Many Australian medical schools offer students rural-based educational opportunities based on the premise that placing medical students in a rural setting may ultimately lead to them choosing careers in rural medicine. However, there is a paucity of evidence on the factors that are considered necessary for medical stud...
Source: Australian Health Review - August 10, 2015 Category: Hospital Management Authors: Moffatt JJ, Wyatt JE Tags: Aust Health Rev Source Type: research

Employment patterns of Notre Dame graduate physiotherapists 2006?12: targeting areas of workforce need.
Conclusion The present study highlights the effect of directing undergraduate curriculum and clinical placement experiences towards areas of workforce need. The findings identify the importance of producing graduates equipped to meet the changing service needs of the healthcare industry.What is known about the topic? No previous studies have been conducted on the employment patterns of Notre Dame physiotherapy graduates and specifically the impact of targeting curriculum and clinical placements towards areas of workforce need.What does this paper add? Through a self-administered survey design, the present study demonstrate...
Source: Australian Health Review - August 10, 2015 Category: Hospital Management Authors: Bacopanos E, Edgar S Tags: Aust Health Rev Source Type: research