MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Australian Health Review' source. Sat, 10 Oct 2009 19:28:16 +0100 http://www.medworm.com/index.php?rid=2562948&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563305%26dopt%3DAbstract Authors: Löfgren H PMID: 19563305 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562948 Thu, 30 Apr 2009 23:00:00 +0100 2562948 http://www.medworm.com/index.php?rid=2562947&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563306%26dopt%3DAbstract This article examines the potential impact of these changes on the PBS and pharmaceutical policy in Australia more broadly. PMID: 19563306 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562947 Thu, 30 Apr 2009 23:00:00 +0100 2562947 http://www.medworm.com/index.php?rid=2562946&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563307%26dopt%3DAbstract This article argues that recent reforms to the PBS partially delivered on an issue that the US has compelled its trade negotiators to ensure since 2002: the elimination of reference pricing. In Australia, reference pricing, as used by the PBS, had been credited with obtaining money when buying new medicines. PMID: 19563307 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562946 Thu, 30 Apr 2009 23:00:00 +0100 2562946 http://www.medworm.com/index.php?rid=2562945&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563308%26dopt%3DAbstract Authors: Robertson J, Walkom EJ, Henry DA Australia's system for assessing the cost-effectiveness of drugs for listing under the Pharmaceutical Benefits Scheme (PBS) is recognised internationally. A variety of mechanisms, such as evidence-based rules for determining eligibility for initial or continuing subsidy, price-volume agreements, rebates, and caps on government expenditure are used to contain PBS expenditures. In this paper we assess the extent of use of special pricing arrangements in Australia and how and where they are communicated to health professionals and the community. We searched publicly available documents published by the Pharmaceutical Benefits Advisory Committee (PBAC) and the Pharmaceutical Benefits Pricing Authority (PBPA). We found 73 medicines where special pri... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562945 Thu, 30 Apr 2009 23:00:00 +0100 2562945 http://www.medworm.com/index.php?rid=2562944&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563309%26dopt%3DAbstract This article reports the results of an analysis comparing dispensed prices for the most commonly prescribed and the highest cost items in Australia with dispensed prices in the US. Although a large majority of items are less expensive in Australia than in the US, Australian prices are higher for a substantial number of products, particularly generic drugs. This article examines various policies affecting the pricing of generics in Australia. It is postulated that the main cause for higher prices for a substantial number of generic products is the lack of price competition. This results from government policy which ensures that a price reduction by one company is communicated immediately to all competitors in that market along with an invitation to match the reduced price. The dominant stra... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562944 Thu, 30 Apr 2009 23:00:00 +0100 2562944 http://www.medworm.com/index.php?rid=2562943&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563310%26dopt%3DAbstract This article discusses the impact on patients of changes in copayments and safety net thresholds (SNT) within the Pharmaceutical Benefits Scheme (PBS). Trends in the nominal and real values of copayments and SNTs are examined, as are changes in the numbers of types of patients. The relationship between the number of safety net cardholders and copayments and SNTs is estimated. Increases in the number of copayments necessary to reach the safety net threshold restrict the number of patients able to benefit from this provision. Policy for determining the levels of copayments and safety net thresholds needs to be put on a rationale basis in a way similar to the determination of prices for PBS medicines. PMID: 19563310 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562943 Thu, 30 Apr 2009 23:00:00 +0100 2562943 http://www.medworm.com/index.php?rid=2562942&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563311%26dopt%3DAbstract Authors: Doran E, Robertson J In this paper we argue that Australia's pharmaceutical cost sharing policy has been applied as if cost sharing is unproblematic for medicine affordability and good health outcomes. Australian and international experience with pharmaceutical cost sharing strongly suggests a negative impact on affordability and quality use of medicines, disproportionately affecting low income patients. We argue that Australia's use of cost sharing reflects the currency of a cognitively powerful and morally charged idea - moral hazard. Moral hazard refers to the change in behaviour induced by insurance coverage. Applied to pharmaceuticals, this means that low out-of-pocket cost will lead to waste. Moral hazard mixes the explanatory power of price with the intuitively cogent n... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562942 Thu, 30 Apr 2009 23:00:00 +0100 2562942 http://www.medworm.com/index.php?rid=2562941&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563312%26dopt%3DAbstract Authors: Lopert R PMID: 19563312 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562941 Thu, 30 Apr 2009 23:00:00 +0100 2562941 http://www.medworm.com/index.php?rid=2562940&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563313%26dopt%3DAbstract This article explores, through economic analysis, the rationale for this decision and the strategies chosen for linking into the global bio-economy with the objective of catching up in biopharmaceuticals. The paper identifies three comparative advantages enjoyed by these countries in the biopharma sector: (1) public investments in basic research; (2) private investments in phase 1 clinical trials; and (3) a potentially significant contract research industry managing latter-stage clinical trials. Governments employ a range of industrial policies, consistent with these comparative advantages, to promote the biopharmaceutical industry, including public investment in biomedical hubs, research funding and research and development (R&D) tax credits. We argue that the most important feature o... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562940 Thu, 30 Apr 2009 23:00:00 +0100 2562940 http://www.medworm.com/index.php?rid=2562939&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563314%26dopt%3DAbstract This article challenges that proposition and seeks to explore what features of nanomedicines may create unique or heightened policy challenges for government systems of cost-effectiveness regulation. The Australian Pharmaceutical Benefits Scheme (PBS) is a key exemplar of the latter type of regulation in that it links expert scientific evaluation of cost-effectiveness with the pricing of PBS-listed drugs. In the current global financial crisis such systems are likely to become increasingly attractive and how they handle the demands made upon them by nanomedicines (including by application of a variation of the precautionary principle) is likely to be of considerable interest to policy makers worldwide. PMID: 19563314 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562939 Thu, 30 Apr 2009 23:00:00 +0100 2562939 http://www.medworm.com/index.php?rid=2562938&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563315%26dopt%3DAbstract Authors: Liaw ST, Peterson G The Australian National Medicines Policy embodies four tenets: availability, quality, safety and efficacy of medicines; timely access to affordable medicines; quality use of medicines (QUM); and a responsible and viable medicines industry. The promotion of QUM requires a multidisciplinary approach, including contributions from government, the pharmaceutical industry, health professionals, consumers and academia. However, there are significant tensions and unintended effects associated with the multidisciplinary approach, especially with the relationships between prescribers and dispensers of medicines. The general practitioner and the pharmacist share a common ancestor - the apothecary. The separation of dispensing from prescribing, which began in medieval ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562938 Thu, 30 Apr 2009 23:00:00 +0100 2562938 http://www.medworm.com/index.php?rid=2562937&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563316%26dopt%3DAbstract Authors: J Harvey K In 2003, the Therapeutic Goods Administration instituted a major recall of products made by Pan Pharmaceuticals Limited. Later that year, an expert committee produced 49 recommendations for complementary medicines reform, many of which were to be implemented by the proposed Australia New Zealand Therapeutic Products Authority (ANZTPA). In 2008, the Pan Pharmaceuticals affair reached some conclusion in the courts, the ANZTPA had been abandoned and the case for reform had intensified. There was widespread and increasing use of complementary medicines yet consumers were often unaware that, unlike conventional medicines, these medicines were not evaluated for efficacy. The justification of this two-tiered regulatory system was that complementary medicines are relatively... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562937 Thu, 30 Apr 2009 23:00:00 +0100 2562937 http://www.medworm.com/index.php?rid=2562936&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563317%26dopt%3DAbstract Authors: Bollen MD, Whicker SD PMID: 19563317 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562936 Thu, 30 Apr 2009 23:00:00 +0100 2562936 http://www.medworm.com/index.php?rid=2562935&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563318%26dopt%3DAbstract Authors: Löfgren H PMID: 19563318 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562935 Thu, 30 Apr 2009 23:00:00 +0100 2562935 http://www.medworm.com/index.php?rid=2562934&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563319%26dopt%3DAbstract Authors: Benner M PMID: 19563319 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562934 Thu, 30 Apr 2009 23:00:00 +0100 2562934 http://www.medworm.com/index.php?rid=2562933&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563320%26dopt%3DAbstract Authors: Yarmo-Roberts D PMID: 19563320 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562933 Thu, 30 Apr 2009 23:00:00 +0100 2562933 http://www.medworm.com/index.php?rid=2562932&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563321%26dopt%3DAbstract Authors: Roydhouse JK PMID: 19563321 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562932 Thu, 30 Apr 2009 23:00:00 +0100 2562932 http://www.medworm.com/index.php?rid=2562931&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563322%26dopt%3DAbstract Authors: Bradfield OM Twelve months ago, the Australian Medical Association (AMA) called upon the Federal Labor Government to im1plement a previous coalition policy allowing general practitioners to directly refer patients for magnetic resonance imaging (MRI) scans of the knee and brain. To support their position, the AMA commissioned a University of Sydney report evaluating the health care and economic outcomes of the policy. The AMA reported that the results supported the policy and would result in a $42 million saving from fewer computed tomography (CT) scans and fewer specialist referrals and consultations. Arguably, this was not an accurate portrayal of the results. Further research is needed, and ongoing dialogue with radiologists and other key stakeholders is urged, to ensure th... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562931 Thu, 30 Apr 2009 23:00:00 +0100 2562931 http://www.medworm.com/index.php?rid=2562930&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563323%26dopt%3DAbstract This article draws on qualitative research in several Victorian public maternity units to consider the challenges to inter-professional collaboration. It reports what doctors and midwives looked for in colleagues they liked to work with - the attributes of a "good doctor" or a "good midwife". Although their ideals did not entirely match, both groups respected skill and hard work and sought mutual trust, respect and accountability. Yet effective working together is limited both by tensions over role boundaries and power and by incivility that is intensified by increasing workloads and a fragmented labour force. The skills and qualities that form the basis of "professional courtesy" need to be recognised as essential to good collaborative practice. PMID: 19563323 [PubMed - in process] (S... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562930 Thu, 30 Apr 2009 23:00:00 +0100 2562930 http://www.medworm.com/index.php?rid=2562929&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563324%26dopt%3DAbstract CONCLUSIONS: The majority of people at high risk of CVD were not receiving LLT, and LLT is not being used to its full effectiveness. People with low incomes or on government benefits or pensions were not less likely to use LLT than others under the PBS scheme. Whether higher copayments for those on low incomes who do not qualify for concessional payments is a significant barrier to LLT use needs further research. PMID: 19563324 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562929 Thu, 30 Apr 2009 23:00:00 +0100 2562929 http://www.medworm.com/index.php?rid=2562928&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19563325%26dopt%3DAbstract We describe the process recently undertaken to translate and revise the patient safety indicators (PSIs) so they can be of use with ICD-10-AM. The initial translation (electronic mapping, review and revision by expert coder, programming of codes and testing on data from 1996-1998 [ICD 9-CM] to 1998-2006 [ICD-10-AM, through 4 editions]) found that differences between ICD-9-CM and ICD-10-AM datasets presented some challenges. After this phase, which was faithful to AHRQ's case definitions, the indicators were refined for use with the condition onset flag, resulting in the AusPSIs. PMID: 19563325 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2562928 Thu, 30 Apr 2009 23:00:00 +0100 2562928 http://www.medworm.com/index.php?rid=2205816&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19226710%26dopt%3DAbstract Authors: Leggat SG PMID: 19226710 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2205816 Sun, 01 Feb 2009 05:00:00 +0100 2205816 http://www.medworm.com/index.php?rid=2205815&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19226712%26dopt%3DAbstract Authors: Yarmo-Roberts D PMID: 19226712 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2205815 Sun, 01 Feb 2009 05:00:00 +0100 2205815 http://www.medworm.com/index.php?rid=2202294&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203334%26dopt%3DAbstract We present a qualitative evaluation of a clinical orientation program for medical registrars within the Wellington region in New Zealand, designed and implemented by current advanced registrars. This program was intended to improve the transition from house officer to medical registrar. The program was qualitatively evaluated using focus groups comprising participants, presenters and senior nursing staff. Purposive samples were drawn from each of these groups. The most significant finding was the perception of enhanced professional collegiality among medical staff. There were benefits to participants and presenters with improved communication between medical registrars. We believe there are individual, institutional and patient care benefits with a region-specific, clinical orientation for... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2202294 Sun, 01 Feb 2009 05:00:00 +0100 2202294 http://www.medworm.com/index.php?rid=2178499&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203328%26dopt%3DAbstract Authors: Blackwell S, Gibson K, Combs S, Davidson R, Drummond C, Olsson H, O'Neill B PMID: 19203328 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178499 Sun, 01 Feb 2009 05:00:00 +0100 2178499 http://www.medworm.com/index.php?rid=2178498&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203329%26dopt%3DAbstract This article describes a quality improvement project to develop a flag for mental health workers to prompt decisions regarding discharge and transfer using the Health of the Nation Outcome Scales (HoNOS). Relevant literature and HoNOS data collected as part of routine clinical practice were reviewed to develop the flag. The implementation process is described along with plans for future developments. PMID: 19203329 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178498 Sun, 01 Feb 2009 05:00:00 +0100 2178498 http://www.medworm.com/index.php?rid=2178497&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203330%26dopt%3DAbstract CONCLUSIONS: The higher labour turnover among allied health staff compared with the nursing staff reported by the agency implies a substitution of labour between the two professions to ensure that the needs of clients are met. Health policy makers and health care professional educators need to acknowledge that workforce shortages will inevitably reshape professional boundaries. Leaving labour-force substitution undiscussed and unplanned may compromise the quality and safety of care. PMID: 19203330 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178497 Sun, 01 Feb 2009 05:00:00 +0100 2178497 http://www.medworm.com/index.php?rid=2178496&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203331%26dopt%3DAbstract Authors: Turnbull C, Grimmer-Somers K, Kumar S, May E, Law D, Ashworth E There is no standard or agreed definition of "allied health" nationally or internationally. This paper reviews existing definitions of allied health, and considers aspects of allied health services and service delivery in order to produce a new model of allied health that will be flexible in a changing health service delivery workforce. We propose a comprehensive model of allied, scientific and complementary (ASC) health professionals. This model recognises tasks, training, organisation, health sectors and professional regulation. It incorporates traditional and new services which are congruent with allied health foci, allegiances, responsibilities and directions. Use of this model will allow individual organisati... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178496 Sun, 01 Feb 2009 05:00:00 +0100 2178496 http://www.medworm.com/index.php?rid=2178495&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203332%26dopt%3DAbstract Authors: Dean CM, Stark AM, Gates CA, Czerniec SA, Hobbs CL, Bullock LD, Kolodziej I The purpose of the study was to examine clinical education placement data to generate a profile of providers and examine the students' exposure to health care and educational factors during clinical education. A retrospective audit of clinical placement rosters was undertaken for 3 calendar years (2001-2003). Data were analysed overall and by clinical school for sites and placements, public or private sector and type of placement. Over the 3-year period, 209 sites provided 3475 clinical placements, with the number of placements increasing from 1066 placements in 2001 to 1133 in 2002 and to 1276 in 2003. Overall, 72.2% of placements were located in metropolitan Sydney. The proportion from regional provi... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178495 Sun, 01 Feb 2009 05:00:00 +0100 2178495 http://www.medworm.com/index.php?rid=2178494&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203333%26dopt%3DAbstract CONCLUSIONS: Traditional forms of CME were more popular than modern CME approaches, such as e-learning. Australian doctors had a positive attitude towards undertaking CME despite struggling to find time to perform CME. The differences in attitudes towards CME demonstrated between specialties and different practice location will aid future CME planning. PMID: 19203333 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178494 Sun, 01 Feb 2009 05:00:00 +0100 2178494 http://www.medworm.com/index.php?rid=2178493&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203334%26dopt%3DAbstract We present a qualitative evaluation of a clinical orientation program for medical registrars within the Wellington region in New Zealand, designed and implemented by current advanced registrars. This program was intended to improve the transition from house officer to medical registrar. The program was qualitatively evaluated using focus groups comprising participants, presenters and senior nursing staff. Purposive samples were drawn from each of these groups. The most significant finding was the perception of enhanced professional collegiality among medical staff. There were benefits to participants and presenters with improved communication between medical registrars. We believe there are individual, institutional and patient care benefits with a region-specific, clinical orientation for... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178493 Sun, 01 Feb 2009 05:00:00 +0100 2178493 http://www.medworm.com/index.php?rid=2178492&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203335%26dopt%3DAbstract This study included semi-structured qualitative interviews and a questionnaire to collect demographic data and household details for a purposeful sample of 38 mothers and 24 fathers from four socioeconomic areas of metropolitan South Australia who had at least one child aged between 1 and 6 years of age. The participants reported that birth experiences within the predominantly medicalised maternity system were at odds with the expectations of a significant proportion of contemporary consumers that maternity care will leave them not only with a healthy mother and baby, but also with no undue adverse impacts on their physical, mental and relationship health. There appears to be no formal mechanism in place for regular consumer feedback of experiences into system and service planning. PMI... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178492 Sun, 01 Feb 2009 05:00:00 +0100 2178492 http://www.medworm.com/index.php?rid=2178491&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203336%26dopt%3DAbstract Authors: Donaldson LH, Brooke K, Faux SG A file review of patients presenting to the Emergency Department of St Vincent's Hospital with fractures sustained in a road crash was completed to describe patterns of orthopaedic injury, acute intervention and separation as well as the cost of care for adult road crash victims. One-hundred and eighty-seven patients were included. 65.8% were male; 48.1% were pedestrians. Differing patterns of injury corresponded to the role of the patient in the road crash (eg, pedestrian, driver of vehicle, etc). The mean length of stay was 8.8 days. 35.2% of patients were prescribed a different analgesic at discharge to that which they had received in the previous 24 hours. 35.8% had a documented discussion regarding insurance matters, usually with a social w... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178491 Sun, 01 Feb 2009 05:00:00 +0100 2178491 http://www.medworm.com/index.php?rid=2178490&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203337%26dopt%3DAbstract This study aimed to examine the direct costs of trauma patients in a Level 1 trauma centre and determine the compensability of those patients. Data on all admitted patients (206) filling trauma criteria were collected prospectively over a 3-month period (November 2006 to January 2007). A 10-question survey was completed on each patient to record mechanism of injury, third party private health insurance or workers compensation, and direct costs were also obtained. 30% of trauma admissions had an injury severity score (ISS)> 15 (n = 62; median ISS =9; range, 1-56). Median length of stay was 3 days (range, 1-126). Almost half (47%) of the patients were involved in road trauma, and 29% in falls. More than half (53.4%) were eligible for compensation (21.8% of patients had full hospital healt... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178490 Sun, 01 Feb 2009 05:00:00 +0100 2178490 http://www.medworm.com/index.php?rid=2178489&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203338%26dopt%3DAbstract Authors: Black J, Lewis T, McIntosh P, Callaly T, Coombs T, Hunter A, Moore L The mandatory use of routine outcome measurement (ROM) has been introduced into all public sector mental health services in Australia over the past 6 years. Qualitative processes were used to engage consumers and carers in suggesting how the measures can be used in clinical practice. The project involved an audit by survey, followed by a range of interactive workshops designed to elicit the views of consumers, carers and clinicians, as well as to involve all parties in dialogue about ROM. In addition, there was engagement of consumers and carers in the training of clinicians in the clinical use of ROM, and in the production of promotional materials aimed at informing consumers and carers about ROM. When consu... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178489 Sun, 01 Feb 2009 05:00:00 +0100 2178489 http://www.medworm.com/index.php?rid=2178488&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203339%26dopt%3DAbstract Authors: Brener L, Treloar CJ To assess whether HCV-positive clients perceive that alcohol and other drug (AOD) staff discriminate against them, this study compared the treatment experiences of 120 HCV-positive clients with those of 120 HCV-negative clients attending the same AOD treatment facility. Despite the overall findings of favourable attitudes of HCV-positive clients toward their health care workers, these attitudes were less positive than those of their HCV-negative counterparts. Clients with HCV also rated their interpersonal treatment by their health care workers less favourably. These findings suggest that HCV-positive clients' attitudes towards their health care workers and their experiences of differential treatment by these health care workers might be a barrier to HCV t... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178488 Sun, 01 Feb 2009 05:00:00 +0100 2178488 http://www.medworm.com/index.php?rid=2178487&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203340%26dopt%3DAbstract CONCLUSIONS: Diabetes, asthma, and COPD are costly conditions in terms of health service use. Costs associated with undiagnosed asthma and COPD are similar to their diagnosed states. Prevention of progression along each chronic disease continuum is likely to reduce costs. PMID: 19203340 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178487 Sun, 01 Feb 2009 05:00:00 +0100 2178487 http://www.medworm.com/index.php?rid=2178486&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203341%26dopt%3DAbstract This study examined local trends in ED attendances by older patients. A retrospective study was conducted at an inner-city adult ED in a region with a 2.2% annual growth rate. Patient demographics, Australasian Triage Scale (ATS) category and admission/discharge status were collected from January 2002 to December 2006. Total ED attendances increased 7.7% from 66 687 in 2002 to 71 801 in 2006. Older patients' attendances, however, decreased 3.1% from 12 356 to 11 971. This decrease in ED attendances by older patients was unexpected. This may represent local population trends and/or be related to ED services designed to manage older patients and nursing home residents in the community. The planning of health services for older people therefore needs to take into consideration the influences ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178486 Sun, 01 Feb 2009 05:00:00 +0100 2178486 http://www.medworm.com/index.php?rid=2178485&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203342%26dopt%3DAbstract Authors: Naylor JM, Harmer AR, Heard RC, Harris IA Most literature reporting the impressive results from knee and hip replacement derives from international data. Few Australian studies have comprehensively compared outcomes after joint replacement up to 1 year. This paper compares the patterns of recovery across physical and patient-centred outcomes following knee or hip replacement in an Australian cohort. One hundred and twenty-two consecutive patients undergoing knee or hip replacement were prospectively followed. Serial assessments were conducted (preoperatively, and 2, 6, 12, 26 and 52 weeks post-surgery). Joint pain, patient's global improvement, timed mobility, and complications were monitored. English-proficient patients completed WOMAC (Western Ontario and McMaster Universiti... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178485 Sun, 01 Feb 2009 05:00:00 +0100 2178485 http://www.medworm.com/index.php?rid=2178484&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203343%26dopt%3DAbstract Authors: Mohd Rosli R, Taylor DM, Knott JC, Das A, Dent AW An analytical, cross-sectional survey of 270 emergency department patients and 92 staff undertaken in three tertiary referral hospital emergency departments was completed to compare the perceptions of patients and staff regarding the use of health smart cards containing patient medical records. The study recorded data on a range of health smart card issues including awareness, privacy, confidentiality, security, advantages and disadvantages, and willingness to use. A significantly higher proportion of staff had heard of the card. The perceived disadvantages reported by patients and staff were, overall, significantly different, with the staff reporting more disadvantages. A significantly higher proportion of patients believed th... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178484 Sun, 01 Feb 2009 05:00:00 +0100 2178484 http://www.medworm.com/index.php?rid=2178483&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203344%26dopt%3DAbstract We report on an initiative undertaken by one of these teams. QUATRO team members attended team meetings of four adult community teams (three metropolitan and one rural) fortnightly over about 3 months. QUATRO staff contributed to discussion of outcome measures during routine clinical review, using local and national outcome measurement data and tools, and their own expertise. Attitudes of clinicians toward ROM in general and the specific instruments were assessed at the beginning and end of the period, and again after about 5 months. Qualitative findings consist of observations of factors that assist and hinder use of ROM. The initiative identified steps that staff can take to make ROM more useful in their work. PMID: 19203344 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178483 Sun, 01 Feb 2009 05:00:00 +0100 2178483 http://www.medworm.com/index.php?rid=2178482&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19203345%26dopt%3DAbstract Authors: Hobbs DA, Close JK, Downing AR, Reynolds KJ, Walker LT Assistive technology (AT) plays a pivotal role in the lives of people who require assistance with one or more aspects of daily living. Ranging from simple devices such as an augmented fork to complex devices like a power wheelchair with integrated environmental control, AT is a broad term to describe a range of products and services that provide assistance. Historically used in the "disability sector", in recent years AT devices have merged into the ageing sector as more Australians develop an impairment through "age-related disability", creating a larger market for equipment that provides independence or restores lost/reduced functionality. Despite the national focus on ageing, Australia lacks a nationally coordinated and... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=2178482 Sun, 01 Feb 2009 05:00:00 +0100 2178482 http://www.medworm.com/index.php?rid=1962319&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980554%26dopt%3DAbstract Authors: Yarmo-Roberts D PMID: 18980554 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1962319 Sat, 01 Nov 2008 04:00:00 +0100 1962319 http://www.medworm.com/index.php?rid=1940749&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980552%26dopt%3DAbstract Authors: Leggat SG PMID: 18980552 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940749 Sat, 01 Nov 2008 04:00:00 +0100 1940749 http://www.medworm.com/index.php?rid=1940748&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980553%26dopt%3DAbstract Authors: Bradfield OM On 26 February 2008, Victorian State Opposition Leader Ted Baillieu described as a "blow out" the increase in average elective surgery waiting times from 202 days in September 2007 to 235 days in February 2008. Likewise, the Australian Medical Association is concerned that 800 000 Australians will leave private health insurance now that the federal government has increased the income threshold for the Medicare levy. They warn of "further pressure" on public hospital waiting lists. Public hospital waiting lists are frequently used for political point scoring and are portrayed by the media and politicians as indicators of health system performance. Alarmingly, governments often develop policies in response. This paper presents the current evidence to see whether wai... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940748 Sat, 01 Nov 2008 04:00:00 +0100 1940748 http://www.medworm.com/index.php?rid=1940747&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980554%26dopt%3DAbstract Authors: Yarmo-Roberts D PMID: 18980554 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940747 Sat, 01 Nov 2008 04:00:00 +0100 1940747 http://www.medworm.com/index.php?rid=1940746&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980555%26dopt%3DAbstract Authors: May J, Cooper R, Magin P, Critchley A While "integration" may be a policy imperative at present, the reality of integrating services whilst managing the business of service delivery and best patient outcomes is both challenging and unfamiliar territory for most general practitioners. Recent policy changes in general practice have challenged traditional financial and governance models. This paper reviews three integrated general practice entities, all under the auspice of the University of Newcastle, for commonalities and concerns. A model was conceptualised and key factors identified and discussed. These factors included careful selection of partners, elucidation of the level of integration and the need for a lead champion to promote the changed environment. The financial and ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940746 Sat, 01 Nov 2008 04:00:00 +0100 1940746 http://www.medworm.com/index.php?rid=1940745&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980556%26dopt%3DAbstract Authors: Coombe LL, Haswell-Elkins MR, Hill PS Health service delivery model reforms are currently underway in Cape York in an effort to improve health outcomes for the Aboriginal and Torres Strait Islander communities. These reforms include the transition of the Apunipima Cape York Health Council from an advocacy agency to a community-controlled health service provider. This paper investigates the literature on existing community governance models and community-controlled health service delivery models, to guide the choice of the most appropriate model for the Cape York health reforms. The evidence collected suggests a new innovative health service delivery model is emerging that will not only improve Indigenous health status, but may also present a more appropriate model for the heal... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940745 Sat, 01 Nov 2008 04:00:00 +0100 1940745 http://www.medworm.com/index.php?rid=1940744&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980557%26dopt%3DAbstract This study aimed to understand the problems within the Indigenous health policy process in Australia and how weaknesses in the process impact on policy implementation. Using semi-structured questions, 23 key stakeholders in the policy-making process were interviewed. Three main themes dominated; a need for increased Indigenous involvement in policy formulation at the senior Australian Government level, increased participation of Indigenous community-controlled health organisations in the policy-making process and, most importantly, ensuring that policies have the necessary resources for their implementation. The emergence of these specific themes demonstrated weaknesses in policy process from the formulation stage onward. Tackling these would, according to our informants, significantly enh... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940744 Sat, 01 Nov 2008 04:00:00 +0100 1940744 http://www.medworm.com/index.php?rid=1940743&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980558%26dopt%3DAbstract This article reviews the development of the national Indigenous performance measurement system over the last decade. Data were collected from the published and unpublished literature and review of government websites, facilitated by key informant interviews which provided information about the policy context. A number of innovations have occurred over the last decade, including the development of a conceptual framework to underpin a system-wide approach to performance measurement that is aligned with nationally agreed strategic goals. The development of mechanisms to oversee Indigenous health strategy and health data development create formal mechanisms that potentially link data development and performance measurement priorities. Innovation in the development of processes to support healt... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940743 Sat, 01 Nov 2008 04:00:00 +0100 1940743 http://www.medworm.com/index.php?rid=1940742&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980559%26dopt%3DAbstract Authors: Coombe LL The health status of Aboriginal and Torres Strait Islander peoples continues to be significantly poorer than Australia's general population. Clearly there is a need for change, hence the renewed interest in transitioning to a community control model for health services as a health intervention. Yet this requires a significant change management process, which is a process developed using Western business philosophies, and may not be applicable for community-controlled services that need to operate within the Aboriginal cultural domain. This paper examines the literature on organisational change management processes, and features of Aboriginal community-controlled health organisations and Aboriginal management styles. It identifies challenges and synergies that can be ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940742 Sat, 01 Nov 2008 04:00:00 +0100 1940742 http://www.medworm.com/index.php?rid=1940741&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980560%26dopt%3DAbstract CONCLUSIONS: We recommend the regular monitoring of equity in the accessibility and quality of ED care for Indigenous people compared with other Australians. Indigenous identification in the database needs to improve so monitoring of ED performance can extend beyond WA and the NT. PMID: 18980560 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940741 Sat, 01 Nov 2008 04:00:00 +0100 1940741 http://www.medworm.com/index.php?rid=1940740&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980561%26dopt%3DAbstract Authors: Gilles MT, Wakerman J, Durey A Australian-trained doctors are often reluctant to work in rural and remote areas and overseas-trained doctors (OTDs) are recruited to practise in many rural Aboriginal medical services. This paper focuses on recent research carried out in Australia to analyse factors affecting OTDs' professional, cultural and social integration and examine their training and support needs. Ten case studies were conducted throughout Australia with OTDs, which also included interviews with spouses/partners, professional colleagues, co-workers, and Aboriginal and Torres Strait Islander community members associated with the health service. Key themes emerging from the data across all informants included the need to better address recruitment, orientation and cross-cu... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940740 Sat, 01 Nov 2008 04:00:00 +0100 1940740 http://www.medworm.com/index.php?rid=1940739&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980562%26dopt%3DAbstract CONCLUSIONS: The ten areas to consider include: clinical practice and access, sustainability, regional-based programs, information technology systems, health worker training, self-determination, cultural and language barriers, funding body responsibilities, embedding specialist programs in primary care services, and other considerations. Further research needs to be undertaken within Aboriginal communities in the area of primary eye health care and barriers to the acceptance of treatment. This may be undertaken using more interactive research methods such as cooperative and narrative inquiry. PMID: 18980562 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940739 Sat, 01 Nov 2008 04:00:00 +0100 1940739 http://www.medworm.com/index.php?rid=1940738&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980563%26dopt%3DAbstract Authors: Slamowicz R, Erbas B, Sundararajan V, Dharmage S OBJECTIVE: We sought to examine potential predictors of readmission after coronary artery bypass graft (CABG) surgery. DESIGN/SETTING: We analysed routinely collected data of CABG patients who have used the public hospital system of Victoria, Australia from July 1998 to June 2003. In total, 6627 patients were selected by linking records of elective surgery waiting time data (Elective Surgery Information System), emergency department data (Victorian Emergency Minimum Dataset) and hospital discharge data (Victorian Admitted Episodes Dataset). MEASUREMENTS: The outcome measures were 7-day, 30-day and 6-month readmissions. Possible predictors included were age, gender, Charlson comorbidity index, waiting times, length of stay in the... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940738 Sat, 01 Nov 2008 04:00:00 +0100 1940738 http://www.medworm.com/index.php?rid=1940737&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980564%26dopt%3DAbstract Authors: Lucke J, Russell A, Tooth L, Lee C, Watson M, Byrne G, Wilson A, Dobson A To examine perceived adequacy of access to information and services, and perceived quality of health and community services, among older female carers across rural and urban areas primary data were collected as part of the ongoing Australian Longitudinal Study on Women's Health (ALSWH). In all, 306 women in their 70s who had family caregiving roles responded to a nested substudy of the ALSWH. There were few reported differences between urban and rural older carers in their access to health and community services for the people they cared for. In fact, those in rural areas fared slightly better than those in urban areas in awareness of service availability and perceived quality of service. Many older care... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940737 Sat, 01 Nov 2008 04:00:00 +0100 1940737 http://www.medworm.com/index.php?rid=1940736&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980565%26dopt%3DAbstract CONCLUSION: Further investigation is needed into whether alternative medical care services would be appropriate and acceptable for patients with less severe acute URIs. PMID: 18980565 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940736 Sat, 01 Nov 2008 04:00:00 +0100 1940736 http://www.medworm.com/index.php?rid=1940735&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980566%26dopt%3DAbstract Authors: Siminski P, Bezzina AJ, Lago LP, Eagar K Primary care presentations at emergency departments (EDs) have been the subject of much attention in recent years. This paper is a demographic analysis using administrative data from the Emergency Department Information System (EDIS) for 2005 of such presentations in New South Wales EDs and of self-reported reasons for presentation. Age and sex differences in the reasons given by patients for such presentations are analysed using data from a survey of patients conducted in a subset of EDs in 2004. The rate of "potential primary care" presentations varies greatly with age and to a lesser extent with sex. Almost half (47%) of these presentations are made by people under 25 years of age. Children aged 0-4 years account for 14% of the total... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940735 Sat, 01 Nov 2008 04:00:00 +0100 1940735 http://www.medworm.com/index.php?rid=1940734&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980567%26dopt%3DAbstract Authors: Callen JL, Blundell L, Prgomet M Increases in attendance rates at emergency departments (EDs) have prompted concerns regarding inappropriate utilisation. Factors instigating patient ED attendance were examined using a cross sectional survey of 522 patients presenting to the ED of a rural hospital in Australia, during a 1-week period. The results highlighted the importance of the rural hospital ED as an additional and alternate service to existing primary care facilities, particularly outside of business hours. The findings indicated that although patients' perception of an emergency does not necessarily correspond with clinical interpretations, the primary factors prompting attendance, including general practitioner unavailability, referrals and special service needs, suggest ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940734 Sat, 01 Nov 2008 04:00:00 +0100 1940734 http://www.medworm.com/index.php?rid=1940733&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980568%26dopt%3DAbstract Authors: Bagley P, Lin V Public health infrastructure provides the building blocks required for the system to achieve public health goals. A systems approach to public health has been suggested as a means to tackle persistent and emerging problems. Systems and infrastructure are attracting increased research attention. A review of the Australian and international literature suggests an absence of empirical evidence about how the system and its component parts does, or should, work and highlights some of the difficulties associated with generating such evidence. It also indicates there is significant scope for further research. PMID: 18980568 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940733 Sat, 01 Nov 2008 04:00:00 +0100 1940733 http://www.medworm.com/index.php?rid=1940732&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980569%26dopt%3DAbstract The objectives of this study were to investigate the degree to which hospital information systems are aligned with hospital strategies and how they impact on nurses. Semi-structured interviews were conducted with nine hospital staff from a range of disciplines in a large public hospital in Australia. The interviews revealed that the focus of hospital information systems on administration has meant that applications to support the patient's clinical journey have been deemed unaffordable. A consequence is that the historic use of the nurses' station as a source of verbal information about patients has continued, with negative impacts on nurses' perceived role and status, and the possible exacerbation of the clash between administrative and clinical cultures. We conclude that hospitals need c... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940732 Sat, 01 Nov 2008 04:00:00 +0100 1940732 http://www.medworm.com/index.php?rid=1940731&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980570%26dopt%3DAbstract Authors: Scott IA Pay-for-performance (P4P) programs which reward clinical providers with incentive payments based on one or more measures of quality of care are now common in the United States and the United Kingdom and it is likely they will attract increasing interest in Australia. However, empirical evidence demonstrating effectiveness of such programs is limited and many existing programs have not had rigorous outcome evaluation. To maximise success, future P4P programs should incorporate the lessons and insights obtained from previous experience. Based on a review of published trials, program evaluations and position statements, the following principles that may guide future program design and implementation were synthesised: 1) formulate a rationale and a business case for P4P; ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940731 Sat, 01 Nov 2008 04:00:00 +0100 1940731 http://www.medworm.com/index.php?rid=1940730&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980571%26dopt%3DAbstract Authors: Bain CA, Mehta SM, Ratnayake K, Symonds TL, Kennedy MP Access to care for patients remains a concern for all parties in the provision of hospital services. It is the subject of patient complaints, large investments of funds and vigorous debate in the community, hospitals and the political arena. This is a common problem in developed nations. There has been little achievement in information technology solutions to this significant problem in Australia. This paper presents a case study of the development and implementation of an organisational access display system intended to provide real-time, or near to real-time information and feedback on access for staff on the floor. This is believed to be one of the first times such a development has been reported in the Australian liter... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940730 Sat, 01 Nov 2008 04:00:00 +0100 1940730 http://www.medworm.com/index.php?rid=1940729&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980572%26dopt%3DAbstract CONCLUSIONS: Professional interpreter usage is lower than desirable in the hospital, especially in the Emergency Department. Relatives frequently interpret. Under-reporting on the medical record is suggested, implying a need for improved documentation, while possible over-reporting in the telephone survey may relate to recall bias and social acquiescence. PMID: 18980572 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940729 Sat, 01 Nov 2008 04:00:00 +0100 1940729 http://www.medworm.com/index.php?rid=1940728&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980573%26dopt%3DAbstract Authors: Holman CD, Bass AJ, Rosman DL, Smith MB, Semmens JB, Glasson EJ, Brook EL, Trutwein B, Rouse IL, Watson CR, de Klerk NH, Stanley FJ OBJECTIVES: The report describes the strategic design, steps to full implementation and outcomes achieved by the Western Australian Data Linkage System (WADLS), instigated in 1995 to link up to 40 years of data from over 30 collections for an historical population of 3.7 million. Staged development has seen its expansion, initially from a linkage key to local health data sets, to encompass links to national and local health and welfare data sets, genealogical links and spatial references for mapping applications. APPLICATIONS: The WADLS has supported over 400 studies with over 250 journal publications and 35 graduate research degrees. Applications... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940728 Sat, 01 Nov 2008 04:00:00 +0100 1940728 http://www.medworm.com/index.php?rid=1940727&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980574%26dopt%3DAbstract Authors: Gibbs A, Pearse EJ, Sheehan JA, Meleady KT, Jayasinha H, Jones N A review of projection methodologies used to project sub-acute inpatient activity in various international health care jurisdictions was undertaken as part of a project to develop subacute inpatient activity projections for the state with the largest population in Australia. The literature search identified nearly 200 articles and found three main groups of projection methodologies: projections with a focus on subacute care; projections with a focus on acute care, but which often included subacute activity in the overall projections; and projections of specific diseases/conditions influencing the demand for subacute care. In terms of the examples in the literature specifically regarding subacute care, the most co... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940727 Sat, 01 Nov 2008 04:00:00 +0100 1940727 http://www.medworm.com/index.php?rid=1940726&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18980575%26dopt%3DAbstract Authors: McGrath AC, Macdonald CR The establishment of the Grampians After-Hours Service has led to the development of a quality framework for nurse telephone triage. The service providers believe this framework is the basis for the service's success. While quality frameworks including critical evaluation and peer review are not new to the health industry, the development of organisational systems to improve quality in after-hours services is innovative. The framework developed is comprehensive, evidenced-based and emphasises training, protocols and documentation. It also involves a continuous and non-punitive quality review process that operates at the individual, small group, organisation and whole-system level. The framework will continue to improve and at this time provides a found... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1940726 Sat, 01 Nov 2008 04:00:00 +0100 1940726 http://www.medworm.com/index.php?rid=1687149&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666877%26dopt%3DAbstract Authors: Yarmo-Roberts D PMID: 18666877 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1687149 Fri, 01 Aug 2008 04:00:00 +0100 1687149 http://www.medworm.com/index.php?rid=1672485&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666863%26dopt%3DAbstract Authors: Leggat SG PMID: 18666863 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672485 Fri, 01 Aug 2008 04:00:00 +0100 1672485 http://www.medworm.com/index.php?rid=1672484&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666864%26dopt%3DAbstract Authors: Robinson ME PMID: 18666864 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672484 Fri, 01 Aug 2008 04:00:00 +0100 1672484 http://www.medworm.com/index.php?rid=1672483&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666865%26dopt%3DAbstract Authors: Balding C Clinical governance is seen as a relatively new concept; but a long history of health care quality improvement sits behind it. Over the last 20 years, a number of approaches have been tried and discarded, with some inadequately implemented and others poorly adapted from other industries. Quality programs have evolved slowly, hampered by a conservative and complex health care culture and a lack of focus, data and resources. Despite the advent of clinical governance, driven by a patient safety crisis, many of these issues remain unresolved, and are impacting current clinical governance implementation. Reflecting on the quality journey clearly demonstrates that the potential of clinical governance cannot be realised without the leadership, commitment and support of gove... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672483 Fri, 01 Aug 2008 04:00:00 +0100 1672483 http://www.medworm.com/index.php?rid=1672482&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666866%26dopt%3DAbstract Authors: K Graham S, Cameron ID A survey, which achieved a 54% response rate, was completed to assess the availability and type of rehabilitation health services in Australia. 1044 surveys were sent out and 561 were returned. The details of a total of 346 rehabilitation services were obtained. There were more services in metropolitan compared with rural areas, more services in New South Wales and Victoria than in the other states, and a higher proportion of services led by health care workers other than rehabilitation physicians in rural compared with metropolitan areas. There is likely to be a need for additional rehabilitation services of all types across Australia. The majority of rural, regional and remote areas are likely to need additional physician-led, allied health and nursing... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672482 Fri, 01 Aug 2008 04:00:00 +0100 1672482 http://www.medworm.com/index.php?rid=1672481&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666867%26dopt%3DAbstract This article reports on a pilot research program to look at the skills and competencies of social workers needed to provide a quality service in aged care, as well as the expansion of an educational program aimed at developing a gero-rich curriculum which enhances the gerontological competencies of social work students. PMID: 18666867 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672481 Fri, 01 Aug 2008 04:00:00 +0100 1672481 http://www.medworm.com/index.php?rid=1672480&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666868%26dopt%3DAbstract Authors: Goddard L, Davidson PM, Daly J, Mackey S People with an intellectual disability and their families experience poorer health care compared with the general population. Living with an intellectual disability is often challenged by coexisting complex and chronic conditions, such as gastrointestinal and respiratory conditions. A literature review was undertaken to document the needs of this vulnerable population, and consultation was undertaken with mothers of children with disabilities and with professionals working within disability services for people with an intellectual disability and their families. Based on this review, there is a need to increase the profile of people with an intellectual disability in the discourse surrounding chronic and complex conditions. Strategies su... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672480 Fri, 01 Aug 2008 04:00:00 +0100 1672480 http://www.medworm.com/index.php?rid=1672479&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666869%26dopt%3DAbstract CONCLUSION: Pulmonary rehabilitation provided in an Australian teaching hospital was associated with a reduction in COPD hospitalisation, and the resultant savings outweighed the costs of providing the program. PMID: 18666869 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672479 Fri, 01 Aug 2008 04:00:00 +0100 1672479 http://www.medworm.com/index.php?rid=1672478&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666870%26dopt%3DAbstract Authors: Shepherd L, Goldstein D, Olver I, Parle M Rural cancer patients are often disadvantaged in access to psychological services. We reviewed remote counselling research for psychological support using telephone, videoconferencing, and the Internet as a potential solution. Telephone counselling is the most extensively researched, while there are encouraging findings in emerging research about videoconferencing and Internet-based psychological care. Where no face-to-face psychological service exists, these technologies are promising, yet unproven. Less variable methods are needed to better assess the technology and therapeutic approach for stronger evidence. PMID: 18666870 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672478 Fri, 01 Aug 2008 04:00:00 +0100 1672478 http://www.medworm.com/index.php?rid=1672477&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666871%26dopt%3DAbstract Authors: Cameron M, Chahine N, Selig S, Newton P Three Victorian local governments cooperated in a pilot study of physical activity promotion as part of home and community care (HACC) service delivery. Thirty-one people receiving HACC volunteered to participate, including completing the Transtheoretical Stages of Change Exercise Questionnaire and the short-form Stanford Health Assessment Questionnaire (HAQ) just before and at 3 months and 6 months after starting regular self-selected physical activity. Twenty-one participants returned questionnaires at 3 months, and 17 participants returned questionnaires at 6 months. Data were analysed using paired t tests and effect sizes were calculated as mean differences. At 3 months, mean improvements were identified on 6 of the 8 HAQ-DI (disabil... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672477 Fri, 01 Aug 2008 04:00:00 +0100 1672477 http://www.medworm.com/index.php?rid=1672476&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666872%26dopt%3DAbstract Authors: Watts JJ, Segal L This paper explores the economic implications of vouchers for chronic disease management with respect to achieving objectives of equity and efficiency. Vouchers as a payment policy instrument for health care services have a set of properties that suggest they may address both demand-side and supply-side issues, and contribute to equity and efficiency. They provide a means whereby health care services can be targeted at selected groups, enabling consumer choice of provider, and encouraging competition in the supply of health services. This analysis suggests that, when structured appropriately, vouchers can support consumers to choose services that will meet their health care needs and encourage competition among providers. Although they may not be appropriate ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672476 Fri, 01 Aug 2008 04:00:00 +0100 1672476 http://www.medworm.com/index.php?rid=1672475&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666873%26dopt%3DAbstract CONCLUSIONS: Since the recipients under investigation typically possess core communication restrictions and highly individualised needs, it is speculated that carers perceive family members as better able to interpret and meet the sporadic and individualised care demands of recipients. IMPLICATIONS: Given the low usage of respite services among primary informal carers, policy makers and health organisations need to dispel the "one size fits all" approach to support services for households. PMID: 18666873 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672475 Fri, 01 Aug 2008 04:00:00 +0100 1672475 http://www.medworm.com/index.php?rid=1672474&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666874%26dopt%3DAbstract Authors: Grenade L, Boldy D Although often associated with older age, loneliness and social isolation are not well understood in terms of their prevalence, risk and protective factors. Evidence suggests that only a minority of community-dwelling older people are "severely" lonely or isolated, however a number of factors need to be considered to fully understand the extent and significance of the problem. Community-based studies have identified a variety of risk factors for loneliness/isolation including widowhood, no (surviving) children, living alone, deteriorating health, and life events (eg, loss and bereavement). Having a confidant has been identified as a protective factor for loneliness. However, evidence is often unclear or inconclusive, especially within residential settings. W... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672474 Fri, 01 Aug 2008 04:00:00 +0100 1672474 http://www.medworm.com/index.php?rid=1672473&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666875%26dopt%3DAbstract This study reviews the current evidence on the economic implications of dementia in Australia and approaches taken to project the future costs of dementia. PMID: 18666875 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672473 Fri, 01 Aug 2008 04:00:00 +0100 1672473 http://www.medworm.com/index.php?rid=1672472&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666876%26dopt%3DAbstract CONCLUSION: Over this period, general practice health assessments appear to have been equitably distributed except for those living in postcodes classified as RRMA 5-7. PMID: 18666876 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672472 Fri, 01 Aug 2008 04:00:00 +0100 1672472 http://www.medworm.com/index.php?rid=1672471&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666877%26dopt%3DAbstract Authors: Yarmo-Roberts D PMID: 18666877 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672471 Fri, 01 Aug 2008 04:00:00 +0100 1672471 http://www.medworm.com/index.php?rid=1672470&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666878%26dopt%3DAbstract CONCLUSIONS: The P-CIS demonstrates the potential to be a contributing component that informs the monitoring and improvement of quality person-centred care in Australian inpatient health care settings. PMID: 18666878 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672470 Fri, 01 Aug 2008 04:00:00 +0100 1672470 http://www.medworm.com/index.php?rid=1672469&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666879%26dopt%3DAbstract Authors: Crombie A, Ham J, Masman K, Mills TM The Australian Government introduced the National Transition Care Program in the 2004-2005 Federal Budget. This program is designed to assist elderly patients who have completed a stay in hospital to move from the hospital to their homes or other suitable accommodation. In planning for transition care services, managers are faced with the question, "How many places should be allocated to transition care in our facility?" This case study offers an approach to this question based on queueing theory. PMID: 18666879 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672469 Fri, 01 Aug 2008 04:00:00 +0100 1672469 http://www.medworm.com/index.php?rid=1672468&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666880%26dopt%3DAbstract Authors: Maxwell M, Harris P, Peters S, Thornell M, D'Souza L A prospective health impact assessment (HIA) was conducted to identify potential health impacts arising from the planned redevelopment of Liverpool Hospital, a major teaching hospital in New South Wales, Australia. A multidisciplinary team of health professionals oversaw the HIA and a core project team led by population health practitioners conducted the HIA using a structured, stepwise process. Methods used to gather data for the identification of impacts were a literature review, development of a population profile and consultation with stakeholders. A range of positive and negative health impacts were identified and an assessment matrix was used to prioritise the health impacts and develop recommendations for the proponen... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672468 Fri, 01 Aug 2008 04:00:00 +0100 1672468 http://www.medworm.com/index.php?rid=1672467&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666881%26dopt%3DAbstract This study describes health care decision makers' perceptions about decision making processes for the introduction, diffusion and prioritisation of new health technologies at the regional and institutional level. The aim of the study was to aid the design of a new process of technology assessment and decision making for the Northern Sydney and Central Coast Area Health Service (NSCCAHS). Twelve in-depth, semi-structured interviews were conducted with senior health service managers, nurse managers and senior medical clinicians in the NSCCAHS. Interviewees described prioritisation and decision-making processes as "ad hoc". Safety and effectiveness were considered the most important criteria in decision making but budgetary consideration often drove decisions about the uptake and diffusion of... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672467 Fri, 01 Aug 2008 04:00:00 +0100 1672467 http://www.medworm.com/index.php?rid=1672466&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666882%26dopt%3DAbstract Authors: Jones N, Hardes G, Ryan S, Sheehan J, Cox C, Meleady K, Jayasinha H OBJECTIVES: To describe the statewide projections of acute inpatient activity in New South Wales. METHODS: Data on acute inpatient activity in NSW for the period 1998-1999 to 2003-04 were derived from the Admitted Patient Data Collection. Regression analysis was used to project trends in utilisation and length of stay by age group, clinical specialty groups and stay type (day-only and overnight). The projected separation rates and length of stay were subject to clinical review. Projected separation rates (by age group, clinical speciality and stay type) were applied to NSW population projections to derive the projected number of separations. Bed-days were calculated by applying projected overnight average leng... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672466 Fri, 01 Aug 2008 04:00:00 +0100 1672466 http://www.medworm.com/index.php?rid=1672465&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666883%26dopt%3DAbstract CONCLUSION: URs are becoming more frequent in DBH; analysis of associations and trends over time are the first step in determining targeted measures to address the problem. PMID: 18666883 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672465 Fri, 01 Aug 2008 04:00:00 +0100 1672465 http://www.medworm.com/index.php?rid=1672464&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666884%26dopt%3DAbstract The objectives of this study were to (i) identify workload capacity measures and methods for profiling allied health workforce requirements from a systematic review of the international literature; (ii) explore the use of these methods in planning workforce requirements; (iii) identify barriers to applying such methods; and (iv) recommend further action. Future approaches to workforce planning were explored through a systematic review of the literature, interviews with key stakeholders and focus group discussions with representatives from the different professional bodies and health agencies in Victoria. Results identified a range of methods used to calculate workload requirements or capacity. In order of increasing data demands and costliness to implement, workload capacity methods can be... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672464 Fri, 01 Aug 2008 04:00:00 +0100 1672464 http://www.medworm.com/index.php?rid=1672463&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666885%26dopt%3DAbstract Authors: Dart J A survey questionnaire was designed and implemented across three different communities to determine the current utilisation, importance, trust and future preference for the internet as a source of health information in three different socioeconomic groups. The following were the key results. Fewer respondents in the low socioeconomic group accessed online health information than the mid-high socioeconomic or university samples. The internet was a much more important source of health information for the university sample. The use of online health information and the importance ascribed to the internet as a source of health information was related to home internet access and the frequency of internet use in all three populations. Most respondents do not bring online healt... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672463 Fri, 01 Aug 2008 04:00:00 +0100 1672463 http://www.medworm.com/index.php?rid=1672462&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666886%26dopt%3DAbstract This study explores the perception of and readiness for hepatitis C treatment within a sample of 77 clients already participating in drug treatment, with a view to identifying likely barriers and incentives to hepatitis C treatment within a drug treatment population. Participants with hepatitis C did not demonstrate a consistent, indepth knowledge of the infection, lacked confidence in symptom recognition, and had little awareness of treatment options. Those without obvious symptoms or liver deterioration did not have a pressing interest in treatment, and many had heard concerning stories about the side effects of hepatitis C treatment. For those coping with anxiety or depression, the increased risk of a depressive episode under interferon treatment was a major barrier to treatment. PM... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672462 Fri, 01 Aug 2008 04:00:00 +0100 1672462 http://www.medworm.com/index.php?rid=1672461&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18666887%26dopt%3DAbstract Authors: Stafrace S, Lilly A This case study demonstrates how leadership was harnessed to turn around a decline in the performance of an aged persons' mental health service - the Namarra Nursing Home at Caulfield General Medical Centre in Melbourne, Australia. In 2000 the nursing home faced a crisis of public confidence due to failings in the management of quality, clinical risk and human resources within the service. These problems reflected structural and operational shortcomings in the clinical directorate and wider organisation. In this article, we detail the process of turnaround from the perspective of senior executive managers with professional and operational responsibility for the service. This turnaround required attention to local clinical accountability and transformation o... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1672461 Fri, 01 Aug 2008 04:00:00 +0100 1672461 http://www.medworm.com/index.php?rid=1589190&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447804%26dopt%3DAbstract Authors: Leggat SG PMID: 18447804 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589190 Thu, 01 May 2008 04:00:00 +0100 1589190 http://www.medworm.com/index.php?rid=1589189&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447805%26dopt%3DAbstract Authors: Stiller K PMID: 18447805 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589189 Thu, 01 May 2008 04:00:00 +0100 1589189 http://www.medworm.com/index.php?rid=1589188&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447806%26dopt%3DAbstract Authors: Yarmo-Roberts D PMID: 18447806 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589188 Thu, 01 May 2008 04:00:00 +0100 1589188 http://www.medworm.com/index.php?rid=1589187&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447807%26dopt%3DAbstract Authors: Tucker S, Hughes J, Sutcliffe C, Challis D AIM: To explore the implications of providing intensive care management in a typical old age mental health service in North West England. METHODS: The time spent by core groups of specialist mental health and social services staff on a range of activities deemed central to the provision of intensive care management was explored by means of a diary exercise. The difference between what is actually being done and what evidence suggests is needed was examined. RESULTS: More than 1500 hours of activity were appraised. Assessment and care management-related tasks accounted for more than 40% and 30% of social work and nursing staff's time, respectively. However, several fundamental features of intensive care management were lacking, includi... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589187 Thu, 01 May 2008 04:00:00 +0100 1589187 http://www.medworm.com/index.php?rid=1589186&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447808%26dopt%3DAbstract Authors: Renzaho A There are few studies exploring the need to develop and manage culturally competent health services for refugees and migrants from diverse backgrounds. Using data from 50 interviews with service providers from 26 agencies, and focus group discussion with nine different ethnic groups, this paper examines how the Victorian state government funding and service agreements negatively impact on the quest to achieve cultural competence. The study found that service providers have adopted "one approach fits all" models of service delivery. The pressure and competition for resources to address culturally and linguistically diverse communities' needs allows little opportunity for partnership and collaboration between providers, leading to insufficient sharing of information an... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589186 Thu, 01 May 2008 04:00:00 +0100 1589186 http://www.medworm.com/index.php?rid=1589185&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447809%26dopt%3DAbstract Authors: Matthews C, Klinken Whelan A, Johnson M, Noble C The role of ethnic health staff in hospitals has not been clearly articulated for managers and practitioners. This paper describes findings from a study based on ethnic and allied health staff interviews and observations of ethnic health staff interactions. Care was provided to language concordant patients directly and by assisting practitioners to work within the patient's cultural paradigms and family schema. The scope of practice involved: engaging patients in a therapeutic relationship, patient assessment, linking assessment with care options, facilitating communication between patients and practitioners, education, smoothing hospital experiences, referral and interpreting. Ethnic health staff displayed a range of specialise... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589185 Thu, 01 May 2008 04:00:00 +0100 1589185 http://www.medworm.com/index.php?rid=1589184&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447810%26dopt%3DAbstract Authors: Mitra B, Cameron PA, Mele G, Archer P The aim of this study was to pilot a program to encourage shift breaks for emergency department doctors and analyse the effects of breaks on tiredness and fatigue as well as possible effects on overall departmental performance. During Phase 1, medical staff were asked to fill out a survey regarding their working day at the end of every shift. A 30-minute uninterrupted break was promoted during Phase 2 by provision of a cover doctor on the roster as well as educational sessions and posters. There were 233 completed surveys received over the 4-week period. Only 33% of shifts worked included an uninterrupted break in Phase 1, which improved significantly to 60% during Phase 2. Subjective tiredness was significantly lower at the end of a shift... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589184 Thu, 01 May 2008 04:00:00 +0100 1589184 http://www.medworm.com/index.php?rid=1589183&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447811%26dopt%3DAbstract This study suggests that the individualistic attitudes of medical students may need to be addressed during training if medical students are to graduate with a commitment to working in teams, an expectation of clinical governance. PMID: 18447811 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589183 Thu, 01 May 2008 04:00:00 +0100 1589183 http://www.medworm.com/index.php?rid=1589182&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447812%26dopt%3DAbstract Authors: Paliadelis PS This paper seeks to explore the responsibility and power of the role of nursing unit managers (NUMs) in rural New South Wales using Kanter's theory of organisational power as a framework. Using in-depth individual interviews with twenty NUMs, data were analysed from four perspectives to gain a deep understanding of the NUMs' working world. The findings show that the NUMs' role is substantive, encompassing both clinical and managerial functions. Overall, the findings indicate that the participants lacked power commensurate with their role responsibilities. PMID: 18447812 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589182 Thu, 01 May 2008 04:00:00 +0100 1589182 http://www.medworm.com/index.php?rid=1589181&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447813%26dopt%3DAbstract Authors: Prabhu VR, Hanley A, Kearney S A voluntary survey questionnaire that assessed experience with and perception of the volunteering program was mailed to 62 current and 9 former volunteers and 47 staff members of Latrobe Regional Hospital (LRH). Sixty-one completed questionnaires were returned. The nature of hospital work attracted volunteers (57%) and most volunteers felt oriented to the hospital, supervised and supported. The volunteers enjoyed working with patients and felt they contributed to better services and staff and patient support. There was a need felt that more training and development, recognition, orientation and supervision would be beneficial. Overall, most volunteers rated their experience as good (60%) to excellent (25%). Staff rated the contribution from volun... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589181 Thu, 01 May 2008 04:00:00 +0100 1589181 http://www.medworm.com/index.php?rid=1589180&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447814%26dopt%3DAbstract CONCLUSION: Skills shortages and increasing demands for health services make retention of staff in the health service industry vitally important. As a means of addressing this issue, this study presents an emergent mediating model defining relationships among individual psychological factors, aspects of organisational climate and intention to leave. Identification of the processes associated with staff withdrawal behaviours or intentions will assist in devising interventions to improve retention. PMID: 18447814 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589180 Thu, 01 May 2008 04:00:00 +0100 1589180 http://www.medworm.com/index.php?rid=1589179&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447815%26dopt%3DAbstract Authors: Adams E, Schofield D, Cox J, Adamson B Determination of national nuclear medicine technologist workforce size was made from census data in 2001 and 1996 and from the professional body in 2004. A survey conducted by the authors in 2005 provided retention patterns in north-eastern Australia and suggested causes. Utilisation of nuclear medicine diagnostic services was established through the Medicare Benefits Schedule group statistics. More than half the nuclear medicine technologist workforce is under 35 years of age. Attrition commences from age 30, with very few workers over 55 years. In 2005 there was a 12% attrition of the survey workforce. In the past decade, service provision increased while workforce size decreased and the nuclear medicine technologist workforce is at ris... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589179 Thu, 01 May 2008 04:00:00 +0100 1589179 http://www.medworm.com/index.php?rid=1589178&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447816%26dopt%3DAbstract Authors: Neate SL, Dent AW, Weiland TJ, Farish S, Jolly BC, Crotty B To determine perceived barriers to continuing education for Australian hospital-based prevocational doctors, a cross sectional cohort survey was distributed to medical administrators for secondary redistribution to 2607 prevocational doctors from August 2003 to October 2004. Four hundred and seventy valid questionnaires (18.1%) were returned. Only seven per cent (33/470) did not identify any barriers to continuing education. Barriers identified the most were lack of time (85% [371/437]), clinical commitment (65% [284/437]), resistance from registrars (13% [57/437]) and resistance from consultant staff (10% [44/437]). Other barriers included workload issues (27% [27/98]), teaching program inadequacies (26% [25/98]), la... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589178 Thu, 01 May 2008 04:00:00 +0100 1589178 http://www.medworm.com/index.php?rid=1589177&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447817%26dopt%3DAbstract Authors: Ward M PMID: 18447817 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589177 Thu, 01 May 2008 04:00:00 +0100 1589177 http://www.medworm.com/index.php?rid=1589176&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447818%26dopt%3DAbstract Authors: Nangala S PMID: 18447818 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589176 Thu, 01 May 2008 04:00:00 +0100 1589176 http://www.medworm.com/index.php?rid=1589175&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447819%26dopt%3DAbstract Authors: Loane M PMID: 18447819 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589175 Thu, 01 May 2008 04:00:00 +0100 1589175 http://www.medworm.com/index.php?rid=1589174&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447820%26dopt%3DAbstract Authors: Ellis N, Mackenzie A, Mobbs R In Australia greater attention is being given to health determinants, and the dominance of treatment in health policy and budgets is giving away some ground to prevention, health promotion, rehabilitation and disability management. This creates a dilemma for compensation systems: should the inclusion criteria be broadened to match the new thinking or should a narrower definition of "disease, injury or death" be retained? This issue is explored in the context of war syndromes among veterans. While veterans experience symptoms more frequently and more severely than military and community controls, their patterns of symptoms are not unique. Current compensation and benefit programs can create iatrogenic effects. It is concluded that compensation syst... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589174 Thu, 01 May 2008 04:00:00 +0100 1589174 http://www.medworm.com/index.php?rid=1589173&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447821%26dopt%3DAbstract Authors: Chater AB PMID: 18447821 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589173 Thu, 01 May 2008 04:00:00 +0100 1589173 http://www.medworm.com/index.php?rid=1589172&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447822%26dopt%3DAbstract Authors: Mortimer R, Lakhani S While there has been a strong history of pathology in understanding disease, in recent years we have seen less appreciation of the value of pathology in clinical practice. Divisions at the clinical level, with pathology delivered from isolated buildings at the periphery of hospitals rather than within the heart of it, confirms in the mind of the new graduate the lack of importance of the discipline, despite using the service daily. We argue that it is time for a reintegration of pathology services. PMID: 18447822 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589172 Thu, 01 May 2008 04:00:00 +0100 1589172 http://www.medworm.com/index.php?rid=1589171&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447823%26dopt%3DAbstract Authors: Duckett SJ A Festshrift gives us the opportunity to look both backwards and forwards. Ken Donald's career stretches back to his intern days in 1963 and has encompassed clinical and population health, academe, clinical settings and the bureaucracy, and playing sport at state and national levels. There has been considerable change in the health care system over the period of Ken's involvement in the sector with more change to come -- where have those changes left us? This paper discusses these changes in relation to performance criteria. PMID: 18447823 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589171 Thu, 01 May 2008 04:00:00 +0100 1589171 http://www.medworm.com/index.php?rid=1589170&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447824%26dopt%3DAbstract Authors: Harvey PW, Petkov JN, Misan G, Fuller J, Battersby MW, Cayetano TN, Warren K, Holmes P The Sharing Health Care SA chronic disease self-management (CDSM) project in rural South Australia was designed to assist patients with chronic and complex conditions (diabetes, cardiovascular disease and arthritis) to learn how to participate more effectively in the management of their condition and to improve their self-management skills. Participants with chronic and complex conditions were recruited into the Sharing Health Care SA program and offered a range of education and support options (including a 6-week peer-led chronic disease self-management program) as part of the Enhanced Primary Care care planning process. Patient self-reported data were collected at baseline and subsequent 6... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589170 Thu, 01 May 2008 04:00:00 +0100 1589170 http://www.medworm.com/index.php?rid=1589169&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447825%26dopt%3DAbstract Authors: Johnson M, Murphy B, Payne S, Chang S An instrument to measure medico-legal risk-management behaviours among medical practitioners was developed and tested. A cross-sectional survey was posted to 962 UNITED Medical Protection members receiving premium support. A final sample of 757 currently working medical practitioners responded, including general practitioners (21.9%), surgeons (29.9%), obstetricians and gynaecologists (12.7%), and others (35.5%). The Know Your Risk Version 1 - Short Form and other tools developed by this team are available for use by group practices, hospital administrators and practitioners. These tools have the potential to assist regulators and insurers to identify, monitor or screen individual medico-legal risk behaviours. PMID: 18447825 [PubMed - ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589169 Thu, 01 May 2008 04:00:00 +0100 1589169 http://www.medworm.com/index.php?rid=1589168&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447826%26dopt%3DAbstract CONCLUSION: A resident satisfaction survey can provide the direction for effective quality improvement activities. Benchmarking results with other sites not only empowers staff members at those sites recognised as leaders, but can also stimulate dissemination of leading practice. Management styles which empower staff enhance their ability to implement quality improvement projects. PMID: 18447826 [PubMed - in process] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589168 Thu, 01 May 2008 04:00:00 +0100 1589168 http://www.medworm.com/index.php?rid=1589167&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447827%26dopt%3DAbstract Authors: Horner B, Boldy DP Ageing-in-place is usually viewed as a positive approach to meeting the needs of the older person, supporting them to live independently, or with some assistance, for as long as possible. It implies that older people prefer to live in their own home, rather than in an institution or care centre. However, there is little in the literature about the implications of ageing-in-place for the individual or their carers, or the burden this can place on service providers and aged care communities. In an action research study that investigated the complexities and challenges of change in an aged care community in Western Australia, the implications of ageing-in-pace were apparent. The study revealed how residents expressed a desire to age-in-place and identified it a... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589167 Thu, 01 May 2008 04:00:00 +0100 1589167 http://www.medworm.com/index.php?rid=1589166&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18447828%26dopt%3DAbstract Authors: Kalucy E, Hordacre AL, Patterson S This case study details the process and lessons learnt from converting a compulsory comprehensive organisational survey from email to online format. The conversion was undertaken to improve data quality and reduce respondent burden. Key considerations in developing the online survey were ease of use, security and access. The new intuitive system allowed simultaneous access for multiple users, and incorporated dynamic indicators of progress and validation of numeric data. Reactions to the survey were mainly positive -- about 75% of user feedback was positive or neutral, they reported the survey was "user friendly" and preferred the online format. Negative comments focused predominantly on the feature of expanding and collapsing questions which... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589166 Thu, 01 May 2008 04:00:00 +0100 1589166 http://www.medworm.com/index.php?rid=1589213&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241141%26dopt%3DAbstract Authors: Leggat SG PMID: 18241141 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589213 Fri, 01 Feb 2008 05:00:00 +0100 1589213 http://www.medworm.com/index.php?rid=1589212&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241142%26dopt%3DAbstract Authors: Ranmuthugala G PMID: 18241142 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589212 Fri, 01 Feb 2008 05:00:00 +0100 1589212 http://www.medworm.com/index.php?rid=1589211&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241143%26dopt%3DAbstract Authors: Playford D, Towler S, Blackwell S, Lake F, O'Neill B, Nesbitt G, Thistlethwaite J PMID: 18241143 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589211 Fri, 01 Feb 2008 05:00:00 +0100 1589211 http://www.medworm.com/index.php?rid=1589210&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241144%26dopt%3DAbstract Authors: Choy Flannigan A, Power P PMID: 18241144 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589210 Fri, 01 Feb 2008 05:00:00 +0100 1589210 http://www.medworm.com/index.php?rid=1589209&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241145%26dopt%3DAbstract CONCLUSIONS: A comprehensive approach to clinical governance necessarily includes the active participation of boards and executives in sponsoring and promoting clinical governance as a quality and safety strategy. Although this is still a relatively recent development, the signs are promising. PMID: 18241145 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589209 Fri, 01 Feb 2008 05:00:00 +0100 1589209 http://www.medworm.com/index.php?rid=1589208&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241146%26dopt%3DAbstract Authors: Tabrizi JS, Wilson AJ, Coyne ET, O'Rourke PK A critical review was conducted of the literature from 1960 to June 2005 on service quality in type 2 diabetes. The review demonstrated that improving service quality may improve the outcomes for people with type 2 diabetes. The potential service quality factors from the perspective of people with type 2 diabetes were: timeliness, confidentiality, continuity, dignity, communication, access, education, cost, amenities and autonomy. PMID: 18241146 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589208 Fri, 01 Feb 2008 05:00:00 +0100 1589208 http://www.medworm.com/index.php?rid=1589207&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241147%26dopt%3DAbstract Authors: Kimber CM, Grimmer-Somers KA Better detection and management of osteoporosis will reduce unnecessary health expenditure. A number of high quality guidelines are available to support early detection and best practice management of osteoporosis in hospital settings. However, sustainable implementation of guidelines poses practical issues in terms of structure and processes in hospitals. This paper describes an investigation into guideline compliance in one large tertiary metropolitan hospital and discusses practical elements of guideline implementation. Given the evidence of poor practice across the two audit periods, we recommend that a coordinated clinical pathway be implemented in the fracture clinic, supported by a targeted and discipline-specific training program. Small ste... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589207 Fri, 01 Feb 2008 05:00:00 +0100 1589207 http://www.medworm.com/index.php?rid=1589206&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241148%26dopt%3DAbstract CONCLUSIONS: Australian government policy demonstrates a growing commitment to an extended role for general practice in primary health care and cardiovascular disease management. In spite of these promising initiatives, practice nurses face a range of professional and system barriers to extending their role. By addressing the barriers and enabling features identified in this investigation, there is potential to further develop the Australian practice nurse role in cardiovascular disease management. PMID: 18241148 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589206 Fri, 01 Feb 2008 05:00:00 +0100 1589206 http://www.medworm.com/index.php?rid=1589205&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241149%26dopt%3DAbstract Authors: Shahid S, Beckmann KR, Thompson SC As in other developed countries, the Australian population is ageing, and cancer rates increase with age. Despite their substantially lower life expectancy, Indigenous Australians are also experiencing concerning cancer statistics, characterised by increasing rates, later diagnosis, higher mortality, and lower participation in screening than the non-Indigenous population. Eighteen months after the first national Indigenous Cancer Control Forum, this environmental scan within the state-based Cancer Councils was undertaken to map activities in service provision in Indigenous cancer control with a view to sharing the lessons learned. The findings show that although most of the organisations had tried to work with Indigenous communities on cancer... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589205 Fri, 01 Feb 2008 05:00:00 +0100 1589205 http://www.medworm.com/index.php?rid=1589204&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241150%26dopt%3DAbstract Authors: Finney Lamb CE, Boers M, Owens A, Copeland J, Sultana T There is little information about managing frontline complaints with opioid-dependent women. Semi-structured interviews were conducted with a purposive sample of 13 opioid-dependent women and 10 staff at an Opioid Treatment Service. A multidisciplinary team conducted a thematic analysis on the transcripts. Difficulties that prevented women making complaints included the anticipation of not being taken seriously, the fear of repercussions including infant removal, and practical difficulties in making written complaints. Staff reported that complaints at the dosing window were often delivered emotively and could be personalised. They had difficulty assessing complaints to determine whether there were substantive health care... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589204 Fri, 01 Feb 2008 05:00:00 +0100 1589204 http://www.medworm.com/index.php?rid=1589203&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241151%26dopt%3DAbstract Authors: Swerissen H, Taylor MJ Chronic diseases are a major challenge for the Australian health care system in terms of both the provision of quality care and expenditure, and these challenges will only increase in the future. Various programs have been instituted under the Medicare system to provide increased funding for chronic care, but essentially these programs still follow the traditional fee-for-service model. This paper proposes a realignment and extension of current Medicare chronic disease management programs into a framework that provides general practitioners and other health professionals with the necessary "tools" for high quality care planning and ongoing management, and incorporating international models of outcome-linked funding. The integration of social support serv... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589203 Fri, 01 Feb 2008 05:00:00 +0100 1589203 http://www.medworm.com/index.php?rid=1589202&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241152%26dopt%3DAbstract Authors: Simmonds F, Stevermuer T This is the second comprehensive annual report that describes patients discharged from subacute inpatient rehabilitation programs provided by facilities that are members of the Australasian Rehabilitation Outcomes Centre (AROC). PMID: 18241152 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589202 Fri, 01 Feb 2008 05:00:00 +0100 1589202 http://www.medworm.com/index.php?rid=1589201&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241153%26dopt%3DAbstract Authors: Davidson M, Smith RA, Dodd KJ, Smith JS, O'Loughlan MJ A search was made of relevant databases and the reference lists of key textbooks and reviews. Of 420 potentially relevant articles, 25 were included in the review. Medicine, nursing, physiotherapy, occupational therapy and social work were the professions most often included. Aims and activities of interprofessional clinical education (IPCE) programs were varied, and there was inconsistency in outcome evaluation approach and tools. The models of IPCE described in the literature are diverse. The major barriers to IPCE were logistical, and the careful planning and negotiation required to overcome these barriers was time consuming. Detailed planning, stakeholder enthusiasm and commitment appear to be essential to the success ... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589201 Fri, 01 Feb 2008 05:00:00 +0100 1589201 http://www.medworm.com/index.php?rid=1589200&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241154%26dopt%3DAbstract Authors: Fetherstonhaugh D, Nay R, Heather M This paper describes the development of a partnership between a university clinical school and a sub-acute health care facility in Melbourne, Australia. A brief history of nursing education is given to provide a background for the development of this collaborative model. The paper explores the partnership, what it has achieved and continues to achieve, as well as the challenges that have been faced along the way. PMID: 18241154 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589200 Fri, 01 Feb 2008 05:00:00 +0100 1589200 http://www.medworm.com/index.php?rid=1589199&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241155%26dopt%3DAbstract Authors: Lehmann J This commentary addresses the need to maintain a role for emotions and artistry in human services and health care practice and discusses some approaches to including these issues in teaching at the tertiary level. PMID: 18241155 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589199 Fri, 01 Feb 2008 05:00:00 +0100 1589199 http://www.medworm.com/index.php?rid=1589198&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241156%26dopt%3DAbstract Authors: Smith R, Pilling S Allied health graduates are entering an increasingly complex and demanding workforce. They require a mix of clinical competencies and broader professional skills. Making the transition from the learning environment of university to the workplace can be difficult and challenging. Graduate support programs are common in nursing and medicine, but not in allied health. This case study reports on the implementation and outcomes of a structured program for allied health practitioners making the transition from student to professional. Implications for the health service and for education are discussed. PMID: 18241156 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589198 Fri, 01 Feb 2008 05:00:00 +0100 1589198 http://www.medworm.com/index.php?rid=1589197&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241157%26dopt%3DAbstract Authors: Davidson PM, Digiacomo M, Abbott P, Zecchin R, Heal PE, Mieni L, Sheerin N, Smith J, Mark A, Bradbery B, Davison J A partnership model was established among key education providers, policy makers, non-government organisations, the local area health service and Aboriginal community controlled organisations aimed at increasing collaboration, skill development, cultural competence and increasing access to mentorship and expertise for Aboriginal Health Workers (AHWs). A group of 21 AHWs, within two cohorts, undertook the program between October 2005 and June 2006. A mixed-method evaluation using quantitative and qualitative data collection methods was undertaken prospectively. Knowledge and confidence scores significantly increased for all participants over the course duration. St... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589197 Fri, 01 Feb 2008 05:00:00 +0100 1589197 http://www.medworm.com/index.php?rid=1589196&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241158%26dopt%3DAbstract Authors: Leet M, Lilley K PMID: 18241158 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589196 Fri, 01 Feb 2008 05:00:00 +0100 1589196 http://www.medworm.com/index.php?rid=1589195&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241159%26dopt%3DAbstract CONCLUSIONS: The lower annual growth in the "health : GDP" proportion compared with other estimates for Australia (range, 0.9% to 1.7%) was attributed to different assumptions regarding non-demographic growth factors, particularly volume per case. Explicit modelling of these factors separately for each condition ensured that assumptions remained within plausible limits. PMID: 18241159 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589195 Fri, 01 Feb 2008 05:00:00 +0100 1589195 http://www.medworm.com/index.php?rid=1589194&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241160%26dopt%3DAbstract Authors: Brooks PM, Robinson L, Ellis N Health workforce reform remains a major challenge for Australia. The recent Productivity Commission report provided some guidance, but, sadly, few of the recommendations have been implemented. Health economies (and with them the health workforce) will continue to expand as the burden of disease increases. The important issue is to expand the current workforce but provide for a generalist stream that allows flexibility and retraining. The future health workforce needs to be able to provide patient-centred care, to have a focus on public health and disease prevention, use information and the new communication technologies, to be able to work as part of a team and partner with a range of organisations and to be dedicated to quality improvement withi... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589194 Fri, 01 Feb 2008 05:00:00 +0100 1589194 http://www.medworm.com/index.php?rid=1589193&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241161%26dopt%3DAbstract Authors: Geelen-Baass BN, Johnstone JM In light of recent disasters and terrorist attacks, private and public organisations alike are becoming increasingly concerned with their ability to continue operating in spite of unforeseen events. This paper describes a project conducted at the Royal Victorian Eye and Ear Hospital to develop a Business Continuity Management (BCM) Framework, and outlines the learning experience. It provides a Framework and describes the key issues to be considered when initiating BCM in a health organisation, concluding that a project management approach can be used to establish a framework for BCM. PMID: 18241161 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589193 Fri, 01 Feb 2008 05:00:00 +0100 1589193 http://www.medworm.com/index.php?rid=1589192&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241162%26dopt%3DAbstract Authors: Lloyd JE, Wise MJ, Weeramanthri T Thirty-five interviews were conducted in a case study on the implementation of the Northern Territory Preventable Chronic Disease Strategy (PCDS) to explore the role of the health workforce in the implementation of Aboriginal health policy. There was a tendency for the workforce to implement those aspects of the policy that drew on existing skills in treatment and management and to avoid or delay implementation that required the acquisition of new skills in primary prevention. Factors that facilitated the implementation of the PCDS included the addition of new resources, employment of additional staff, training, increased commitment from managers, and the creation of dedicated chronic disease positions. Factors impeding implementation included... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589192 Fri, 01 Feb 2008 05:00:00 +0100 1589192 http://www.medworm.com/index.php?rid=1589191&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18241163%26dopt%3DAbstract CONCLUSIONS: People in different socioeconomic communities obtain health information from various sources. This may reflect access issues, education and awareness of the internet as a source of health information, less health information seeking as well as a reluctance by the e-health community to address the specific needs of this group. PMID: 18241163 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589191 Fri, 01 Feb 2008 05:00:00 +0100 1589191 http://www.medworm.com/index.php?rid=1589233&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973604%26dopt%3DAbstract Authors: Steele Am SK PMID: 17973604 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589233 Thu, 01 Nov 2007 04:00:00 +0100 1589233 http://www.medworm.com/index.php?rid=1589232&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973606%26dopt%3DAbstract Authors: Francis CF, Feyer AM, Smith BJ The evaluation of the Sharing Health Care Initiative addressed the translation of different models of chronic disease self-management into health and community service contexts in Australia. Across seven projects, four intervention models were adopted: (1) the Stanford Chronic Disease Self Management course; (2) generic disease management planning, training and support; (3) tailored disease management planning, training and support, and; (4) telephone coaching. Targeted recruitment through support groups and patient lists was most successful for reaching high-needs clients. Projects with well developed organisational structures and health system networks demonstrated more effective implementation. Engagement of GPs in recruitment and client suppo... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589232 Thu, 01 Nov 2007 04:00:00 +0100 1589232 http://www.medworm.com/index.php?rid=1589231&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973607%26dopt%3DAbstract Authors: Dart J PMID: 17973607 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589231 Thu, 01 Nov 2007 04:00:00 +0100 1589231 http://www.medworm.com/index.php?rid=1589230&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973608%26dopt%3DAbstract DISCUSSION: Difficulties exist in obtaining timely ethics approval for multicentre studies due to a complex uncoordinated system. All hospitals should have explicit protocols for dealing with research ethics applications so that they can be processed in a straightforward and timely manner. To facilitate this, those without properly constituted HRECs should be affiliated with one hospital that has an HREC. PMID: 17973608 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589230 Thu, 01 Nov 2007 04:00:00 +0100 1589230 http://www.medworm.com/index.php?rid=1589229&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973609%26dopt%3DAbstract Authors: Ottmann G, Street AF This paper outlines ten lessons derived from the development of a palliative care website, www.pallcarevic.asn.au. The following program elements contributed to the success of the project: (1) peer and stakeholder participation; (2) response to a significant need; (3) networking skills; (4) administrative skills; (5) mediation of conflicts; (6) project management skills; (7) sourcing of good evidence; (8) iterative evaluation involving users and stakeholders; (9) iterative expert evaluation; and (10) a well thought through sustainability strategy. PMID: 17973609 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589229 Thu, 01 Nov 2007 04:00:00 +0100 1589229 http://www.medworm.com/index.php?rid=1589228&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973610%26dopt%3DAbstract Authors: Orr N, Catsi G, Guirguis N, Balafas A, Rissel C Closed-circuit television has the potential to promote health in hospitals, as a significant number of patients watch large amounts of television (TV) during their stays. This project sought to investigate the potential of a dedicated hospital TV channel to communicate health messages in an entertaining way by assessing the reach and appeal of a closed-circuit hospital TV channel - RPAtv. A cross-sectional survey of 162 inpatients and visitors at the Royal Prince Alfred Hospital was conducted. Sixty-four percent of participants were aware of RPAtv, with patients (72%) significantly more likely (P < 0.001) to be aware of RPAtv than visitors (41%). Almost 60% of those who were aware of the channel had viewed it. Of those who had... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589228 Thu, 01 Nov 2007 04:00:00 +0100 1589228 http://www.medworm.com/index.php?rid=1589227&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973611%26dopt%3DAbstract CONCLUSIONS: Benefits to both providers and society will accrue from the implementation of interoperability. Standards are needed for the semantic content of clinical messages, in addition to message exchange standards, for the full benefits of interoperability to be realised. An Australian Government policy position supporting such standards is recommended. PMID: 17973611 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589227 Thu, 01 Nov 2007 04:00:00 +0100 1589227 http://www.medworm.com/index.php?rid=1589226&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973612%26dopt%3DAbstract This study explored the diversity of emergency code telephone numbers currently in use in Australian hospitals and examined the feasibility of a standard emergency code telephone number for all Australian hospitals, based on the United Kingdom experience. An email and telephone convenience survey of Australian hospitals from six states and two territories was conducted. Of the 108 hospitals surveyed, seven did not use a telephone number system and used a button/pager system to call an emergency. Of the 101 hospitals surveyed that used a telephone number system, 40 different emergency telephone numbers were in place, and in nine hospitals the telephone number used for Code Blue (medical emergency) was different to the telephone number used for other emergency codes. With increasing mobility... Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589226 Thu, 01 Nov 2007 04:00:00 +0100 1589226 http://www.medworm.com/index.php?rid=1589225&cid=s_37567_148_f&fid=37567&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17973613%26dopt%3DAbstract CONCLUSION: An Australian database of inpatient exports, the AIED, encompassing public and private hospital data has been established for the period 1987-88 to 1995-96. The problems encountered in the course of this study emphasise the desirability of maintaining an adequately resourced national repository for health statistics. PMID: 17973613 [PubMed - indexed for MEDLINE] (Source: Australian Health Review) Australian Health Review journals http://www.medworm.com/rss/comments.php?id=1589225 Thu, 01 Nov 2007 04:00:00 +0100 1589225