Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 31, No. 1, February

A Framework to Provide Clarity in the Use of Predictive Technologies in Health Care Management
AbstractThis paper reports on a survey of health care managers and other stakeholders which assesses the need for a framework regarding predictive technologies in health care management. In the context of this paper, predictive technologies are defined...
A Synthesis of the Secondary Literature on Effectiveness of Hospital Avoidance and Discharge Programs
AbstractThe objective of this systematic review of the literature was to synthesise secondary evidence for hospital avoidance and discharge programs, compared with usual hospital care. Seventeen electronic databases were searched to identify relevant...
Cooperate, Coordinate, Communicate or Collaborate?
IN HEALTH CARE we use these "C" words regularly - describing what health professionals, patients, consumers, politicians and managers need to do to improve health care systems. A snapshot of each of these is provided below.The Institute of Medicine's...
Designing a Podiatry Service to Meet the Needs of the Population: A Service Simulation
AbstractA model of a podiatry service has been developed which takes into consideration the effect of changing access criteria, skill mix and staffing levels (among others) given fixed local staffing budgets and the foot-health characteristics of the...
Disclosure of Treatment Injury in New Zealand's No-Fault Compensation System
AbstractIn July 2005 New Zealand became the first country to establish comprehensive no fault coverage for all treatment injury. This paper reports on a study of disclosure policies and practices related to treatment injury within the New Zealand hospital...
Disputes and Dilemmas in Health Law
Disputes and dilemmas in health law Freckleton I, Petersen K (eds) Federation Press, 2006 ISBN: 1 8628 7553 7. RRP: $125.99. xxxv + 698 pagesTHIS BOOK COUPLES the contentious areas of health law and ethics related to health care. The book skilfully examines...
Fast-Tracking Acute Hospital Care - from Bed Crisis to Bed Crisis
AbstractWe describe here the results of a continuous quality improvement (CQI) project, the Delayed Discharge Project, in a general medicine service in a New Zealand teaching hospital. Average length of stay (ALOS) dropped by 2.6 days (6.5 to 3.9), readmission...
Forecasting Emergency Department Presentations
AbstractObjective: To forecast the number of patients who will present each month at the emergency department of a hospital in regional Victoria.Methods: The data on which the forecasts are based are the number of presentations in the emergency department...
Implications of Conflicting Definitions of Probability to Health Risk Communication: A Case Study of Familial Cancer and Genetic Counselling
AbstractThe question of what probability actually is has long been debated in philosophy and statistics. Although the concept of probability is fundamental to many applications in the health sciences, these debates are generally not well known to health...
Improving Emergency Department Efficiency by Patient Streaming to Outcomes-Based Teams
AbstractObjective: To describe the process and results of a process redesign based on task analysis and lean thinking approaches aimed at improving emergency department (ED) efficiency.Methods: Before-and-after study comparing 12-month periods before...
Introducing Nosokinetics: Modelling to Enhance Health System Management
THE WORLD POPULATION IS AGEING and there is a crisis in hospital care. Correlation is not causation; however, there is an interesting relationship between the introduction of computer assisted hospital statistical returns and the crisis in inpatient...
Lean Thinking across a Hospital: Redesigning Care at the Flinders Medical Centre
AbstractLean thinking is a method for organising complex production processes so as to encourage flow and reduce waste. While the principles of lean thinking were developed in the manufacturing sector, there is increasing interest in its application...
Length of Stay Benchmarking in the Australian Private Hospital Sector
AbstractLength of stay (LOS) benchmarking is a means of comparing hospital efficiency. Analysis of private cases in private facilities using Australian Institute of Health and Welfare (AIHW) data shows interstate variation in same-day (SD) cases and...
Measuring the Impact of a Team Model of Nursing Practice Using Work Sampling
AbstractThe increasing number of inexperienced graduates, as well as other levels of nurse such as the enrolled nurse and assistant-in-nursing, requires health service and nursing managers in the acute care sector to rethink the long-preferred "patient...
"Models of Care" - a New Section in Australian Health Review
HEALTH CARE SYSTEMS in Australia and abroad encompass multiple "models of care". While diversity is inevitable, the models of care can be contradictory and controversial.International influences are acknowledged. From a policy perspective, the Department...
Outsourcing: Two Case Studies from the Victorian Public Hospital Sector
AbstractOutsourcing was one process of privatisation used in the Victorian public health sector in the 1990s. However it was used to varying degrees and across a variety of different services. This paper attempts to answer the questions: Why have managers...
The Capability of Nurse Practitioners May Be Diminished by Controlling Protocols
AbstractNurse practitioners will become a vital component of the health workforce because of the growing need to manage chronic illness, to deliver effective primary health services, and to manage workforce challenges effectively. In addition, the role...
The Place for Children's Centres for New Zealand Children
AbstractThis paper examines the experience of poverty and child maltreatment among New Zealand's children as compared with international statistics. New Zealand was a signatory to the United Nations Convention on the Rights of the Child in 1993, yet...
The Role of Ethnicity in Determining Access to and Acceptability of Home Visiting for Early Childhood Health and Wellbeing
AbstractThis paper explores access to and acceptability of home visiting for early childhood health and wellbeing among the New South Wales population. The study examined demographic and social characteristics of children and their families to identify...
Using a Multi-State Model to Enhance Understanding of Geriatric Patient Care
AbstractObjectives: To use multi-state Markov chain modelling to analyse data on geriatric patient care, and to make comparisons between male and female patients.Methods: Estimation, from observed data, of covariate (age of patient and date of admission...