Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 28, No. 1, September 3

A New Look for Australian Health Review
WE ARE DELIGHTED to welcome you to the new look of the Journal. In recognition of the importance of Australian Health Review to management and policy decision makers in Australia, the Australian Healthcare Association has initiated some major changes...
A Review of Community Consultation in the Development of a Multi Purpose Service in Rural and Remote Australia
AbstractThis paper examines the role of community consultation and participation in the process of establishing a Multi Purpose Service (MPS) program in two towns in Western Australia. Information was gathered through written documents and semi-structured...
A Survey of Workplace Bullying in a Health Sector Organisation
AbstractThe purpose of this study was to explore the frequency, nature and extent of workplace bullying in a health care organisation in New South Wales. The survey methodology achieved a 79% response rate (n=311). Overall, 155 respondents (50%) reported...
Delayed Discharges from an Adult Intensive Care Unit
AbstractObjective: Intensive Care Unit (ICU) services are expensive, and therefore appropriate utilisation is imperative. Delayed discharges impact on the efficiency and effectiveness of ICU services. This study examines the prevalence and reasons for...
Gender Differences in Senior Management Decision Making in the New England Area Health Service
AbstractData from a questionnaire administered to senior managers in the New England Area Health Service (NEAHS) was used to examine gender differences in decision-making processes. The study found that female managers were more likely to report that...
How Empowerment and Social Support Affect Australian Nurses' Work Stressors
AbstractWe surveyed 157 nurses at a private hospital in Melbourne to examine the role of social support and empowerment in reducing work stress among Australian nurses. Our findings reveal that social support, derived from either the supervisor or work...
Ideology, Change and Conflict
Background - or product disclaimerIt is a long time since my very brief tenure as editor of Australian Health Review came to an end. Not, though, as long ago as I had thought! Swift recourse to an old c.v. shows it was in 1993 that I left the University...
Jumping Ship
THE RADIO CLOCK strikes up as it has done many thousands of times before to usher in another day. But this is not just any day. This is the last time that you will quickly shower and shave, toss on the executive uniform of tailor-made suit and tie, throw...
Let's Have More Equity and Justice in Rural Health Services Provision
As we are all well aware there have been great changes in health care delivery over the past two decades. The scientific advances that have made all of this possible command headlines in our national newspapers almost daily. So too has been the rate...
Patient Safety, Ethics and Whistleblowing: A Nursing Response to the Events at the Campbelltown and Camden Hospitals
IN NOVEMBER 2002, in what stands as one of the most significant whistleblowing cases in the history of the Australian health care system, four nurses went public with concerns they had about the management of clinical incidents and patient safety at...
Peer Review of Adverse Events - a Perspective on Macarthur
AbstractRecent investigations into the Macarthur Health Service have resulted in multiple reviews of a small number of cases. This article was prompted by a casual observation that these reviews have resulted in differing conclusions about what occurred...
Private Health Insurance and the Pharmaceutical Benefits Scheme: How Effective Has Recent Government Policy Been?
AbstractThe cost to government of the Pharmaceutical Benefits Scheme (PBS) is rising at over 10 percent per annum. The government subsidy to Private Health Insurance (PHI) is about $2.4 billion and rising. Despite this, the queues facing public patients...
Reducing Utilisation of Hospital Services by Case Management: A Randomised Controlled Trial
AbstractA 12-month randomised controlled trial was conducted in Hong Kong to evaluate the effectiveness of case management provided to a group of home-dwelling, frail elderly patients (control group: n=47; intervention group: n=45) in terms of utilisation...
Response: Public and Private Intervention Rates in Obstetric Practice
TO THE EDITORS: Dodd and Robinson (2004) present a commentary on our recently published work (Shorten B & Shorten A 2004) which examines the trends in obstetric interventions within New South Wales (NSW) public and private hospitals from 1997-2001....
The Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S) Assesses New Surgeries
AbstractThe Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S) is a programme of the Royal Australasian College of Surgeons (RACS). We provide assessments of new and emerging surgical techniques, establish...
The Effects of Increased Private Health Insurance: A Review of the Evidence
AbstractPrivate health insurance membership declined steadily between 1984 and 1997, after which major government interventions caused it to increase. We review some of the literature and conclude that the increases in membership were probably associated...
The Weakest Link?
THE EXTRAORDINARY COVERAGE of complaints of poor and dangerous patient care at Macarthur Health Service (Campbelltown and Camden Hospitals) has all the hallmarks of a pulp novel relentless and emotional media coverage, tragic personal stories, political...
Towards an Outcomes-Based System
THE DILEMMA over how best to satisfy unlimited demand with limited resources is the core problem of health care funding, management and politics. Governments and health authorities have struggled with the conflict throughout history and dealt with it...
What's Wrong with Our Hospitals?
EVENTS occurring from 1999 to 2003 at Campbelltown and Camden hospitals within the South Western Sydney Area Health Service received extensive coverage in the media during the first half of 2004 and led to significant government intervention. It has...
Why It Is Time to Review the Role of Private Health Insurance in Australia/IN REPLY
TO THE EDITOR: Since its introduction on 1 January 1999, the 30% rebate has been the subject of much misleading comment by the opponents of the private health sector. A recent addition to these ranks was published in the first edition for 2004 of Australian...
Why Protect Confidentiality in Health Records? A Review of Research Evidence
AbstractWe present the main arguments for protecting the confidentiality of health services, along with those for limiting confidentiality. These arguments are then substantiated by reference to research evidence.There is evidence that access to health...