Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 32, No. 4, November

A Case Study of Centralised Monitoring of Hospital Access Performance
AbstractAccess 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....
Accessibility and Quality of Care Received in Emergency Departments by Aboriginal and Torres Strait Islander People
AbstractObjectives: To examine the accessibility and quality of care received in emergency departments by Aboriginal and Torres Strait Islander people compared with other Australians.Methods: We examined 2004-05 data from the National Non-admitted Patient...
Acute Upper Respiratory Infections in Western Australian Emergency Departments, 2000-2003
AbstractObjective: To describe the epidemiological and other characteristics of emergency department (ED) presentations diagnosed with acute upper respiratory infection (URI).Design and setting: A retrospective study of patients given an ED diagnosis...
A Decade of Data Linkage in Western Australia: Strategic Design, Applications and Benefits of the WA Data Linkage System
AbstractObjectives: 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...
Community-Governed Health Services in Cape York: Does the Evidence Point to a Model of Service Delivery?
AbstractHealth 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...
Doing Health Policy in Australia
Book review Doing Health Policy in Australia Dugdale P Alien and Unwin, 2008 ISBN: 978 1 74175 395 0. vii + 239 pages. RRP: $45THIS BOOK ADDS to a string of recent offerings on Australian health policy in this country. What separates this text from the...
Editorial
TWO ARTICLES ARE FEATURED in this AHR issue's Models of Care section. The first article by May and colleagues entitled "Integrated models or mayhem? Lessons learnt from three integrated primary health care entities in regional New South Wales" reviews...
Emergency Department Use in a Rural Australian Setting: Are the Factors Prompting Attendance Appropriate?
AbstractIncreases 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...
Estimating and Projecting Subacute Care Demand: Findings from a Review of International Methods
AbstractA 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...
Eye Health Programs within Remote Aboriginal Communities in Australia: A Review of the Literature
AbstractObjective: To review the literature regarding the most sustainable and culturally appropriate ways in which to implement eye health care programs within remote Aboriginal communities in Australia from a primary health care perspective.Data sources:...
Few Urban-Rural Differences in Older Carers' Access to Community Services
AbstractTo 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...
How Are Language Barriers Bridged in Acute Hospital Care? the Tale of Two Methods of Data Collection
AbstractObjective: To explore language service provision in a pilot hospital study with two methods of data collection.Methods: This mixed mode study design comprises a multilingual telephone survey followed by a medical records audit, undertaken at...
"If It Wasn't for OTDs, There Would Be No AMS": Overseas-Trained Doctors Working in Rural and Remote Aboriginal Health Settings
AbstractAustralian-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...
Improving Aboriginal Health
In recognition of the recent achievements of the Close the Gap campaign, this issue of AHR contains a set of papers focusing on Aboriginal health. At the national Indigenous Health Equality Summit in Canberra in March 2008, the Close the Gap Statement...
Integrated Models or Mayhem? Lessons Learnt from Three Integrated Primary Health Care Entities in Regional New South Wales
AbstractWhile "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....
Pay for Performance Programs in Australia: A Need for Guiding Principles
AbstractPay-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...
Predictors of Readmission after Elective Coronary Artery Bypass Graft Surgery
AbstractObjective: 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,...
Primary Care Presentations at Emergency Departments: Rates and Reasons by Age and Sex
AbstractPrimary 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...
Public Health Systems Research: The State of the Field
AbstractPublic 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...
Quality Frameworks for Telephone Triage
AbstractThe 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...
Strengthening the Link between Policy Formulation and Implementation of Indigenous Health Policy Directions
AbstractThis 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...
The Challenges of Change Management in Aboriginal Community-Controlled Health Organisations. Are There Learnings for Cape York Health Reform?
AbstractThe 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...
The National Indigenous Health Performance Measurement System
AbstractThis 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...
The Negative Impact on Nurses of Lack of Alignment of Information Systems with Public Hospital Strategic Goals
AbstractThe 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...
Waiting Lists: Waiting for the Evidence!
AbstractOn 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...