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....
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...
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...
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...
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...
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...
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...
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...
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...
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:...
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...
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...
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...
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...
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....
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...
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,...
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...
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...
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...
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...
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...
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...
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...
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...