Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 31, No. 2, May

A Service Model of Short-Term Case Management for Elderly People at Risk of Hospital Admission
AbstractThis article presents the model of a short-term case management program focused on reducing emergency department presentations and unplanned hospital admissions for a targeted group of older people with complex care needs. As a semi-integrated...
Chronic Illness and Consumer Inequality: The Impact of Health Costs on People with Chronic Illnesses in Rural and Regional Australia
AbstractThis paper presents the results of a survey undertaken in rural and regional Victoria in 2003 on the total costs faced by households caring for people with chronic illnesses. The impact of these costs for the households is discussed in the context...
Creating an Integrated Vision by Collocating Health Organisations: Herding Cats or a Meeting of Minds?
AbstractThe Brisbane South Centre for Health Services Integration (BSCHSI) initiative used a collocation strategy to integrate local service delivery across three different health organisations. Physical collocation was combined with validated integration...
Current Practice in the Assessment and Management of Acute Diabetes-Related Foot Complications
AbstractA retrospective audit of client histories from 1 April 2004 to 31 March 2005 was conducted. Assessment, investigations on admission, management, length of stay and outcomes were assessed and compared with evidence-based guidelines. A total of...
Editorial
THE INTENT OF the "Models of Care" section is to provide quality articles relating to a range of models of care. It is also a forum for presenting original research findings, debate and discussion in this area.As this issue of Australian Health Review...
Engaging Men in the Health System: Observations from Service Providers
AbstractMen's health is a significant public health issue in Australia. Increasingly, health indices show poor health outcomes for them. Literature suggests limitations in the health services dealing with their needs. If we are to improve boys' and men's...
Factors Influencing Triage Decisions in Mental Health Services
AbstractThe aim of the study was to identify the factors influencing the timing of an assessment after contact with a triage program in a community-based area mental health service in Australia. Triage decisions apparently were influenced by several...
Health Service Integration: A Case Study in Change Management
AbstractHealth service integration seems a logical and desirable strategy to improve both the efficiency and quality of service delivery. Failure of implementation is common but may not be inevitable. This paper reports on a case study involving structured...
Length of Stay Patterns for Patients of an Acute Care Hospital: Implications for Nutrition and Food Services
AbstractObjective: Shortened hospital average length of stay (ALOS) has been used to justify rationalisation of some services, but, by definition, some patients stay for longer than the average. The objective of this study was to explore lengths of stay...
Managing Acute Behavioural Disturbance in an Emergency Department Using a Behavioural Assessment Room
AbstractThis study was conducted to evaluate a behavioural assessment room (BAR) as a strategy in the management of people exhibiting acute behavioural disturbance in the St Vincent's Hospital, Melbourne Emergency Department (ED). The study involved...
Measuring Quality
AbstractIt is no longer sufficient for health care professionals to provide high quality health care, they must also be able to demonstrate that they are meeting and often exceeding quality targets. Quality indicators (QIs) provide a means of measuring...
Meeting Needs for Ongoing Care
THIS ISSUE of Australian Health Review has a primary focus on meeting needs for ongoing health care for people with chronic conditions. The first paper in this issue is our n = 1 feature written by Claire Williams. Claire provides a personal account...
Mutual Help Groups: An Important Gateway to Wellbeing and Mental Health
AbstractObjective: This study investigated the impact of GROW, an Australia-wide community mental health organisation, on psychological wellbeing and mental health.Design: Triangulation of quantitative and qualitative research methods was employed. The...
"Permission to Speak": A Carer's Experience
BILL, MY LIFE PARTNER of 40 years, was diagnosed with cardiomyopathy in 2003 when he was 60. The latter is a quite common severe heart disease, usually of people older than Bill. Coronary heart disease saturates publicity about heart disease, making...
Public Policy and Private Health Insurance: Distributional Impact on Public and Private Hospital Usage
AbstractObjective: To study the effectiveness of recent private health insurance (PHI) reforms, in particular the 30% rebate and Lifetime Health Cover, in terms of their stated aim of reducing the load on public hospitals.Methods: Combines the use of...
Reviewing Recommendations of Root Cause Analyses
AbstractObjective: To determine the opinion of medical and nursing clinicians of recommendations arising from root cause analyses (RCAs) conducted between 1 April 2003 and 30 September 2004 in one Sydney Area Health Service.Methods: Twelve doctors (response...
Sisyphus and Self-Management: The Chronic Condition Self-Management Paradox
AbstractChronic condition self-management is promoted internationally as not only a possible solution to the health problems of our increasingly chronically ill and ageing population, but as part of a new wave of consumer-led and volunteer-managed health...
The Invisible Contract: Shifting Care from the Hospital to the Home
AbstractThe ageing population and associated burgeoning health care costs have resulted in a shift of care from institutional settings to home and community-based care. As one example, rehabilitation-in-the-home (RITH) programs are becoming increasingly...
The Macarthur GP After-Hours Service: A Model of After-Hours Care for Australia
AbstractIntroduction: The Macarthur GP After-hours Service (MGPAS) was established to streamline the provision of after-hours medical care in an outer-urban community. This paper reports on a process evaluation of the MGPAS.Methods: A mixed methods approach...
The Role of Practice Nurses in Coordinated Care of People with Chronic and Complex Conditions
AbstractGeneral practice in Australia must cope with growing numbers of individuals with chronic and complex needs. The Australian Government has recognised the need to reform the primary health care sector to address this issue, with recent initiatives,...