Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 34, No. 3, August

An Evaluation of a Benchmarking Initiative in Extended Treatment Mental Health Services
AbstractAim. To evaluate the effectiveness of a benchmarking initiative in facilitating quality improvement and reform in extended care mental health services.Method. Individual interviews and focus group discussions were conducted with 84 staff in 22...
Barriers to Comorbidity Service Delivery: The Complexities of Dual Diagnosis and the Need to Agree on Terminology and Conceptual Frameworks
Abstract. This paper draws from a literature review commissioned as part of a larger project evaluating comorbidity treatment service models, which was funded by the Australian Government Department of Health and Ageing as part of the National Comorbidity...
Do Doctors, Nurses and Managers Have Different Thinking Styles?
Abstract. A study of the preferred thinking styles among senior health professionals is reported. A total of 49 medical consultants, 50 senior nurses and 53 health managers from two public teaching hospitals in Adelaide, Australia, were invited via a...
Empowerment and Change Management in Aboriginal Organisations: A Case Study
Abstract. The social organisation of work, management styles and social relationships in the workplace all matter for health. It is now well recognised that people who have control over their work have better health and that stress in the workplace increases...
Evaluation of the Impact of Implementation of a Medical Assessment and Planning Unit on Length of Stay
AbstractObjective. The Medical Assessment and Planning Unit (MAPU) model provides a multidisciplinary and 'front end loading' approach to acute medical care. The objective of this study was to evaluate the impact of a 10-bed MAPU in Royal Melbourne Hospital...
From Leader to Leadership: Clinician Managers and Where to Next?
Abstract. Individual clinician leadership is at the forefront of health reforms in Australia as well as overseas with many programs run by health departments (and hospitals) generally focus on the development of individual leaders. This paper argues,...
GP Access to MRI: The Australian Reality
The article by Owen Bradfield1 leaves the reader guessing regarding the content of the report that he purports to critique. Although he references the report produced by the undersigned, he does not facilitate readers' access to the document so that...
'Hands on, Hands Off': A Model of Clinical Supervision That Recognises Trainees' Need for Support and Independence
AbstractRationale. This article presents a study of junior doctor supervision at a rural hospital. The objective of the present study was to gain insight into the types of supervision events experienced, the quality of supervisory relationships, the...
Human Infrastructure in Health: A Commentary on Networks of Supports
The move towards community health settings and health partnership initiatives in managing chronic disease have inadvertently created a renewed focus on the social economy in Australia, particularly the informal human structures of support and significance...
Implications of Excess Weight on Mental Wellbeing
AbstractObjective. To assess differences in perceived health-related quality of life among individuals who are normal weight, overweight and obese in the general population, with particular emphasis on mental health.Method. A cross-sectional study was...
Medically-Managed Hospital in the Home: 7 Year Study of Mortality and Unplanned Interruption
AbstractBackground. Hospital in the Home (HIH) research is characterised by small samples in new programs. We sought to examine a large number of consecutive HIH admissions over many years in an established, medically-managed HIH service in to determine...
Public Hospital Bed Crisis: Too Few or Too Misused?
Abstract* Increasing demand on public hospital beds has led to whatmanysee as a hospital bed crisis requiring substantial increases in bed numbers. By 2050, if current bed use trends persist and as the numbers of frail older patients rise exponentially,...
Readmission to an Acute Psychiatric Unit within 28 Days of Discharge: Identifying Those at Risk
AbstractObjective. To examine factors that could help identify those most at risk of readmission to an acute psychiatric in-patient unit within 28 days of a discharge.Method. A detailed file audit was conducted comparing 54 consecutive patients who had...
Returning to Physiotherapy Practice: The Perspective of Returners, Potential Returners and Clinical Supervisors
Abstract. The experience of returning to physiotherapy practice needs to be understood from the perspective of those who have returned to practice, those thinking of returning, and clinical supervisors who have worked with people that have returned to...
Rural Health Career Pathways: Research Themes in Recruitment and Retention
AbstractObjective. This paper describes stages in the research literature related to recruitment and retention of health professionals to rural health careers.Data sources. Electronic databases accessed included Medline, CINAHL, Social Sciences and Humanities....
Sustainable Workforce Reform: Case Study of Victorian Nurse Practitioner Roles
Abstract. Nurse practitioner (NP) roles have been identified as a key strategy in the development of a sustainable and responsive health workforce. To date, the focus of research related to NP roles has been on implementation and short-term evaluation...
The Clinical Services Redesign Program in New South Wales: Perceptions of Senior Health Managers
AbstractObjective. This study explores the views of senior managers regarding their experience of participating in the Clinical Services Redesign Program (CSRP) in New South Wales and the impact of that Program.Methods. Semi-structured interviews were...
The Impact of Nurses on Patient Morbidity and Mortality - the Need for a Policy Change in Response to the Nursing Shortage
AbstractContext. Workforce projections indicate that by 2012 there will be a shortfall of 61 000 registered nurses in Australia. There is a growing body of evidence that links registered nurse staffing to better patient outcomes.Purpose. This article...
The Reported Benefits of Telehealth for Rural Australians
AbstractObjective. A literature review was conducted to identify the reported benefits attributed to telehealth for people living and professionals working in rural and remote areas of Australia.Data sources. Scopus and relevant journals and websites...
The Sustainability of Medical Morning Handover Reporting: Adherence in a Regional Hospital
AbstractBackground. The Medical Morning Handover Report is a form of clinical handover and is considered to be an essential mechanism for continuity of care and adverse event minimisation within a hospital environment. It is considered a significant...