Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 35, No. 1, February

Achieving High Immunisation Rates Amongst Children in the Australian Capital Territory: A Collaborative Effort
AbstractBackground. In September 2008 the ACT achieved the highest childhood coverage rates in Australia with rates of 93.5% (12-15-month age cohort), 94.9% (24-27-month age cohort) and 90.58% (60-63-month age cohort).Purpose. To analyse the key contributing...
A 'Snap Shot' of the Health of Homeless People in Inner Sydney: St Vincent's Hospital
AbstractObjectives. The poor health profile of people who are homeless results in a disproportionate use of health resources by these people. An in-hospital count of demographic and health data of homeless patients was conducted on two occasions at St...
Audit of Emergency Department Assessment and Management of Patients Presenting with Community-Acquired Needle Stick Injuries
AbstractObjectives. To describe characteristics and management of people with community acquired needle stick injuries (CANSI) attending urban emergency departments; and suggest a guideline to improve assessment, management, and documentation.Methods....
Australia's Private Health Insurance Industry: Structure, Competition, Regulation and Role in a Less Than 'Ideal World'
Abstract. Australia's private health insurance funds have been prominent participants in the nation's health system for 60 years. Yet there is relatively little public awareness of the distinctive origins of the health funds, the uncharacteristic organisational...
Effects of Compulsory Rural Vocational Training for Australian General Practitioners: A Qualitative Study
AbstractBackground. Increasing the recruitment of doctors, including general practitioners (GPs), to rural areas is recognised as a health priority internationally. Australian GP trainees (registrars) complete a mandatory minimum of 6 months training...
Evaluating New Roles for the Support Workforce in Community Rehabilitation Settings in Queensland
AbstractIntroduction. Alternative workforce models need to be explored to adequately meet the future health care needs of the Australian population. A new role for the support workforce, to optimise their contribution in community rehabilitation in Queensland...
Evaluation of Non-Medical Prescribing
The supply and access to safe, effective and efficient use of medicines is guided by the National Medicines Policy and the Policy for the Quality Use of Medicines.Evidence suggests that health services in Australia may not be currently meeting these...
Good Health Information - an Asset Not a Burden!
Abstract. Good health information is central to informing the delivery of health care. Health has mostly struggled to promote the effective use of information to manage services on a day to day basis. Based on the experience at the Children's Hospital...
Hospital Churn and Casemix Instability: Implications for Planning and Educating the Nursing Workforce
Abstract. Health workforce planning is a priority for Australian governments at both state and federal levels. Nursing shortages are a significant problem and addressing these shortages is likely to be a component of any workforce plan. This paper looks...
Implementation and Outcomes of a Zero Tolerance of Bullying and Harassment Program
Abstract. This case study describes the implementation of a zero tolerance of bullying and harassment program and its outcomes in an ACT hospital. The significance of bullying and harassment within this hospital workplace and its impact became apparent...
Increasing Utilisation of Emergency Ambulances
AbstractBackground. Increased ambulance utilisation is closely linked with Emergency Department (ED) attendances. Pressures on hospital systems are widely acknowledged with ED overcrowding reported regularly in the media and peer-reviewed literature....
Indigenous Women's Expectations of Clinical Care during Treatment for a Gynaecological Cancer: Rural and Remote Differences in Expectations
AbstractObjectives. To report on differences in Indigenous women's expectations of clinical care during treatment for a gynaecological cancer in rural and remote regions.Design. Qualitative interviews were conducted in New South Wales, Victoria, South...
Interpersonal Violence Presentations to General Practitioners in Western Australia: Implications for Rural and Community Health
AbstractObjective. To estimate the incidence of interpersonal violence presentations to general practitioners (GPs).Methods. A postal survey of all GPs in Western Australia (WA) was conducted in 2009 using a structured questionnaire.Results. Among the...
Making the Connection: A Qualitative Study of Brokerage in Aboriginal Health in a Metropolitan Area of Victoria and a Regional Area of New South Wales
AbstractObjective. Health brokerage is one method being employed by government health agencies in an attempt to improve Aboriginal and Torres Strait Islander people's access to primary healthcare. This qualitative study explores key stakeholders' understanding...
Occupational Violence in General Practice: A Whole-of-Practice Problem. Results of a Cross-Sectional Study
AbstractObjective. To examine the experiences of occupational violence in general practitioner (GP) and non-GP staff. Further objectives were to compare prevalence of violence in GP and non-GP staff and to examine levels of apprehension and perceptions...
Pharmaceutical Benefits Scheme Cost Sharing, Patient Cost Consciousness and Prescription Affordability
AbstractObjective. To assess patients' prescription medicine cost consciousness and explore the implications of further cost sharing increases for affordability.Design and participants. A telephone interview survey of 818 randomly selected prescription...
Predictive Risk Modelling in Health: Options for New Zealand and Australia
Abstract. Predictive risk models (PRMs) are case-finding tools that enable health care systems to identify patients at risk of expensive and potentially avoidable events such as emergency hospitalisation. Examples include the PARR (Patients-at-Risk-of-Rehospitalisation)...
Subacute Casemix Classification for Stroke Rehabilitation in Australia. How Well Does AN-SNAP V2 Explain Variance in Outcomes?
AbstractObjective. We sought the best predictors for length of stay, discharge destination and functional improvement for inpatients undergoing rehabilitation following a stroke and compared these predictors against AN-SNAP v2.Method. The Oxfordshire...
Surgical Handover in a Tertiary Hospital: A Working Model
Abstract. The trend, in the last few years, of shorter working hours for junior doctors has been driven by the need for safer working conditions. This has led to the loss of continuity of care and the introduction of shift work for residents and registrars,...
The Global Financial Crisis and Australian General Practice
AbstractObjective. To explore the potential effects of the global financial crisis (GFC) on the market for general practitioner (GP) services in Australia.Design. We estimate the impact of changes in unemployment rates on demand for GP services and the...
Views of GPs and Practice Nurses on Support Needed to Respond to Pandemic Influenza: A Qualitative Study
AbstractIntroduction. Five years ago Australia, and the world, placed itself on heightened alert for pandemic influenza, based on concerns about the potential spread of the avian influenza virus. This prompted a flurry of preparation activity involving...