Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 28, No. 3, December 13

Acute Transition Allliance: Rehabilitation at the Acute/aged Care Interface
AbstractThe acute/aged care interface has presented many challenges to funders, providers and planners in the health and aged care sectors. Concerns have long been expressed in the aged care sector about the changing needs of clients admitted permanently...
After-Hours General Practice Clinics Are Unlikely to Reduce Low Acuity Patient Attendances to Metropolitan Perth Emergency Departments
AbstractObjective: To model the effectiveness of after-hours general practice (GP) in reducing metropolitan Perth emergency departments' (ED) low acuity patient (LAP) attendances and costs.Methods: We estimated LAP attendances by comparison of the product...
A Model Health System Approach to Gender-Based Violence
A model health system approach to gender-based violenceVIOLENCE AGAINST WOMEN:The Health sector Responds.Velzeboer M, Ellsberg M, Areas CC, Garcia-Moreno C Pan American Health Organization, Washington 2003. Occasional Publication No. 12. 131 pp.THIS...
An Aggression Policy That Works
AbstractIn 1999, a survey of the clinical staff in Royal Darwin Hospital showed that most instances of aggressive and abusive behaviour by patients or visitors occurring in the hospital went unreported because staff believed there would not be any follow-up...
A Transitional Care Service for Elderly Chronic Disease Patients at Risk of Readmission
AbstractBackground: Multiple hospital admissions, especially those related to chronic disease, represent a particular challenge to the acute health care sector in Australia.Objective: To determine whether a nurse-led chronic disease management model...
Care Coordination and Health Sector Reform
THE PRODUCTIVITY COMMISSION (Productivity Commission 2004) has nominated nationally coordinated health sector reform as one of two top priorities (along with natural resource management) for extending the industry reform agenda under the aegis of National...
Consultation with Non-English Speaking Communities: Rapid Bilingual Appraisal
AbstractGovernment services, including health departments, are insisting that consumers or users of health services be consulted. Linguistic diversity in communities can pose challenges to planners and policymakers in this communication and consultation...
Effective Discharge Policy: Are We Getting There?
AbstractPurpose: To determine patients' knowledge before admission about how many days they were likely to be hospitalised and, after discharge, to determine patients' perceptions of their 'readiness' to leave hospital following carotid endarterectomy....
Effects of Increased Private Health Insurance on Hospital Utilisation in Victoria
AbstractThe proportion of Victorians and Australians generally with private health insurance (PHI) increased from 31% in 1998 to 45% in 2001. We analysed a dataset containing all hospital separations throughout Victoria to determine whether changes in...
Experience of a Falls and Injuries Risk Assessment Clinic
AbstractAim: To describe the first 2 years of operation of a specialist Falls Clinic providing assessment of falls risk and individual preventive interventions in a public hospital setting.Method: Drawing from the available falls prevention evidence,...
Health System Costs of Falls of Older Adults in Western Australia
AbstractThe aim of this study was to determine the health system costs associated with falls in older adults who had attended an emergency department (ED) in Western Australia. The data relating to the ED presentations and hospital admissions were obtained...
Impact on Public Hospitals If Private Health Insurance Rates in Victoria Declined
AbstractThe additional cost of treating acute care type Victorian private patients as public patients in Victorian public hospitals based on the current public sector payment model and rates was calculated, as was the loss of health fund income to public...
Improving Mental Health Services in a Local Area - an Exploratory Study
AbstractThe change in the focus of care for people with mental illness from hospital to community has been far from uniformly successful for a variety of reasons. A review of the development of mental health services suggests that the views of doctors...
Retention of Nursing Staff - a Team-Based Approach
AbstractThis case study discusses a team-based approach to the retention of nursing staff. In 2001, Mercy Hospital for Women (Mercy) was part of a benchmarking study to try to understand more about its nursing workforce. The results indicated that 40%...
Setting Priorities in the South West of Western Australia: Where Are We Now?
AbstractDue to resource scarcity, health care decision makers must make choices about what services to fund. In exploring the potential for developing a formal approach to priority setting in the South West Area Health Service (SWAHS) in Western Australia,...
The Decision Process of Leaving Nursing
AbstractThis article reports the findings of a research study investigating the decision process of former division one nurses in deciding to leave the profession. Semi-structured interviews were conducted with 29 participants. For many participants,...
The Shifting Cost of Care: Early Discharge for Rehabilitation
AbstractThis article tells the stories of two family carers, each of whom is caring for someone who has been discharged early from hospital to have their rehabilitation at home. These stories illustrate the personal impact of early discharge for rehabilitation....
The Value of Local Area Planning
AbstractThe following case study describes the Barwon Primary Care Forum (BPCF) model for local area planning and the value this model has brought to the member agencies. The model was developed from a locally identified need for social planning which...