Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 36, No. 2, May

Addressing the Workplace Needs of Western Australian Midwives: A Delphi Study
AbstractObjective. To determine the workplace needs of Western Australian midwives working in public metropolitan secondary hospitals.Method. Using a three-round Delphi approach, Round 1 incorporated focus groups and a questionnaire. Fifteen focus groups...
An Evaluation Framework for Non-Medical Prescribing Research
Abstract. Without robust and credible evidence for the benefits in health outcomes of non-medical prescribing, widespread implementation will be challenging. Our aim is to develop a consistent evaluation framework that could be applied to non-medical...
Australian Maternity Reform through Clinical Redesign
Abstract. The current Australian national maternity reform agenda focuses on improving access to maternity care for women and their families while preserving safety and quality. The caseload midwifery model of care offers the level of access to continuity...
Breaking Up Is Hard to Do: Why Disinvestment in Medical Technology Is Harder Than Investment
Abstract. Healthcare technology is a two-edged sword - it offers new and better treatment to a wider range of people and, at the same time, is a major driver of increasing costs in health systems. Manycountries have developed sophisticated systems of...
Bullying in the Australian Medical Workforce: Crosssectional Data from an Australian E-Cohort Study
AbstractObjective. This study aimed to describe the prevalence of perceived workplace bullying in the Australian medical workforce, and investigate the relationship between workplace bullying and job satisfaction, health status, and current and planned...
Coordination of Care in Australian Mental Health Policy
AbstractObjective. To review Australian mental health initiatives involving coordination of care.Methods. Commonwealth government websites were systematically searched for mental health policy documents. Database searches were also conducted using the...
Digital Technology Use among Disadvantaged Australians: Implications for Equitable Consumer Participation in Digitally-Mediated Communication and Information Exchange with Health Services
AbstractObjective. To present research findings on access to, and use of, digital information and communication technologies (ICTs) by Australians from lower income and disadvantaged backgrounds to determine implications for equitable consumer access...
Do Smoke-Free Environment Policies Reduce Smoking on Hospital Grounds? Evaluation of a Smoke-Free Health Service Policy at Two Sydney Hospitals
AbstractObjective. To evaluate the compliance of hospital staff, inpatients and visitors with Sydney South West Area Health Service's Smoke-free Environment Policy.Methods. Six sites were observed at two Sydney hospitals 2 weeks before implementation...
Effect of a Chronic Disease Management Service for Patients with Diabetes on Hospitalisation and Acute Care Costs
AbstractObjective. To evaluate the effect of a diabetes-management program for patients with type 2 diabetes and related comorbidities on acute healthcare utilisation and costs.Methods. This was a retrospective administrative dataset analysis using data...
Knowing the People Planning: Measuring Change in Mental Health Services
Abstract. This article describes the underlying philosophy of knowing the people planning (KPP) and gives an example of a practical approach to measure people's recovery in terms of consumer identified outcomes leading to the improvement in the effectiveness...
Leadership Collaboration during Health Reform: An Action Learning Approach with an Interagency Group of Executives in Tasmania
AbstractObjective. To use an action learning approach to encourage a group of executive leaders, responsible for the implementation of a state health reform agenda, to consider the leadership required to drive improvement in healthcare services.Methods....
Research Performance Evaluation: The Experience of an Independent Medical Research Institute
AbstractBackground. Evaluation of the social and economic outcomes of health research funding is an area of intense interest and debate. Typically, approaches have sought to assess the impact of research funding by medical charities or regional government...
Safety of Non-Medically Led Primary Maternity Care Models: A Critical Review of the International Literature
Abstract. The Australian government has announced major reforms with the move to a primary maternity care model. The direction of the reforms remains contentious; with the Australian Medical Association warning that the introduction of non-medically...
Successfully Reforming Orthopaedic Outpatients
Abstract. Since 2005, Barwon Health has successfully reformed its orthopaedic outpatient service to address the following issues: increasing number of referrals, inefficient referral management and triage, long waiting times for nonurgent appointments,...
The Future of Community-Centred Health Services in Australia - an Alternative View
Abstract. Community-centred healthcare works in conjunction with hospital-centred healthcare. Both have strengths and limitations. Community-centred healthcare has been demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred...
The Journey to Total Hip or Knee Replacement
AbstractObjectives. Despite the incidence of joint replacements in Australia, there is a paucity of information regarding how patients progress from their referral to their surgery. The aim of this study was to describe a patient pathway from referral...
Validity of Anaesthetic Complication Coding Data as a Clinical Indicator
AbstractClinical indicators using routinely collected International Statistical Classification of Diseases, Australian Modification (ICD-10-AM) data offer promise as tools for improvement of quality. The ICD-10-AM is the coding system used by Australian...
Variation in the Adoption of Patient Safety Practices among New Zealand District Health Boards
AbstractObjective. To investigate the adoption and impact of quality improvement measures in New Zealand hospitals.Method. Structured interviews with quality and safety managers of District Health Boards (DHBs). Correlation of use of measures with adjusted...
Why Are Junior Doctors Deterred from Choosing a Surgical Career?
AbstractObjective. To identify the reasons why interns would not choose a surgical career.Methods. This qualitative study used semi-structured telephone interviews to explore the future career choices of 41 junior doctors (14 men, 27 women). Doctors...
Workplace Abuse among Correctional Health Professionals in New South Wales, Australia
AbstractObjective. Studies have found that health workers are at elevated risk of being abused while at work. Little is known, however, about workplace abuse among correctional health professionals. We implemented a cross-sectional study to investigate...