Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 32, No. 2, May

Aboriginal and Torres Strait Islander Health: Today's Challenges, Tomorrow's Opportunities
THIS FESTSCHRIFT PRESENTS a unique opportunity to pay a warm tribute to Professor Ken Donald who has built important foundations that will very much benefit future generations, especially for those of us who belong to the Aboriginal and Torres Strait...
A Piece of the Puzzle - the Role of Ethnic Health Staff in Hospitals
AbstractThe role of ethnic health staff in hospitals has not been clearly articulated for managers and practitioners. This paper describes findings from a study based on ethnic and allied health staff interviews and observations of ethnic health staff...
Attitudes, Beliefs and Values of Students in Undergraduate Medical, Nursing and Pharmacy Programs
AbstractFirst and final year students in medicine, nursing and pharmacy programs at the University of Auckland completed a questionnaire used in studies of professional subcultures. Before entering training, students differed in how they believed clinical...
Barriers to Continuing Medical Education in Australian Prevocational Doctors
AbstractTo determine perceived barriers to continuing education for Australian hospital-based prevocational doctors, a cross sectional cohort survey was distributed to medical administrators for secondary redistribution to 2607 prevocational doctors...
Care Management for Older People with Mental Health Problems: From Evidence to Practice
AbstractAim: To explore the implications of providing intensive care management in a typical old age mental health service in North West England.Methods: The time spent by core groups of specialist mental health and social services staff on a range of...
Compensation and Wellness: A Conflict for Veterans' Health
AbstractIn Australia greater attention is being given to health determinants, and the dominance of treatment in health policy and budgets is giving away some ground to prevention, health promotion, rehabilitation and disability management. This creates...
Editorial
THE ARTICLE FEATURED in the Models of Care section is "Care management for older people with mental health problems: from evidence to practice" written by Sue Tucker, Jane Hughes, Caroline Sutcliffe and David Challis (page 210). The article presents...
Evaluation of a Hospital Volunteer Program in Rural Australia
AbstractA voluntary survey questionnaire that assessed experience with and perception of the volunteering program was mailed to 62 current and 9 former volunteers and 47 staff members of Latrobe Regional Hospital (LRH). Sixty-one completed questionnaires...
Going Online - Experiences with a Web Survey
AbstractThis case study details the process and lessons learnt from converting a compulsory comprehensive organisational survey from email to online format. The conversion was undertaken to improve data quality and reduce respondent burden. Key considerations...
Health, Health Care and Healing: Introduction to the Festschrift for Professor Ken Donald
THE CITATION for Ken Donald's recent and well deserved award of an Order of Australia reads "For service to medicine as an academic and administrator, particularly as a contributor in the fields of pathology and community health". A true enough statement...
It's Not the Evidence, It's the Way You Use It: Is Clinical Practice Being Tyrannised by Evidence? My Experience with the PBAC and Evidence-Based Practice
"Good doctors use both individual clinical expertise and the best available external evidence, and neither alone is enough. Without clinical expertise, practice risks becoming tyrannised by evidence, for even excellent external evidence may be inapplicable...
Ken Donald and Muscular Christianity
"MUSCULAR CHRISTIANITY" was a system which relied upon sport to allow people to grow in a moral and spiritual way along with their physical development. It was thought that... in the playing field boys acquire virtues which no books can give them; not...
Looking after Health Care in the Bush
LOOKING AFTER health care in rural Australia involves providing adequate services to meet the urgent and non-urgent needs of rural patients in a timely, cost-effective and safe manner. The very provision of these services requires an appropriate workforce...
Pathology in Education and Practice: A Time for Integration?
AbstractWhile there has been a strong history of pathology in understanding disease, in recent years we have seen less appreciation of the value of pathology in clinical practice. Divisions at the clinical level, with pathology delivered from isolated...
Predicting Absenteeism and Turnover Intentions in the Health Professions
AbstractObjectives: The study examined the mediating influence of individual psychological reactions to work on the relationship between organisational climate and job withdrawal behaviours (viz, intention to leave and absenteeism).Methods: 1097 hospital...
Residents' Satisfaction with Multi-Purpose Services
AbstractAim: To establish a system for measuring resident satisfaction in multi-purpose services, benchmarking and performance improvement.Setting: Six multi-purpose services in rural New South Wales were involved in the project.Design: Residents were...
Rest during Shift Work in the Emergency Department
AbstractThe aim of this study was to pilot a program to encourage shift breaks for emergency department doctors and analyse the effects of breaks on tiredness and fatigue as well as possible effects on overall departmental performance.During Phase 1,...
Re-Visioning Cultural Competence in Community Health Services in Victoria
AbstractThere are few studies exploring the need to develop and manage culturally competent health services for refugees and migrants from diverse backgrounds. Using data from 50 interviews with service providers from 26 agencies, and focus group discussion...
Self-Assessment of Medico-Legal Risk by Doctors: The Know Your Risk Version I - Short Form
AbstractAn instrument to measure medico-legal risk-management behaviours among medical practitioners was developed and tested. A cross-sectional survey was posted to 962 UNITED Medical Protection members receiving premium support. A final sample of 757...
Self-Management Support and Training for Patients with Chronic and Complex Conditions Improves Health-Related Behaviour and Health Outcomes
AbstractThe Sharing Health Care SA chronic disease self-management (CDSM) project in rural South Australia was designed to assist patients with chronic and complex conditions (diabetes, cardiovascular disease and arthritis) to learn how to participate...
The Australian Health Care System
The Australian health care system Duckett SJ Oxford University Press, 2007 (3rd ed) ISBN: 978 O 19555 142 6. 370 + xxi pages. RRP: $69.95THIS IS THE THIRD edition of one of the seminal local texts on the Australian health care system. Over the last seven...
The Australian Health Care System: Reform, Repair or Replace?
AbstractA Festshrift gives us the opportunity to look both backwards and forwards. Ken Donald's career stretches back to his intern days in 1963 and has encompassed clinical and population health, academe, clinical settings and the bureaucracy, and playing...
The Benefit and Burden of "Ageing-in-Place" in an Aged Care Community
AbstractAgeing-in-place is usually viewed as a positive approach to meeting the needs of the older person, supporting them to live independently, or with some assistance, for as long as possible. It implies that older people prefer to live in their own...
The Real Business of Health Care
THIS ISSUE CONTAINS papers that consider some of the complex issues within human resource management (HRM) in health care. In health systems the care provided has tended to be craftbased production - a trained health professional provides his or her...
The Working World of Nursing Unit Managers: Responsibility without Power
AbstractThis paper seeks to explore the responsibility and power of the role of nursing unit managers (NUMs) in rural New South Wales using Kanter's theory of organisational power as a framework. Using in-depth individual interviews with twenty NUMs,...
Will the Australian Nuclear Medicine Technologist Workforce Meet Anticipated Health Care Demands?
AbstractDetermination of national nuclear medicine technologist workforce size was made from census data in 2001 and 1996 and from the professional body in 2004. A survey conducted by the authors in 2005 provided retention patterns in north-eastern Australia...