Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 31, April

Anaesthesia Underpins Acute Patient Care in Hospitals
AbstractThe Australian and New Zealand College of Anaesthetists (ANZCA) carried out a review of the roles of anaesthetists in providing acute care services in both public and private hospitals in Europe, North America and South-East Asia. As a result,...
A New Approach to Clinical Governance in Queensland
AbstractClinical governance approaches in Queensland health were trenchantly criticised in 2005 by two external reviews. In designing the new approach to clinical governance it was recognised that clinical governance should not be seen as only being...
Changing the Face of Mental Health Care through Needs-Based Planning
AbstractMental disorders contribute to the burden of human disease. The National Survey of Mental Health and Wellbeing revealed low participation in treatment. The Tolkien II report provided evidence that a mental health service that utilised needs-based...
Community Consultation and Engagement in Health Care Reform
AbstractIn advocating for significant reform of the health care system, the Australian Health Care Reform Alliance (AHCRA) supports a process of citizen engagement that will allow the wider community to have a say in the future direction of their health...
Connecting Funds with Quality Outcomes in Health Care: A Blueprint for a Clinical Practice Improvement Payment
AbstractThere are significant geographic variations in the quality of health care, often with substantial gaps between what is known to be achievable and what is actually achieved in practice. This is a global problem that has persisted for many years...
Hospitals Then and Now: Changes since the Start of Medicare
AbstractAustralia's current hospital system is very different to the one that existed in 1982-83, the last full year before the introduction of Medicare. Capped budgets, new technology and rising expectations have seen the public sector lose ground to...
Managing the Interface between Acute Care and Rehabilitation - Can Utilisation Review Assist?
AbstractAims and methods: We piloted the InterQual Criteria tool in a large regional acute hospital in NSW to determine the utility of this tool in the Australian context. In particular to compare the current "gold standard" of physician assessment for...
Mature Use of Casemix - Are We There Yet?
AbstractIn this paper we consider the progress made in using casemix in Australia. We argue that while the casemix infrastructure has been highly developed and the casemix-based funding systems of some states are mature, there is still more development...
Medical Role Substitutions and Delegations - Overcoming the Fear
AbstractThis paper outlines the increasing need for new health care practitioners to work under delegation or as substitutes for medical practitioners to resolve the Australian health workforce crisis. The personal experience of the author and common...
Quali-Quantitative Analysis: A New Model for Evaluation of Unusual Cases in Hospital Performance?
AbstractThis paper aims to provide hospital administrators and others making decisions about hospital error funding, as well as researchers, with information about what good hospital error research looks like. It offers a selective review of how the...
Quality Junior Doctor Training, Improved Workforce Outcomes and Patient Safety
AbstractThe intern year is a critical part of medical education and pivotal in provision of health services, especially in tertiary facilities. Training must be integrated with health service needs, as our health service is not well served if junior...
Redesigning Models of Patient Care Delivery and Organisation: Building Collegial Generosity in Response to Workplace Challenges
AbstractThis case study describes the New South Wales Nursing and Midwifery Office (NaMO) Models of Care Project, a project designed to identify, encourage and disseminate innovations in nursing care organisation and delivery. The project is a 4-year...
Supporting Work Practices, Improving Patient Flow and Monitoring Performance Using a Clinical Information Management System
AbstractProviding information technology solutions to clinicians to support their work practices benefits clinicians, administrators and patients. We present our 8-year experience with an inexpensive information management system which provides clinical...
Teaching, Learning and Research: Essential Elements of Health Care and the Next Australian Health Care Agreements
AbstractAustralian Health Care Agreements must set out the roles and responsibilities of the Australian, state and territory governments in ensuring the provision of appropriate clinical placements for the additional medical student allocation. The roles...
The AROC Annual Report: The State of Rehabilitation in Australia 2005
AbstractThis is the inaugural comprehensive annual report that describes patients discharged from subacute inpatient rehabilitation programs provided by facilities that are members of the Australasian Rehabilitation Outcomes Centre (AROC). Collection...
The Development of Version 2 of the AN-SNAP Casemix Classification System
AbstractThis paper presents the results of a recent review of the Australian National Sub-acute and Non-acute Patient (AN-SNAP) classification system. The AN-SNAP system was developed by the Centre for Health Service Development, University of Wollongong...
The Impact of the Pathology Workforce Crisis on Acute Health Care
AbstractThere is much talk of the crisis in medical workforce. This paper outlines the huge problem facing pathology services in Australia and the impact this will have on the delivery of health care services.Aust Health Rev 2007: 31 Suppl 1: S28-S30WHILE...
Workforce Development: Planning What You Need Starts with Knowing What You Have
AbstractHealth workforce planning and research occurs at both national and state/territory levels, but identifying current workforce availability and future workforce need is more problematic at a regional level. We report on the practical approach to...
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