Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 34, No. 4, November

Aboriginal Cultural Awareness Training: Policy V. Accountability - Failure in Reality
Abstract. Despite 42 years progress since the 1967 referendum enabling laws to be made covering Aboriginal Australians their poor health status remains and is extensively documented. This paper presents results of a study into Cultural Awareness Training...
An Adolescent Injury Intervention: Selecting Targeted Behaviours with Implications for Program Design and Evaluation
AbstractObjectives. This paper sought to identify the behaviour change targets for an injury prevention program; Skills for Preventing Injury in Youth (SPIY). The aim was to explore how such behaviours could subsequently be implemented and evaluated...
A Qualitative Evaluation of a Regional Early Psychosis Service 3 Years after Its Commencement
AbstractObjective. To outline the major findings of a qualitative evaluation of an Early Psychosis Service 3 years after its establishment.Design. Data to evaluate the service were collected from team meetings, focus groups, individual interviews and...
Assessment of a Peer Review Process among Interns at an Australian Hospital
AbstractPurpose. This study considered how a peer review process could work in an Australian public hospital setting.Method. Up to 229 medical personnel completed an online performance assessment of 52 Junior Medical Officers (JMOs) during the last quarter...
A Strategy for Real Time Improvement (RTI) in Communication during the H1N1 Emergency Response
AbstractObjective. To develop and implement a strategy that would enable the Emergency Operations Centre (EOC) to assess the effectiveness of communication strategies and guide real time improvements within the life cycle of the emergency.Design, setting...
Capacity Audit Tool: Identifying Inpatient Delays to Maximise Service Improvement
AbstractObjective. This case study describes the development of a process and tool, the 'Capacity Audit', to quantify key inpatient delays in an acute care tertiary hospital setting.Method. The Capacity Audit Tool is an adaption of an existing Wasted...
Climate Change and Australia's Healthcare System - Risks, Research and Responses
Abstract. Climate change will affect human health, mostly adversely, resulting in a greater burden on the health care system, in addition to any other coexistent increases in demand (e.g. from Australia's increasingly ageing population). Understanding...
Community Desires for an Online Health Information Strategy
AbstractObjective. To determine whether the community's attitudes to components of a community eHealth strategy differ across three different socioeconomic groups.Design. A survey questionnaire was designed and implemented across three different communities.Participants...
Developing Consumer-Directed Care for People with a Disability: 10 Lessons for User Participation in Health and Community Care Policy and Program Development
Abstract. This paper outlines 10 lessons derived from the development of a consumer-directed care program for families with disabled children in Melbourne, Australia. The following program elements proved to be of importance over the course of the development...
Efficient Funding: A Path to Improving Aboriginal Healthcare in Australia?
AbstractObjectives. Toidentify the factors that contribute to the under-resourcing of Aboriginal health and to explore the impact that funding arrangements have on the implementation of Aboriginal health policy.Design, settings and participants. Qualitative...
Evidence-Based Decision-Making: Practical Issues in the Appraisal of Evidence to Inform Policy and Practice
AbstractObjective. To highlight the differences between a systematic review of the literature and a systematic review of the best available evidence; to discuss practical issues in the appraisal of evidence to inform public health policy and practice;...
Exploring Beliefs of the Four Major Ethnic Groups in Melbourne regarding Healthcare and Treatment
AbstractObjectives. To explore and compare beliefs about healthcare and treatment of four ethnic groups attending a Melbourne emergency department (ED), and the corresponding perceptions held by emergency clinicians.Method. Prospective survey of ED doctors...
Health Policy Analysis: A Tool to Evaluate in Policy Documents the Alignment between Policy Statements and Intended Outcomes
AbstractObjective. Health policy analysis remains surprisingly undeveloped in Australia given the power that policy exercises over the direction of public health. This paper describes the use of a policy analysis tool to evaluate the alignment between...
'I Don't Know Why They Don't Come': Barriers to Participation in Cardiac Rehabilitation
AbstractObjectives. To describe health professionals' perceptions of Aboriginal people's access to cardiac rehabilitation (CR) services and the role of institutional barriers in implementing the National Health and Medical Research Council (NHMRC) guidelines...
Informal Care and the Self-Management Partnership: Implications for Australian Health Policy and Practice
AbstractObjective. The Serious and Continuing Illness Policy and Practice Study (SCIPPS) aims to improve the care and support for patients with chronic illness and their family carers. Here we describe the carers' contribution to the selfmanagement partnership...
ISBAR for Clear Communication: One Hospital's Experience Spreading the Message
Abstract. All health services rely on efficient and accurate communication between health professionals to ensure safe and effective patient care. Our health service introduced a standardised technique, ISBAR (Identify, Situation, Background, Assessment,...
Medical Managers in Contemporary Healthcare Organisations: A Consideration of the Literature
AbstractObjectives. To consider the literature supporting the evolution of the roles of a Medical Manager within contemporary healthcare organisations.Design. Consideration of available literature.Results. Limited dedicated literature available. Consideration...
Models of Care Editorial
How often do we look outside ourselves for the answers to life's challenges? We are judgmental, accusing and often look at deficiencies with members of our family, friends, work colleagues, organisations we work within, the industry and broader community....
Preventing the Rebound: Improving Care Transition in Hospital Discharge Processes
AbstractBackground. Unplanned readmissions of recently discharged patients impose a significant burden on hospitals with limited bed capacity. Deficiencies in discharge processes contribute to such readmissions, which have prompted experimentation with...
Response to Pandemic (H1N1) 2009 Influenza in Australia - Lessons from a State Health Department Perspective
Abstract. This article reviews the lessons that can be learned by the health sector, in particular, and the public sector, more generally, from the governmental response to pandemic (H1N1) 2009 influenza A (pH1N1) in Australia during 2009. It covers...
Risk Management: Where Are Hospital 'Green' Committees and Officers?
The contribution from healthcare to the 21st century's greatest threat to health, climate change,1,2 is not insignificant. The United Kingdom's National Health Service (NHS) produces 3.2% of the country's total carbon footprint.3 Locally the Victorian...
Roles, Attributes and Career Paths of Medical Administrators in Public Hospitals: Survey of Victorian Metropolitan Directors of Medical Services
AbstractAim. To document the roles, the perceived skills and attributes and experience required of Medical Administrators in contemporary public hospitals.Method. Interviews with Directors of Medical Services (DMS) from Victorian metropolitan public...
The First Steps Program: A Case Study of a New Model of Community Child Health Service
Abstract. Community Child Health Nursing Services provide support for new mothers; however, the focus has often been on individual consultations, complemented by a series of group sessions soon after birth. We describe a new model of community care for...

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