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
IntroductionThe year 2007 should have been a time for rejoicing about Aboriginal health status. The historic 1967 national referendum 40 years earlier enabled the Commonwealth for the first time to make laws for all Australians, including Aboriginals,...
An Adolescent Injury Intervention: Selecting Targeted Behaviours with Implications for Program Design and Evaluation
IntroductionThe most recentAIHW1 report on national injuryfigures indicates that adolescent injury is a major and ongoing concern. Worldwide, injury is the leading cause of death and disability for young people2 with associated considerable expense.3...
A Qualitative Evaluation of a Regional Early Psychosis Service 3 Years after Its Commencement
IntroductionBecause psychotic disorders most commonly emerge during adolescence or early adult life and often run a chronic course, these illnesses can cause lifelong disability and suffering and have a devastating effect on families and carers. The...
Assessment of a Peer Review Process among Interns at an Australian Hospital
IntroductionOver the last 20 years peer review, as a performance appraisal tool that uses reviewers who are the professional equals of an individual1 within the medical professions, has been studied and, in some cases, implemented.2 Whether mandated...
A Strategy for Real Time Improvement (RTI) in Communication during the H1N1 Emergency Response
IntroductionCommunication and information management are common challenges in disaster response.1,2 They have the ability to influence the quality of disaster management.3 Although information is acknowledged as needing wider distribution in a disaster...
Capacity Audit Tool: Identifying Inpatient Delays to Maximise Service Improvement
ObjectiveThis 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.SettingThe Royal Adelaide Hospital is a 650-bed acute teaching hospital and South...
Climate Change and Australia's Healthcare System - Risks, Research and Responses
Climate changeThe science of climate change has been consistently reported by the Intergovernmental Panel on Climate Change (IPCC),1 the major national academies of science around the world, and in leading peer-reviewed scientific journals. The average...
Community Desires for an Online Health Information Strategy
IntroductionPrevious research into the use of the internet as a source of health information in Australia has identified that an increasing number of people use the internet for health information and more would like to use it for this purpose in the...
Developing Consumer-Directed Care for People with a Disability: 10 Lessons for User Participation in Health and Community Care Policy and Program Development
ObjectivesUser involvement in planning and policy decision making has become the policy of choice for government as well as health and social care service providers in most democratic countries.1-7 This makes a lot of sense. Indeed, a growing body of...
Efficient Funding: A Path to Improving Aboriginal Healthcare in Australia?
IntroductionIn 1994, Bartlett and Legge reviewed the structures and processes that had been established in Australia to develop and implement Aboriginal health policy and to allocate resources and account for progress. Comparing Australia's experience...
Evidence-Based Decision-Making: Practical Issues in the Appraisal of Evidence to Inform Policy and Practice
IntroductionDecisions about health policies are often driven by controversial issues, crises and pressure from interest groups. In contrast, an evidence-based approach to decision-making in health provides a sound rationale for policy and practice. The...
Exploring Beliefs of the Four Major Ethnic Groups in Melbourne regarding Healthcare and Treatment
IntroductionCultural background may shape health outcomes by influencing perceptions of illness, attitudes towards healthcare providers, and most importantly, patient behaviour.1 Similarly, clinicians' own cultural beliefs may influence service provision...
Health Policy Analysis: A Tool to Evaluate in Policy Documents the Alignment between Policy Statements and Intended Outcomes
IntroductionA health policy is a plan that steers the direction of investment and action designed to alleviate suffering, improve health care or prevent illness. It can be manifested as laws, bureaucratic edicts, practice guidelines or, more vaguely,...
'I Don't Know Why They Don't Come': Barriers to Participation in Cardiac Rehabilitation
IntroductionThe health disparities of Indigenous people around the world are a global public health issue. In Australia, Aboriginal and Torres Strait Islander peoples are more likely to have cardiovascular disease and suffer more fatal coronary events...
Informal Care and the Self-Management Partnership: Implications for Australian Health Policy and Practice
IntroductionInformal care is a key element of effective chronic illness management. In 2003, 1.6 million people aged over 65 years with a disability, largely caused by chronic illness, expressed a need for some form of assistance to remain at home.1...
ISBAR for Clear Communication: One Hospital's Experience Spreading the Message
ObjectivesStructured communication tools are increasingly recognised as valuable in improving communication and safety. The aim of this project was to introduce the ISBAR communication technique across the whole of a large multisite health service for...
Medical Managers in Contemporary Healthcare Organisations: A Consideration of the Literature
Over the last 30 years, the profession of Medical Management has developed and evolved, with the establishment of the medical specialties of Physician Executives in the United States,1 Medical Managers in the United Kingdom2 and Medical Administration...
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
IntroductionHospitals worldwide are under pressure to meet increasing demands for acute care from aging populations in the face of decreased bed stock, high occupancy rates, and worsening access block. Clinicians and managers are in need of effective...
Response to Pandemic (H1N1) 2009 Influenza in Australia - Lessons from a State Health Department Perspective
The epidemic emerges overseasThe influenza pandemic first emerged in April 2009, with a report of large numbers of young adults with serious respiratory illness in Mexico, and almost simultaneous identification of a new swine-origin influenza virus circulating...
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
IntroductionThe speciality of Medical Administration has developed and evolved over the last 30 years in Australia,1 based on the fundamental principle of combining medical expertise with business or healthcare management training, for the benefit of...
The First Steps Program: A Case Study of a New Model of Community Child Health Service
BackgroundFirst-time mothers face one of the most difficult times in life when bringing home a newborn infant. Feelings of being overwhelmed and unprepared are heightened once women return to their family and realise the impact that the new baby has...
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