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
BackgroundHealth systems worldwide are being challenged with a global health workforce crisis involving worker shortages, skill mix imbalances, poor resource distribution, unfavourable work environments and inadequate databases.1 Australia is not immune...
An Evaluation Framework for Non-Medical Prescribing Research
IntroductionHealthcare workforce shortage is a well documented global phenomenon. A 2006 report by the World Health Organisation (WHO) estimated that a 70% increase in the health workforce is required worldwide, including doctors, nurses and midwives,...
Australian Maternity Reform through Clinical Redesign
IntroductionCaseload midwifery care is an integrated maternity service model of care that is emerging in Australia. It has the potential to reorient the delivery of maternity care in a manner that will benefit women, clinicians and health services. It...
Breaking Up Is Hard to Do: Why Disinvestment in Medical Technology Is Harder Than Investment
IntroductionDevelopments in healthcare technology, including drugs, diagnostic and procedural interventions, have had a major impact on the scope of healthcare, by expanding the range of people whocan be offered treatment and the complexity of the treatments...
Bullying in the Australian Medical Workforce: Crosssectional Data from an Australian E-Cohort Study
IntroductionThe World Health Organisation (WHO) recognises that the supply and retention of an appropriately prepared, deployed and supported health workforce is a critical global issue.1 Significant resources are invested into training the health workforce,...
Coordination of Care in Australian Mental Health Policy
IntroductionThe latest Australian health reform documents on the National Health and Hospitals Network1,2 and Medicare Locals3 placed a strong emphasis on coordination and integration in the health system, including in mental health. Changes to fundholding...
Digital Technology Use among Disadvantaged Australians: Implications for Equitable Consumer Participation in Digitally-Mediated Communication and Information Exchange with Health Services
IntroductionThe ability to access information and communication technologies (ICTs), particularly via the Internet and mobile phones, is increasingly vital to full participation in economic, social, and political life.1-4 This is particularly so as institutions...
Do Smoke-Free Environment Policies Reduce Smoking on Hospital Grounds? Evaluation of a Smoke-Free Health Service Policy at Two Sydney Hospitals
IntroductionThe benefits of smoke-free environment policies are well recognised1-3 - they are associated with increased quit attempts and cessation; protect members of the public and stafffrom exposure to environmental tobacco smoke; and provide a platform...
Effect of a Chronic Disease Management Service for Patients with Diabetes on Hospitalisation and Acute Care Costs
BackgroundDiabetes is among the top ten leading chronic diseases in Australia and imposes a substantial burden on the healthcare system. It is anticipated that the demand for diabetes services will grow, a report by the Australian Institute of Health...
Knowing the People Planning: Measuring Change in Mental Health Services
IntroductionThe underlying principles of knowing the people planning (KPP) include identifying the population, knowing the needs of that population, and planning services to meet those needs.1 KPP is a practical approach that assists mental health services...
Leadership Collaboration during Health Reform: An Action Learning Approach with an Interagency Group of Executives in Tasmania
Implementing a reform agendaProviding publicly funded health services is complicated and getting more so.1 Health service professionals, be they practitioners or administrators, vary significantly in their responsibilities and perspective and it is not...
Research Performance Evaluation: The Experience of an Independent Medical Research Institute
IntroductionInterest in defining the health, social and economic impacts of investment in health research has intensified in recent years.1 Much of this activity has focussed on evaluating the outcomes of research funding from the public sector. The...
Safety of Non-Medically Led Primary Maternity Care Models: A Critical Review of the International Literature
IntroductionThe Australian government has announced a major program of reform with the move to a primary maternity care model in response to the need to achieve a balance between safety and improvingwomen's experience associated with giving birth.1 It...
Successfully Reforming Orthopaedic Outpatients
BackgroundBarwon Health is the largest regional public healthcare provider in Victoria, Australia. It faces the same challenges as most public health organisations with ever-increasing demands for services. This case study describes 5 years of reform...
The Future of Community-Centred Health Services in Australia - an Alternative View
Rosen et al. claim there is a lack of balance in current health planning and delivery with hospital-centred care favoured over community care.1 They state Australian governments should not be 'just meeting never-ending demands for more hospital beds'....
The Journey to Total Hip or Knee Replacement
IntroductionIn Australia in 2007-08, there were 7688 admissions to public hospitals for elective total hip replacement (THR) surgery and 10947 admissions for elective total knee replacement (TKR) surgery.1 Despite this, we were unable to locate any published...
Validity of Anaesthetic Complication Coding Data as a Clinical Indicator
(ProQuest: ... denotes formulae omitted.)IntroductionQuality in anaesthesia has traditionally been monitored by perioperative mortality-morbidity incidents.1 However, these methods have limited sensitivity and specificity for quality and safety issues.2...
Variation in the Adoption of Patient Safety Practices among New Zealand District Health Boards
IntroductionHospitals work to improve the quality of their services and the safety of their patients in the interests of achieving the best possible outcomes. Variation in hospital processes1 and quality2 remain. Further, results from studies conducted...
Why Are Junior Doctors Deterred from Choosing a Surgical Career?
IntroductionThe number of applicants selecting surgery as their specialty choice is declining in the UK, US and Canada,1-3 with lifestyle issues reported as the primary contributing factor.4 In Australia, the latest research suggests an anticipated shortage...
Workplace Abuse among Correctional Health Professionals in New South Wales, Australia
IntroductionHealth professionals have a right to practise in a safe workplace, a workplace in which the risk of abuse - including physical, sexual, emotional and verbal abuse - is negligible.1-4 Unfortunately, however, workplace abuse directed at front...
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