Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 35, No. 1, February

Achieving High Immunisation Rates Amongst Children in the Australian Capital Territory: A Collaborative Effort
ObjectivesTo describe the factors that likely to have contributed to high childhood immunisation rates seen in the Australian Capital Territory and to examine factors that may have contributed previously to a decline in coverage rates.MethodsData used...
A 'Snap Shot' of the Health of Homeless People in Inner Sydney: St Vincent's Hospital
The numbers of homeless people in cities appear to be increasing, according to the Australian Bureau of Statistics (ABS) Census data.1 These data also reflect a higher density of homelessness in the City of Sydney local government area (LGA) than for...
Audit of Emergency Department Assessment and Management of Patients Presenting with Community-Acquired Needle Stick Injuries
IntroductionFollowing needle stick injuries, the primary concern is the contraction of blood-borne virus infectious disease; specifically human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV).1,2 Unlike occupational...
Australia's Private Health Insurance Industry: Structure, Competition, Regulation and Role in a Less Than 'Ideal World'
One of the strongest and most consistent policy themes of the conservative Coalition government, led by Prime Minister John Howard (1996-2007), was its support for the private health insurance (PHI) system. The traditional Liberal moral preference for...
Effects of Compulsory Rural Vocational Training for Australian General Practitioners: A Qualitative Study
IntroductionThe recruitment and retention of general practitioners to rural and remote areas is a well recognised Australian medical workforce challenge.1,2 There has long been advocacy in Australia (and internationally) for rurally-oriented medical...
Evaluating New Roles for the Support Workforce in Community Rehabilitation Settings in Queensland
IntroductionAs Australia experiences a growing and ageing population, an ageing health workforce and increasing prevalence of chronic disease, the health workforce must adapt to meet these challenges. 1,2 These adaptations may alter how health services...
Good Health Information - an Asset Not a Burden!
IntroductionThe focus on good health information has never been greater. With Health coming under increasing scrutiny and the impetus for real reform in Australia gaining momentum,1 there is a growing expectation that the health system and individual...
Hospital Churn and Casemix Instability: Implications for Planning and Educating the Nursing Workforce
At a local level, objective planning of the health workforce in terms of identifying the staff numbers needed to do the required work is undertaken by looking at the work required for a geographically defined area, such as a clinic or ward. In patient...
Implementation and Outcomes of a Zero Tolerance of Bullying and Harassment Program
IntroductionBullying and harassment is a significant issue in the workplace. In an international study on bullying, Mayhew and Chappell1 found that 10% of Australian employees may experience bullying in the workplace. It has also been reported that healthcare...
Increasing Utilisation of Emergency Ambulances
BackgroundIn Australia, as in other developed countries, there is an expectation that the health system will fulfil our care needs, especially those that are acute, urgent and life threatening. The role of ambulance services has evolved over the past...
Indigenous Women's Expectations of Clinical Care during Treatment for a Gynaecological Cancer: Rural and Remote Differences in Expectations
IntroductionThe requirement for culturally safe and respectful care to Indigenous clients is extensively documented in Australian medical and health care research literature.1-4 This advice usually warns against assuming all Indigenous people are the...
Interpersonal Violence Presentations to General Practitioners in Western Australia: Implications for Rural and Community Health
IntroductionInterpersonal violence poses a serious problem for the community. In Western Australia (WA), reported assaults comprise 71% of all 'offences against the person'.1 There may be as many as 231 assaults per day taking into account the high proportion...
Making the Connection: A Qualitative Study of Brokerage in Aboriginal Health in a Metropolitan Area of Victoria and a Regional Area of New South Wales
The burden of disease suffered by Indigenous Australians is estimated to be two-and-a-half times greater than that in the general Australian population and much of this added burden is attributable to diabetes, cardiovascular disease, respiratory illness...
Occupational Violence in General Practice: A Whole-of-Practice Problem. Results of a Cross-Sectional Study
IntroductionOccupational violence is defined as 'Incidents where persons are abused, threatened or assaulted in circumstances related to their work, involving an explicit or implicit challenge to their safety, well being or health'.1Although occupational...
Pharmaceutical Benefits Scheme Cost Sharing, Patient Cost Consciousness and Prescription Affordability
BackgroundAustralia's Pharmaceutical Benefits Scheme (PBS) is a publicly funded insurance scheme aimed at providing universal affordable access to prescription medicines.1 Approximately 80% of the prescription medicines used in Australia are subsidised...
Predictive Risk Modelling in Health: Options for New Zealand and Australia
IntroductionIn health care systems across the world, a small fraction of the population accounts for a disproportionately large proportion of health care usage and cost. For example, in the United States, Reuben et al. estimate that 10% of all Medicaid...
Subacute Casemix Classification for Stroke Rehabilitation in Australia. How Well Does AN-SNAP V2 Explain Variance in Outcomes?
BackgroundMeasurement of hospital output and the development of equitable payment systems for hospitals and health systems, based on output, have undergone development over many years. Over 125 years ago, in 1883, Lord Kelvin1 said:I often say that when...
Surgical Handover in a Tertiary Hospital: A Working Model
BackgroundThe trend, in the last few years, of shorter working hours for junior doctors has been driven by the need for safer working conditions. The Australian Medical Association's National Code of Practice1 has defined hazardous work practice and...
The Global Financial Crisis and Australian General Practice
IntroductionThe global financial crisis (GFC) is having (and will continue to have) an impact on the health sector in Australia as in many other countries. The impact on the health sector will vary depending on healthfinancing arrangements, welfare funding...
Views of GPs and Practice Nurses on Support Needed to Respond to Pandemic Influenza: A Qualitative Study
IntroductionFive years ago Australia, and the world, placed itself on heightened alert for pandemic influenza, based on concerns about the potential spread of the avian influenza virus (H5N1), following on from the Severe Acute Respiratory Syndrome (SARS)...
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