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Australian Health Review: a Publication of the Australian Hospital Association

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https://www.readbyqxmd.com/read/30223942/physiotherapy-clinical-education-in-australia-an-exploration-of-clinical-educator-characteristics-confidence-and-training-requirements
#1
Clint Newstead, Catherine L Johnston, Gillian Nisbet, Lindy McAllister
Objectives The aim of this study was to describe physiotherapists' involvement, confidence and training needs in the provision of student clinical education (CE) in Australia. Methods A valid and reliable cross-sectional online survey instrument was used to collect data from physiotherapists employed in public and private healthcare facilities in Australia. Survey questions included participant personal and professional characteristics, participation in CE-related continuing professional development (CPD) and confidence in components of CE...
September 18, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30205873/multicriteria-decision-analysis-mcda-for-health-technology-assessment-the-queensland-health-experience
#2
Sarah Howard, Ian A Scott, Hong Ju, Liam McQueen, Paul A Scuffham
Objectives In determining whether new health technologies should be funded, health technology assessment (HTA) committees prefer explicit to implicit methods of analysis in enhancing transparency and consistency of decision making. The aim of this study was to develop and pilot a multicriteria decision analysis (MCDA) framework for the Queensland Department of Health HTA program committee, which weighted decision making criteria according to their perceived importance as determined by group consensus. Methods The criteria used in the MCDA framework were identified by reviewing the five unweighted criteria used in the existing process, consultation with committee members and literature review...
September 12, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30196806/fostering-healthcare-innovation-in-public-hospitals-the-queensland-experience
#3
Linda Mundy, Sarah Howard, Liam McQueen, Jacqui Thomson, Kaye Hewson
Faced with scarce resources and a demand for health care that exceeds supply, health policy makers at all levels of government need to adopt some form of rationing when deciding which health services should be funded in the public health system. With a relatively small investment, programs such as Queensland Health's New Technology Funding Evaluation Program (NTFEP) fosters innovation by providing funding and pilot studies for new and innovative healthcare technologies. The NTFEP assists policy makers to make informed decisions regarding investments in new safe and effective technologies based on available evidence gathered from real-world settings relevant to Queensland patients and clinicians...
September 10, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30196803/health-justice-partnerships-a-promising-model-for-increasing-access-to-justice-in-health-services
#4
Virginia Lewis, Lauren Adamson, Faith Hawthorne
Many people experience legal issues that affect their health, but do not seek legal help, particularly if they are disadvantaged in some way. This may be because they do not recognise they have a legal problem, they are unwilling or unable to address it, or they do not know how to go about dealing with it. Most people seek health care at some point, so linking health and legal services may help promote access to justice. There have been ongoing efforts in Australia to link health and law services, such as through co-locating health and legal services or through running legal 'clinics' in health services, but these have not always reached the intended clients...
September 10, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30189180/emergency-department-models-of-care-in-queensland-a-multisite-cross-sectional-study
#5
Anthony Bell, Ghasem-Sam Toloo, Julia Crilly, John Burke, Ged Williams, Bridie McCann, Gerry FitzGerald
Objective The acuity and number of presentations being made to emergency departments (EDs) is increasing. In an effort to safely and efficiently manage this increase and optimise patient outcomes, innovative models of care (MOC) have been implemented. What is not clear is how these MOC reflect the needs of patients or relate to each other or to ED performance. The aim of this study was to describe ED MOC in Queensland, Australia. Methods Situated within a larger mixed-methods study, the present study was a cross-sectional study...
September 7, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30185353/analysis-of-uncertainty-in-the-surgical-department-durations-requests-and-cancellations
#6
Belinda Spratt, Erhan Kozan, Michael Sinnott
Objective Analytical techniques are being implemented with increasing frequency to improve the management of surgical departments and to ensure that decisions are well informed. Often these analytical techniques rely on the validity of underlying statistical assumptions, including those around choice of distribution when modelling uncertainty. The aim of the present study was to determine a set of suitable statistical distributions and provide recommendations to assist hospital planning staff, based on three full years of historical data...
September 6, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30185351/stakeholder-perceptions-on-resident-to-resident-aggression-implications-for-prevention
#7
Briony Jain, Melissa Willoughby, Margaret Winbolt, Dina Lo Giudice, Joseph Ibrahim
Objective Resident-to-resident aggression (RRA) in nursing homes is a matter of serious and profound concern, yet action to eliminate or mitigate RRA is hampered by a paucity of research. The aim of this study was to explore key stakeholders' knowledge and perceptions of RRA in Australian nursing homes. Methods A qualitative cross-sectional study design was used, and semistructured telephone interviews were conducted. Participants were purposively and conveniently sampled with replacement from a range of aged care, healthcare and legal professional bodies, as well as advocacy organisations...
September 6, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30176985/cost-of-vascular-access-devices-in-public-hospitals-in-queensland
#8
Haitham W Tuffaha, Nicole Marsh, Joshua Byrnes, Nicole Gavin, Joan Webster, Marie Cooke, Claire M Rickard
Objective The aim of this study was to quantify the utilisation of vascular access devices in Queensland public hospitals and their associated cost. Methods Devices were broadly classified into peripheral intravenous catheters, central venous catheters and arterial lines. The number of catheters used was obtained from a central procurement department at Queensland Health and validated using Medicare Benefits Schedule (MBS) claims and/or hospital data from the Australian Institute of Health and Welfare for the same period...
September 4, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30158050/realist-evaluation-of-allied-health-management-in-queensland-what-works-in-which-contexts-and-why
#9
Sharon Mickan, Jessica Dawber, Julie Hulcombe
Objective Allied health structures and leadership positions vary throughout Australia and New Zealand in their design and implementation. It is not clear which organisational factors support allied health leaders and professionals to enhance clinical outcomes. The aim of this project was to identify key organisational contexts and corresponding mechanisms that influenced effective outcomes for allied health professionals. Methods A qualitative realist evaluation was chosen to describe key aspects of allied health organisational structures, identify positive outcomes and describe how context and processes are operationalised to influence outcomes for the allied health workforce and the populations they serve...
August 30, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30158049/cost-impact-of-high-staff-turnover-on-primary-care-in-remote-australia
#10
Yuejen Zhao, Deborah J Russell, Steven Guthridge, Mark Ramjan, Michael P Jones, John S Humphreys, John Wakerman
Objectives The aim of this study was to estimate the costs of providing primary care and quantify the cost impact of high staff turnover in Northern Territory (NT) remote communities. Methods This cost impact assessment used administrative data from NT Department of Health datasets, including the government accounting system and personnel information and payroll systems between 2004 and 2015, and the primary care information system from 2007 to 2015. Data related to 54 government-managed clinics providing primary care for approximately 27200 Aboriginal and non-Aboriginal people...
August 30, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30145996/analysing-aggregate-clinical-data-to-support-evaluation-of-the-tackling-indigenous-smoking-program-2014-16
#11
Alyson Wright, Helen Cameron, Yvette Roe, Ray Lovett
Objective The aim of this study was to assess the change in recording of client population smoking attributes (smoking status recorded and smoking status) in Tackling Indigenous Smoking (TIS)-funded services compared with non-funded services for Aboriginal and Torres Strait Islander people, 2014-16. Methods The study included a cohort of 152 Aboriginal-community controlled services with aggregate client smoking data from 2014 to 2016. Negative binomial regression was used to assess change in smoking status recorded and smoking status between TIS and non-TIS funded organisations...
August 28, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30145995/recent-trends-in-the-use-of-linked-data-in-australia
#12
Angela Young, Felicity Flack
Objective The aim of this study was to quantify the use of linked data for health and human services research in Australia since the establishment of the Population Health Research Network (PHRN) in 2009. Methods A systematic literature search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009 checklist to search for all publications involving the use of Australian linked data between 2009-10 and 2016-17. Publications were categorised by subject, data linked and data linkage unit involved...
August 27, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30145994/therapeutic-equivalence-program-continued-economic-benefits-in-the-context-of-rising-costs-and-increased-demand
#13
Tom Chynoweth, Ian Larmour
Objective The aim of this study was to describe the effect of a therapeutic equivalence program (TEP) in achieving financial sustainability from 2010-11 to 2014-15. Methods A TEP was introduced at Monash Health in 2006-07. Therapeutic medicine classes for inclusion were selected by stakeholder consensus and a preferred medicine for each class was chosen based upon therapeutic equivalence and cost considerations. New patients were commenced on a preferred medicine, but patients already prescribed another medicine from the same therapeutic class were not automatically switched to the preferred medicine...
August 27, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30135004/factors-that-contribute-to-high-quality-clinical-supervision-of-the-rural-allied-health-workforce-lessons-from-the-coalface
#14
Priya Martin, Katherine Baldock, Saravana Kumar, Lucylynn Lizarondo
Objective The aim of this study was to identify the factors contributing to high-quality clinical supervision of the allied health workforce in rural and remote settings. Methods This quantitative study was part of a broader project that used a mixed-methods sequential explanatory design. Participants were 159 allied health professionals from two Australian states. Quantitative data were collected using an online customised survey and the Manchester Clinical Supervision Scale (MCSS-26). Data were analysed using regression analyses...
August 23, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30135003/is-capital-investment-in-australian-hospitals-effectively-funding-patient-access-to-efficient-public-hospital-care
#15
Rhonda Kerr, Delia V Hendrie
Objective This study asks 'Is capital investment in Australian public hospitals effectively funding patient access to efficient hospital care?' Methods The study drew information from semistructured interviews with senior health infrastructure officials, literature reviews and World Health Organization (WHO) reports. To identify which systems most effectively fund patient access to efficient hospitals, capital allocation systems for 17 Organisation for Economic Cooperation and Development (OECD) countries were assessed...
August 23, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30126530/infection-prevention-quality-indicators-in-aged-care-ready-for-a-national-approach
#16
N J Bennett, J M Bradford, A L Bull, L J Worth
Accreditation standards for Australian aged care homes include the requirement for programs to ensure infections are controlled. Effective infection prevention programs are supported by surveillance data providing the impetus for quality improvement and facilitating evaluation of interventions at the facility level. In 2016, infection control professionals employed in Victorian public-sector residential aged care services were surveyed to examine the nature and resourcing of local infection prevention programs and monitoring activities...
August 21, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30122160/developing-key-performance-indicators-for-a-tertiary-children-s-hospital-network
#17
Christopher Elliot, Cheryl Mcullagh, Michael Brydon, Karen Zwi
Objective The aim of this study is to describe the experience of developing key performance indicators (KPIs) for Sydney Children's Hospital Network (SCHN), the largest paediatric healthcare entity in Australia. Methods Beginning with a published methodology, the process of developing KPIs involved five phases: (1) identification of potential KPIs referencing the organisational strategic plan and pre-existing internal and external documents; (2) consolidation into a pragmatic set; (3) analysis of potential KPIs against selection criteria; (4) mapping these back against the strategic plan and management structure; and (5) presentation to key stakeholders to ensure suitability and traction...
August 20, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30122159/participation-in-hospital-in-the-home-for-patients-in-inner-metropolitan-sydney-implications-for-access-and-equity
#18
Jude Page, Elizabeth Comino, Mandy Burgess, John Cullen, Elizabeth Harris
Objective The aim of this study was to identify whether the Hospital in the Home (HITH) program was taken up equitably by eligible patients in relation to their age, sex, country of birth, place of residence and primary diagnosis. Methods This study presents results of a descriptive analysis of the administrative records of 3552 people with specific conditions who met the study criteria of potential eligibility to HITH and resided within the health district boundary. Results Systematic differences were found for participation in HITH and in-patient care according to sex, language spoken at home and socioeconomic status based on place of residence...
August 20, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30122158/factors-affecting-the-performance-of-public-out-patient-services
#19
Ugenthiri Naiker, Gerry FitzGerald, Joel M Dulhunty, Michael Rosemann
Objective. The delivery of public out-patient services is an essential part of complex healthcare systems, but the contribution of public out-patient services is often ill defined and poorly evaluated. The aim of this study was to identify and better understand those factors that may affect the performance of out-patient services to provide health service managers, clinicians and executives with a conceptual framework for future decision-making processes. Methods. The present qualitative research involved five exploratory case studies...
August 20, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/30111484/framework-for-better-care-reconciling-approaches-to-patient-safety-and-quality
#20
Andrew Johnson, Robyn Clay-Williams, Paul Lane
In September 2017, the Royal Australasian College of Medical Administrators adopted a new clinical governance framework that recognised healthcare as a complex adaptive system, and embraced the need for resilient thinking and understanding the differences between work-as-imagined by managers and work-as-done at the front line of patient care. Directors of medical services may soon be implementing the framework in health services across Australia. This perspective describes a new conceptual model that underpins the Royal Australasian College of Medical Administrators framework, and characterises the challenges faced by all healthcare professionals when trying to achieve safe care for patients in an environment of variable complexity and unpredictability...
August 16, 2018: Australian Health Review: a Publication of the Australian Hospital Association
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