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https://www.readbyqxmd.com/read/29676055/the-development-of-funding-recommendations-for-health-technologies-at-the-state-level-a-south-australian-case-study
#1
Robyn Lambert, Drew Carter, Naomi Burgess, Hossein Haji Ali Afzali
OBJECTIVES: State governments often face capped budgets that can restrict expenditure on health technologies and their evaluation, yet many technologies are introduced to practice through state-funded institutions such as hospitals, rather than through national evaluation mechanisms. This research aimed to identify the criteria, evidence, and standards used by South Australian committee members to recommend funding for high-cost health technologies. METHODS: We undertook 8 semi-structured interviews and 2 meeting observations with members of state-wide committees that have a mandate to consider the safety, effectiveness, and cost-effectiveness of high-cost health technologies...
April 20, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29674657/emergence-of-vancomycin-resistant-enterococcus-faecium-at-an-australian-hospital-a-whole-genome-sequencing-analysis
#2
Kelvin W C Leong, Louise A Cooley, Tara L Anderson, Sanjay S Gautam, Belinda McEwan, Anne Wells, Fiona Wilson, Lucy Hughson, Ronan F O'Toole
In 2015, a marked increase in vancomycin-resistant Enterococcus faecium (VREfm) isolation was detected at the Royal Hobart Hospital, Australia. The primary objective of this work was to examine the dynamics of VREfm transmission using whole genome data mapped to public health surveillance information. Screening and clinical isolates of VREfm from patients were typed for the specific vancomycin-resistance locus present. Of total isolates collected from 2014-2016 (n = 222), 15.3% and 84.7% harboured either the vanA or the vanB vancomycin-resistance locus, respectively...
April 19, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29674362/implementation-of-an-evidence-based-model-of-care-for-low-back-pain-in-emergency-departments-protocol-for-the-sydney-health-partners-emergency-department-shaped-trial
#3
Gustavo C Machado, Bethan Richards, Chris Needs, Rachelle Buchbinder, Ian A Harris, Kirsten Howard, Kirsten McCaffery, Laurent Billot, James Edwards, Eileen Rogan, Rochelle Facer, David Lord Cowell, Chris G Maher
INTRODUCTION: Patients with low back pain often seek care in emergency departments, but the problem is that many patients receive unnecessary or ineffective interventions and at the same time miss out on the basics of care, such as advice on self-management. This pattern of care has important consequences for the healthcare system (expensive and inefficient) and for patients (poor health outcomes). We hypothesised that the implementation of an evidence-based model of care for low back pain will improve emergency care by reducing inappropriate overuse of tests and treatments and improving patient outcomes...
April 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29673266/level-of-agreement-between-medical-record-and-icd-10-am-coding-of-mental-health-alcohol-and-drug-conditions-in-trauma-patients
#4
Tu Q Nguyen, Pamela M Simpson, Sandra C Braaf, Peter A Cameron, Rodney Judson, Belinda J Gabbe
BACKGROUND: Despite the reliance on administrative data in epidemiological studies, there is little information on the completeness of co-morbidities in administrative data coded from medical records. OBJECTIVE: The aim of this study was to quantify the agreement between the International Classification of Diseases, Tenth Revision, Australian Modification (ICD-10-AM) administrative coding of mental health, drug and alcohol co-morbidities and medical records in a severely injured patient population...
January 1, 2018: Health Information Management: Journal of the Health Information Management Association of Australia
https://www.readbyqxmd.com/read/29672829/timing-of-diagnosis-of-gestational-diabetes-and-pregnancy-outcomes-a-retrospective-cohort
#5
Alexis Shub, Tess Chee, Alexandra Templeton, Deborah Boyce, Catharine McNamara, Christine Houlihan, Leonid Churilov, Elizabeth A McCarthy
BACKGROUND: Recent guidelines suggest screening high-risk women in early pregnancy for gestational diabetes (GDM); however, there is little evidence to support this. AIMS: To compare pregnancy outcomes associated with diabetes for women with risk factors for GDM according to gestation of diagnosis. Early GDM was defined as a positive test before 20 weeks gestation, late GDM as a positive test at 20 or more weeks and no GDM when both tests were negative. MATERIALS AND METHODS: Retrospective analysis in an Australian tertiary hospital of women who underwent a glucose tolerance test in pregnancy prior to 20 weeks gestation, and a repeat test after 20 weeks gestation if the initial test was negative...
April 19, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29671913/measuring-the-financial-and-productivity-burden-of-paediatric-hospitalisation-on-the-wider-family-network
#6
Virginia Mumford, Melissa T Baysari, Djala Kalinin, Magdalena Z Raban, Cheryl McCullagh, Jonathon Karnon, Johanna I Westbrook
AIM: To estimate the non-medical out-of-pocket costs for families with a child in hospital. METHODS: This study was a survey of 225 parents of paediatric inpatients on nine wards of an Australian public paediatric teaching hospital on two separate days. Our primary outcomes were the costs associated with: (i) time taken off work to care for the child in hospital; (ii) time off work or contributed by family and friends to care for other dependents; and (iii) travel, meals, accommodation and incidental expenses during the child's stay...
April 19, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29669497/increasing-rates-of-anterior-cruciate-ligament-reconstruction-in-young-australians-2000-2015
#7
David Zbrojkiewicz, Christopher Vertullo, Jane E Grayson
OBJECTIVES: To investigate the incidence and demographic features of anterior cruciate ligament (ACL) reconstructions in Australia by age and sex, and to determine whether the incidence has changed during the past 15 years. DESIGN AND SETTING: Descriptive epidemiological analysis of longitudinal data on ACL reconstructions (July 2000 - June 2015) in the National Hospital Morbidity Database. MAIN OUTCOME MEASURES: Population ACL reconstruction rates, by age group and sex...
April 23, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29659863/frequent-use-of-emergency-departments-by-older-people-a-comparative-cohort-study-of-characteristics-and-outcomes
#8
Maryann Street, Debra Berry, Julie Considine
Objective: To characterise older people who frequently use emergency departments (EDs) and compare patient outcomes with older non-frequent ED attenders. Design: Retrospective comparative cohort study. Logistic regression modelling of patient characteristics and health service usage, comparing older frequent ED attenders (≥4 ED attendances in 12 months) to non-frequent ED attenders. Setting: Three Australian public hospital EDs, with a total of 143 327 emergency attendances in the 12 months...
April 12, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29652531/adult-narratives-of-the-psychosocial-impact-of-cleft-in-a-western-australian-cohort
#9
Wendy Nicholls, Martin Persson, Suzanne Robinson, Linda Selvey
BACKGROUND: Living with a cleft condition involves many years of multidisciplinary therapy, treatment, and surgical intervention. This complex process may have both physical and psychosocial long-term impacts. There is limited evidence of the psychosocial impact of cleft on individuals in Australia. AIM: To obtain an understanding of the adult patient perception of having a cleft and explore the impact of the condition on their lives. DESIGN: Qualitative methodologies at one case study site in Western Australia...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29649285/cost-of-gastroenteritis-in-australia-a-healthcare-perspective
#10
S Fiona Barker, Ella Zomer, Joanne O'Toole, Martha Sinclair, Katherine Gibney, Danny Liew, Karin Leder
BACKGROUND: Acute gastroenteritis illness is a common illness that causes considerable morbidity, but current estimates of the cost to the Australian healthcare system are unknown. OBJECTIVE: To estimate the current healthcare utilisation and direct public healthcare system costs attributable to acute gastroenteritis illness in Australia. METHODS: This is an incidence-based cost-of-illness study focused on quantifying direct health care costs using a bottom-up approach...
2018: PloS One
https://www.readbyqxmd.com/read/29643056/mobile-breast-cancer-e-support-program-for-chinese-women-with-breast-cancer-undergoing-chemotherapy-part-1-qualitative-study-of-women-s-perceptions
#11
Jiemin Zhu, Lyn Ebert, Dongmei Guo, Sumei Yang, Qiuying Han, Sally Wai-Chi Chan
BACKGROUND: Women with breast cancer undergoing chemotherapy experience difficulty in accessing adequate cancer care in China. Mobile apps have the potential to provide easily accessible support for these women. However, there remains a paucity of randomized controlled trials to evaluate the effectiveness of app-based programs targeting specifically women with breast cancer undergoing chemotherapy. Moreover, women's perceptions and experiences related to using and interacting within the app-based program have rarely been reported...
April 11, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29625731/cost-analysis-of-treating-neonatal-hypoglycemia-with-dextrose-gel
#12
Matthew J Glasgow, Jane E Harding, Richard Edlin
OBJECTIVE: To evaluate the costs of using dextrose gel as a primary treatment for neonatal hypoglycemia in the first 48 hours after birth compared with standard care. STUDY DESIGN: We used a decision tree to model overall costs, including those specific to hypoglycemia monitoring and treatment and those related to the infant's length of stay in the postnatal ward or neonatal intensive care unit, comparing the use of dextrose gel for treatment of neonatal hypoglycemia with placebo, using data from the Sugar Babies randomized trial...
April 3, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29623980/impact-of-limited-english-proficiency-on-presentation-and-outcomes-of-patients-undergoing-primary-percutaneous-coronary-intervention-for-st-elevation-myocardial-infarction
#13
Sinjini Biswas, Michael Seman, Nicholas Cox, Christopher Neil, Angela Brennan, Diem Dinh, Antony Walton, William Chan, Jeffrey Lefkovits, Christopher Reid, Dion Stub
Doctor-patient language discordance has been shown to lead to worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is an independent predictor of prolonged symptom-to-door time, but does not lead to worse 30-day mortality compared with English-proficient patients. More effort needs to be placed in providing public health education in varied languages to encourage early presentation to hospital for patients with LEP...
April 2018: Internal Medicine Journal
https://www.readbyqxmd.com/read/29623620/economic-evaluation-of-midazolam-droperidol-combination-versus-droperidol-or-olanzapine-for-the-management-of-acute-agitation-in-the-emergency-department-a-within-trial-analysis
#14
Celene Y L Yap, Ya-Seng Arthur Hsueh, Jonathan C Knott, David McD Taylor, Esther W Chan, David C M Kong
BACKGROUND: The combination of midazolam and droperidol has proven superior to droperidol or olanzapine monotherapy in the management of acute agitation in emergency departments (EDs). OBJECTIVE: This is the first economic analysis to evaluate the cost-benefit and cost effectiveness of the midazolam-droperidol combination compared with droperidol or olanzapine for the management of acute agitation in EDs. METHODS: This analysis used data derived from a randomised, controlled, double-blind clinical trial conducted in two metropolitan Australian EDs between October 2014 and August 2015...
July 24, 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29620916/adult-specific-life-outcomes-of-cleft-lip-and-palate-in-a-western-australian-cohort
#15
Wendy Nicholls, Craig Harper, Suzanne Robinson, Martin Persson, Linda Selvey
BACKGROUND: People with a cleft of the lip and/or palate (CL/P) differ from their peers due to their facial appearance, hearing and speech difficulties, and the significant time spent attending appointments and recovering from surgical interventions. These differences may impact life outcomes including occupation, income, education, relationships, psychosocial health issues, and lifestyle choices. METHODOLOGY: A self-administered questionnaire was posted to 338 former and current patients of the Cleft Lip and Palate Unit of Princess Margaret Hospital (PMH), Perth, Western Australia...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29616707/adherence-to-the-mediterranean-diet-is-not-related-to-beta-amyloid-deposition-data-from-the-women-s-healthy-ageing-project
#16
E Hill, C Szoeke, L Dennerstein, S Campbell, P Clifton
BACKGROUND: Research has indicated the neuroprotective potential of the Mediterranean diet. Adherence to the Mediterranean diet has shown preventative potential for Alzheimer's disease incidence and prevalence, yet few studies have investigated the impact of Mediterranean diet adherence on the hallmark protein; beta-amyloid. OBJECTIVES: To investigate the association between Mediterranean diet adherence and beta-amyloid deposition in a cohort of healthy older Australian women...
2018: Journal of Prevention of Alzheimer's Disease
https://www.readbyqxmd.com/read/29616592/attitudes-of-intensive-care-and-emergency-physicians-in-australia-with-regard-to-the-organ-donation-process-a-qualitative-analysis
#17
Emily Macvean, Eva Yn Yuen, Gregory Tooley, Heather M Gardiner, Tess Knight
Specialized hospital physicians have direct capacity to impact Australia's sub-optimal organ donation rates because of their responsibility to identify and facilitate donation opportunities. Australian physicians' attitudes toward this responsibility are examined. A total of 12 intensive care unit and three emergency department physicians were interviewed using a constructionist grounded theory and situational analysis approach. A major theme emerged, related to physicians' conflicts of interest in maintaining patients'/next-of-kin's best interests and a sense of duty-of-care in this context...
April 1, 2018: Journal of Health Psychology
https://www.readbyqxmd.com/read/29615206/the-carbon-footprint-of-australian-health-care
#18
Arunima Malik, Manfred Lenzen, Scott McAlister, Forbes McGain
BACKGROUND: Carbon footprints stemming from health care have been found to be variable, from 3% of the total national CO2 equivalent (CO2 e) emissions in England to 10% of the national CO2 e emissions in the USA. We aimed to measure the carbon footprint of Australia's health-care system. METHODS: We did an observational economic input-output lifecycle assessment of Australia's health-care system. All expenditure data were obtained from the 15 sectors of the Australian Institute of Health and Welfare for the financial year 2014-15...
January 2018: Lancet. Planetary Health
https://www.readbyqxmd.com/read/29614944/untapped-potential-in-australian-hospitals-for-organ-donation-after-circulatory-death
#19
Louise E See Hoe, David McGiffin, John F Fraser
No abstract text is available yet for this article.
April 2, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29614939/sports-injuries-in-victoria-2012-13-to-2014-15-evidence-from-emergency-department-records
#20
D Tharanga Fernando, Janneke Berecki-Gisolf, Caroline F Finch
OBJECTIVES: To report the incidence of presentations to emergency departments (EDs) in Victoria for sport- and active recreation-related injuries; to establish which sports have the highest rates of injury per participant; to assess the effects of age and sport type on the rate of serious sport injury (resulting in admission to hospital). DESIGN, SETTING AND PARTICIPANTS: Retrospective analysis of 171 541 ED presentations to 38 Victorian hospitals, 2012-13 to 2014-15...
April 2, 2018: Medical Journal of Australia
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