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    140 results match your criteria Australia and New Zealand Health Policy [Journal]

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    Paving Pathways: shaping the Public Health workforce through tertiary education.
    Aust New Zealand Health Policy 2010 Jan 3;7. Epub 2010 Jan 3.
    School of Health and Social Development Deakin University, 221 Burwood Highway, Burwood, Australia.
    Public health educational pathways in Australia have traditionally been the province of Universities, with the Master of Public Health (MPH) recognised as the flagship professional entry program. Public health education also occurs within the fellowship training of the Faculty of Public Health Medicine, but within Australia this remains confined to medical graduates. In recent years, however, we have seen a proliferation of undergraduate degrees as well as an increasing public health presence in the Vocational Education and Training (VET) sector. Read More

    Representations and coverage of non-English-speaking immigrants and multicultural issues in three major Australian health care publications.
    Aust New Zealand Health Policy 2010 Jan 3;7. Epub 2010 Jan 3.
    Simpson Centre for Health Services Research, University of New South Wales, 2-4 Speed St Liverpool, BC1871, Sydney, Australia.
    Background: No recent Australian studies or literature, provide evidence of the extent of coverage of multicultural health issues in Australian healthcare research. A series of systematic literature reviews in three major Australian healthcare journals were undertaken to discover the level, content, coverage and overall quality of research on multicultural health. Australian healthcare journals selected for the study were The Medical Journal of Australia (MJA), The Australian Health Review (AHR), and The Australian and New Zealand Journal of Public Health (ANZPH). Read More

    Are the processes recommended by the NHMRC for improving Cardiac Rehabilitation (CR) for Aboriginal and Torres Strait Islander people being implemented?: an assessment of CR Services across Western Australia.
    Aust New Zealand Health Policy 2009 Dec 30;6:29. Epub 2009 Dec 30.
    Centre for International Health, Curtin University of Technology, Bentley Campus, Perth, Western Australia 6102, Australia.
    Background: Cardiovascular disease is the major cause of premature death of Indigenous Australians, and despite evidence that cardiac rehabilitation (CR) and secondary prevention can reduce recurrent disease and deaths, CR uptake is suboptimal. The National Health and Medical Research Council (NHMRC) guidelines Strengthening Cardiac Rehabilitation and Secondary Prevention for Aboriginal and Torres Strait Islander peoples, published in 2005, provide checklists for services to assist them to reduce the service gap for Indigenous people. This study describes health professionals' awareness, implementation, and perspectives of barriers to implementation of these guidelines based on semi-structured interviews conducted between November 2007 and June 2008 with health professionals involved in CR within mainstream health services in Western Australia (WA). Read More

    Geographical classifications to guide rural health policy in Australia.
    Aust New Zealand Health Policy 2009 Dec 8;6:28. Epub 2009 Dec 8.
    Gippsland Medical School, Monash University, Northways Road, Churchill, Victoria, 3842, Australia.
    The Australian Government's recent decision to replace the Rural Remote and Metropolitan Area (RRMA) classification with the Australian Standard Geographical Classification - Remoteness Areas (ASGC-RA) system highlights the ongoing significance of geographical classifications for rural health policy, particularly in relation to improving the rural health workforce supply. None of the existing classifications, including the government's preferred choice, were designed specifically to guide health resource allocation, and all exhibit strong weaknesses when applied as such. Continuing reliance on these classifications as policy tools will continue to result in inappropriate health program resource distribution. Read More

    Steering without navigation equipment: the lamentable state of Australian health policy reform.
    Aust New Zealand Health Policy 2009 Nov 30;6:27. Epub 2009 Nov 30.
    Centre for Health Economics, Faculty of Business and Economics, Monash University, Clayton Victoria 3800, Australia.
    Background: Commentary on health policy reform in Australia often commences with an unstated logical error: Australians' health is good, therefore the Australian Health System is good. This possibly explains the disconnect between the options discussed, the areas needing reform and the generally self-congratulatory tone of the discussion: a good system needs (relatively) minor improvement.

    Results: This paper comments on some issues of particular concern to Australian health policy makers and some areas needing urgent reform. Read More

    The epidemiology workforce: are we planning for the future?
    Aust New Zealand Health Policy 2009 Nov 29;6:26. Epub 2009 Nov 29.
    Menzies School of Health Research, Charles Darwin University, Australia and the Disciplines of Obstetrics and Gynaecology & Public Health, The University of Adelaide, Australia.
    Epidemiology has a central role in public health practice, education and research, and is arguably the only discipline unique to public health. A strong perception exists among epidemiologists in Australia that there is a substantial shortage in epidemiological capacity within the health workforce and health research, and that there are few graduates with sufficient high-level epidemiological training to fill the educational and leadership roles that will be essential to building this capacity. It was this concern that led the Australasian Epidemiological Association (AEA)--the peak professional body for epidemiologists in Australia and New Zealand--to convene a working group in 2007 to assess and address these concerns. Read More

    Funding illness prevention and health promotion in Australia: a way forward.
    Aust New Zealand Health Policy 2009 Nov 12;6:25. Epub 2009 Nov 12.
    Centre for Health Economics, Monash University, Clayton, Victoria, 3800, Australia.
    Background: Unlike pharmaceuticals and private medical services there is no single source of funding for illness prevention and health promotion and no systematic process for setting priorities in public health. There is a need to improve the efficiency of access to health funding across prevention and treatment.

    Discussion: We discuss a number of reforms to existing funding arrangements including the creation of a national Preventative Priorities Advisory Committee (PrePAC) to set priorities. Read More

    Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
    Aust New Zealand Health Policy 2009 Sep 22;6:24. Epub 2009 Sep 22.
    Quality Use of Medicines and Pharmacy Research Centre, Sansom Institute, University of South Australia, GPO Box 2471, Adelaide, 5001, Australia.
    Background: This paper presents Part 2 of a literature review examining medication safety in the Australian acute care setting. This review was undertaken for the Australian Commission on Safety and Quality in Health Care, updating the 2002 national report on medication safety. Part 2 of the review examined the Australian evidence base for approaches to build safer medication systems in acute care. Read More

    What evidence is there to support skill mix changes between GPs, pharmacists and practice nurses in the care of elderly people living in the community?
    Aust New Zealand Health Policy 2009 Sep 11;6:23. Epub 2009 Sep 11.
    Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
    Background: Workforce shortages in Australia are occurring across a range of health disciplines but are most acute in general practice. Skill mix change such as task substitution is one solution to workforce shortages. The aim of this systematic review was to explore the evidence for the effectiveness of task substitution between GPs and pharmacists and GPs and nurses for the care of older people with chronic disease. Read More

    Challenges for co-morbid chronic illness care and policy in Australia: a qualitative study.
    Aust New Zealand Health Policy 2009 Sep 8;6:22. Epub 2009 Sep 8.
    The Australian Primary Health Care Research Institute, Building 62, Mills Road, The Australian National University, Canberra, Australia.
    Background: In response to the escalating burden of chronic illness in Australia, recent health policies have emphasised the promotion of patient self-management and better preventive care. A notable omission from these policies is the acknowledgment that patients with chronic illness tend to have co-morbid conditions. Our objectives were: to identify the common challenges co-morbidity poses to patients and carers in their experiences of self-management; to detail the views and perceptions of health professionals about these challenges; and to discuss policy options to improve health care for people with co-morbid chronic illness. Read More

    Increasing the use of evidence in health policy: practice and views of policy makers and researchers.
    Aust New Zealand Health Policy 2009 Aug 24;6:21. Epub 2009 Aug 24.
    The Sax Institute, Level 8, Bld 10, 235 Jones St, Ultimo, NSW, Australia.
    Background: Better communication is often suggested as fundamental to increasing the use of research evidence in policy, but little is known about how researchers and policy makers work together or about barriers to exchange. This study explored the views and practice of policy makers and researchers regarding the use of evidence in policy, including: (i) current use of research to inform policy; (ii) dissemination of and access to research findings for policy; (iii) communication and exchange between researchers and policy makers; and (iv) incentives for increasing the use of research in policy.

    Methods: Separate but similar interview schedules were developed for policy makers and researchers. Read More

    Moving beyond 'rates, roads and rubbish': How do local governments make choices about healthy public policy to prevent obesity?
    Aust New Zealand Health Policy 2009 Aug 23;6:20. Epub 2009 Aug 23.
    Department of Public Health, University of Oxford, Oxford, UK.
    While the causes of obesity are well known traditional education and treatment strategies do not appear to be making an impact. One solution as part of a broader complimentary set of strategies may be regulatory intervention at local government level to create environments for healthy nutrition and increased physical activity. Semi structured interviews were conducted with representatives of local government in Australia. Read More

    The geographic distribution of private health insurance in Australia in 2001.
    Aust New Zealand Health Policy 2009 Aug 17;6:19. Epub 2009 Aug 17.
    Public Health Information Development Unit, University of Adelaide, South Australia, 5005, Australia.
    Background: Private health insurance has been a major focus of Commonwealth Government health policy for the last decade. Over this period, the Howard government introduced a number of policy changes which impacted on the take up of private health insurance. The most expensive of these was the introduction of the private health insurance rebate in 1997, which had an estimated cost of $3 billion per annum. Read More

    Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.
    Aust New Zealand Health Policy 2009 Aug 11;6:18. Epub 2009 Aug 11.
    Quality Use of Medicines and Pharmacy Research Centre, Sansom Institute, University of South Australia, GPO Box 2471, Adelaide, 5001.
    Background: This paper presents Part 1 of a two-part literature review examining medication safety in the Australian acute care setting. This review was undertaken for the Australian Commission on Safety and Quality in Health Care to update a previous national report on medication safety conducted in 2002. This first part of the review examines the extent and causes of medication incidents and adverse drug events in acute care. Read More

    Health, ageing and private health insurance: baseline results from the 45 and Up Study cohort.
    Aust New Zealand Health Policy 2009 Jul 28;6:17. Epub 2009 Jul 28.
    The Sax Institute, P.O. Box 123, Broadway NSW 2007, Australia.
    Correction to Banks E, Jorm L, Lujic S, Rogers K. Health, ageing and private health insurance: baseline results from the 45 and Up Study cohort. ANZ Health Policy 2009; 6: 16. Read More

    Health, ageing and private health insurance: baseline results from the 45 and Up Study cohort.
    Aust New Zealand Health Policy 2009 Jul 13;6:16. Epub 2009 Jul 13.
    The Sax Institute, PO Box 123, Broadway NSW 2007, Australia.
    Background: This study investigates the relationships between health and lifestyle factors, age and private health insurance (PHI) in a large Australian population-based cohort study of people aged 45 years and over; the 45 and Up Study. Unlike previous Australian analyses of relationships between health, lifestyle and PHI, it incorporates adjustment for multiple confounding socioeconomic and demographic factors. Recruitment into the 45 and Up Study began in February 2006 and these analyses relate to the first 103,042 participants who joined the study prior to July 2008. Read More

    Medical decision making for patients with Parkinson disease under Average Cost Criterion.
    Aust New Zealand Health Policy 2009 Jun 24;6:15. Epub 2009 Jun 24.
    Department of Statistics and Insurance Science, University of Piraeus, 80 Karaoli & Dimitriou Street, 18534 Piraeus, Greece.
    Parkinson's disease (PD) is one of the most common disabling neurological disorders and results in substantial burden for patients, their families and the as a whole society in terms of increased health resource use and poor quality of life. For all stages of PD, medication therapy is the preferred medical treatment. The failure of medical regimes to prevent disease progression and to prevent long-term side effects has led to a resurgence of interest in surgical procedures. Read More

    The Australian preventive health agenda: what will this mean for workforce development?
    Aust New Zealand Health Policy 2009 May 22;6:14. Epub 2009 May 22.
    School of Public Health, Griffith University South Bank campus, PO Box 3370 South Brisbane, QLD 4101, Australia.
    The formation of the National Health and Hospitals Reform Commission (NHHRC) and the National Preventative Task Force in 2008, demonstrate a renewed Australian Government commitment to health reform. The re-focus on prevention, bringing it to the centre of health care has significant implications for health service delivery in the primary health care setting, supportive organisational structures and continuing professional development for the existing clinical and public health workforce. It is an opportune time, therefore, to consider new approaches to workforce development aligned to health policy reform. Read More

    Health facilities at the district level in Indonesia.
    Aust New Zealand Health Policy 2009 May 18;6:13. Epub 2009 May 18.
    Jalan Bukit Dago Selatan, Bandung. West Java Province, Indonesia.
    Background: At Independence the Government of Indonesia inherited a weak and unevenly distributed health system to which much of the population had only limited access. In response, the government decided to increase the number of facilities and to locate them closer to the people. To staff these health facilities the government introduced obligatory government service for all new graduates in medicine, nursing and midwifery. Read More

    Issues facing the future health care workforce: the importance of demand modelling.
    Aust New Zealand Health Policy 2009 May 7;6:12. Epub 2009 May 7.
    Health Economics and Policy Group, Division of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
    This article examines issues facing the future health care workforce in Australia in light of factors such as population ageing. It has been argued that population ageing in Australia is affecting the supply of health care professionals as the health workforce ages and at the same time increasing the demand for health care services and the health care workforce.However, the picture is not that simple. Read More

    Treatment costs and priority setting in health care: A qualitative study.
    Aust New Zealand Health Policy 2009 May 6;6:11. Epub 2009 May 6.
    Centre for Health Economics, Faculty of Business and Economics, Monash University, Clayton, Victoria 3800, Australia.
    Background: The aim of this study is to investigate whether the public believes high cost patients should be a lower priority for public health care than low cost patients, other things being equal, in order to maximise health gains from the health budget. Semi-structured group discussions were used to help participants reflect critically upon their own views and gain exposure to alternative views, and in this way elicit underlying values rather than unreflective preferences. Participants were given two main tasks: first, to select from among three general principles for setting health care priorities the one that comes closest to their own views; second, to allocate a limited hospital budget between two groups of imaginary patients. Read More

    Working in disadvantaged communities: What additional competencies do we need?
    Aust New Zealand Health Policy 2009 Apr 24;6:10. Epub 2009 Apr 24.
    Centre for Health Equity Training, Research and Evaluation, University of New South Wales, Sydney, NSW, Australia.
    Background: Residents of socioeconomically disadvantaged locations are more likely to have poor health than residents of socioeconomically advantaged locations and this has been comprehensively mapped in Australian cities. These inequalities present a challenge for the public health workers based in or responsible for improving the health of people living in disadvantaged localities. The purpose of this study was to develop a generic workforce needs assessment tool and to use it to identify the competencies needed by the public health workforce to work effectively in disadvantaged communities. Read More

    A multidimensional classification of public health activity in Australia.
    Aust New Zealand Health Policy 2009 Apr 9;6. Epub 2009 Apr 9.
    Centre for Epidemiology and Research, New South Wales Department of Health, Locked Mail Bag 961, North Sydney, NSW 2059, Australia.
    Background: At present, we have very limited ability to compare public health activity across jurisdictions and countries, or even to ascertain differences in what is considered to be a public health activity. Existing standardised health classifications do not capture important dimensions of public health, which include its functions, the methods and interventions used to achieve these, the health issues and determinants of health that public health activities address, the resources and infrastructure they use, and the settings in which they occur. A classification that describes these dimensions will promote consistency in collecting and reporting information about public health programs, expenditure, workforce and performance. Read More

    Educating the public health workforce: Issues and challenges.
    Aust New Zealand Health Policy 2009 Apr 9;6. Epub 2009 Apr 9.
    School of Public Health, Queensland University of Technology, Brisbane, Queensland, Australia.
    Background: In public health, as well as other health education contexts, there is increasing recognition of the transformation in public health practice and the necessity for educational providers to keep pace. Traditionally, public health education has been at the postgraduate level; however, over the past decade an upsurge in the growth of undergraduate public health degrees has taken place.

    Discussion: This article explores the impact of these changes on the traditional sphere of Master of Public Health programs, the range of competencies required at undergraduate and postgraduate levels, and the relevance of these changes to the public health workforce. Read More

    Educating public health physicians for the future: a current perspective from Aotearoa New Zealand.
    Aust New Zealand Health Policy 2009 Apr 9;6. Epub 2009 Apr 9.
    School of Population Health, The University of Auckland, Auckland, New Zealand.
    Persisting, and in some cases widening, inequalities in health within and between countries present significant challenges to the focus and practice of contemporary public health, and by association, to public health education. As public health physicians and academic educators of medically- and non-medically trained public health practitioners, we call for a radical re-think of current approaches to public health medicine education and training in order to address these challenges. The public health physicians of the future, we argue, require not merely technical knowledge and skills but also a set of values that underpin a commitment to ethical principles, social equity, human rights, compassionate action, advocacy and leadership. Read More

    How do government health departments in Australia access health economics advice to inform decisions for health? A survey.
    Aust New Zealand Health Policy 2009 Apr 9;6. Epub 2009 Apr 9.
    Population Health Intervention Research Centre, University of Calgary, 3330 Hospital Drive NW, Calgary, T2N 4N1, Alberta, Canada.
    Background: Government anticipates that health economic analysis will contribute to evidence-based policy development. Early examples in Australia where this expectation has been met include the economic evaluations of breast and cervical screening. However, the level of integration of health economics within health services that require this advice appears uneven. Read More

    Strengthening field-based training in low and middle-income countries to build public health capacity: Lessons from Australia's Master of Applied Epidemiology program.
    Aust New Zealand Health Policy 2009 Apr 9;6. Epub 2009 Apr 9.
    Master of Applied Epidemiology Program, National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT 0200, Australia.
    Background: The International Health Regulations (2005) and the emergence and global spread of infectious diseases have triggered a re-assessment of how rich countries should support capacity development for communicable disease control in low and medium income countries (LMIC). In LMIC, three types of public health training have been tried: the university-based model; streamed training for specialised workers; and field-based programs. The first has low rates of production and teaching may not always be based on the needs and priorities of the host country. Read More

    The future of public health: the importance of workforce.
    Aust New Zealand Health Policy 2009 Apr 9;6. Epub 2009 Apr 9.
    Australian Insitute of Health Policy Studies (AIHPS), Monash University, Melbourne, Australia.
    Health workforce has become a major concern and a significant health policy issue around the world in recent years. With recent international and national initiatives and models being developed and implemented in Australia and other countries, it is timely to understand the need and the rationale for a better trained and educated public health workforce for the future. Much more attention should also be given to evaluation and research in this field. Read More

    Evaluating health policy capacity: Learning from international and Australian experience.
    Aust New Zealand Health Policy 2009 Feb 26;6. Epub 2009 Feb 26.
    School of Public Health, La Trobe University, Bundoora, VIC, Australia.
    Background: The health sector in Australia faces major challenges that include an ageing population, spiralling health care costs, continuing poor Aboriginal health, and emerging threats to public health. At the same time, the environment for policy-making is becoming increasingly complex. In this context, strong policy capacity - broadly understood as the capacity of government to make "intelligent choices" between policy options - is essential if governments and societies are to address the continuing and emerging problems effectively. Read More

    Health research policy: a case study of policy change in Aboriginal and Torres Strait Islander health research.
    Aust New Zealand Health Policy 2009 Feb 26;6. Epub 2009 Feb 26.
    Sax Institute, PO Box 123, Broadway, NSW 2007, Australia.
    Background: There is considerable potential for health research to contribute to improved health services, programs, and outcomes; the policies of health research funding agencies are critical to achieving health gains from research. The need for research to better address health disparities in Indigenous people has been widely recognised. This paper: (i) describes the policy changes made by the National Health and Medical Research Council (NHMRC) from 1997 to 2002 to improve funding of Aboriginal health research (ii) examines catalysts for the policy changes (iii) describes the extent to which policy changes were followed by new models of research and (iv) outlines issues for Indigenous health policy in the future. Read More

    Regulatory axes on food advertising to children on television.
    Aust New Zealand Health Policy 2009 Jan 22;6. Epub 2009 Jan 22.
    School of Law, Flinders University, Adelaide, Australia.
    This article describes and evaluates some of the criteria on the basis of which food advertising to children on television could be regulated, including controls that revolve around the type of television programme, the type of product, the target audience and the time of day. Each of these criteria potentially functions as a conceptual device or "axis" around which regulation rotates. The article considers examples from a variety of jurisdictions around the world, including Sweden and Quebec. Read More

    Selecting interventions to promote fruit and vegetable consumption: from policy to action, a planning framework case study in Western Australia.
    Aust New Zealand Health Policy 2008 Dec 24;5:27. Epub 2008 Dec 24.
    Curtin University of Technology, GPO Box U1987 Perth WA 6845, Western Australia, Australia.
    Background: The Department of Health in Western Australia identified access to, and daily consumption of recommended amounts of fruit and vegetables, as priority health determinants. The numerous factors that influence supply and consumption of fruit and vegetables indicated that a comprehensive approach would be required.A government and non-government sector steering group was set up to select priority interventions using the National Public Health Partnership's Framework for Implementing Public Health Strategies. Read More

    Using performance-based regulation to reduce childhood obesity.
    Aust New Zealand Health Policy 2008 Nov 18;5:26. Epub 2008 Nov 18.
    School of Law, University of California, Berkeley, USA.
    Background: Worldwide, the public health community has recognized the growing problem of childhood obesity. But, unlike tobacco control policy, there is little evidence about what public policies would work to substantially reduce childhood obesity. Public health leaders currently tend to support traditional "command and control" schemes that order private enterprises and governments to stop or start doing specific things that, is it hoped, will yield lower childhood obesity rates. Read More

    Increasing the options for reducing adverse events: Results from a modified Delphi technique.
    Aust New Zealand Health Policy 2008 Nov 14;5:25. Epub 2008 Nov 14.
    Centre for Health Economics, Faculty of Business and Economics, Monash University, Clayton, Victoria 3800, Australia.
    Background: The aim of this paper is to illustrate a simple method for increasing the range of possible options for reducing adverse events in Australian hospitals, which could have been, but was not, adopted in the wake of the landmark 1995 'Quality in Australian Health Care' study, and to report the suggestions and the estimated lapse time before they would impact upon mortality and morbidity.

    Method: The study used a modified Delphi technique that first elicited options for reducing adverse events from an invited panel selected on the basis of their knowledge of the area of adverse events and quality assurance. Initial suggestions were collated and returned to them for re-consideration and comment. Read More

    Reforming primary health care: is New Zealand's primary health care strategy achieving its early goals?
    Aust New Zealand Health Policy 2008 Nov 6;5:24. Epub 2008 Nov 6.
    CBG Health Ltd, Auckland, New Zealand.
    Background: In 2001, the New Zealand government introduced its Primary Health Care Strategy (PHCS), aimed at strengthening the role of primary health care, in order to improve health and to reduce inequalities in health. As part of the Strategy, new funding was provided to reduce the fees that patients pay when they use primary health care services in New Zealand, to improve access to services and to increase service use. In this article, we estimate the impact of the new funding on general practitioner and practice nurse visit fees paid by patients and on consultation rates. Read More

    By invitation only - the case for breast cancer screening reminders for women over 69 years.
    Aust New Zealand Health Policy 2008 Nov 6;5:23. Epub 2008 Nov 6.
    The Cancer Council NSW, Woolloomooloo NSW, Australia.
    Background: Breast cancer is the leading cause of cancer death in women in Australia. Early detection provides the best chance of reducing mortality and morbidity from the disease. Mammographic screening is a population health strategy for the early detection of breast cancer in Australia. Read More

    How to make the rhetoric of joined-up government really work.
    Aust New Zealand Health Policy 2008 Nov 4;5:22. Epub 2008 Nov 4.
    Department of Human Services, GPO Box 4057, Melbourne 3001, Victoria, Australia.
    "Joined-up' government and 'whole-of-government' approaches have evolved over the past two decades from the simple 'one-stop-shop' concept to much more formal organisational structures mandated at the highest levels. In many cases, the participants in these developments were learning on the job, as they responded to community and political demands for better service delivery and more accountability. This paper looks back at some of those developments and proposes a schema to assess and place policies, strategies and programs. Read More

    The role of law in the control of obesity in England: looking at the contribution of law to a healthy food culture.
    Aust New Zealand Health Policy 2008 Oct 14;5:21. Epub 2008 Oct 14.
    Centre for Research in Primary and Community Care, University of Hertfordshire, UK.
    Obesity levels in England are significantly higher than in much of the rest of Europe. This article examines aspects of the physical and cultural context of food consumption in England, and the evolution of government policy on obesity, as a background to an analysis of how law might play a role in obesity prevention. Research suggests that individual food choices are associated with cultural and socio-economic circumstances and that they can be manipulated by advertising, food packaging and presentation. Read More

    I don't think general practice should be the front line: Experiences of general practitioners working with refugees in South Australia.
    Aust New Zealand Health Policy 2008 Aug 8;5:20. Epub 2008 Aug 8.
    Discipline of General Practice, University of Adelaide, SA, Australia.
    Introduction: Many refugees arrive in Australia with complex health needs. In South Australia (SA), providing initial health care to refugees is the responsibility of General Practitioners (GPs) in private practice. Their capacity to perform this work effectively for current newly arrived refugees is uncertain. Read More

    Is there a crisis in nursing retention in New South Wales?
    Aust New Zealand Health Policy 2008 Aug 5;5:19. Epub 2008 Aug 5.
    School of Economics, University of New South Wales, Sydney, Australia & Research Associate CHERE, University of Technology, Sydney, Australia.
    Background: There is a severe shortage of nurses in Australia. Policy makers and researchers are especially concerned that retention levels of nurses in the health workforce have worsened over the last decade. There are also concerns that rapidly growing private sector hospitals are attracting qualified nurses away from the public sector. Read More

    The rise and fall of Australian physical activity policy 1996 - 2006: a national review framed in an international context.
    Aust New Zealand Health Policy 2008 Jul 31;5:18. Epub 2008 Jul 31.
    School of Public Health, University of Sydney, Sydney, Australia.
    Background: This paper provides an historical review of physical activity policy development in Australia for a period spanning a decade since the release of the US Surgeon General's Report on Physical Activity and Health in 1996 and including the 2004 WHO Global Strategy on Diet, Physical Activity and Health. Using our definition of 'HARDWIRED' policy criteria, this Australian review is compared with an international perspective of countries with established national physical activity policies and strategies (New Zealand, Canada, Brazil, Scotland, Switzerland, the Netherlands and Finland). Methods comprised a literature and policy review, audit of relevant web sites, document searches and surveys of international stakeholders. Read More

    Collaborative review of pilot projects to inform policy: A methodological remedy for pilotitis?
    Aust New Zealand Health Policy 2008 Jul 19;5:17. Epub 2008 Jul 19.
    Centre for Remote Health (a joint Centre of Flinders University & Charles Darwin University), Alice Springs, NT, Australia.
    Background: In rural health and other health service development contexts, there is frustration with a reliance on pilot projects as a means of informing policy and service innovation. There is also an emerging recognition that existing research methods do not draw lessons from the failed sustainability that characterises many of these pilots and demonstration projects.

    Discussion: This article describes critical aspects of the methodology of a successful collaborative, multi-method, systematic synthesis of exemplary primary health care pilot projects in rural and remote Australia, which synthesised principles from a number of pilot projects to inform policy makers and planners. Read More

    Using deliberative techniques to engage the community in policy development.
    Aust New Zealand Health Policy 2008 Jul 16;5:16. Epub 2008 Jul 16.
    Australian Institute of Health Policy Studies (AIHPS), Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
    Background: This paper examines work in deliberative approaches to community engagement used in Western Australia by the Department of Planning and Infrastructure and other planning and infrastructure agencies between 2001 and 2005, and considers whether the techniques could be applied to the development of health policy in Australia.

    Results: Deliberative processes were used in WA to address specific planning and infrastructure problems. Using deliberative techniques, community participants contributed to joint decision making and policy development. Read More

    Analysis of draft Australian rehabilitation service standards: comparison with international standards.
    Aust New Zealand Health Policy 2008 Jun 30;5:15. Epub 2008 Jun 30.
    Rehabilitation Studies Unit, Royal Rehabilitation Centre Sydney, University of Sydney, Sydney, Australia.
    Background: Following her review of health systems and structures Dwyer 1 suggested that there is a need to evaluate models of care for individuals with chronic diseases. Rehabilitation services aim to optimise the activity and participation of individuals with restrictions due to both acute and chronic conditions. Assessing and optimising the standard of these services is one method of assuring the quality of service delivered to these individuals. Read More

    Legal themes concerning obesity regulation in the United States: Theory and practice.
    Aust New Zealand Health Policy 2008 Jun 25;5:14. Epub 2008 Jun 25.
    Associate Professor, Johns Hopkins Bloomberg School of Public Health; Executive Director, Centers for Law and the Public's Health: A Collaborative, Baltimore, MD, USA.
    Despite national health objectives to reduce the incidence of obesity to 15% of the population by 2010, public health data suggest that the incidence of obesity in the United States is actually increasing. The U.S. Read More

    A systematic policy approach to changing the food system and physical activity environments to prevent obesity.
    Aust New Zealand Health Policy 2008 Jun 5;5:13. Epub 2008 Jun 5.
    School of Exercise and Nutrition Sciences, Deakin University, Burwood, Australia.
    As obesity prevention becomes an increasing health priority in many countries, including Australia and New Zealand, the challenge that governments are now facing is how to adopt a systematic policy approach to increase healthy eating and regular physical activity. This article sets out a structure for systematically identifying areas for obesity prevention policy action across the food system and full range of physical activity environments. Areas amenable to policy intervention can be systematically identified by considering policy opportunities for each level of governance (local, state, national, international and organisational) in each sector of the food system (primary production, food processing, distribution, marketing, retail, catering and food service) and each sector that influences physical activity environments (infrastructure and planning, education, employment, transport, sport and recreation). Read More

    Obesity prevention: the role of policies, laws and regulations.
    Aust New Zealand Health Policy 2008 Jun 5;5:12. Epub 2008 Jun 5.
    WHO Collaborating Centre for Obesity Prevention, Deakin University, 221 Burwood Highway, Melbourne, 3125, Australia.
    The commercial drivers of the obesity epidemic are so influential that obesity can be considered a robust sign of commercial success - consumers are buying more food, more cars and more energy-saving machines. It is unlikely that these powerful economic forces will change sufficiently in response to consumer desires to eat less and move more or corporate desires to be more socially responsible. When the free market creates substantial population detriments and health inequalities, government policies are needed to change the ground rules in favour of population benefits. Read More

    What's law got to do with it Part 2: Legal strategies for healthier nutrition and obesity prevention.
    Aust New Zealand Health Policy 2008 Jun 5;5:11. Epub 2008 Jun 5.
    Faculty of Law, University of Sydney, Sydney, Australia.
    This article is the second in a two-part review of law's possible role in a regulatory approach to healthier nutrition and obesity prevention in Australia. As discussed in Part 1, law can intervene in support of obesity prevention at a variety of levels: by engaging with the health care system, by targeting individual behaviours, and by seeking to influence the broader, socio-economic and environmental factors that influence patterns of behaviour across the population. Part 1 argued that the most important opportunities for law lie in seeking to enhance the effectiveness of a population health approach. Read More

    What's law got to do with it part 1: A framework for obesity prevention.
    Aust New Zealand Health Policy 2008 Jun 5;5:10. Epub 2008 Jun 5.
    Faculty of Law, University of Sydney, Sydney, Australia.
    This article provides a conceptual framework for thinking about the role of law in responding to population weight gain in Australia. Part 1 focuses on two core questions. Firstly, in pursuing the aim of weight reduction at the population level, what should law be trying to influence? The challenge here is to identify a model of the determinants of obesity that is adequate for legal purposes and that illustrates the entry points where law could best be used as an instrument of public health policy. Read More

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