2,994 results match your criteria Australian Health Review[Journal]

Increase in telemental health services on the Medicare Benefits Schedule after the start of the coronavirus pandemic: data from 2019 to 2021.

Aust Health Rev 2022 Jun 23. Epub 2022 Jun 23.

ObjectiveTo describe the change in telemental health service volume that resulted from the introduction of the Medicare Benefits Schedule (MBS) item numbers in 2020 for services provided by psychologists and psychiatrists in Australia for a 3-year period, from January 2019 to December 2021.MethodsQuarterly MBS activity and cost data for mental health services provided by consultant psychiatrists, clinical psychologists, and psychologists between January 2019 and December 2021 were extracted from the MBS statistics website. Data were grouped by profession and delivery mode (in-person, telephone or videoconference) and reported using activity counts. Read More

View Article and Full-Text PDF

Perceptions of service quality in Victorian public dental clinics using Google patient reviews.

Aust Health Rev 2022 Jun 23. Epub 2022 Jun 23.

ObjectivesUsing Google online reviews, this study investigated why patients were satisfied or dissatisfied with their public dental clinic in Victoria, Australia.MethodsThis mixed methods study gathered Google reviews published by users pre-March, 2021. The reviews were coded and subthemes and major themes were identified. Read More

View Article and Full-Text PDF

Re-admission following discharge from a Geriatric Evaluation and Management Unit: identification of risk factors.

Aust Health Rev 2022 Jun 17. Epub 2022 Jun 17.

ObjectiveTo establish independent factors that influence the likelihood of re-admission within 30 days of discharge from a Geriatric Evaluation and Management Unit.MethodsAn observational prospective cohort design using clinical data extracted from the medical charts of eligible patients discharged from a tertiary public hospital Geriatric Evaluation and Management Unit between July 2017 and April 2019. Binary logistic regression was undertaken to determine variables that increased the likelihood of hospital re-admission (dependent variable). Read More

View Article and Full-Text PDF

Disease and economic burden of infections in hospitalised children in New South Wales, Australia.

Aust Health Rev 2022 Jun 7. Epub 2022 Jun 7.

ObjectivesTo describe the burden of disease and hospitalisation costs in children with common infections using statewide administrative data.MethodsWe analysed hospitalisation prevalence and costs for 10 infections: appendicitis, cellulitis, cervical lymphadenitis, meningitis, osteomyelitis, pneumonia, pyelonephritis, sepsis, septic arthritis, and urinary tract infections in children aged <18 years admitted to hospital within New South Wales, Australia, using an activity-based management administrative dataset over three financial years (1 July 2016-30 June 2019).ResultsAmong 339 077 admissions, 28 748 (8. Read More

View Article and Full-Text PDF

Leading through a pandemic.

Sue Matthews

Aust Health Rev 2022 Jun;46(3):255

Administration, The Royal Women's Hospital, Locked Bag 300, Cnr Grattan Street and Flemington Road, Parkville, Vic. 3052, Australia.

sion="1.0" encoding="UTF-8"?> AH Australian Health Review Aust. Health Rev. Read More

View Article and Full-Text PDF

Federated health system governance in the post-COVID-19 era.

Mark Cormack

Aust Health Rev 2022 06;46(3):256-257

College of Health and Medicine, Australian National University, Canberra, ACT, Australia.

View Article and Full-Text PDF

The role of private hospitals in responding to the COVID-19 pandemic – focus on digital health.

Martin Bowles

Aust Health Rev 2022 06;46(3):258-259

Little Company of Mary Health Care, Level 12, 135 King Street, Sydney, NSW 2000, Australia.

View Article and Full-Text PDF

Policy Reflections on digital health.

Stephen Ayre

Aust Health Rev 2022 06;46(3):262-263

Tasmanian Health Service South, Level 3, Block E, Royal Hobart Hospital, Hobart, Tas. 7000, Australia.

View Article and Full-Text PDF

Telehealth, care access and workforce – are the stars finally aligning?

Claire Jackson

Aust Health Rev 2022 06;46(3):260-261

UQ/MRI Centre for Health System Reform and Integration, University of Queensland, Qld, Australia.

View Article and Full-Text PDF

Evaluation of virtual accreditation of medical specialist training sites for ophthalmology in Australia and New Zealand during the COVID-19 pandemic.

Aust Health Rev 2022 May 31. Epub 2022 May 31.

ObjectiveTo evaluate the suitability and acceptability of virtual training post accreditation visits conducted online for medical specialist training in ophthalmology in Australia and New Zealand.MethodsA two-phase study (pilot and implementation) was conducted. In the pilot phase, an open-ended observation proforma was used by the authors to independently record their observations, which were later compared and discussed until consensus was achieved. Read More

View Article and Full-Text PDF

It is time to stop blaming the pandemic.

Aust Health Rev 2022 Jun;46(3):383-384

School of Rural Medicine, University of New England, NSW 2350, Australia.

What is known about the topic? Avoidable adverse events are often being attributed to health workforce shortages associated with the coronavirus disease 2019 (COVID-19) pandemic and government funding cuts. What does this paper add? Health workforce shortages were predicted well before the COVID-19 pandemic. What are the implications for practitioners? Senior executives and leaders should unitedly take action to influence change in funding and models of care. Read More

View Article and Full-Text PDF

Cost-effectiveness of the Victorian Stroke Telemedicine program.

Aust Health Rev 2022 Jun;46(3):294-301

Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Vic., Australia; and Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Vic., Australia.

Objective Stroke telemedicine improves the provision of reperfusion therapies in regional hospitals, yet evidence of its cost-effectiveness using patient-level data is lacking. The aim of this study was to estimate the cost per quality-adjusted life year (QALY) gained from stroke telemedicine. Methods As part of the Victorian Stroke Telemedicine (VST) program, stroke telemedicine provided to 16 hospitals in regional Victoria was evaluated using a historical-control design. Read More

View Article and Full-Text PDF

Perspectives on an exhausted medical radiation practitioner workforce: emotional labour and the impact of compassion fatigue.

Aust Health Rev 2022 May 20. Epub 2022 May 20.

As the COVID-19 pandemic in Australia reaches its peak, medical radiation practitioners (MRPs) are at capacity both physically and emotionally. High workloads and stress impact the mental wellbeing of MRPs, with suppression of feelings and emotions resulting in experiences of compassion fatigue. From a MRP workforce perspective, the long-term cost of the pandemic has yet to be realised. Read More

View Article and Full-Text PDF

Hospitalisation costs of primary liver cancer in Australia: evidence from a data-linkage study.

Aust Health Rev 2022 May 19. Epub 2022 May 19.

ObjectiveThis study aimed to estimate the public hospital costs associated with primary liver cancer (PLC) in the first and second years following the cancer diagnosis.MethodsThis study linked administrative datasets of patients diagnosed with PLC in Victoria, Australia, from January 2008 to December 2015. The health system perspective was adopted to estimate the direct healthcare costs associated with PLC, based on inpatient and emergency costs. Read More

View Article and Full-Text PDF

Where to next? An exploration of patients with disability and complex needs who leave acute care hospitals via an interim discharge pathway.

Aust Health Rev 2022 Jun;46(3):355-360

Griffith University, Menzies Health Institute Queensland, The Hopkins Centre: Research for Rehabilitation and Resilience, 170 Kessels Road, Nathan, Qld 4111, Australia.

Objective To examine the characteristics and circumstances of admitted patients with disability who require individualised supports to leave hospital and who experience interim discharge arrangements. Methods The study used a retrospective exploratory design. Medical chart reviews of patients with disability who required funded support to leave hospital were conducted. Read More

View Article and Full-Text PDF

Emergency department presentations and 30-day mortality in patients from residential aged care facilities.

Aust Health Rev 2022 May 17. Epub 2022 May 17.

ObjectiveTo describe patterns of emergency department (ED) presentations and predictors of 30-day mortality in patients referred from a residential aged care facility (RACF).MethodsA retrospective analysis of linked state-wide emergency, inpatient and death data from 136 public ED hospitals in New South Wales, Australia. Data were collected from the NSW Emergency Department Data Collection database, the NSW Admitted Patient Data Collection database and the NSW Registry of Births, Deaths and Marriages. Read More

View Article and Full-Text PDF

Examining the workplace rights of mental health consumer workers.

Simon Katterl

Aust Health Rev 2022 May 12. Epub 2022 May 12.

ObjectiveTo identify what legal workplace protections are available for the mental health consumer workforce in Australia.MethodsReview the available common law and legislative protections to identify the general workforce rights and employer responsibilities in Australia.ResultsConsumer workforce members enjoy protections under employment law, anti-discrimination law, tort law and work health and safety law. Read More

View Article and Full-Text PDF

Virtual visiting in the intensive care unit: implementation, utilisation and provider acceptance in an Australian metropolitan health service.

Aust Health Rev 2022 Jun;46(3):284-288

Department of Intensive Care Medicine, Northern Health, 185 Cooper Street, Epping, Vic. 3076, Australia; and Centre for Integrated Critical Care, University of Melbourne, Parkville, Vic. 3000, Australia.

We describe the design and implementation of an intensive care unit (ICU) virtual visiting program in a metropolitan ICU in Melbourne, Victoria, Australia, to examine patterns of use, and describe clinician acceptance of this technology. This was a mixed-methods study, comprising a retrospective analysis of virtual visits from 18 August to 30 September 2020. Patterns of utilisation included duration and time of visits, as well as bandwidth used. Read More

View Article and Full-Text PDF

A framework for de-identification of free-text data in electronic medical records enabling secondary use.

Aust Health Rev 2022 Jun;46(3):289-293

Performance and Analytics, Northern Sydney Local Health District, NSW, Australia; and Faculty of Medicine and Health, University of Sydney, Office 543, Level 5, School of Computer Science (J12), NSW 2006, Australia.

Clinical free-text data represent a vast, untapped source of rich information. If more accessible for research it would supplement information captured in structured fields. Data need to be de-identified prior to being reused for research. Read More

View Article and Full-Text PDF

Navigating the Pharmaceutical Benefits Scheme: federal versus state government funding for high-cost medicines – a problem for public hospitals.

Aust Health Rev 2022 Jun;46(3):316-318

Pharmacy Department, Fiona Stanley Hospital, Murdoch, WA, Australia.

The funding of medication supply in Australian public hospitals is divided between the federal government's Pharmaceutical Benefits Scheme (PBS) and thestate or territory government who pay for the remaining medications not covered under the PBS. For some high-cost medications, such as the monoclonal antibody blinatumomab, the current criteria for PBS funding in public hospitals are challenging. The strict requirement for inpatient admission, due to the risk of potentially serious adverse effects, alongside a lack of PBS reimbursement, while a hospital inpatient, may result in the state bearing the cost. Read More

View Article and Full-Text PDF

Creating a culture of safety and respect through professional accountability: case study of the Ethos program across eight Australian hospitals.

Aust Health Rev 2022 Jun;46(3):319-324

Australian Institute of Health Innovation, Macquarie University, North Ryde, NSW, Australia.

Behaviour that is disrespectful towards others occurs frequently in hospitals, negatively impacts staff, and may undermine patient care. Professional accountability programs may address unprofessional behaviour by staff. This article examines a whole-of-hospital program, Ethos, developed by St Vincent's Health Australia to address unprofessional behaviour, encourage speaking up, and improve organisational culture. Read More

View Article and Full-Text PDF

Qualitative exploration of Australian Muslim patients’ perceptions and experiences surrounding medication management during Ramadan.

Aust Health Rev 2022 Jun;46(3):346-354

Pharmacy 4 Less, Melbourne, Vic., Australia.

Objective To explore Australian Muslim patients' perceptions and experiences surrounding medication management practices during Ramadan. Methods This was a qualitative exploration of the views and experiences of Muslim patients who were hospitalised during or shortly prior to Ramadan 2021. Data comprised comments obtained from a cross-sectional telephone or face-to-face questionnaire about medications and Ramadan fasting at a tertiary-referral hospital in Melbourne, Australia. Read More

View Article and Full-Text PDF

Persistent opioid use after hospital discharge in Australia: a systematic review.

Aust Health Rev 2022 Jun;46(3):367-380

School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia; and Department of Pharmacy, Prince of Wales Hospital, Randwick, NSW, Australia.

Objective This systematic review identified studies that provided an estimate of persistent opioid use following patient discharge from hospital settings in Australia. Methods A literature search was performed on 5 December 2020, with no date restrictions to identify studies that reported a rate of persistent opioid use following patient discharge from Australian Hospitals. The search strategy combined all terms relating to the themes 'hospital patients', 'prescribing', 'opioids' and 'Australia'. Read More

View Article and Full-Text PDF

Implementing patient-reported outcomes into routine care: an audit of cancer patients from two local health districts in New South Wales to understand their capabilities and preferences.

Aust Health Rev 2022 Jun;46(3):331-337

Ingham Institute for Applied Medical Research, Liverpool, NSW 1871, Australia; and South Western Sydney Clinical School, UNSW Medicine and Health, UNSW Sydney, Kensington, NSW 2052, Australia.

Objective It has been established that the implementation of patient-reported outcome measures (PROMs) in routine care provides significant benefits to patients, providers and health services. However, there are patient-level barriers that must be identified and addressed for the successful implementation of PROMs. This study aimed to understand the capabilities and preferences of our cancer patient population prior to implementation of electronically collected PROMs (ePROMs). Read More

View Article and Full-Text PDF

Discharge summary medication list accuracy across five metropolitan hospitals: a retrospective medical record audit.

Aust Health Rev 2022 Jun;46(3):338-345

Pharmacy Department, Eastern Health, 8 Arnold Street, Box Hill, Vic. 3128, Australia.

Objective To determine the accuracy of discharge summary (DS) medication lists across a broad cross-section of hospital inpatients and to determine what factors may be associated with errors in this document. Methods A retrospective medical record audit was undertaken at five metropolitan hospitals that utilise an electronic medication management system (eMMS) at the point of discharge. Four hospitals utilised an eMMS for inpatient medication management, with the fifth utilising the paper-based National Inpatient Medication Chart (NIMC). Read More

View Article and Full-Text PDF

Implications of increased telehealth use on organisations providing mental health services during COVID-19.

Aust Health Rev 2022 06;46(3):381-382

Centre for Online Health, Ground Floor Building 33, Princess Alexandra Hospital, Woolloongabba, Qld 4102, Australia; and Centre for Health Services Research, The University of Queensland, Brisbane, Qld, Australia; and Centre for Innovative Medical Technology, University of Southern Denmark, Odense, Denmark.

View Article and Full-Text PDF

Effect of comorbidities on inpatient rehabilitation outcomes following non-traumatic lower limb amputations in Australia and New Zealand.

Aust Health Rev 2022 May 5. Epub 2022 May 5.

BackgroundNon-traumatic lower limb amputation rates are rising worldwide, resulting in increased hospitalisations and use of rehabilitation services. This study aimed to identify key comorbidities associated with prolonged length of stay or decreased functional gain for episodes receiving inpatient rehabilitation following non-traumatic lower limb amputation.MethodsProspectively collected data submitted to the Australasian Rehabilitation Outcomes Centre were analysed. Read More

View Article and Full-Text PDF

In-house testing for COVID-19: effects on length of stay, isolation and the need for inpatient rehabilitation.

Aust Health Rev 2022 Jun;46(3):273-278

Department of General Medicine, Maroondah Hospital, Eastern Health, Vic., Australia.

Objective The COVID-19 pandemic has strained healthcare worldwide. Its direct complications, management and prognosis have been described. Downstream effects, including length of hospital stay (LOS), implications on discharge planning, and effect of in-house testing require formal study. Read More

View Article and Full-Text PDF