2,871 results match your criteria Australian Health Review[Journal]


Comparison of costs related to infant hospitalisations for spontaneous, induced and Caesarean births: population-based cohort study.

Aust Health Rev 2021 Jun 8. Epub 2021 Jun 8.

ObjectiveThis study examined hospitalisations and associated in-patient costs for babies during the first year of life following spontaneous labour, compared with labour induction or prelabour Caesarean section, at each gestational age.MethodsBirth data for singleton liveborn babies from 33 weeks gestation in New South Wales from 2005 to 2014 were linked to hospital and death data. Generalised linear models were used to examine the association between the type of labour and the length of hospitalisations and hospital costs. Read More

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Identification, management and care of refugee patients at a metropolitan public health service: a healthcare worker perspective.

Aust Health Rev 2021 Jun;45(3):338-343

Western Health, Sunshine Hospital, 176 Furlong Road, St. Albans, Vic. 3021, Australia. Email:

Objective To describe the perceptions of healthcare workers employed at a metropolitan public health service, with respect to how they identify, manage and care for refugee patients. Methods This study surveyed healthcare workers using a cross-sectional, mixed methods descriptive design, which partially replicates a previous Australian study. A total of 215 responses to a brief online survey were received (n=48 medical, n=100 nursing and midwifery, n=50 allied health, n=4 other). Read More

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Inequalities in the utilisation of the Child Dental Benefits Schedule between Aboriginal and non-Aboriginal children.

Aust Health Rev 2021 Jun;45(3):274-280

Poche Centre for Indigenous Health, Edward Ford Building (A27), The University of Sydney, 2006. Email:

Objectives The Child Dental Benefits Schedule (CDBS) is an Australian Government initiative providing basic dental care to children from low-income households. We sought to investigate levels of utilisation of the CDBS among Aboriginal and non-Aboriginal children to determine whether there is equal access to dental services provided through the schedule. Methods CDBS data were obtained for four financial (July-June) years (from 2013-14 to 2016-17). Read More

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Understanding end-of-life care in Australian hospitals.

Aust Health Rev 2021 Jun 2. Epub 2021 Jun 2.

ObjectiveTo explore end-of-life care in the ward and intensive care unit (ICU) environment in nine Australian hospitals in a retrospective observational study.MethodsIn total, 1693 in-hospital deaths, 356 in ICU, were reviewed, including patient demographics, advance care plans, life-sustaining treatments, recognition of dying by clinicians and evidence of the palliative approach to patient care.ResultsMost patients (n=1430, 84%) were aged ≥60 years, with a low percentage (n=208, 12%) having an end-of-life care plan on admission. Read More

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Case study of a stepped-care psychological service for healthcare professionals working in critical care.

Aust Health Rev 2021 Jun 1. Epub 2021 Jun 1.

Psychological injury is common among healthcare professionals and is expected to be further exacerbated by the current global pandemic, with the far-reaching impacts of this workplace trauma yet to be fully realised. Our Intensive Care Unit and Emergency Department sought to proactively introduce strategies that might reduce the anticipated short- and longer-term negative impact of the pandemic on staff and ultimately patients and families. Our organisation facilitated the temporary redeployment of senior psychologists to provide staff-focused support. Read More

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How well has part-time work on return from maternity leave been accepted in the workplace? Learnings from allied health professional managers in Queensland Health.

Aust Health Rev 2021 May 18. Epub 2021 May 18.

ObjectiveThe aim of this study was to explore allied health professional (AHP) managers' implementation of the right to request part-time hours on return from maternity leave in Queensland Health (QH) hospitals.MethodsQualitative data were collected via interviews with AHP managers from a cross-section of professions with variations in workforce size and gender composition. Interviews were audio recorded, transcribed and analysed thematically. Read More

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Experiences of patients with chronic diseases of access to multidisciplinary care during COVID-19 in South Australia.

Aust Health Rev 2021 May 20. Epub 2021 May 20.

ObjectiveThis study investigated the experience of patients with chronic diseases regarding access to and utilisation of multidisciplinary care during COVID-19 in South Australia.MethodsTelephone interviews were conducted with 30 patients with chronic conditions attending nine general practices in metropolitan Adelaide. Supplementary data were obtained from the Medicare Benefit Schedule (MBS) to compare health services activity data provided by different health professionals before and after COVID-19 (from January 2019 to June 2020). Read More

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Impact of the COVID-19 pandemic on South Australia.

Aust Health Rev 2021 May 20. Epub 2021 May 20.

ObjectiveThis study assessed the impact of the COVID-19 pandemic on emergency departments (EDs) in South Australia, measured by changes in the number and casemix of patients in the system over time.MethodsData from the South Australia Emergency Department Dashboard, updated every 30min, were analysed for the period 4 October-21 December 2020. The Dashboard reports live counts of the number and type of patients in each of the six adult metropolitan public EDs in Adelaide, South Australia. Read More

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Developing economic measures for Aboriginal and Torres Strait Islander families on out-of-pocket healthcare expenditure.

Aust Health Rev 2021 Jun;45(3):265-273

The George Institute for Global Health Australia, UNSW, PO Box M201, Missenden Road, NSW 2050, Australia. Email: and Discipline of Public Health, College of Medicine Public Health, Flinders University, GPO Box 2100, SA 5001, Australia. Email: and School of Public Health and Community Medicine, UNSW, Sydney, NSW 2052, Australia. Email:

Objective Out-of-pocket healthcare expenditure (OOPHE) has a significant impact on marginalised households. The purpose of this study was to modify a pre-existing OOPHE survey for Aboriginal and Torres Strait Islander households with children. Methods The OOPHE survey was derived through a scoping review, face and content validity, including judgement quantification with content experts. Read More

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Regulating autologous stem cell interventions in Australia: updated review of the direct-to-consumer advertising restrictions.

Aust Health Rev 2021 May 6. Epub 2021 May 6.

ObjectiveThis paper provides an update and overview of the law governing direct-to-consumer (DTC) advertising of autologous stem cell interventions (ASCIs) in Australia. It follows significant changes to the advertising regulations made in 2018.MethodsThe paper reviews the three primary sources or 'centres' of law regulating ASCIs in Australia, together with the relevant guidance documents that supplement these sources. Read More

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The new dynamics of residential aged care in Australia: continuity and change.

Aust Health Rev 2021 May 4. Epub 2021 May 4.

ObjectiveThis paper tests the hypothesis that increases in recorded dependency levels of permanent residential aged care clients are associated with reduced length of stay and higher turnover. A secondary objective is to compare the Aged Care Funding Instrument with its predecessor, the Resident Classification Scale, on a common schema.MethodsAdministrative data for all Commonwealth-subsidised residential aged care services in Australia from 2008-09 to 2018-19 were obtained from the National Aged Care Data Clearinghouse. Read More

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Obligations of Australian health services as employers during COVID-19.

Aust Health Rev 2021 May 3. Epub 2021 May 3.

The COVID-19 pandemic has brought into focus obligations for health services to protect the health and safety of their staff, arising from Occupational, Health and Safety legislation and the duty of care owed by a health service as an employer. Health workers, by nature of their work, are a particularly at-risk population in the context of COVID-19. This article examines the legal standard of care that healthcare employers owe their staff in terms of reduction of risk exposure, both physically and psychologically, to COVID-19, the obligation to provide staff with personal protective equipment, adequate hygiene, cleaning and the consequences for breaching these standards. Read More

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Queensland Rural Generalist Pathway: why do trainees separate without achieving a Rural Generalist end point?

Aust Health Rev 2021 Jun;45(3):377-381

Queensland Rural Generalist Pathway, Queensland Rural Medical Services, Darling Downs Hospital and Health Service, Level 18, 41 George Street, Brisbane, Qld 4000, Australia. Email:

The aim of this study was to learn from trainees separating from the Queensland Rural Generalist Pathway (QRGP) the reasons and circumstances around their decision so as to improve the efficiency of the program and experience of trainees. Forty-one QRGP trainees who separated without achieving a Rural Generalist (RG) end point to training were interviewed regarding their reasons for separation and thoughts on improving the program. The mean period of time enrolled in the QRGP was 2. Read More

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Achieving cultural safety for Australia.

Aust Health Rev 2021 Apr 13. Epub 2021 Apr 13.

ObjectiveHealth practitioners' Codes of Conduct and Codes of Ethics articulate practice standards across multiple domains, including the domain of cultural safety. As key tools driving individual practice and systems reform, Codes are integral to improving health outcomes for Aboriginal and Torres Strait Islander peoples. It is, therefore, critical that their contents specify meaningful cultural safety standards as the norm for institutional and individual practice. Read More

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Implementation of a virtual ward as a response to the COVID-19 pandemic.

Aust Health Rev 2021 Apr 12. Epub 2021 Apr 12.

ObjectiveThe aim of this study was to describe and evaluate the implementation of a virtual ward as a COVID-19 hospital avoidance response strategy and identify opportunities for improvement and future applicability.MethodsA mixed-method observational study was conducted of a centralised virtual ward, which operated in a large metropolitan Australian health service from 23 March to 1 June 2020.ResultsIn total, 238 unique patients were admitted to the virtual ward, accounting for 264 individual admission episodes and 2451 virtual bed days. Read More

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Using machine learning to predict paediatric 30-day unplanned hospital readmissions: a case-control retrospective analysis of medical records, including written discharge documentation.

Aust Health Rev 2021 Jun;45(3):328-337

School of Nursing, Curtin University, GPO Box U 1987, Perth, WA 6845, Australia. Email address: and Visiting Professor, College of Nursing, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China; and Corresponding author. Email:

Objectives To assess whether adding clinical information and written discharge documentation variables improves prediction of paediatric 30-day same-hospital unplanned readmission compared with predictions based on administrative information alone. Methods A retrospective matched case-control study audited the medical records of patients discharged from a tertiary paediatric hospital in Western Australia (WA) between January 2010 and December 2014. A random selection of 470 patients with unplanned readmissions (out of 3330) were matched to 470 patients without readmissions based on age, sex, and principal diagnosis at the index admission. Read More

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Leading health reform: a critical review of 'leadership' within allied health competency standards.

Aust Health Rev 2021 Jun;45(3):368-376

School of Medicine, University of Tasmania, Hobart, Tas. 7000, Australia. Email:

Objective The study examined if, when and how select allied health professional standards currently articulate the Health LEADS Australia themes. Methods Eighteen allied health professional standards were searched to locate references to leadership. Data were extracted and analysed inductively, deductively and thematically as a meta-synthesis. Read More

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Medicine shortages: there are solutions! Actions to take to reduce medicine shortages.

Authors:
Michael J Ryan

Aust Health Rev 2021 Apr 6. Epub 2021 Apr 6.

The aim of this paper is to propose solutions to reduce the number and frequency of medicine shortages in Australia. Some of the many factors that contribute to medicine shortages, such as manufacturers' production processes and business decisions, are outside the control of Australian stakeholders. But there are many factors that are within the control of stakeholders, including poor communication between stakeholders, incomplete and inaccurate information, unhelpful practices and attitudes of hospital tender authorities, and lack of certainty and incentives for manufacturers in relation to pharmaceutical tenders. Read More

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Achieving greater value and equity in health care.

Authors:
Alison Verhoeven

Aust Health Rev 2021 Mar;45(2):133-134

Australian Healthcare and Hospitals Association, PO Box 78, Deakin West, ACT 2600, Australia. Email:

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Enabling clinician engagement in safety and quality improvement.

Aust Health Rev 2021 Apr 1. Epub 2021 Apr 1.

ObjectiveThe aim of this study was to determine how individual, group and leadership factors influence clinician engagement in safety and quality improvement work.MethodsThe study was conducted through an online questionnaire. Participants were alumni of Australian healthcare safety and quality improvement capability development programs. Read More

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What are the health and socioeconomic impacts of allergic respiratory disease in Tasmania?

Aust Health Rev 2021 Jun;45(3):281-289

Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tas. 7001, Australia. Email: and Corresponding author. Email:

Objective The aim of this study was to quantify the direct and indirect costs of asthma and allergic rhinitis (AR) for 2018 in Tasmania. Methods We used publicly available data, and Tasmanian-specific values where available, to estimate direct and indirect costs of both diseases. Direct costs included outcomes such as emergency department (ED) presentations, hospitalisations, general practice visits and medication use. Read More

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What predicts consumer experience in residential aged care? An analysis of consumer experience report data.

Aust Health Rev 2021 Mar 30. Epub 2021 Mar 30.

ObjectivesThis study explored whether consumer experience report (CER) data from residential aged care services (RACSs) could be combined into a general factor and determined whether poor experience in RACSs could be predicted by known resident or home characteristics or sampling procedures.MethodsCER data collected by structured interviews in 2018 and early 2019 were analysed using structural equation modelling and linear regression analysis.ResultsData were available from 17194 interviews undertaken at 1159 RACSs. Read More

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South Australian Medicines Evaluation Panel in review: providing evidence-based guidance on the use of high-cost medicines in the South Australian public health system.

Aust Health Rev 2021 Mar;45(2):207-213

Medicines and Technology Programs, SA Health, Rundle Mall, Adelaide, SA 5000, Australia. Email: and Royal Adelaide Hospital, Port Road, Adelaide, SA 5000, Australia; and Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5005, Australia; and The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA 5011, Australia.

Objective The South Australian Medicines Evaluation Panel (SAMEP) was established in 2011 to make evidence-based recommendations on the funding of high-cost medicines in South Australian public hospitals via a high-cost medicines formulary. SAMEP represents one component of South Australia's process for state-based health technology assessment (HTA). The aim of this study was to describe the experience of SAMEP in the context of Australia's complex governance model for hospital-based care. Read More

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Within-unit bed moves in a short-stay in-patient unit are associated with increased falls.

Aust Health Rev 2021 Mar 24. Epub 2021 Mar 24.

ObjectiveThis study evaluated a patient's likelihood of a fall using information available at the time of presentation to a short-stay acute medical unit (AMU) with a high patient turnover rate and estimated the effect of within-unit bed moves on the occurrence of in-patient falls.MethodsThis study was a 3-year retrospective cross-sectional study of 28713 consecutive admissions comparing patients who fell and patients who did not fall. Factors assessed included premorbid falls risk factors, presenting issues and within-unit bed moves. Read More

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Implementing a hip fracture registry and financial incentive program to enhance best practice in hip fracture care in Western Australia.

Aust Health Rev 2021 Mar;45(2):143-147

Australian Institute of Health Innovation, Macquarie University, Sydney, NSW 2109, Australia. Email:

Hip fracture is a common injury in older adults that causes significant morbidity and mortality. Older adults who sustain a hip fracture are at a higher risk of institutionalisation, reduced mobility and subsequent falls and, consequently, have increased rates of morbidity and mortality. Quality improvement strategies that address gaps in hip fracture care are needed to ensure best practice and improve health outcomes for older adults. Read More

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Prioritising models of healthcare service delivery for a more sustainable health system: a Delphi study of Australian health policy, clinical practice and management, academic and consumer stakeholders.

Aust Health Rev 2021 Mar 18. Epub 2021 Mar 18.

ObjectivesHealthcare expenditure is growing at an unsustainable rate in developed countries. A recent scoping review identified several alternative healthcare delivery models with the potential to improve health system sustainability. Our objective was to obtain input and consensus from an expert Delphi panel about which alternative models they considered most promising for increasing value in healthcare delivery in Australia and to contribute to shaping a research agenda in the field. Read More

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Informing telehealth service delivery for cardiovascular disease management: exploring the perceptions of rural health professionals.

Aust Health Rev 2021 Mar;45(2):241-246

School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia. Email: and Department of Rural Health, Faculty of Health and Medicine, University of Newcastle, Tamworth, NSW 2340, Australia. Email: and Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia; and Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia. Email:

Objective To explore the perceptions of rural health professionals who use telehealth services for cardiovascular health care, including the potential role of telehealth in enhancing services for this patient group. Methods Semi-structured interviews were conducted with ten rural health professionals across a range of disciplines, including medicine, nursing and allied health. All study participants were based in the same rural region in New South Wales, Australia. Read More

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Substitution, delegation or addition? Implications of workforce skill mix on efficiency and interruptions in computed tomography.

Aust Health Rev 2021 Jun;45(3):382-388

School of Population Health, Faculty of Medicine, UNSW Sydney, NSW 2052, Australia. Email:

Objectives This study evaluated multiple computed tomography (CT) workforce models to identify any implications on efficiency (length of stay, scan frequency and workforce cost) and scanning radiographer interruptions through substituting or supplementing with a trained CT assistant. Methods The study was conducted in a CT unit of a tertiary Queensland hospital and prospectively compared four workforce models, including usual practice: Model 1 used an administrative assistant (AA) and one radiographer; Model 2 substituted a medical imaging assistant (MIA) for the AA; Model 3 was usual practice, consisting of two radiographers; and Model 4 included two radiographers, with a supplemented MIA. Observational data were collected over 7 days per model and were cross-checked against electronic records. Read More

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The estimated effect of reducing the maternal smoking rate on neonatal intensive care unit costs in Victorian public hospitals.

Aust Health Rev 2021 Mar 9. Epub 2021 Mar 9.

This analysis estimates the expected number of Victorian public hospital neonatal intensive care unit cot-days that could be saved annually by reducing the maternal smoking rate. Approximately 106 cot-days could be saved if the maternal smoking rate was reduced from 8.4% to 6. Read More

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