Australian Health Review最新文献

{"title":"Projecting the future: modelling Australian dialysis prevalence 2021-30.","authors":"Dominic Keuskamp,&nbsp;Christopher E Davies,&nbsp;Georgina L Irish,&nbsp;Shilpanjali Jesudason,&nbsp;Stephen P McDonald","doi":"10.1071/AH22291","DOIUrl":"https://doi.org/10.1071/AH22291","url":null,"abstract":"<p><p>Objectives To project the prevalence of people receiving dialysis in Australia for 2021-30 to inform service planning and health policy. Methods Estimates were based on data from 2011 to 2020 from the Australia & New Zealand Dialysis & Transplant (ANZDATA) Registry and the Australian Bureau of Statistics. We projected dialysis and functioning kidney transplant recipient populations for the years 2021-30. Discrete-time, non-homogenous Markov models were built on probabilities for transition between three mutually exclusive states (Dialysis, Functioning Transplant, Death), for five age groups. Two scenarios were employed - stable transplant rate vs a continued increase - to assess the impact of these scenarios on the projected prevalences. Results Models projected a 22.5-30.4% growth in the dialysis population from 14 554 in 2020 to 17 829 ('transplant growth') - 18 973 ('transplant stable') by 2030. An additional 4983-6484 kidney transplant recipients were also projected by 2030. Dialysis incidence per population increased and dialysis prevalence growth exceeded population ageing in 40-59 and 60-69 year age groups. The greatest dialysis prevalence growth was seen among those aged ≥70 years. Conclusion Modelling of the future prevalence of dialysis use highlights the increasing demand on services expected overall and especially by people aged ≥70 years. Appropriate funding and healthcare planning must meet this demand.</p>","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"47 3","pages":"362-368"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time to analgesia for musculoskeletal presentations in Tasmanian emergency departments: a case-controlled comparative observational study investigating the impact of advanced practice physiotherapists.","authors":"David Jovic,&nbsp;Kirby Tuckerman,&nbsp;Claire Bergenroth,&nbsp;Viet Tran","doi":"10.1071/AH23032","DOIUrl":"https://doi.org/10.1071/AH23032","url":null,"abstract":"<p><p>Objective To assess the timeliness of analgesia provided to patients presenting with musculoskeletal conditions, by advanced practice physiotherapists, medical officers and nurse practitioners in two Tasmanian emergency departments. Methods A retrospective case-controlled comparative observational study collected patient data over a 6 month period. Index cases were consecutive cases treated by an advanced practice physiotherapist, with a medical and nurse practitioner cohort case-matched based on clinical and demographic factors. Time to analgesia from initial triage and time to analgesia from patient allocation to health professional groups were analysed using Mann-Whitney U -test. Further assessment comparing between-group differences in access to analgesia within 30 and 60 min of emergency department triage was included. Results Two hundred and twenty-four patients who received analgesia while in the primary care of advanced practice physiotherapists were matched against 308 others. Median time to analgesia for the advanced practice physiotherapy group was 40.5 min compared with 59 min in the comparison group (P  = 0.001). Allocation to analgesia time for the advanced practice physiotherapy group was 27 min, compared with 30 min in the comparison group (P  = 0.465). Access to analgesia within 30 min of presentation to the emergency department is low (36.1% vs 30.8%, P  = 0.175). Conclusion For musculoskeletal presentations in two Tasmanian emergency departments, patients received more timely analgesia when in the care of an advanced practice physiotherapist compared with medical or nurse practitioner care. Further improvements in analgesia access are possible, with time from allocation to analgesia a potential target for intervention.</p>","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"47 3","pages":"268-273"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9944268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Australian state and territory cancer plans include survivorship-related objectives and propose quality survivorship outcomes and measures?","authors":"Megan Petrie,&nbsp;Helana Kelly,&nbsp;Michael Jefford","doi":"10.1071/AH22295","DOIUrl":"https://doi.org/10.1071/AH22295","url":null,"abstract":"<p><p>Objective This study reviewed Australian jurisdictional cancer plans to: (i) assess alignment of survivorship-related objectives with recommendations from the 2006 US Institute of Medicine (IOM) survivorship report, and (ii) identify objectives in assessing survivorship outcomes. Methods Current government cancer plans were identified and reviewed for inclusion of survivorship-related objectives, which were coded based on alignment with the 10 IOM recommendations, as well as content relating to outcome assessment and measurement. Results Twelve policy documents were identified from seven Australian states and territories. There was variability in the number of IOM recommendations addressed (between 3 and 8 of 10), the number of survivorship-related objectives (between 4 and 37 per jurisdiction) and the number of survivorship-related outcomes (between 1 and 25 per jurisdiction). Recommendations for raising awareness of survivorship, quality measures and models of survivorship care were more consistently addressed in jurisdictional plans. Recently updated plans appeared to have more survivorship-focused objectives. The importance of measuring survivorship outcomes was highlighted in all 12 cancer plans. Quality of life, other patient reported outcomes, and 5-year survival rates were the most commonly suggested outcomes. There was no consensus on metrics to assess survivorship outcomes, and little detail regarding how to measure proposed outcomes. Conclusion Almost all jurisdictions included survivorship-focused objectives within cancer plans. There was considerable variation in (i) alignment with IOM recommendations, and (ii) focus on survivorship-related objectives, outcomes and outcome measures. Opportunity exists for collaboration and harmonisation of work to develop national guidelines and standards of quality survivorship care.</p>","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"47 3","pages":"291-300"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of hospital admission or emergency department presentation due to diabetes complications: a retrospective cohort study in Tasmania, Australia.","authors":"Ngan T T Dinh,&nbsp;Barbara de Graaff,&nbsp;Julie A Campbell,&nbsp;Matthew D Jose,&nbsp;John Burgess,&nbsp;Timothy Saunder,&nbsp;Alex Kitsos,&nbsp;Petr Otahal,&nbsp;Andrew J Palmer","doi":"10.1071/AH22271","DOIUrl":"https://doi.org/10.1071/AH22271","url":null,"abstract":"<p><p>Objective To estimate the risk of an emergency department (ED)/inpatient visit due to complications in people with diabetes and compare them to their non-diabetes counterparts. Methods This matched retrospective cohort study used a linked dataset in Tasmania, Australia for the 2004-17 period. People with diabetes (n  = 45 378) were matched on age, sex and geographical regions with people without diabetes (n  = 90 756) based on propensity score matching. The risk of an ED/inpatient visit related to each complication was estimated using negative binomial regression. Results In people with diabetes, the combined ED and admission rates per 10 000 person-years were considerable, especially for macrovascular complications (ranging from 31.8 (lower extremity amputation) to 205.2 (heart failure)). The adjusted incidence rate ratios of ED/inpatient visits were: retinopathy 59.1 (confidence interval 25.8, 135.7), lower extremity amputation 11.1 (8.8, 14.1), foot ulcer/gangrene 9.5 (8.1, 11.2), nephropathy 7.4 (5.4, 10.1), dialysis 6.5 (3.8, 10.9), transplant 6.3 (2.2, 17.8), vitreous haemorrhage 6.0 (3.7, 9.8), fatal myocardial infarction 3.4 (2.3, 5.1), kidney failure 3.3 (2.3, 4.5), heart failure 2.9 (2.7, 3.1), angina pectoris 2.1 (2.0, 2.3), ischaemic heart disease 2.1 (1.9, 2.3), neuropathy 1.9 (1.7, 2.0), non-fatal myocardial infarction 1.7 (1.6, 1.8), blindness/low vision 1.4 (0.8, 2.5), non-fatal stroke 1.4 (1.3, 1.6), fatal stroke 1.3 (0.9, 2.1) and transient ischaemic attack 1.1 (1.0, 1.2). Conclusions Our results demonstrated the high demand on hospital services due to diabetes complications (especially macrovascular complications) and highlighted the importance of preventing and properly managing microvascular complications. These findings will support future resource allocation to reduce the increasing burden of diabetes in Australia.</p>","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"47 3","pages":"282-290"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9572493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Digital Marketing on Generation Z’s Decision to be Vaccinated Against COVID-19","authors":"Ioanna Prodromiadou, Athanasia Tzortzi, M. Katharaki","doi":"10.54042/hr1205hsma","DOIUrl":"https://doi.org/10.54042/hr1205hsma","url":null,"abstract":"Generation Z is the first generation that grew up exclusively with the use of the internet and digital media in their daily life, at a time when information sharing and reproduction happens at an unimaginable speed, from any- one to anyone. The purpose of this study is to investigate the role of digital marketing in informing Generation Z about COVID-19 vaccination and how this information affects their decision to be vaccinated. A quantitative cross-sectional study with a structured questionnaire was used. The questionnaire was distributed to 18-25 years old people. The sample consisted of 103 individuals belonging to Generation Z. The Cronbach’s alpha was found 0.85. Chi- square test of Independence and Cross-tabulation analysis were performed for the examination of statistical hypotheses. Multiple linear regression analysis was applied to examine the effect of demographics and the use of digital media on the vaccination decision. Statistical significance was set at 0.05. 69 women (67%), 33 men (32%), and 1 per- son (1%) who had not identified the sex participated in the study. The internet and social media were the most widespread sources of information for Generation Z regarding the COVID-19 pandemic and vaccination. The level of edu- cation (p=0.001) and professional activity (p=0.011) were statistically significant to Generation Z’s vaccination against COVID-19. Information from medical staff (p=0.002) and not from other sources, such as family/friends or the internet, was found statistically sig- nificant to vaccination. Regarding social media, Twitter was positively statistically significant (p=0.010) to the vaccination decision, as well as the presence of competent health Authorities on social media (p=0.044), which had a statistically significant positive effect on Generation Z vac- cination. The findings clearly indicate that the advantages of digital marketing, such as immediacy and low cost com- bined with the extensive use of the internet and social media by individuals belonging to Generation Z, can con- tribute to increasing COVID-19 vaccination coverage.","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"87 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74619940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unlocking the Potential: Exploring Interoperability Challenges and Solutions in Digital Health Ecosystems","authors":"Dr Ioannis Kotsiopoulos, Dr Alexander Berler","doi":"10.54042/hr1731hhsma","DOIUrl":"https://doi.org/10.54042/hr1731hhsma","url":null,"abstract":"Digital health has the potential to revolutionize and democratise healthcare delivery in ways that could not be imagined a few years ago, bringing humanity closer to the vision of universal health coverage. At the same time though, healthcare systems across the globe are facing unprecedented challenges due to the ageing population, the lack of adequate resources and emerging public health risks such as the recent pandemic. Among the many com- peting priorities, healthcare leaders need to accelerate dig- ital transformation and ensure that patients and clinicians will soon be able to harness the benefits of the new tech- nologies. One of biggest challenge remains the lack of inter- operability between systems. National and EU wide initia- tives have the potential to unlock some of the obstacles, however significant risks lie ahead. To address the interop- erability problem in Greece, significant work has been done for the development of the Greek National eHealth Inter- operability Framework (NeHIF) which could be the basis for the implementation of the Greek Digital Transformation Programme. The creation of a digital ecosystem of certified vendors could accelerate the implementation of this pro- gram and minimise the relevant risks.","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"55 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83069978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care Burden on Family Caregivers of Patients with Dementia Living in the Community","authors":"Athanasia Margelaki, M. Katharaki","doi":"10.54042/hr1247hhsma","DOIUrl":"https://doi.org/10.54042/hr1247hhsma","url":null,"abstract":"The family caregiver’s role is crucial in providing care for people with dementia, but equally important is the burden accompanying such care. The purpose of this study is to assess the burden of family caregivers of elderly with dementia who live in the community and investigate the burden’s determinants. The cross-sectional study was conducted using the Zarit Burden Interview (ZBI), in which the demographic details were included. The questionnaires were completed through personal interviews. Responses from a sample of 114 family caregivers of elderly with dementia living in urban and rural areas of a Greek island were examined. Statistical analyses included t-test, chisquare test, and ANOVA. Multiple regression was applied to analyze the factors affecting the caregiver’s burden. The level of statistical significance was set at 0.05. Results indicated that most of the family caregivers were women, daughters mainly, with a low income and mean age of 58 years. The mean total burden of caregivers is characterized as moderate to severe. The burden is not correlated with gender, while younger age, high income and educational level of the caregiver are related to low burden score. The multivariate analysis demonstrated that the number of caregivers’ health problems is the primary variable related to the burden score. Almost all chronic health problems are correlated with higher burden score. The duration of caregiving is proportional to the caregivers’ burden. Social support for the family and the availability of community facilities are both requested by the caregivers themselves. The findings highlighted that the design and implementation of targeted actions to create dementia-friendly communities will support family caregivers and will contribute to strengthening the institution of the family, avoiding institutionalization, and thus enhancing the health and well-being of the caregiver and the care recipient.","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86941051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational Stress Experienced by Nurses of a Greek Regional General Hospital: Lessons Learned from COVID-19 Pandemic","authors":"Georgia Sourlinga, M. Katharaki","doi":"10.54042/hr1219hhsma","DOIUrl":"https://doi.org/10.54042/hr1219hhsma","url":null,"abstract":"Occupational stress can affect nurses’ mental and phys- ical health, while negatively affecting the quality of the services provided. This study investigates the occupational stress of the nurses during the second year of the COVID-19 pandemic, and the effect of sociodemographic characteristics and nurses’ perceptions of their job, organization- al commitment, and health status on the aforementioned variable. 104 nurses of a Greek regional public General Hospital participated in the cross-sectional study, in the third semester of 2022. The ASSET (A Shortened Stress Evaluation Tool) questionnaire was translated into Greek, and refined to the study aim. Cronbach’s alpha was 0.858. The independent samples t Test, ANOVA, and Bonferroni test were applied in hypothesis testing. Multiple general regression analysis was used to examine relationships between stress and other variables. The statistical signifi- cance threshold was set at 0.05. 89 women (85.6%) and 15 men (14.4%) participated in the study. The majority are aged 30-50 years (73.1%) and graduates of higher education (50.96%). 28.9% of the sample are employed in the Intensive Care Unit (ICU), Emergency Department, and COVID-19 ICU/Clinics. 63.5% of the nurses characterized their health condition as good and 10.6% as poor, while 43.7% said they felt less than 89% productive. Nurses' work stress ranges from moderate to high levels. There is no statistically significant difference between work stress and socio-demographic parameters. Nurses’ perceptions of the Organization, expressed as commitment, dedication, and satisfaction related to the working environment, have a statistically significant effect on work stress. Positive per- ceptions are related to lower levels of stress and better health and well-being. Perceived organizational support and organizational commitment predict the work stress the nurses’ experience. The current study indicates that participative leadership combined with organizational culture oriented to the development and continuous learning of the nursing staff can positively contribute to its empowerment, preparedness, and resilience in times of crisis.","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"15 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79107384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"&lt;i&gt;Corrigendum to&lt;/i&gt;: Is Australia&amp;#x2019;s lack of national clinical leadership hampering efforts with the oral health policy agenda?","authors":"Tan Minh Nguyen, Amit Arora, Sneha Sethi, Danielle Justine Gavanescu, Ruth Heredia, Ben Scully, Clare Lin, Martin Hall","doi":"10.1071/ah22278_co","DOIUrl":"https://doi.org/10.1071/ah22278_co","url":null,"abstract":"The landmark 2021 Resolution on Oral Health by the 74th World Health Assembly has elevated the importance of oral health into the global health policy agenda. This has led to the development and adoption of the World Health Organization (WHO) Global Strategy on Oral Health in 2022. It acknowledged the need to integrate oral health as part of universal health coverage (UHC), which is supported by national clinical leadership for oral health. Although Australia is a signatory WHO member state, it is yet to appoint a Commonwealth Chief Dental Officer to provide national clinical leadership. This commentary provides a background on the current issues on population oral health in Australia, an insight into the Australian oral healthcare system, and explores some of the challenges and learnings related to previous Commonwealth dental programs. This paper highlights why expertise in dental public health is required to steer national oral health policy that is focused on prevention and early intervention. A population oral health approach for UHC should be informed by evidence, prioritise and address oral health inequities, and be co-ordinated by national clinical leadership for oral health.","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135837426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Australia's lack of national clinical leadership hampering efforts with the oral health policy agenda?","authors":"Tan Minh Nguyen,&nbsp;Amit Arora,&nbsp;Sneha Sethi,&nbsp;Danielle Justine Gavanescu,&nbsp;Ruth Heredia,&nbsp;Ben Scully,&nbsp;Clare Lin,&nbsp;Martin Hall","doi":"10.1071/AH22278","DOIUrl":"https://doi.org/10.1071/AH22278","url":null,"abstract":"<p><p>The landmark 2021 Resolution on Oral Health by the 74th World Health Assembly has elevated the importance of oral health into the global health policy agenda. This has led to the development and adoption of the World Health Organization (WHO) Global Strategy on Oral Health in 2022. It acknowledged the need to integrate oral health as part of universal health coverage (UHC), which is supported by national clinical leadership for oral health. Although Australia is a signatory WHO member state, it is yet to appoint a Commonwealth Chief Dental Officer to provide national clinical leadership. This commentary provides a background on the current issues on population oral health in Australia, an insight into the Australian oral healthcare system, and explores some of the challenges and learnings related to previous Commonwealth dental programs. This paper highlights why expertise in dental public health is required to steer national oral health policy that is focused on prevention and early intervention. A population oral health approach for UHC should be informed by evidence, prioritise and address oral health inequities, and be co-ordinated by national clinical leadership for oral health.</p>","PeriodicalId":55425,"journal":{"name":"Australian Health Review","volume":"47 2","pages":"192-196"},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9261638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}