Australian health review : a publication of the Australian Hospital Association最新文献

Voluntary assisted dying in Queensland: doctors' perceptions of its first year of operation. 昆士兰的自愿协助死亡：医生对第一年运作的看法。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-06-12 DOI: 10.1071/AH25055

Laura Ley Greaves, Rachel Feeney, Lindy Willmott, Ben P White

引用次数: 0

Corporatisation and ownership concentration in diagnostic imaging: an audit of Australian practices. 诊断成像的公司化和所有权集中：对澳大利亚实践的审计。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-06-10 DOI: 10.1071/AH25073

Sean Docking, Jenn Lacy-Nichols, Martin Hensher, Rachelle Buchbinder

{"title":"Corporatisation and ownership concentration in diagnostic imaging: an audit of Australian practices.","authors":"Sean Docking, Jenn Lacy-Nichols, Martin Hensher, Rachelle Buchbinder","doi":"10.1071/AH25073","DOIUrl":"https://doi.org/10.1071/AH25073","url":null,"abstract":"ObjectiveIncreasing ownership of health service providers by large for-profit corporations, along with high ownership concentration that reduces competition, may negatively affect healthcare access, quality, and costs. Our objective was to determine the ownership of Australian diagnostic imaging clinics by ownership category and identify areas of high ownership concentration.MethodsA list of clinics providing ultrasound, X-ray, and at least one advanced imaging modality (computed tomography and/or magnetic resonance imaging (MRI)) were obtained from Services Australia on 31 March 2024. Information about ownership of diagnostic imaging clinics was extracted from the Australian Business Register, the Orbis database, and if necessary, a search of the clinic website. The number and proportion of diagnostic imaging clinics by ownership category were calculated. Areas of high ownership concentration were defined as one company owning ≥30% of non-government owned clinics within a jurisdiction.ResultsA total of 1235 diagnostic imaging clinics were identified, with ownership data obtained for 1226 (99.3%). Most clinics are owned by for-profit corporations (public limited n=412; 33.6%, institutional investor-backed n=277; 22.6%). Areas of high ownership concentration were identified in South Australia, Tasmania, Northern Territory, and Australian Capital Territory. Four companies (two public limited and two investor-backed) own ≥50% of clinics that provide Medicare-rebatable MRI services.ConclusionsThe Australian diagnostic imaging sector is dominated by large for-profit corporations, with high ownership concentration apparent in four jurisdictions. For-profit corporations, healthcare system managers, and funders may have conflicting goals. It is incumbent upon Australian federal, state, and territory governments to ensure that public funds are used to provide affordable, high-value care.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strategic optimisation of the allied health assistant workforce one step at a time: first step, workforce governance. 一步一步地对联合保健助理人力资源进行战略优化：第一步，人力资源治理。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-06-05 DOI: 10.1071/AH25081

Lucy Whelan, Catherine Wolters, Marcus Gardner, Hank Kim, Kylie Saccotelli, Dimitri Diacogiorgis

{"title":"Strategic optimisation of the allied health assistant workforce one step at a time: first step, workforce governance.","authors":"Lucy Whelan, Catherine Wolters, Marcus Gardner, Hank Kim, Kylie Saccotelli, Dimitri Diacogiorgis","doi":"10.1071/AH25081","DOIUrl":"https://doi.org/10.1071/AH25081","url":null,"abstract":"Allied health assistants (AHAs) are a vital workforce in Australia, supporting allied health professionals (AHPs) to expand service access and progress care, ensuring workforce sustainability. Tiered models of care that include AHAs can facilitate top of scope and advanced scope work for AHPs, increasing staff satisfaction and retention. Despite the increased research interest on AHAs, barriers to maximising the potential of this workforce persist. The Victorian Department of Health recently released recommendations aimed at optimising the AHA workforce, with inadequate workforce governance recognised as a barrier. Centralising governance processes for AHAs ensures a single point of accountability and standardisation of processes, positively affecting patient safety and quality of care. To enable suitable AHA governance structures, recognition of the importance of this workforce in local and national strategies is required. However, there are few existing state-based frameworks dedicated to AHA governance, and the current draft National Allied Health Workforce Strategy does not include AHAs, which represents a missed opportunity to strengthen and grow this important element of the allied health workforce.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial intelligence medical scribes in allied health: a solution in search of evidence? 联合医疗中的人工智能医疗记录员：寻找证据的解决方案？

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-06-01 DOI: 10.1071/AH25064

Laura Ryan, Laetitia Hattingh

引用次数: 0

Enhancing digital healthcare: aligning Australia's digital health strategies with value-based healthcare principles. 加强数字医疗保健：使澳大利亚的数字医疗保健战略与基于价值的医疗保健原则保持一致。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-06-01 DOI: 10.1071/AH25022

Paul Tait, Darren Daff, Pamela Everingham, Ashley Leahy, Rhys Parker, Rebecca Perry, Melanie Smith, David Morris

{"title":"Enhancing digital healthcare: aligning Australia's digital health strategies with value-based healthcare principles.","authors":"Paul Tait, Darren Daff, Pamela Everingham, Ashley Leahy, Rhys Parker, Rebecca Perry, Melanie Smith, David Morris","doi":"10.1071/AH25022","DOIUrl":"10.1071/AH25022","url":null,"abstract":"Objective This appraisal aims to map Australian digital healthcare strategies at the territory, state, and national levels, utilising a value-based healthcare (VBHC) framework to identify key processes in building value into digital health initiatives. Methods The researchers conducted an Advanced Google search to identify strategic frameworks relevant to delivering digital healthcare solutions. They screened documents based on set inclusion and exclusion criteria. Using Braun and Clarke's approach to thematic analysis, the researchers mapped the contents of the strategic digital health documents against a published VBHC framework to identify 10 common key processes for embedding VBHC into digital health initiatives. Results The strategic documents collectively align with VBHC. In mapping these documents, this review identified 10 key processes organisations delivering digitally based healthcare services can use to integrate VBHC into digital healthcare services. Additionally, the review highlighted two gaps in the strategic documents that could enhance their alignment with VBHC principles. First, to address the health inequities that certain groups face, it is essential to explore how priority populations connect with virtual care services. Second, a national approach must be undertaken to develop patient-centred outcomes and experience measures to demonstrate how digital health innovations improve service effectiveness and accessibility. Conclusions In mapping the digital strategies against a published VBHC framework, we have identified 10 key processes for embedding VBHC into new digital health innovations. Strategic documents must advocate for building digital health innovations that consider priority populations and foster patient-centred measures that enhance effectiveness and accessibility.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behind the scan: addressing the silent strain on medical radiation professionals' mental health. 扫描背后：解决医疗放射专业人员心理健康的无声压力。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-01 DOI: 10.1071/AH25062

Min Ku, Jillian Cavanagh, Timothy Bartram, Leila Afshari

引用次数: 0

Perceived motivators and barriers to research engagement for psychologists in an Australian public healthcare service: insights from the research capacity and culture survey. 感知动机和障碍的研究参与心理学家在澳大利亚公共卫生服务：从研究能力和文化调查的见解。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-01 DOI: 10.1071/AH25015

Young-Eun C Lee, Christine Miller, Alexandra Ure

{"title":"Perceived motivators and barriers to research engagement for psychologists in an Australian public healthcare service: insights from the research capacity and culture survey.","authors":"Young-Eun C Lee, Christine Miller, Alexandra Ure","doi":"10.1071/AH25015","DOIUrl":"10.1071/AH25015","url":null,"abstract":"Objective Building capacity to embed research into care is central to improving healthcare delivery. Psychologists are well equipped and uniquely positioned to conduct clinical research given the significant research component of clinical training. Despite this, relatively little is known about how psychologists working in Australian public health rate their own skills and capacity for research at a team and organisational level. Methods Ninety-two psychologists working at Monash Health, Victoria, Australia completed the validated Research Capacity and Culture tool and answered questions relating to perceived barriers and motivators to research engagement in their clinical roles. Results While psychologists rated their own individual capacity to engage in research as high, they perceived the research skills and success of their clinical teams and the organisation as low to moderate. Inductive content analyses revealed constraints of clinical role, lack of system/infrastructure, and lack of organisational/team visibility as barriers to research engagement, whereas drive for clinical excellence, internal motivation and a positive team culture were highlighted as motivators. Conclusions We discuss the potential untapped resource of psychologists in Australian public health who are interested and skilled to engage in research but perceive challenges of a lack of research capacity and culture within their team and organisation.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Promoting access to voluntary assisted dying: an interpretivist exploratory study of health services in Queensland, Australia. 促进获得自愿协助死亡：澳大利亚昆士兰州卫生服务的解释性探索性研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-01 DOI: 10.1071/AH25057

Jayne Hewitt, Michael Wilson, Melissa J Bloomer, Cooper Rennie, Ann Bonner

{"title":"Promoting access to voluntary assisted dying: an interpretivist exploratory study of health services in Queensland, Australia.","authors":"Jayne Hewitt, Michael Wilson, Melissa J Bloomer, Cooper Rennie, Ann Bonner","doi":"10.1071/AH25057","DOIUrl":"10.1071/AH25057","url":null,"abstract":"Objective Voluntary assisted dying is a contested practice that some end-of-life care providers choose not to offer to patients. In some jurisdictions, this has restricted access. Queensland addressed this with a law designed to ensure that access to voluntary assisted dying was not hindered. The aim of this research was to explore how privately funded health services that provide end-of-life care, prepared for, and identified challenges related to, enabling access to voluntary assisted dying in Queensland. Methods An interpretivist exploratory study was undertaken. Health service representatives responsible for developing and implementing organisational voluntary assisted dying policy were invited to participate in semi-structured interviews. Data were analysed thematically. Results Fifteen participants participated in an interview. Analysis of the data generated four themes: navigating a spectrum of values and beliefs; knowing and understanding voluntary assisted dying; moderating voluntary assisted dying conversations; and finding space for voluntary assisted dying in end-of-life care. The preparedness of privately funded health services for voluntary assisted dying varied, yet all providers were committed to providing compassionate end-of-life care while meeting their new legal obligations. The need to support staff with a range of values and beliefs about voluntary assisted dying was highlighted. Conclusions Using law to balance the rights of individuals to access voluntary assisted dying and those of non-participating organisations obliges all health services to consider patient access, the views of staff, and broader organisational values concerning voluntary assisted dying. Future research will explore whether access to voluntary assisted dying is affected.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Aboriginal and Torres Strait Islander Outpatient Clinic: a mixed-methods study. 原住民与托雷斯海峡岛民门诊评估：一项混合方法研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-01 DOI: 10.1071/AH25041

Tanya Druce, Susan Cronin, Ashleigh Vandenberg, Debra Kerr

{"title":"Evaluation of the Aboriginal and Torres Strait Islander Outpatient Clinic: a mixed-methods study.","authors":"Tanya Druce, Susan Cronin, Ashleigh Vandenberg, Debra Kerr","doi":"10.1071/AH25041","DOIUrl":"10.1071/AH25041","url":null,"abstract":"Objectives An Aboriginal and Torres Strait Islander Outpatient Clinic (the Clinic) was established in 2021 at a large metropolitan health service in Melbourne, Australia. The Clinic is a tailored, inclusive, culturally safe and consumer-focused hospital outpatient service model of care. This study is an evaluation of the Clinic. Methods The study used a mixed-methods approach using prospective and retrospective recruitment. Eleven patients attending the Clinic in 2024 or in the 12months prior were interviewed to investigate their experience with the Clinic. In addition, 15 patients completed a cross-sectional patient satisfaction survey. Results Four key themes emerged: (1) healthcare provider relationship, (2) positive impact on health, (3) logistic factors and (4) cultural safety. Sub-themes were identified for the key themes. Survey responses were very positive (>80% provided a strongly agree response) for survey items related to interpersonal skills and cultural safety. Positive, but slightly lower ratings (<70% provided a strongly agree response) were received for statements relating to shared decision making, education and access. Recommendations were made regarding navigating the health service, including allocation of a point of contact for assistance with appointments, an additional and final appointment after their plan of care is established, and basing the Clinic in the community. Conclusions An Aboriginal and Torres Strait Islander Outpatient Clinic previously designed with information provided by Aboriginal patients and healthcare providers was evaluated from the patient's perspective. The findings contribute to a better understanding of enablers to accessing health care for Aboriginal and Torres Strait Islander peoples.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Planning for the future of the Australian midwifery workforce: the Midwifery Futures workforce model. 规划未来的澳大利亚助产劳动力：助产未来的劳动力模式。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-01 DOI: 10.1071/AH24337

Kirsten Small, Martin Boyce, Chanelle Warton, Kathleen Baird, Zoe Bradfield, Jennifer Fenwick, Caroline Homer

{"title":"Planning for the future of the Australian midwifery workforce: the Midwifery Futures workforce model.","authors":"Kirsten Small, Martin Boyce, Chanelle Warton, Kathleen Baird, Zoe Bradfield, Jennifer Fenwick, Caroline Homer","doi":"10.1071/AH24337","DOIUrl":"10.1071/AH24337","url":null,"abstract":"Objective Quality maternity service provision relies on having a robust midwifery workforce. Although previous models suggested future growth of the workforce, this is at odds with recent reports of staffing shortfalls and difficulties in recruitment. We developed an updated model to provide long-term projections of supply and demand for the Australian midwifery workforce. Methods A dynamic stock and flow model was built from baseline data from 2022, with projections through to 2030. It was assumed that 79% of the midwifery workforce would provide clinical care, working 20h per week to meet a workload of 40 pregnancies per full-time equivalent midwife per year. Results If recruitment and attrition remain stable, both headcount and full-time equivalent numbers of midwives will increase by 2030, exceeding demand. The average annual workload per full-time equivalent midwife would fall to 34 pregnancies. However, if voluntary attrition rose by 10%, there would be a rapid and devastating decrease in numbers. The average workload for a full-time equivalent midwife would rise to 66 pregnancies per year by 2030. Conclusions The Midwifery Futures model demonstrated the sensitivity of the Australian midwifery workforce to a small change in attrition. Preventing midwives' exit from the workforce by improving their experiences in the workplace and increasing access to midwifery continuity roles would build workforce resilience. Minimising attrition, enhancing midwives' engagement, and matching student intake to attrition can assist in maintaining a robust Australian midwifery workforce.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0