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

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 : 2025-05-26 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":"https://doi.org/10.1071/AH25041","url":null,"abstract":"ObjectivesAn 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.MethodsThe 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.ResultsFour 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.ConclusionsAn 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":"2025-05-26","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

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 : 2025-05-22 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":"https://doi.org/10.1071/AH25057","url":null,"abstract":"ObjectiveVoluntary 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.MethodsAn 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.ResultsFifteen 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.ConclusionsUsing 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":"2025-05-22","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

Are people with diabetes mHealth-ready? Smartphone utilisation in a socioeconomically marginalised urban Australian general practitioner-led diabetes clinic. 糖尿病患者准备好了吗？智能手机在社会经济边缘化的澳大利亚城市全科医生领导的糖尿病诊所的利用。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-20 DOI: 10.1071/AH24289

David Chua, Carina Vasconcelos Silve, Souhayel Hedfi, Keren Pointon, Tracy A Comans, Hannah L Mayr, Monika Janda, Anthony W Russell, Anish Menon

{"title":"Are people with diabetes mHealth-ready? Smartphone utilisation in a socioeconomically marginalised urban Australian general practitioner-led diabetes clinic.","authors":"David Chua, Carina Vasconcelos Silve, Souhayel Hedfi, Keren Pointon, Tracy A Comans, Hannah L Mayr, Monika Janda, Anthony W Russell, Anish Menon","doi":"10.1071/AH24289","DOIUrl":"https://doi.org/10.1071/AH24289","url":null,"abstract":"ObjectiveMobile Health (mHealth), a subset of digital health, requires people to own smartphones, but ownership barriers overlap with social factors linked to type 2 diabetes (T2D) burden. We describe the prevalence of smartphone ownership, app use and mobile internet access and factors around uptake and utilisation among people with T2D accessing care in a community setting.MethodsA cross-sectional survey was performed with people with diabetes attending a community-based general practitioner-led diabetes clinic located in Inala, a multiculturally diverse but socioeconomically marginalised suburban region of Brisbane, Queensland. The survey was read aloud to participants, with interpreters if required.ResultsThere were 104 participants, the median age was 63years, 47.1% were female and 44.2% spoke language(s) other than English (LOTE) at home. Smartphone ownership was high (85.6%), and average self-rated confidence with advanced feature use was between 'somewhat confident' and 'confident'. Older adults were significantly less likely to own smartphones, less confident with advanced features and less likely to use apps regularly, but many knew someone who could support uptake. LOTE spoken at home was not associated with ownership, mobile internet access, app use or self-rated confidence with advanced feature use, suggesting smartphone technology is already part of daily life.ConclusionsSmartphone ownership and utilisation does not appear to be a major barrier to mHealth uptake in our context. Older adults need tailored supports and education to encourage mHealth uptake.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103301","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

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 : 2025-05-19 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":"https://doi.org/10.1071/AH25015","url":null,"abstract":"ObjectiveBuilding 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.MethodsNinety-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.ResultsWhile 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.ConclusionsWe 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":"2025-05-19","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

Assessing the value of online palliative care information. 评估在线姑息治疗信息的价值。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-19 DOI: 10.1071/AH25032

Seth Nicholls, Jennifer Tieman

{"title":"Assessing the value of online palliative care information.","authors":"Seth Nicholls, Jennifer Tieman","doi":"10.1071/AH25032","DOIUrl":"https://doi.org/10.1071/AH25032","url":null,"abstract":"ObjectiveThis study aimed to assess the value of an online palliative care resource (CareSearch) in providing evidence-based information to clinicians and consumers; and online palliative care information more broadly from the perspective of key stakeholder organisations.MethodsNine semi-structured interviews with representatives from key stakeholder organisations were undertaken. A pragmatic, qualitative analytical approach was used to identify key findings.ResultsSeven key findings were identified. These emphasised the criticality of CareSearch, the importance of access to high-quality online palliative care information, the need for a robust palliative care evidence base, challenges to the delivery of palliative care, the need to improve visibility, the need to improve accessibility, and the importance of co-design and lived experience.ConclusionsCareSearch and online palliative care information have a critical role to play in responding to the challenges facing the sector. Maximising the value of such information will require improvements in access to evidence, visibility, usability, and the development of resources tailored to diverse users.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096142","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

A guide to using measures of socio-economic status, remoteness and population denominators from the Australian Bureau of Statistics for epidemiological studies. 在流行病学研究中使用澳大利亚统计局的社会经济地位、偏远程度和人口分母指标的指南。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-19 DOI: 10.1071/AH24324

David Youens, Nita Sodhi-Berry, Ingrid Stacey, Marwan Ahmed, Judith M Katzenellenbogen

{"title":"A guide to using measures of socio-economic status, remoteness and population denominators from the Australian Bureau of Statistics for epidemiological studies.","authors":"David Youens, Nita Sodhi-Berry, Ingrid Stacey, Marwan Ahmed, Judith M Katzenellenbogen","doi":"10.1071/AH24324","DOIUrl":"https://doi.org/10.1071/AH24324","url":null,"abstract":"ObjectiveAustralian Bureau of Statistics data on socio-economic status, service accessibility/remoteness and population denominators are useful in epidemiology, though complex to understand and apply. We provide information and resources to facilitate their use.MethodsWe compiled data from the Socio-Economic Indexes for Areas (SEIFA), the Accessibility/Remoteness Index of Australia (ARIA) and population estimates from across multiple years, taking into account changes in availability and formats of these data over time. Syntax was written to support use of these data in studies using administrative health data, alongside a user guide with notes and instructions.ResultsWhere research data contains an event date plus a postcode, Statistical Area Level 2 and/or Statistical Local Area, these resources can be used to attach a SEIFA score and decile, remoteness areas and age-sex-specific population denominators to each record for years 2000-2025 (population denominators to 2023). These variables can be used as cohort descriptors, as model covariates or to calculate ARIA/SEIFA stratified rates.ConclusionsThese resources are useful for individual research projects, while also contributing to building capacity in the use of geographical measures. We focused on the measures most commonly used in Australia, although the approach outlined can be applied to other geographical measures.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096124","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 : 2025-05-13 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":"https://doi.org/10.1071/AH24337","url":null,"abstract":"ObjectiveQuality 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.MethodsA 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.ResultsIf 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.ConclusionsThe 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":"2025-05-13","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

Private car travel is the dominant form of transport to work for healthcare workers across Greater Western Sydney: a short report on a large travel survey. 私家车出行是大西悉尼地区医疗工作者上班的主要交通方式：一项大型旅行调查的简短报告。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-12 DOI: 10.1071/AH24229

Soumya Mazumdar, Bin Jalaludin, David Surplice, Stephen Conaty, Kim Jobburn, Linda Stanbury, Helen Ryan, Josephine Sau Fan Chow

{"title":"Private car travel is the dominant form of transport to work for healthcare workers across Greater Western Sydney: a short report on a large travel survey.","authors":"Soumya Mazumdar, Bin Jalaludin, David Surplice, Stephen Conaty, Kim Jobburn, Linda Stanbury, Helen Ryan, Josephine Sau Fan Chow","doi":"10.1071/AH24229","DOIUrl":"https://doi.org/10.1071/AH24229","url":null,"abstract":"ObjectiveHealthcare workers (HCWs) form an essential segment of the workforce. Investigating active commuting within the workforce, especially HCWs, is important. However, limited research exists in this domain.MethodsThis study, conducted under the auspices of the Greater Western Sydney Health Partnership, a collaboration between three western Sydney local health districts, surveyed over 5000 HCWs to explore their commuting behaviours and attitudes towards commuting.ResultsWe found that almost three quarters (72.8%) of HCWs drove a private vehicle to work, usually parking on site. Less than 5% of respondents used carpooling or active transport methods such as walking or cycling. Distance was stated as a critical barrier to walking or cycling, although road safety and security concerns were also important. Time constraints, as well as the lack of public transport services, were considered barriers to utilising public transport. The survey results highlight the constraints preventing the widespread adoption of non-car commuting modes and should inform decision-making on incentivising healthy commuting options among HCWs.ConclusionsHCWs in a metropolitan Global North context such as western Sydney predominantly drive to work, with only 16.9% using public transport or walking or cycling, with various barriers being cited as reasons. We recommend further efforts to develop effective interventions for promoting active commuting among HCWs.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055259","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 : 2025-05-08 DOI: 10.1071/AH25062

Min Ku, Jillian Cavanagh, Timothy Bartram, Leila Afshari

引用次数: 0

Where to for digital health? The Australian Council of Senior Academic Leaders in Digital Health action plan. 数字医疗在哪里？澳大利亚数字健康行动计划高级学术领袖委员会。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-05-06 DOI: 10.1071/AH25039

Leanna Woods, Melanie Haines, Salma Arabi, James Boyd, Kerryn Butler-Henderson, Kathleen Gray, Russell L Gruen, Stephen Guinea, Christine Bennett, Clair Sullivan

{"title":"Where to for digital health? The Australian Council of Senior Academic Leaders in Digital Health action plan.","authors":"Leanna Woods, Melanie Haines, Salma Arabi, James Boyd, Kerryn Butler-Henderson, Kathleen Gray, Russell L Gruen, Stephen Guinea, Christine Bennett, Clair Sullivan","doi":"10.1071/AH25039","DOIUrl":"https://doi.org/10.1071/AH25039","url":null,"abstract":"Australia's healthcare system faces major challenges related to sustainability, access and equity. Safe, effective care and growing demands require evidence-based innovation and a future-ready health workforce. Digital health - the use of data and digital technology in health and health care - is yet to fully realise its promise. The Australian Council of Senior Academic Leaders in Digital Health (the 'Council') has been established to promote, foster and support academic collaboration that helps address Australia's key challenges and contribute to national and global health. This perspective provides an action plan in a crowded digital health landscape to improve the highlighted issues of effective innovation and a capable workforce. The Council has two key actions: (1) support research and innovation that advances digital health principles and practices by advocating for digital health research and development funding, strategic partnerships, communication, standard setting and adoption of research-informed digital health; and (2) enable system transformation through evidence-based education and training to produce future-fit healthcare workers by advancing health workforce education that embeds digital health capability standards and ongoing learning. True and transformative progress and continuous improvement in digital health require peer-reviewed evidence, as does any other area of health care. We need to acknowledge that our current workforce capabilities are no longer fit for purpose. Our workforce needs to be progressively 'retooled' to face the future of health care in a technological and data science revolution and in a sector that is slow to adapt to change. Implementing these actions will advance digital health research and education to positively impact Australia's healthcare system.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055058","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