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

Cardiac arrest in Australia: a call to action. 澳大利亚的心脏骤停：行动呼吁。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-03-03 DOI: 10.1071/AH25034

Elizabeth D Paratz, Garry Jennings, Susan Timbs, Janet E Bray, Jodie Ingles, Greg Page, Jamie Vandenberg, Andre La Gerche

引用次数: 0

Exploring the unique value of clinician scientist roles to the health services in which they are employed: a scoping review. 探索临床科学家角色对其所在医疗服务机构的独特价值：范围界定综述。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-03-03 DOI: 10.1071/AH24231

Peter Buttrum, Prudence Butler, Adrienne Young, Diann Eley, Shaun O'Leary

{"title":"Exploring the unique value of clinician scientist roles to the health services in which they are employed: a scoping review.","authors":"Peter Buttrum, Prudence Butler, Adrienne Young, Diann Eley, Shaun O'Leary","doi":"10.1071/AH24231","DOIUrl":"https://doi.org/10.1071/AH24231","url":null,"abstract":"ObjectiveThis scoping review explored the unique value or impacts of clinician scientists (CSs) to the health services in which they work and metrics used to identify and measure this value.MethodsFive databases, grey literature, and the internet were searched in April 2024 to identify articles that described and measured the value or impact of CSs within clinical health services. CSs were defined as having dual clinical and research qualifications and work duties. Articles were screened at title, abstract, and full text level against inclusion and exclusion criteria, before extracting data and analysing the included articles.ResultsThe search identified 5368 articles, with six eligible for inclusion. Articles were qualitative in nature (structured interviews or multiple case study reports) and had relatively few participants. The reported value or impacts included educating colleagues on research skills and processes, promoting evidence-based practice, fostering inter-institutional collaboration, and conducting clinically relevant research. No articles recommended a detailed suite of metrics as to how this value or impact could be measured.ConclusionsThere is limited literature describing the unique value or impact of CSs to the health services in which they work. While some articles described aspects of CS value, no articles provided metrics for how specific CS value could be measured.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537993","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

Paramedic to general practitioner referral pathways within Australian jurisdictional ambulance clinical practice guidelines: a document analysis.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-25 DOI: 10.1071/AH24335

Belinda Delardes, Mostyn Gooley, Kelly-Ann Bowles, Samantha Chakraborty

{"title":"Paramedic to general practitioner referral pathways within Australian jurisdictional ambulance clinical practice guidelines: a document analysis.","authors":"Belinda Delardes, Mostyn Gooley, Kelly-Ann Bowles, Samantha Chakraborty","doi":"10.1071/AH24335","DOIUrl":"https://doi.org/10.1071/AH24335","url":null,"abstract":"ObjectivesWe aimed to compare the prevalence and clarity of paramedic to general practitioner (GP) referral pathways among clinical practice guidelines (CPGs) of Australian jurisdictional ambulance services (JASs).MethodsWe completed a document analysis on all publicly available Australian JAS CPGs that were accessed online during 2024. We appraised CPGs according to the AGREE II Domain 4: Clarity of Presentation criteria.ResultsWe located 711 CPGs across the eight Australian JASs, of which 109 (15%) referenced a pathway to GP referral. Overall, 5.5% (n=6/109) of CPGs met all the AGREE II Domain 4 criteria and considerations. The items most frequently satisfied across CPGs were (i) 'specific recommendations are appropriately selected and reflect the key messages of the guideline' and (ii) 'specific recommendations are grouped together in one section', both of which were met in 96% (105/109) of CPGs. The item least often satisfied was 'uncertainty in the interpretation and discussion of the evidence is reflected in the recommendations and explicitly stated', with only 17% (18/109) of CPGs including a discussion of evidence supporting or cautioning referral to GP pathways. Inclusion of a 'specific and unambiguous statement of the recommended action' was also consistently lacking from CPGs, with only 23% (25/109) of CPGs with referral pathways giving a specific timeframe within which the patient should be seen by a GP.ConclusionA minority of Australian JAS CPGs include a referral to GP pathway, however, these recommendations are generally non-specific and ambiguous, limiting usability for paramedics.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495022","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

Health research governance of data access: a black-box challenge.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-25 DOI: 10.1071/AH24341

Paula McDonald, Robyn Mayes, Peter Frederiksen, Christina Malatzky, Alicia Feldman, Janet M Davies, Diana Leon-Espinoza

引用次数: 0

Environmental, Social and Governance principles in Australian publicly funded healthcare: an extension of value-based care.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-25 DOI: 10.1071/AH24296

Aletha Ward, Mark E Holmes, Isabella Ward, Zerina Lokmic-Tomkins, Leah East, Tracy Levett-Jones

{"title":"Environmental, Social and Governance principles in Australian publicly funded healthcare: an extension of value-based care.","authors":"Aletha Ward, Mark E Holmes, Isabella Ward, Zerina Lokmic-Tomkins, Leah East, Tracy Levett-Jones","doi":"10.1071/AH24296","DOIUrl":"https://doi.org/10.1071/AH24296","url":null,"abstract":"Australia's publicly funded healthcare system is financed through a complex mix of Commonwealth, State, Territory and private sources, which include activity-based funding, fee for service and block funding. These models may be insufficient to meet future budgetary constraints, and healthcare systems in Australia and worldwide are increasingly adopting value-based healthcare (VBHC), which is defined as 'health outcomes that matter to patients relative to the resources or costs required, over a full cycle of care'. There is no national Australian strategy for the adoption of VBHC, and examining other industries or policies may provide solutions to enhance implementation. For example, as of January 2025, the Australian Securities Exchange will mandate climate-related disclosures for listed companies. This change reflects a growing societal and shareholder emphasis on environmental accountability. Our paper argues that universally applying Environmental, Social and Governance principles across all healthcare sectors represents a strategic evolution of VBHC to ensure fiscally responsible climate change mitigation and adaptation strategies.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495004","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}

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A review of patient-centred measures in breast cancer care and impact on care efficiency.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-18 DOI: 10.1071/AH24329

Elizabeth Wei Tan, Christobel Mary Saunders

{"title":"A review of patient-centred measures in breast cancer care and impact on care efficiency.","authors":"Elizabeth Wei Tan, Christobel Mary Saunders","doi":"10.1071/AH24329","DOIUrl":"https://doi.org/10.1071/AH24329","url":null,"abstract":"ObjectiveBreast cancer is the most common cancer in Australian women, with rising prevalence and costs. Inefficient care leads to poorer outcomes and strains healthcare systems. This review explores the association between breast cancer management strategies and efficiency in delivering care.MethodsAn exploratory single database review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-P) guidelines was conducted by searching MEDLINE for studies on patient-centred care, efficiency, and breast cancer published 2014-present. Data extraction and synthesis followed PRISMA extension for Scoping Reviews (PRISMA-ScR) Checklist.ResultsEleven studies were included (one systematic review, one randomised control trial (RCT), four comparative studies, three observational studies, one budget analysis, and one protocol). Seven studies found a positive association between patient-centred care and efficiency; six showed statistical significance. These included reduced diagnostic delays (n=3), improved shared decision-making with decision aids (n=3), need to address ethnic/socioeconomic status disparities (n=2), and survivorship interventions/experience (n=3).ConclusionThis is the first review analysing multiple strategies to improve delivery of care, demonstrating improved efficiency throughout the treatment journey in breast cancer by using patient-centred care. Further implementation studies are needed to understand how to optimise outcomes and healthcare sustainability.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442663","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

Manifesting change: an organisation's approach to burnout, recruitment, and retention of junior doctors in Western Australia.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-18 DOI: 10.1071/AH24053

Katie McLeod, Deepan Krishnasivam, George Eskander

{"title":"Manifesting change: an organisation's approach to burnout, recruitment, and retention of junior doctors in Western Australia.","authors":"Katie McLeod, Deepan Krishnasivam, George Eskander","doi":"10.1071/AH24053","DOIUrl":"https://doi.org/10.1071/AH24053","url":null,"abstract":"Facing unprecedented levels of junior medical officer (JMO) vacancies, absenteeism, and burnout, the Sir Charles Gairdner Osborne Park Health Care Group (SCGOPHCG) collaborated with JMOs to create and implement the JMO Manifesto in January of 2023. With the aim of improving the organisation's attraction, recruitment, and retention of JMOs, this initiative consisted of five strategic imperatives that addressed key workplace issues affecting JMOs: (1) part-time work opportunities, (2) access to leave and (3) overtime pay, (4) limited support for workplace issues (particularly after-hours), and (5) poor workplace culture and bullying. Led by the Clinical Services team, the JMO Manifesto was an investment in building JMO wellbeing, trust, and engagement with simple but innovative strategies. The effectiveness of these strategies was evaluated by comparing pre- and post-JMO Manifesto results from routinely collected organisational data (e.g. vacancy rates) and JMO feedback through the annual Hospital Health Check survey by the Australian Medical Association. Within 6months, the SCGOPHCG was fully recruited, had created 35 new part-time positions and new processes for managing leave, overtime claims, and support for JMOs. Eighteenmonths in, we remain the top-ranking public health service provider for access to leave, claiming of un-rostered overtime, workplace culture and morale, and wellbeing support for JMOs in Western Australia. The JMO Manifesto highlights the importance of healthcare organisations investing in the engagement and wellbeing of their junior doctors to achieve a sustainable medical workforce.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442666","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

Comprehensive day-to-day care and support needs of older Australians requiring government-funded home-based aged care: a scoping review.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-17 DOI: 10.1071/AH24234

Rachel McKittrick, Elizabeth Manias, Martin Hensher, James Meroiti, Alison M Hutchinson

{"title":"Comprehensive day-to-day care and support needs of older Australians requiring government-funded home-based aged care: a scoping review.","authors":"Rachel McKittrick, Elizabeth Manias, Martin Hensher, James Meroiti, Alison M Hutchinson","doi":"10.1071/AH24234","DOIUrl":"https://doi.org/10.1071/AH24234","url":null,"abstract":"ObjectiveThis study aimed to locate and describe research studies in which the comprehensive day-to-day care and support needs of older Australians requiring home-based aged care have been measured and reported in detail.MethodsA scoping review was conducted according to Joanna Briggs Institute guidance. A systematic search of peer-reviewed and grey literature was undertaken.ResultsScreening identified 2/866 eligible records. Researchers studying the 'service needs' of older people (n=50) residing in a rural/remote Aboriginal and Torres Strait Islander community found a high need for home care (86%), transport (59%), and allied health (46%) services. In the second study, older people (n=55) from a regional community had 38/79 'underlying care needs' including for washing/bathing, managing urinary incontinence, and arranging/keeping appointments. The authors of each study took a different perspective of 'needs' - that is, their participants' need for specific service types (e.g. transport) versus their fundamental underlying needs (e.g. arranging/keeping appointments) which give rise to service needs.ConclusionsThe findings suggest Australian aged care providers and policy-makers lack a strong evidence base about the comprehensive underlying day-to-day care and support needs experienced by older Australians, to optimally inform both the design of home-based aged care programs and services, and workforce skill and skill mix requirements for the sector. Future studies about the population's underlying day-to-day care and support needs, with larger and more representative study populations (e.g. making use of routinely collected aged care datasets), would be beneficial. Such studies would provide important information to support the development of a government-funded home-based aged care system optimised to effectively and efficiently meet the needs of the population it is seeking to support.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434587","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

Optimal lung cancer care pathways: a Tasmanian perspective.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-11 DOI: 10.1071/AH24249

Chui Lyn Leong, Ingrid Cox, Renae Grundy, Nick Harkness, Andrew J Palmer, Barbara de Graaff, Emma Ball

{"title":"Optimal lung cancer care pathways: a Tasmanian perspective.","authors":"Chui Lyn Leong, Ingrid Cox, Renae Grundy, Nick Harkness, Andrew J Palmer, Barbara de Graaff, Emma Ball","doi":"10.1071/AH24249","DOIUrl":"https://doi.org/10.1071/AH24249","url":null,"abstract":"ObjectiveIn Australia, Tasmania has the second highest rate of incident lung cancer cases at 44.0 per 100,000 population, with an overall 5year relative survival rate of 20%. The aim of this retrospective study was to map and compare patient transit timelines from referral, diagnosis and treatment, to national care quality indicators (NCQI) and optimal care pathway (OCP) benchmarks.MethodsData were extracted from the weekly lung cancer multidisciplinary team meeting minutes, digital medical records and the ARIA Oncology-Information System for newly diagnosed small cell and non-small cell lung cancer cases between 2019 and 2022, at a regional, university-affiliated tertiary hospital in Tasmania. Sociodemographic data and key dates were extracted, including first general practitioner (GP) referral, specialist appointments (respiratory, medical oncology, radiation oncology and cardiothoracic), investigations, diagnosis, staging and treatment of any intent. Timelines were benchmarked against NCQI and the OCP.ResultsA total of 165 cases were included; mean patient age was 72years, and 57% were male. A total of 153 patients (93%) were diagnosed with non-small cell cancer and 12 (7%) with small cell lung cancer. Results for all years showed that 93% of patients were seen by the respiratory service within 14days of their GP referral and 71% diagnosed within 28days of their referral, in accordance with current standards. The time taken between GP referrals and diagnosis to any treatment was greater than the required standards, with on average 7% of patients meeting the quality standards (range, 0-16%) for all treatment intents.ConclusionCurrent national benchmarks have proven challenging to achieve, with prolonged time to treatment of any intent. Challenges both at a patient and systemic level will need to be assessed to improve clinical indicator outcomes.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392465","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

State- and territory-based differences that impede the establishment of a harmonised national registry.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-11 DOI: 10.1071/AH24338

Larissa K Lloyd, Calum Nicholson, Geoff Strange, David S Celermajer

引用次数: 0