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

Trends in endometriosis interventions: an interrupted time series analysis following the Australian National Action Plan for Endometriosis (NAPE) 2018. 子宫内膜异位症干预的趋势：2018年澳大利亚子宫内膜异位症国家行动计划（NAPE）后的中断时间序列分析。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-08 DOI: 10.1071/AH25047

Chiemeka C Chinaka, Brenda Gannon, Jenny Doust

{"title":"Trends in endometriosis interventions: an interrupted time series analysis following the Australian National Action Plan for Endometriosis (NAPE) 2018.","authors":"Chiemeka C Chinaka, Brenda Gannon, Jenny Doust","doi":"10.1071/AH25047","DOIUrl":"https://doi.org/10.1071/AH25047","url":null,"abstract":"ObjectiveThis study aimed to highlight trends in the utilisation of selected endometriosis treatments before and after the launch of the National Action Plan for Endometriosis and observe the impact of the action plan on the utilisation of these interventions.MethodsMonthly Medicare and Pharmaceutical Benefits Scheme claims were used to represent the utilisation of laparoscopic resection and nafarelin for endometriosis. Time series analysis using autoregressive integrated moving average models was used to establish the trend in the utilisation of these treatments. An interruption was then applied at the launch of the plan, and a counterfactual prediction was modelled based on the claims made before the interruption. Factual values and counterfactual predictions were compared to evaluate the impact of the plan.ResultsThe action plan was associated with an immediate increase of 3.94 Medicare Benefits Schedule claims per month (95% CI -44.61 to 52.50) and an estimated change in slope of 1.30 claims per month (95% confidence interval (CI) -3.80 to 6.30) for laparoscopic resection. Nafarelin dispensing after the launch of the action plan had an immediate increase of 68.30 dispensing claims per month (95% CI -4.34 to 141.03), with a slope change of -2.84 claims per month (95% CI -10.975 to 5.293).ConclusionsThe results suggest that although the action plan was linked with a marked immediate spike in the utilisation of nafarelin, it did not make any difference in the long term. However, it may have contributed to a small but steady increase in the utilisation of laparoscopic resection, used in severe cases of the condition.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585822","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

Physiotherapy-led lung ultrasound in acute cardiorespiratory physiotherapy. 物理治疗引导肺超声在急性心肺物理治疗中的应用。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-07 DOI: 10.1071/AH25117

Jane Lockstone, George Ntoumenopoulos

引用次数: 0

Experiences of allied health clinicians and tertiary educators working in and teaching palliative care - a qualitative study. 联合健康临床医生和高等教育工作者在姑息治疗工作和教学中的经验-一项定性研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-07 DOI: 10.1071/AH25061

Zhi Wen Ewee Yeo, Jennifer Tieman, Stacey George, Olivia Farrer

{"title":"Experiences of allied health clinicians and tertiary educators working in and teaching palliative care - a qualitative study.","authors":"Zhi Wen Ewee Yeo, Jennifer Tieman, Stacey George, Olivia Farrer","doi":"10.1071/AH25061","DOIUrl":"https://doi.org/10.1071/AH25061","url":null,"abstract":"ObjectivePalliative and end-of-life care should be considered core business for aged care and healthcare teams in these settings. With a growing ageing population, the primary care workforce faces growing demand to deliver palliative care. This study aimed to explore the experiences of allied health clinicians and tertiary educators working in, and teaching, palliative care with an ageing focus in Australia.MethodsWe undertook a qualitative study using semi-structured interviews with clinicians experienced in aged and palliative care and tertiary educators delivering aged and palliative care curriculum content from four allied health disciplines (dietetics, occupational therapy, physiotherapy, speech pathology). Guided by critical realism ontology and a constructivist epistemology, reflexive thematic analysis was used for data analysis.ResultsEleven participants were interviewed. Thematic analysis yielded two key themes and five subthemes. The two key themes were: (i) Barriers to best practice (n=4 subthemes) and (ii) Enablers of palliative care best practice (n=2 subthemes). Key barriers were that curriculum content is lacking and the medical model limits the volume and quality of care delivered. Enablers to quality care were self-directed learning and clinical experience.ConclusionPalliative and end-of-life care in aged care should foster reablement to support continuing agency and dignity through person-centred care. Allied health professionals are well-positioned to support this approach. However, facilitating allied health best practice will require addressing the reported barriers, including clinician preparedness and funding sufficient to meet demand and need.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577187","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

The effect of dietitian universal nutrition assessment and malnutrition documentation on patient nutritional care and revenue in an acute care hospital. 营养学家普遍营养评估和营养不良记录对急症护理医院患者营养护理和收入的影响。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-03 DOI: 10.1071/AH25090

Gail Whitelock, Michael Millward

{"title":"The effect of dietitian universal nutrition assessment and malnutrition documentation on patient nutritional care and revenue in an acute care hospital.","authors":"Gail Whitelock, Michael Millward","doi":"10.1071/AH25090","DOIUrl":"https://doi.org/10.1071/AH25090","url":null,"abstract":"This case study sought to determine if a dietitian universal nutrition assessment (DUNA) with initial nutrition care plan and high-quality documentation was a cost-effective way of delivering nutrition care within the cancer service of a tertiary hospital. A 2-week pilot project of universal nutrition assessment by dietitians for admitted patients demonstrated a high prevalence of cancer-related malnutrition (57%, n=39). The episodes for malnourished patients not identified through usual referral processes (18%, n=7) were examined to determine the National Weighted Activity Unit (NWAU) with and without the malnutrition diagnosis. The additional malnutrition diagnoses were responsible for an NWAU uplift of 8.1. A larger 10-month project was undertaken where patients underwent DUNA on admission with an initial nutrition care plan and high-quality documentation of malnutrition. Fifty-one percent of patients were malnourished with an increase in the number of coded malnutrition diagnoses as compared to baseline. Financial modelling from the pilot project indicated an NWAU uplift of 66.96. With a National Efficient Price (NEP) of AUD$6032 (2023/24), this equated to an uplift of AUD$403,902.72 in 10 months. Universal nutrition assessment and high-quality documentation of malnutrition by dietitians enabled a greater number of patients with cancer-related malnutrition to receive nutrition care while generating improved revenue through clinical coding complexity. This revenue was used to fund an additional dietitian position. Areas of high prevalence of malnutrition may be better served by DUNA rather than nutrition risk screening followed by dietetic referral for nutrition assessment.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556161","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

Comparison of systems thinking and perceptions and attitudes regarding interprofessional collaborative practice across professional groups in a large public health service. 大型公共卫生服务中跨专业群体跨专业协作实践的系统思维、认知和态度比较

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-01 DOI: 10.1071/AH25023

Katherine Delany, Angela Wood, Hannah Mayr, Rachel Phillips, Bernadette Thomson, Nigel Fellows, Susan Stoikov

{"title":"Comparison of systems thinking and perceptions and attitudes regarding interprofessional collaborative practice across professional groups in a large public health service.","authors":"Katherine Delany, Angela Wood, Hannah Mayr, Rachel Phillips, Bernadette Thomson, Nigel Fellows, Susan Stoikov","doi":"10.1071/AH25023","DOIUrl":"https://doi.org/10.1071/AH25023","url":null,"abstract":"ObjectiveInterprofessional collaborative practice (IPCP) is integral to a high-functioning healthcare system, yet little is understood about whether attitudes, knowledge and beliefs towards IPCP differ between professional groups or clinical settings.MethodsThis cross-sectional study used three surveys: the Systems Thinking Scale, Attitudes Towards Health Care Teams, and the adapted Interprofessional Collaboration Scale, to compare systems thinking and the perceptions and attitudes of healthcare professionals in a large metropolitan health service. Participants included medical, nursing, allied health and oral health professionals across hospital and community settings.ResultsA total of 293 participants (57% hospital-based, 43% community; 40% nursing, 8% medicine, 46% allied health, 6% oral health) completed the surveys. Results demonstrated differences in communication and attitudes towards IPCP across professional groups.ConclusionsWhile all professional groups acknowledged the importance of IPCP, distinctions persisted across professions and settings. Understanding attitudes within various professions and contexts establishes the foundation for targeted strategies aimed at promoting interprofessional collaboration in health care.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531561","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

Long-term health conditions among Australian-born and Eastern Mediterranean region-born populations of Australia. 澳大利亚出生人口和东地中海地区出生人口的长期健康状况。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-01 DOI: 10.1071/AH24342

Davoud Pourmarzi, Tehzeeb Zulfiqar

{"title":"Long-term health conditions among Australian-born and Eastern Mediterranean region-born populations of Australia.","authors":"Davoud Pourmarzi, Tehzeeb Zulfiqar","doi":"10.1071/AH24342","DOIUrl":"https://doi.org/10.1071/AH24342","url":null,"abstract":"ObjectivesTo investigate the prevalence of 10 long-term health conditions in the Australian-born and Eastern Mediterranean region (EMRO)-born populations of Australia.MethodUsing the 2021 Australia census we calculated age-specific and sex-specific prevalence, age-standardised prevalence (ASP), and age-standardised prevalence ratio (ASPR) of 10 conditions. For EMRO-born people who had a health condition, we reported English proficiency, education, income and years lived in Australia.ResultsAustralian-born and EMRO-born individuals had a similar ASP of heart disease (3.2% in men, 1.8% in women) and stroke (0.7% in men and 0.5% in women). There were small differences between the two groups in terms of the ASP of arthritis (ASPR: 0.9) and kidney disease (ASPR: 1.1) in women and dementia (ASPR: 1.1) in men. For EMRO-born compared with Australian-born individuals, the ASPs of asthma (ASPR women and men: 0.4), cancer (ASPR women: 0.6, men: 0.5), lung conditions (ASPR women: 0.4, men: 0.5), and mental health conditions (ASPR women and men: 0.4) were lower, and the ASP of diabetes (ASPR women: 1.8, men: 1.7) was higher. For men, the ASP of arthritis (ASPR: 0.6) was lower, and the ASP of kidney disease (ASPR: 1.4) was higher in EMRO-born individuals. For women, the ASP of dementia (ASPR: 1.4) was higher in EMRO-born individuals. EMRO-born individuals who arrived in Australia ≥10years ago, at the time of the census, compared with those who arrived <10years ago had a higher ASP of arthritis, asthma, cancer and lung and mental health conditions; a lower ASP of heart disease, stroke, kidney disease and dementia; and the same ASP of diabetes. Depending on the long-term conditions, 24.1-53.5% of EMRO-born individuals had low English proficiency, 9.4-23.8% did not go to school, and 51.7-89% had a weekly income (in Australian dollars) <A$500.ConclusionTo promote health equity, prevention and management strategies for long-term health conditions based on the health needs of migrants are needed.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531563","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

Should Australian laws regulating embryo research be reformed? A call for commonwealth review. 澳大利亚规范胚胎研究的法律应该改革吗？呼吁进行联邦审查。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-01 DOI: 10.1071/AH25079

Narcyz Ghinea, Christopher Rudge, Dianne Nicol, Tamra Lysaght

引用次数: 0

Prevalence and characteristics of potentially avoidable unplanned readmissions: a retrospective cohort study. 潜在可避免的意外再入院的患病率和特征：一项回顾性队列研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-01 DOI: 10.1071/AH24261

Yogesh Sharma, Arduino A Mangoni, Sudhir Rao, Isuru Kariyawasam Batuwaththagamage, Billingsley Kaambwa, Richard Woodman, Chris Horwood, Campbell Thompson

{"title":"Prevalence and characteristics of potentially avoidable unplanned readmissions: a retrospective cohort study.","authors":"Yogesh Sharma, Arduino A Mangoni, Sudhir Rao, Isuru Kariyawasam Batuwaththagamage, Billingsley Kaambwa, Richard Woodman, Chris Horwood, Campbell Thompson","doi":"10.1071/AH24261","DOIUrl":"https://doi.org/10.1071/AH24261","url":null,"abstract":"ObjectiveUnplanned readmissions are key indicators of hospital care quality, yet research on potentially avoidable unplanned readmissions (PAURs) remains limited. This study aimed to assess the prevalence, causes, and predictors of PAURs in an Australian tertiary hospital.MethodsThis retrospective cohort study included all unplanned readmissions to a general medicine unit between 1 July and 30 September 2022, in South Australia. Patients aged ≥18years readmitted within 30days of discharge were included. A panel of senior clinicians assessed the preventability of each readmission using predefined criteria. Data on demographics, comorbidities, frailty, inflammatory markers, and discharge factors were collected. Predictors of PAURs were examined using multivariable logistic regression and LASSO (least absolute shrinkage and selection operator) regression for sensitivity analysis.ResultsAmong 381 readmissions, 80 (21%) were classified as potentially avoidable. The mean age was 68.7years (s.d. 18.2), and 58.3% were female. The most common cause of PAURs was relapse of the condition treated during the index admission (43%), followed by treatment-related complications (22.8%). Contributing factors included suboptimal care during the index admission (43.8%) and inadequate post-discharge follow-up (30%). Compared to non-avoidable readmissions, PAUR patients were older, more frequently readmitted within 7days, and had higher rates of coronary artery disease and congestive heart failure (CHF). They also had higher neutrophil-to-lymphocyte ratios (NLR) on admission. Multivariable analysis identified CHF (aOR 2.46, 95% CI 1.28-4.71) and elevated NLR (aOR 1.05, 95% CI 1.02-1.08) as independent predictors.ConclusionsOver one in five readmissions were potentially avoidable, and only a few patient characteristics can predict avoidable readmissions.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531564","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

Data linkage for healthcare research: basics and important considerations. 医疗保健研究的数据链接：基础知识和重要考虑因素。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-06-30 DOI: 10.1071/AH25051

Maria C Inacio, Olivia Ryan

引用次数: 0

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