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

Consumer involvement; the system says 'No.'

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-04 DOI: 10.1071/AH24207

Kylie Hill, Sarah Hug, Vinicius Cavalheri, Ben Horgan

引用次数: 0

Lived Experience Advisor Program initiative: harnessing consumer leadership for best care.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-03 DOI: 10.1071/AH24311

Rebecca Barbara, Jodie Lydeker, Alex Potter, Debra Kerr

{"title":"Lived Experience Advisor Program initiative: harnessing consumer leadership for best care.","authors":"Rebecca Barbara, Jodie Lydeker, Alex Potter, Debra Kerr","doi":"10.1071/AH24311","DOIUrl":"https://doi.org/10.1071/AH24311","url":null,"abstract":"The Lived Experience Advisor Program (LEAP), introduced at Western Health in January 2023, is an innovative approach to consumer engagement in mainstream health care, integrating lived experience perspectives into organisational decision-making, research, and quality improvement. As health care has increasingly embraced consumer involvement at both direct care and governance levels, the LEAP was implemented to expand the role of health consumers beyond traditional volunteer positions, recognising lived experience as a valuable form of expertise. Through employment of Lived Experience Advisors (LEAs) across a range of clinical and operational projects, this program has enhanced service planning and health literacy for diverse communities. This case study details the development, implementation, and outcomes of the LEAP, focusing on how LEAs have contributed to areas such as youth health services, carer support, emergency care, and consumer engagement strategies. With support from a Community of Practice, LEAs receive ongoing mentorship and training, fostering skill development and promoting sustainable career pathways. The program has also driven shifts in staff perspectives, supporting a patient-centred culture where consumer voices are prioritised. Challenges in program funding, role clarity, and matching lived experience to project needs, underscore the need for thoughtful recruitment, executive sponsorship, and adaptable role design. The impact of the LEAP has extended beyond individual projects, influencing organisational culture, and enhancing staff capabilities in consumer partnership. The case study offers practical insights for other healthcare organisations aiming to integrate lived experience roles, emphasising the potential for consumer-led initiatives to drive transformative change in healthcare delivery and policy.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082414","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

An illustrative guide to a Policy Lab model: contributing to evidence-informed policies for digital technology in youth mental health care.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-01-30 DOI: 10.1071/AH24222

David G Baker, Bridget Kenny, Sophie C Prober, Amanda Sabo, Matthew P Hamilton, Caroline X Gao, Shane Cross

{"title":"An illustrative guide to a Policy Lab model: contributing to evidence-informed policies for digital technology in youth mental health care.","authors":"David G Baker, Bridget Kenny, Sophie C Prober, Amanda Sabo, Matthew P Hamilton, Caroline X Gao, Shane Cross","doi":"10.1071/AH24222","DOIUrl":"https://doi.org/10.1071/AH24222","url":null,"abstract":"ObjectiveThis article provides researchers with an illustrative guide for a workshop model that facilitates evidence-informed policy. The Policy Lab model supports collaboration between experts and policymakers; in the example provided, participants considered digital technologies with near-term potential to improve youth mental health care.MethodThe Policy Lab model uses structured workshop activities to explore a policy question, before narrowing the focus on potential answers. The barriers, enablers, and implementation mechanisms of potential policies are then considered. From this data policy proposal(s) are drafted, reviewed, and reported.ResultsThrough the Policy Lab activities, participants identified two priority technologies and generated data to inform the formulation of two policies. The policies were focused on (1) using artificial intelligence to improve the personalisation and precision of youth mental health care and (2) the expanded use of integrated data to improve youth mental health service quality.ConclusionsEvidence-informed policy is a collaborative process. To potentially influence policy requires timely engagement with policymakers and an understanding of the policy context. Researchers considering using the model are encouraged to include a range of expertise.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070219","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 impact of COVID-19 on public and private emergency departments in Queensland, Australia.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-01-28 DOI: 10.1071/AH24182

Amy L Sweeny, Emma Hall, Anthony Padowitz, Ben Walters, Ping Zhang, Kylie Alcorn, Gerben Keijzers, Andrea P Marshall, Jamie Ranse, Julia Crilly

{"title":"The impact of COVID-19 on public and private emergency departments in Queensland, Australia.","authors":"Amy L Sweeny, Emma Hall, Anthony Padowitz, Ben Walters, Ping Zhang, Kylie Alcorn, Gerben Keijzers, Andrea P Marshall, Jamie Ranse, Julia Crilly","doi":"10.1071/AH24182","DOIUrl":"https://doi.org/10.1071/AH24182","url":null,"abstract":"ObjectiveCOVID-19 affected health care globally. The aim of this study was to investigate the impact of COVID-19 on both public and private emergency departments (EDs).MethodsThis was a retrospective cohort study of ED presentations made to three private and two public hospital EDs located in one region in Queensland. Presentation rates per 1000 population and incident rate ratios (IRR) for three time periods: T1: pre-pandemic (March-June 2018/2019), T2: initial restrictions (March-June 2020), and T3: restrictions easing (March-June 2021) were calculated. Linear trends were produced to describe pre- and post-pandemic changes. Additional outcomes reported for public EDs included ED length of stay (LoS) and cost.ResultsIn T2, both public and private ED presentation rates decreased by 12% (overall IRR 0.88; 95% confidence interval (CI): 0.87-0.89). Private EDs experienced a quicker and greater return of patient volumes in T3, exceeding T1 levels. The median ED length of stay decreased and then increased above pre-pandemic levels (T1: 159 min, T2: 151 min, T3: 201 min). Total costs were higher during T2 but then decreased during T3, below that of T1 (T1: A$652, T2: A$791, T3: A$566). Between February 2020 and June 2021, 269 people tested positive for SARS-CoV-2, 19 of whom (7.1%) interfaced with the ED.ConclusionsDuring initial COVID-19 restrictions, a shift towards fewer ED presentations was observed. Private ED presentations rebounded more quickly than public. Few COVID-19 patients interfaced with an ED. Systems and public-private agreements made during this time appeared to protect EDs and soften the impact of reduced volumes for the private sector.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054482","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

Factors influencing participation in clinical supervision: a qualitative study reflecting physiotherapist and manager perspectives.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-01-28 DOI: 10.1071/AH24293

Sarah Osiurak, Nicholas F Taylor, Katherine Lawler, Kimberley Williams, Timothy Albiston, David A Snowdon

{"title":"Factors influencing participation in clinical supervision: a qualitative study reflecting physiotherapist and manager perspectives.","authors":"Sarah Osiurak, Nicholas F Taylor, Katherine Lawler, Kimberley Williams, Timothy Albiston, David A Snowdon","doi":"10.1071/AH24293","DOIUrl":"https://doi.org/10.1071/AH24293","url":null,"abstract":"ObjectiveThis study aimed to explore physiotherapist and manager perceptions of factors that influence physiotherapist participation in clinical supervision.MethodsIndividual semi-structured interviews were conducted with physiotherapists (n = 15) and managers (n = 10) from a publicly funded health network. Interviews were audiotaped and transcribed verbatim. Qualitative analysis of transcripts was completed using inductive thematic analysis.ResultsThree themes explained the factors perceived by participants to influence participation in clinical supervision: the value of clinical supervision; operationalisation of the organisational clinical supervision framework; and the clinical supervision culture. Identified factors influenced participation by either facilitating or discouraging access to supervision and prioritisation of supervision relative to competing professional demands.ConclusionsPhysiotherapist participation in clinical supervision is crucial for their professional development and to deliver high-quality care. Participation might be enhanced by initiatives that address factors identified in this study. These may include introducing processes that ensure supervisees and supervisors are accountable for their participation in supervision; providing alternative supervisory arrangements during leave, vacancies, or redeployment; allocating on-site supervisors to accommodate preferred supervision formats; and promoting a safe learning environment where physiotherapists can address knowledge or skill gaps without fear of judgement.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054477","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

Translational research in Australian mental health policy: a scoping review. 澳大利亚精神卫生政策的转化研究：范围审查。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-01-14 DOI: 10.1071/AH24259

Caroline Robertson, Justin J Chapman, Vicky Stewart, Calista Castles, Victoria J Palmer, Harry Lovelock, Kerry Hawkins, Michelle Banfield, Amanda J Wheeler

{"title":"Translational research in Australian mental health policy: a scoping review.","authors":"Caroline Robertson, Justin J Chapman, Vicky Stewart, Calista Castles, Victoria J Palmer, Harry Lovelock, Kerry Hawkins, Michelle Banfield, Amanda J Wheeler","doi":"10.1071/AH24259","DOIUrl":"https://doi.org/10.1071/AH24259","url":null,"abstract":"ObjectivesThe role of translational research in improving mental health care has been highlighted in federal policy; however, an examination of how and to what extent it has been articulated at this level has not been undertaken. The aim of this scoping review was to characterise translational research concepts in federal mental health policy.MethodsAustralian Government websites were searched for federal policy documents that made recommendations for mental health services in primary care and/or community settings. Thirty eligible documents were identified, corresponding with 25 policies. Data extraction was informed by a conceptual model of translational research involving: (1) barriers and enablers and (2) recommendations and priorities codes; each had evidence generation and evidence translation subcodes. Coded text excerpts were further categorised into topics based on content.ResultsIn total, 1951 references were coded, about three-quarters of which were 'recommendations and priorities'. More were related to evidence generation (total = 1163, 59.6%) than evidence translation (total = 788, 40.3%). Most were generic without specific recommendations for how translational research should be supported. Specific recommendations for evidence generation included the use of routine databases, lived experience involvement (e.g. co-design) and strategic responsibilities (e.g. funding, policy). Specific recommendations for evidence translation mostly referred to lived experience, quality improvement and strategic responsibilities.ConclusionWhile the value of translational research is broadly acknowledged, recommendations and priorities in federal policy should emphasise evidence translation with greater specificity about how translational research should be supported. This may further influence state policy and drive improvements in practice to improve mental health care.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980552","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

Value-based health care for Aboriginal peoples with chronic conditions in the Northern Territory: a cohort study. 北领地土著慢性病患者基于价值的保健：一项队列研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-01-13 DOI: 10.1071/AH24241

Maya Cherian, Yuejen Zhao, Antonio Ahumada-Canale, Peter Nihill, Maja VanBruggen, Deborah Butler, Paul Burgess

{"title":"Value-based health care for Aboriginal peoples with chronic conditions in the Northern Territory: a cohort study.","authors":"Maya Cherian, Yuejen Zhao, Antonio Ahumada-Canale, Peter Nihill, Maja VanBruggen, Deborah Butler, Paul Burgess","doi":"10.1071/AH24241","DOIUrl":"https://doi.org/10.1071/AH24241","url":null,"abstract":"ObjectiveThis study aimed to investigate associations between patient activation, healthcare use and clinical outcomes for Aboriginal peoples living with a chronic condition in remote Northern Territory (NT) communities.MethodsA retrospective cohort study was undertaken between 2 April 2020 and 1 April 2022 to measure activation and its associations with chronic conditions secondary prevention treatment targets and healthcare usage: hospitalisations, potentially preventable hospitalisations and patient travel. All Aboriginal peoples enrolled at NT Government health services, who had one or more preventable chronic conditions and were prescribed one or more oral chronic condition medications identified in the Primary Care Information System, were included in the study. Patient activation was defined as a 90-day medicine possession ratio ≥80%. An activated patient has the belief, knowledge, skills and behaviours to manage their chronic conditions.ResultsA total of 5356 patients met the inclusion criteria; 9% of these patients were activated. Activated patients were older and sicker but were significantly more likely to achieve treatment targets for glycosylated haemoglobin, blood pressure and total and low-density lipoprotein cholesterol. Activated patients used more primary healthcare and outpatient resources and had a non-significant trend for less acute care use.ConclusionsThe remote NT Government primary healthcare system is providing low-value chronic conditions care for patients. As identified by Aboriginal peoples, strengthening culturally appropriate self-management support could lead to more patients becoming activated, better health outcomes and decreased acute care demand.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973771","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

Mapping essential oral healthcare for the Australian context. 绘制基本的口腔保健为澳大利亚的背景。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-01-13 DOI: 10.1071/AH24298

Tan Minh Nguyen, Clare Lin, Martin Hall, Hanny Calache

引用次数: 0

Oral health services provided for Aboriginal and Torres Strait Islander peoples in Australia: a scoping review. 为澳大利亚土著和托雷斯海峡岛民提供的口腔保健服务：范围审查。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-01-13 DOI: 10.1071/AH24281

Lisa Hai My Do, Yvonne Dimitropoulos, John Skinner, Woosung Sohn

{"title":"Oral health services provided for Aboriginal and Torres Strait Islander peoples in Australia: a scoping review.","authors":"Lisa Hai My Do, Yvonne Dimitropoulos, John Skinner, Woosung Sohn","doi":"10.1071/AH24281","DOIUrl":"https://doi.org/10.1071/AH24281","url":null,"abstract":"ObjectiveThe shortage of oral health professionals in rural and remote regions of Australia directly impacts the access to oral health services for people who live in these regions, including Aboriginal and Torres Strait Islander peoples. This scoping review aims to explore where and how these services are provided for Aboriginal and Torres Strait Islander peoples and the relevant workforce model used.MethodsElectronic databases, including MEDLINE, EMBASE, Cochrane, and CINAHL, were searched. Grey literature searches included the Australian Indigenous HealthInfoNet webpage, Australian Institute of Health and Welfare, and Advanced Google search.ResultsOral health services were classified into the following categories: (1) clinical oral health services, (2) oral health promotion to improve oral health awareness, knowledge, attitudes, behaviours, or skills at patient/community level, and (3) oral health promotion including the use of single clinical interventions (e.g. fluoride varnish). Services were delivered in a variety of settings including community health clinics and schools or using mobile dental equipment. Both the dental and non-dental workforce were utilised to provide these services. Limited data were found on the experiences and challenges faced by the workforce that provide these services.ConclusionOral health services provided for Aboriginal and Torres Strait Islander peoples in rural and remote regions of Australia vary in service type, location, and workforce involved. Future research is required to explore the experiences and support of this workforce. This can enhance delivery of culturally and clinically safe oral health services for Aboriginal and Torres Strait Islander peoples, particularly in rural and remote regions.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973769","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

Evaluating the outcomes of Australia's first all-age public hospital Sport and Exercise Medicine Outpatient Clinic: a retrospective cross-sectional study. 评估澳大利亚第一家全年龄公立医院运动和运动医学门诊的结果：一项回顾性横断面研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-12-24 DOI: 10.1071/AH24245

Dougal Middleton, Fintan Thompson, Kira James

{"title":"Evaluating the outcomes of Australia's first all-age public hospital Sport and Exercise Medicine Outpatient Clinic: a retrospective cross-sectional study.","authors":"Dougal Middleton, Fintan Thompson, Kira James","doi":"10.1071/AH24245","DOIUrl":"https://doi.org/10.1071/AH24245","url":null,"abstract":"ObjectivesThis study aimed to evaluate the outcomes of Australia's first public hospital all-age Sport and Exercise Medicine Outpatient Clinic (SEMOC).MethodsA retrospective cross-sectional study of patients referred to and reviewed in the SEMOC, during a study period from March to October 2023, was performed. Outcomes were the number of appointments, number of patients reviewed, proportion reviewed within Queensland Health recommended timeframes, patient satisfaction, proportion of Aboriginal and Torres Strait Islander patients, and the rurality of the patients based on the Modified Monash Model of remoteness.ResultsThere were 29 clinics, 472 allocated appointments, and 270 new patients referred to the SEMOC (1.7 appointments per patient). Almost a quarter (23.7%) of patients identified as Aboriginal and Torres Strait Islander peoples and a third (31.9%) were from rural or remote regions. Most (88.7%) patients referred during the study period were seen within the Queensland Health recommended timeframes, and almost all patients referred on for orthopaedic review were booked for surgery (93.6%). Over 90% of patients were satisfied with the quality of treatment they received and rated the overall service as good to excellent.ConclusionA SEMOC public hospital model has been shown to be feasible for providing care to patients with musculoskeletal conditions, reaching patients who face barriers to health care, reducing wait times, and improving referral for surgery. The model may assist in meeting Australia's growing demand for orthopaedic and musculoskeletal medicine and expand within Australia's public hospital system to become a nationally accepted practice.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883873","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