Australian health review : a publication of the Australian Hospital Association最新文献_第10页

Mental health reform: where are we in 2024? 心理健康改革：2024 年我们在哪里？

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH24194

Ian Hickie, Sebastian Rosenberg

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Podiatric surgery: a canary in the coalmine for professional monopolies. 足科手术：职业垄断煤矿中的金丝雀。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH24175

Susan Nancarrow, Alan Borthwick Obe

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Improving dementia and palliative care through the co-design of an integrated model of care. 通过共同设计综合护理模式，改善痴呆症和姑息治疗。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH24123

Zoi Triandafilidis, Nicholas Goodwin, Karen Hutchinson, Sarah Yeun-Sim Jeong, Suzanne Lewis, Nicolette Hodyl, Georgie Quick, Jacinta Hensby, Andrew Montague

{"title":"Improving dementia and palliative care through the co-design of an integrated model of care.","authors":"Zoi Triandafilidis, Nicholas Goodwin, Karen Hutchinson, Sarah Yeun-Sim Jeong, Suzanne Lewis, Nicolette Hodyl, Georgie Quick, Jacinta Hensby, Andrew Montague","doi":"10.1071/AH24123","DOIUrl":"10.1071/AH24123","url":null,"abstract":"A need exists to improve end-of-life care for people with advanced dementia, by integrating available services. Stakeholders on the Central Coast of New South Wales united to co-design an improved model of care that would integrate care across care settings. The aim of this project was to co-design a model of integrated, person-centred palliative care for people with dementia at the end of life. This case study describes seven co-design workshops which took place in 2023 to develop a program logic model. Workshops were run in a hybrid format, with stakeholders attending in person and online. Workshops were attended by an average of 26 stakeholders including people and carers with lived experience of dementia, healthcare workers from hospital and community-based services (public and private), primary care clinicians, and participants from the not-for-profit sector and academia. Stakeholders developed a shared mission and purpose and identified priority areas for improving palliative care for people with advanced dementia. This led to the development of a program logic model, which included components relating to education for people with dementia, carers, and professionals, care coordination and referrals, and regular multidisciplinary case conferences. Feedback on the model from a new audience identified areas for improvement. The stakeholder group participated in a survey to evaluate the effectiveness of the co-design. The survey found that stakeholders were satisfied with the model of care the group developed. This project highlighted the value of adopting a co-design approach with stakeholders to develop a new model of care.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984155","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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Does patient activation matter? An examination of the relationships between patient activation and healthcare use in older adults with mild frailty after discharge from an emergency department. 患者积极性重要吗？对急诊科出院后轻度虚弱的老年人中患者积极性与医疗保健使用之间关系的研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH24033

Kristie Harper, Melinda Williamson, Glenn Arendts, Deborah Edwards, Bridgette Buller, Jenna Haak, Angela Jacques, Annette Barton, Antonio Petta, Antonio Celenza

{"title":"Does patient activation matter? An examination of the relationships between patient activation and healthcare use in older adults with mild frailty after discharge from an emergency department.","authors":"Kristie Harper, Melinda Williamson, Glenn Arendts, Deborah Edwards, Bridgette Buller, Jenna Haak, Angela Jacques, Annette Barton, Antonio Petta, Antonio Celenza","doi":"10.1071/AH24033","DOIUrl":"10.1071/AH24033","url":null,"abstract":"Objective Patient engagement, as measured by the Patient Activation Measure (PAM® ), has been used to assess patients' ability to manage their own care. This study aimed to determine whether the PAM® could predict healthcare use in older adults aged >70years, living independently in the community with mild frailty, within 30days after emergency department (ED) discharge. Methods A prospective single-centre observational cohort study was completed including older adults who presented to an ED. The 13-item PAM® and selected International Consortium for Health Outcomes Measures were completed prior to ED discharge. Results Two hundred patients were recruited with a mean age of 84.8years (s.d. 6.9). The mean PAM® score was 58.6 (s.d. 13.3), with 12.5% at Level 1 (n =25), 40% at Level 2 (n =80), 34.5% at Level 3 (n =69) and 13.0% at Level 4 (n =26). The PAM® level was significantly associated with ED presentations in the past 6months (P =0.030). The PAM® level did not predict healthcare use within 30days of discharge consisting of time until ED representation (P =0.557), number of ED representations (P =0.560), number of hospital admissions (P =0.499), length of stay in hospital (P =0.254) and number of post-discharge contacts (P =0.667). Conclusions Overall, the PAM® did not predict prospective short-term healthcare use. However, the PAM® was significantly associated with 6-month previous ED use. With more than 50% of patients at Level 1 or 2, indicating lower capacity for self-management, tailored interventions are required to assist mildly frail patients to manage discharge care plans and engage in preventative strategies.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057574","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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Questionable evidence and argumentation regarding alleged misuse of Medicare. 关于涉嫌滥用医疗保险的证据和论证有问题。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH24168

Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Paul A Maguire, Stephen J Robson

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Is cost a barrier to general practice for Australians with mental illness? 对于患有精神疾病的澳大利亚人来说，费用是否是他们接受全科治疗的障碍？

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH24167

Brendan Varden, Patrick Bolton

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Parental leave and returning to work during the COVID-19 pandemic: an exploratory mixed-methods study. COVID-19 大流行期间的育儿假和重返工作岗位：一项探索性混合方法研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH24076

Nancy Saab, Sara Holton, Anne Wright, Suellen Bruce, Bodil Rasmussen

{"title":"Parental leave and returning to work during the COVID-19 pandemic: an exploratory mixed-methods study.","authors":"Nancy Saab, Sara Holton, Anne Wright, Suellen Bruce, Bodil Rasmussen","doi":"10.1071/AH24076","DOIUrl":"10.1071/AH24076","url":null,"abstract":"Objective This study explored the experiences, concerns and perceptions of hospital clinical staff returning to work after parental leave during the COVID-19 pandemic. Methods An exploratory mixed-methods study was performed. Eligible staff employed at a large metropolitan tertiary health service in Melbourne, Australia, completed an ethics-approved anonymous online cross-sectional survey and/or participated in an interview between February and June 2021. Results Ninety-six staff completed a survey and four participated in an interview. Staff reported both positive and negative aspects of being on parental leave during the COVID-19 pandemic including disappointment their leave had not gone as planned; feeling isolated from family and friends; wanting greater communication from their health service; appreciating the increased opportunities for them and their partner to be at home and bond with their baby; and concerns about returning to work such as limited knowledge of COVID-19 workplace policies and potentially infecting their baby and family. Conclusions The COVID-19 pandemic had a unique impact on the parental leave and return to work experiences of hospital clinical staff. The findings suggest that staff would benefit from formal return to work policies and programs including regular contact with their manager while on parental leave and workplace reorientation on their return, especially during events such as a pandemic.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":"396-405"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560562","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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Leveraging existing data to improve antimicrobial resistance-related mortality estimates for Australia. 利用现有数据改进澳大利亚与抗菌药耐药性相关的死亡率估算。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH24102

Teresa M Wozniak, Anthony Nguyen, Norm Good, Geoffrey W Coombs

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Exploring palliative care practice and learning needs of allied health professionals in the Loddon Mallee region of Victoria: a cross-sectional survey. 探索维多利亚州洛登马利地区专职医疗人员的姑息关怀实践和学习需求：横断面调查。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH23255

Lucy Rodda, Stephen Barrett

{"title":"Exploring palliative care practice and learning needs of allied health professionals in the Loddon Mallee region of Victoria: a cross-sectional survey.","authors":"Lucy Rodda, Stephen Barrett","doi":"10.1071/AH23255","DOIUrl":"10.1071/AH23255","url":null,"abstract":"Objectives The objectives of this study were to examine the roles and needs of allied health professionals (AHPs) working in public healthcare settings in rural and regional Victoria, Australia in providing components of palliative care in their routine practice. Methods A cross-sectional study was conducted between March and May 2023. Surveys were collected from AHPs working in public healthcare settings in the Loddon Mallee region of Victoria, Australia. Clinicians reported on the frequency of provision of care to patients with terminal illness, and their self-reported skill and confidence in providing interventions to patients with palliative care needs. Results In total, 121 clinicians completed the survey. Almost every respondent reported they had provided care to patients with a terminal illness, with 41% of clinicians providing this care daily or weekly. The respondents were confident carrying out generalist interventions such as maintaining physical function but reported lower confidence in managing common symptoms of terminal illness such as loss of appetite, swallowing difficulties and changing communication needs. Two-thirds of respondents had not undertaken any training specific to palliative care, with many unaware of how to access palliative care-specific training. Conclusion AHPs in rural and remote areas regularly provide care to patients with terminal illness. As the number of patients seen in non-specialist palliative care settings is likely to increase in rural and regional areas, the low self-reported confidence in providing common components of care, and the low uptake of palliative care-specific training must be addressed to ensure AHPs can provide high-quality care to people with terminal illness.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":"381-387"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312511","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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Australian surgeon attitudes and experiences towards completing a higher degree by research. 澳大利亚外科医生对通过研究完成更高学位的态度和经验。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-01 DOI: 10.1071/AH23230

Mariana Sena Board, Kate E McBride, Michael J Solomon, Sarah J Aitken, Matthew J F X Rickard, Jean-Mah Collins, Daniel Steffens

{"title":"Australian surgeon attitudes and experiences towards completing a higher degree by research.","authors":"Mariana Sena Board, Kate E McBride, Michael J Solomon, Sarah J Aitken, Matthew J F X Rickard, Jean-Mah Collins, Daniel Steffens","doi":"10.1071/AH23230","DOIUrl":"10.1071/AH23230","url":null,"abstract":"Objective In Australia, there is little evidence exploring why higher degrees by research (HDRs) are undertaken by surgeons. This study aims to describe the attitudes and experiences of surgical trainees and surgeons towards HDRs. Methods A 23-question cross-sectional survey of surgical trainees and consultant surgeons from three Australian public hospitals was undertaken between August and December 2022. Data were analysed according to stage of career and HDR status and assessed using chi-squared test, with P <0.05 considered significant. Results Out of 270 participants, 72 (27%) completed the survey including 30 (42%) trainees and 42 (58%) consultants. Overall, 43 (60%) participants had completed or were undertaking a HDR, which was similar between trainees (n =18) and consultants (N =25; P =0.968). A HDR was associated with more publications (P <0.5). Respondents with a HDR were more likely to have a salaried academic position (50%) than those without (15%). There was no significant difference in academic appointments based on HDR attainment (P =0.192). For surgical trainees, 93% rated the strengthening of resumes as the primary driver, compared with only 60% of consultants. For consultants, academic career aspirations and research interests were ranked the highest at 64% equally. Lack of time and competing nature of surgical training were equally ranked among all as the key barriers to completing a HDR. Conclusions These results provide insight into the academic pursuits of surgeons with an understanding of the role HDRs play, including the different drivers for Masters and Doctorates. This is important for supporting future surgeons who seek to pursue research.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":"406-413"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735973","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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