Australian health review : a publication of the Australian Hospital Association最新文献_第2页

Allied health matters for people with young-onset dementia on the National Disability Insurance Scheme. 在国家残疾保险计划中为年轻痴呆患者提供的联合健康问题。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-09-01 DOI: 10.1071/AH25149

Clare Beard, Priscilla Tjokrowijoto, Jade Cartwright, Naomi Moylan, Monica Cations, Samantha M Loi

{"title":"Allied health matters for people with young-onset dementia on the National Disability Insurance Scheme.","authors":"Clare Beard, Priscilla Tjokrowijoto, Jade Cartwright, Naomi Moylan, Monica Cations, Samantha M Loi","doi":"10.1071/AH25149","DOIUrl":"10.1071/AH25149","url":null,"abstract":"Young-onset dementia presents unique care challenges that require comprehensive range of allied health interventions. While Australia's National Disability Insurance Scheme serves as the primary post-diagnostic care pathway for accessing these essential services, recent national survey findings reveal significant systemic barriers preventing people with young-onset dementia from obtaining adequate allied health care under this scheme. This perspective article outlines the critical but underrecognised role of allied health professionals in young-onset dementia care management and identifies key access barriers within the NDIS framework, including gaps in public awareness and provider education on young-onset dementia needs, and systemic issues affecting service coordination. Drawing on recent survey data, we briefly discuss current issues and concerns, and present key reform areas with direct implications for policymakers, National Disability Insurance Scheme planners, allied health professionals, and service providers. Our discussion highlights the urgent need for targeted reforms to enhance access to essential allied health professionals and improve outcomes for this growing, vulnerable population.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994624","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 value equation: realising value based-health care's disruptive potential. 价值等式：实现基于价值的医疗保健的颠覆性潜力。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH25116

Adam G Elshaug

引用次数: 0

A novel format for management of intravenous medication guidelines - a pharmacist-led guideline working group. 静脉用药指南管理的新形式——药剂师领导的指南工作组。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH25025

Jeanie Misko, Emma Fox, Tim Chang, Matthew Rawlins

{"title":"A novel format for management of intravenous medication guidelines - a pharmacist-led guideline working group.","authors":"Jeanie Misko, Emma Fox, Tim Chang, Matthew Rawlins","doi":"10.1071/AH25025","DOIUrl":"10.1071/AH25025","url":null,"abstract":"Objective Intravenous medications are frequently used within hospital settings. To safely administer these medications to patients, further instructions are required on preparation and administration details. We describe a novel working group of hospital pharmacists (the Intravenous Medications Guidelines Working Group) formed with the aim to produce and maintain consistently high-quality, site-specific intravenous medication guidelines across a multi-site hospital group with complex needs. Methods The Intravenous Medications Guidelines Working Group consists of clinical pharmacists from multiple specialties and specialist pharmacists (medicines information, medication safety). The Intravenous Medications Guidelines Working Group meets monthly, and discusses feedback from end-users, improvements to consistency and readability of guidelines, as well as maintaining a robust review process. Results Since its inception nearly 10years ago, the Intravenous Medications Guidelines Working Group has reviewed 714 intravenous medication guidelines, maintaining a compliance review date for 98.4% of the 190 guidelines owned by the hospital group. Incident reports relating to high-risk intravenous medication preparation and administration are low (<1%). Informal feedback suggests the guidelines are also accessed from outside the hospital group via the state-based health intranet. Challenges remain in upskilling new pharmacy staff and further improving the usefulness of guidelines for end-user nursing staff. Conclusions A pharmacy team-based approach has consistently produced high-quality guidelines for hospital staff over a prolonged period with low clinical incident numbers. Ongoing staff investment, standardised processes and user feedback are key to maintaining a high standard.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777189","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: in the eyes of the beholden. 价值：在欠债者的眼中。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH25151

Daniel O'Halloran

引用次数: 0

Navigating ethical landscapes and resolving grievances: cornerstones of value-based healthcare. 导航伦理景观和解决不满：基于价值的医疗保健的基石。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH25150

Grant Davies

引用次数: 0

Listening for meaning: consumer voice in a system built on value. 聆听意义：建立在价值基础上的系统中的消费者声音。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH25154

Elizabeth Deveny

引用次数: 0

Red tape delays maternal morbidity study: problems and possible solutions. 繁文缛节延误了孕产妇发病率研究：问题和可能的解决办法。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH25018

Joanne Frost, Edward Weaver, Leonie Callaway

{"title":"Red tape delays maternal morbidity study: problems and possible solutions.","authors":"Joanne Frost, Edward Weaver, Leonie Callaway","doi":"10.1071/AH25018","DOIUrl":"10.1071/AH25018","url":null,"abstract":"Objective This study aims to outline the bureaucratic process of obtaining ethical and governance approval to undertake a research project on severe acute maternal morbidity (SAMM), highlighting the effect this had on performing research in a timely way. Methods A retrospective, descriptive case study evaluation, from the researcher's perspective, of the research ethics and governance process required, during 2022-2023, to conduct a retrospective audit of 20years of one SAMM event (peripartum hysterectomy) in five public maternity care facilities (two Hospital and Health Services (HHSs)) within a single state of Australia. Outcome measures included: the number of documents/forms completed, emails sent, phone calls/meetings held, number of people involved in approval, the number of submissions/re-submissions required and the time to obtain ethics/governance approval (working days). Results Ten data custodian approvals from within the same organisation were required to obtain peripartum hysterectomy data from five statewide databases and from local records in two HHSs. Overall, it took 268 working days from submission of the first ethics application to obtaining approval for the final governance application. Conclusions Cumbersome research approval processes consume a lot of research time. Our study exemplifies the continuing overregulation of low- and negligible-risk research that continues to limit investigation and prevention of serious obstetric conditions.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818642","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

Relation between emergency department patient volume at time of patient arrival and likelihood of patient to 'wait' for clinical care. A state-wide data linkage analysis from New South Wales, Australia. 急诊科患者到达时的患者数量与患者“等待”临床护理的可能性之间的关系。来自澳大利亚新南威尔士州的全州范围的数据链接分析。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH24318

Michele Fiorentino, Michael M Dinh, Radhika Seimon, Kendall Bein

{"title":"Relation between emergency department patient volume at time of patient arrival and likelihood of patient to 'wait' for clinical care. A state-wide data linkage analysis from New South Wales, Australia.","authors":"Michele Fiorentino, Michael M Dinh, Radhika Seimon, Kendall Bein","doi":"10.1071/AH24318","DOIUrl":"10.1071/AH24318","url":null,"abstract":"Objective This study aimed to investigate the relationship between emergency department (ED) patient volume at time of presentation and risk of departing before commencing treatment in the ED (did not wait; DNW). Methods A retrospective analysis of linked data was conducted using the New South Wales Emergency Department Data Collection for level 5 and level 6 hospitals, between April 2022 and March 2023. ED patient volume was measured at the time of each patient's presentation and categorised into quintiles by hospital level. Patients who DNW were compared to those who waited, using multivariable logistic regression to identify independent predictors of DNW, such as rising ED patient volumes, age, triage category, and time of presentation. Results Out of 1,673,247 ED presentations, 155,425 (9.29%) patients were recorded as DNW. ED patient volume was a significant predictor of increased likelihood of DNW, with those presenting when the ED was at the highest patient volume quintile being 3.5 times more likely not to wait compared to the lowest quintile of patient volume after adjusting for relevant characteristics such as age, triage category, and time of presentation. Conclusion ED patient volume was a significant predictor of DNW with a direct dose-response relationship observed further emphasising the effect of ED overcrowding on the quality of care in EDs.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144982266","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

Retention and attrition of chiropractors in Australia: the Workforce Retention and Attrition Project. 澳大利亚脊医的保留和流失：劳动力保留和流失项目。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH25104

Timothy Lathlean, Abbey Chilcott, Michael Shobbrook Am, Colleen Papadopoulos, Rechu Divakar, Lee Barclay, Kirsten Hibberd, Eva Saar, Jade Tan

{"title":"Retention and attrition of chiropractors in Australia: the Workforce Retention and Attrition Project.","authors":"Timothy Lathlean, Abbey Chilcott, Michael Shobbrook Am, Colleen Papadopoulos, Rechu Divakar, Lee Barclay, Kirsten Hibberd, Eva Saar, Jade Tan","doi":"10.1071/AH25104","DOIUrl":"10.1071/AH25104","url":null,"abstract":"Objective This study aims to understand workforce retention and attrition of chiropractors in Australia. Methods An online survey of chiropractors in 2024 and a retrospective analysis of 10years of Australian Health Practitioner Regulation Agency (Ahpra) registration data were undertaken. Results Of 1513 surveyed chiropractors, 80.0% intended to continue in the profession, 6.6% intended to leave (excluding retirement), 6.7% were unsure, and the remainder were retired. Seventy percent of those intending to leave planned to do so within 1year. Top reasons included unsatisfactory remuneration (35.4%), lack of recognition/feeling undervalued (31.3%), work no longer professionally satisfying (31.3%), work no longer fulfilling/meaningful (29.2%), and retirement (29.2%). Those with limited registration status, working outside 20 to 49h per week, and on casual or temporary contracts are also more likely to not renew or be unsure. Australian Health Practitioner Regulation Agency (Ahpra) data (2014-2023) showed a 12.2% increase in registered chiropractors per 100,000 of the Australian population and a 15.8% rise in replacement rate (with fluctuations). Conclusions The overall number of chiropractors has increased from 2014 to 2023, and the replacement rate increased from 2015 to 2023. This highlights growth in the profession despite some issues in workforce stability, particularly among those with limited registration, non-standard work hours per week, and casual/temporary contract status. Addressing intrinsic and workplace factors such as remuneration, workplace recognition, and job satisfaction may improve retention.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823409","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

'Booking' fees for private hospital patients. 私立医院病人的“预约”费用。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-08-01 DOI: 10.1071/AH25152

Steve Robson

引用次数: 0