Australian health review : a publication of the Australian Hospital Association最新文献_第4页

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

Improving inpatient mental health nurses practice through the use of a standardised instrument. 通过使用标准化仪器改善住院精神卫生护士的实践。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-01 DOI: 10.1071/AH25037

V K Drinkwater, M Giles, A P O'Brien, C Harmon, R J Tynan

{"title":"Improving inpatient mental health nurses practice through the use of a standardised instrument.","authors":"V K Drinkwater, M Giles, A P O'Brien, C Harmon, R J Tynan","doi":"10.1071/AH25037","DOIUrl":"10.1071/AH25037","url":null,"abstract":"Objective The role of mental health nurses (MHNs) working in inpatient units involves providing care to patients with complex needs and challenging behaviours, with reporting and documenting findings from brief interactions a critical part of their duties. Despite this, there is no agreed-upon instrument to document a patient's mental state or recognise signs of progress or deterioration. The aim of this study was to assess the impact of implementing a standardised instrument known as the SMART card on MHNs documentation, knowledge, and self-efficacy in assessing and reporting a patient's mental state. Methods The SMART card was implemented across eight mental health inpatient units. Completion rates of the SMART card and quality of assessments were measured using a file/chart audit before and 3months post-implementation. A pre/post-implementation survey measured changes in MHNs' perceived knowledge and self-efficacy, with the post survey evaluating attitudes towards training and SMART card acceptability. Results Clinical file audits showed significant improvement in completion rates in documentation of key clinical/symptom domains. Survey results showed a positive attitude towards the SMART card, with training having increased MHNs' understanding of psychiatric terminology and significantly improved confidence and self-efficacy. Conclusions This study demonstrates how the implementation of a standardised instrument significantly improved MHNs' reporting of patient mental health status.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735997","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 weighting of extracurricular involvement in standardised curriculum vitae scoring criteria for entrance into Australian medical and surgical speciality training programs. 评估课外活动在进入澳大利亚医学和外科专业培训项目的标准化简历评分标准中的权重。

IF 1.4

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-07-01 DOI: 10.1071/AH24348

Matthew Robertson, Thomas Muecke, Stephen Bacchi, Robert Casson, Weng Onn Chan

{"title":"Evaluating the weighting of extracurricular involvement in standardised curriculum vitae scoring criteria for entrance into Australian medical and surgical speciality training programs.","authors":"Matthew Robertson, Thomas Muecke, Stephen Bacchi, Robert Casson, Weng Onn Chan","doi":"10.1071/AH24348","DOIUrl":"10.1071/AH24348","url":null,"abstract":"Objective This study aims to evaluate how extracurricular involvement, such as sports, music, volunteering and teaching, are weighted within standardised curriculum vitae (CV) scoring criteria for medical officers applying to medical and surgical specialty training programs in Australia. Methods A cross-sectional observational analysis of point allocations for extracurricular involvement was performed, as detailed by publicly available standardised CV scoring criteria for medical and surgical training programs. The analysis includes all specialty training programs in Australian and New Zealand listed by the Australian Health Practitioner Regulation Agency that publish these criteria for the 2023 intake. Results Of the 47 reviewed specialty training programs, 14 publish publicly available standardised CV scoring criteria, and 8 of these allocate points for extracurricular involvement. The mean weighting for extracurricular involvement was 11.5% (range 4.5-20%), compared with 42.5% for research. The allocation of points varies by training program and subdomain. Conclusion The weighting of extracurricular involvement within standardised CV scoring criteria is limited and varied among specialty training programs, despite alignment with non-cognitive competencies emphasised by training frameworks. Current emphasis on academic achievements may disadvantage applicants with limited access to research opportunities. Greater clarity and consistency in evaluating non-academic attributes may support fairer, more holistic selection processes.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735996","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

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

Corporatisation and ownership concentration in diagnostic imaging: an audit of Australian practices. 诊断成像的公司化和所有权集中：对澳大利亚实践的审计。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-06-10 DOI: 10.1071/AH25073

Sean Docking, Jenn Lacy-Nichols, Martin Hensher, Rachelle Buchbinder

{"title":"Corporatisation and ownership concentration in diagnostic imaging: an audit of Australian practices.","authors":"Sean Docking, Jenn Lacy-Nichols, Martin Hensher, Rachelle Buchbinder","doi":"10.1071/AH25073","DOIUrl":"https://doi.org/10.1071/AH25073","url":null,"abstract":"ObjectiveIncreasing ownership of health service providers by large for-profit corporations, along with high ownership concentration that reduces competition, may negatively affect healthcare access, quality, and costs. Our objective was to determine the ownership of Australian diagnostic imaging clinics by ownership category and identify areas of high ownership concentration.MethodsA list of clinics providing ultrasound, X-ray, and at least one advanced imaging modality (computed tomography and/or magnetic resonance imaging (MRI)) were obtained from Services Australia on 31 March 2024. Information about ownership of diagnostic imaging clinics was extracted from the Australian Business Register, the Orbis database, and if necessary, a search of the clinic website. The number and proportion of diagnostic imaging clinics by ownership category were calculated. Areas of high ownership concentration were defined as one company owning ≥30% of non-government owned clinics within a jurisdiction.ResultsA total of 1235 diagnostic imaging clinics were identified, with ownership data obtained for 1226 (99.3%). Most clinics are owned by for-profit corporations (public limited n=412; 33.6%, institutional investor-backed n=277; 22.6%). Areas of high ownership concentration were identified in South Australia, Tasmania, Northern Territory, and Australian Capital Territory. Four companies (two public limited and two investor-backed) own ≥50% of clinics that provide Medicare-rebatable MRI services.ConclusionsThe Australian diagnostic imaging sector is dominated by large for-profit corporations, with high ownership concentration apparent in four jurisdictions. For-profit corporations, healthcare system managers, and funders may have conflicting goals. It is incumbent upon Australian federal, state, and territory governments to ensure that public funds are used to provide affordable, high-value care.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259613","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

Strategic optimisation of the allied health assistant workforce one step at a time: first step, workforce governance. 一步一步地对联合保健助理人力资源进行战略优化：第一步，人力资源治理。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-06-05 DOI: 10.1071/AH25081

Lucy Whelan, Catherine Wolters, Marcus Gardner, Hank Kim, Kylie Saccotelli, Dimitri Diacogiorgis

{"title":"Strategic optimisation of the allied health assistant workforce one step at a time: first step, workforce governance.","authors":"Lucy Whelan, Catherine Wolters, Marcus Gardner, Hank Kim, Kylie Saccotelli, Dimitri Diacogiorgis","doi":"10.1071/AH25081","DOIUrl":"https://doi.org/10.1071/AH25081","url":null,"abstract":"Allied health assistants (AHAs) are a vital workforce in Australia, supporting allied health professionals (AHPs) to expand service access and progress care, ensuring workforce sustainability. Tiered models of care that include AHAs can facilitate top of scope and advanced scope work for AHPs, increasing staff satisfaction and retention. Despite the increased research interest on AHAs, barriers to maximising the potential of this workforce persist. The Victorian Department of Health recently released recommendations aimed at optimising the AHA workforce, with inadequate workforce governance recognised as a barrier. Centralising governance processes for AHAs ensures a single point of accountability and standardisation of processes, positively affecting patient safety and quality of care. To enable suitable AHA governance structures, recognition of the importance of this workforce in local and national strategies is required. However, there are few existing state-based frameworks dedicated to AHA governance, and the current draft National Allied Health Workforce Strategy does not include AHAs, which represents a missed opportunity to strengthen and grow this important element of the allied health workforce.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227963","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