Australian health review : a publication of the Australian Hospital Association最新文献_第5页

Beyond social determinants of health. 超越健康的社会决定因素。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-03-01 DOI: 10.1071/AH25014

Alicia E Veasey

引用次数: 0

Exploring the unique value of clinician scientist roles to the health services in which they are employed: a scoping review. 探索临床科学家角色对其所在医疗服务机构的独特价值：范围界定综述。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-03-01 DOI: 10.1071/AH24231

Peter Buttrum, Prudence Butler, Adrienne Young, Diann Eley, Shaun O'Leary

{"title":"Exploring the unique value of clinician scientist roles to the health services in which they are employed: a scoping review.","authors":"Peter Buttrum, Prudence Butler, Adrienne Young, Diann Eley, Shaun O'Leary","doi":"10.1071/AH24231","DOIUrl":"10.1071/AH24231","url":null,"abstract":"Objective This scoping review explored the unique value or impacts of clinician scientists (CSs) to the health services in which they work and metrics used to identify and measure this value. Methods Five databases, grey literature, and the internet were searched in April 2024 to identify articles that described and measured the value or impact of CSs within clinical health services. CSs were defined as having dual clinical and research qualifications and work duties. Articles were screened at title, abstract, and full text level against inclusion and exclusion criteria, before extracting data and analysing the included articles. Results The search identified 5368 articles, with six eligible for inclusion. Articles were qualitative in nature (structured interviews or multiple case study reports) and had relatively few participants. The reported value or impacts included educating colleagues on research skills and processes, promoting evidence-based practice, fostering inter-institutional collaboration, and conducting clinically relevant research. No articles recommended a detailed suite of metrics as to how this value or impact could be measured. Conclusions There is limited literature describing the unique value or impact of CSs to the health services in which they work. While some articles described aspects of CS value, no articles provided metrics for how specific CS value could be measured.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537993","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

Rheumatic heart disease 2025 - current status and future challenges. 风湿性心脏病2025 -现状和未来挑战

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-03-01 DOI: 10.1071/AH24343

Benjamin Jones, David S Celermajer

引用次数: 0

Consumer involvement; the system says 'No.' 消费者的参与;系统说“不”。

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

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A review of patient-centred measures in breast cancer care and impact on care efficiency. 乳腺癌护理中以患者为中心的措施及其对护理效率的影响综述。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24329

Elizabeth Wei Tan, Christobel Mary Saunders

{"title":"A review of patient-centred measures in breast cancer care and impact on care efficiency.","authors":"Elizabeth Wei Tan, Christobel Mary Saunders","doi":"10.1071/AH24329","DOIUrl":"10.1071/AH24329","url":null,"abstract":"Objective Breast cancer is the most common cancer in Australian women, with rising prevalence and costs. Inefficient care leads to poorer outcomes and strains healthcare systems. This review explores the association between breast cancer management strategies and efficiency in delivering care. Methods An exploratory single database review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-P) guidelines was conducted by searching MEDLINE for studies on patient-centred care, efficiency, and breast cancer published 2014-present. Data extraction and synthesis followed PRISMA extension for Scoping Reviews (PRISMA-ScR) Checklist. Results Eleven studies were included (one systematic review, one randomised control trial (RCT), four comparative studies, three observational studies, one budget analysis, and one protocol). Seven studies found a positive association between patient-centred care and efficiency; six showed statistical significance. These included reduced diagnostic delays (n =3), improved shared decision-making with decision aids (n =3), need to address ethnic/socioeconomic status disparities (n =2), and survivorship interventions/experience (n =3). Conclusion This is the first review analysing multiple strategies to improve delivery of care, demonstrating improved efficiency throughout the treatment journey in breast cancer by using patient-centred care. Further implementation studies are needed to understand how to optimise outcomes and healthcare sustainability.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442663","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

Funding of digital health care for the management of chronic conditions in Australia. 为澳大利亚慢性病管理的数字医疗保健提供资金。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24310

Amandine Barnett, Jaimon T Kelly, Paul Scuffham

{"title":"Funding of digital health care for the management of chronic conditions in Australia.","authors":"Amandine Barnett, Jaimon T Kelly, Paul Scuffham","doi":"10.1071/AH24310","DOIUrl":"10.1071/AH24310","url":null,"abstract":"Digitally delivered health care, such as telehealth, mobile apps and remote monitoring via apps or devices, can result in improved outcomes for chronic conditions. However, Australia is struggling to maximise the potential of digital health for chronic conditions, due in part to funding arrangements that lack incentives for providers and end users. The aim of this article is to examine the current landscape of digital health funding for chronic conditions and considers potential funding arrangements for the future. Current funding arrangements for digital health in Australia lack sufficient incentives for both providers and end users, limiting the reach and effectiveness of digital health for managing chronic conditions. Alternative funding approaches, such as value-based models, are used internationally which include funding avenues for mobile apps and remote patient monitoring via apps or devices as well as for those operating digital health services. The development of sustainable value-based funding mechanisms that support stakeholder involvement and national adoption are recommended. For Australia to fully leverage the benefits of digital health in managing chronic conditions, funding reforms are one critical area to assist with the implementation of patient-centred and outcome-driven funding models. Effective and sustainable funding structures are essential to ensure long-term benefits of digital health for chronic disease management. Further research will be essential to identify effective funding avenues for digital health services, including mobile apps and remote patient monitoring.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384366","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

Optimal lung cancer care pathways: a Tasmanian perspective. 最佳肺癌治疗途径：塔斯马尼亚的观点。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24249

Chui Lyn Leong, Ingrid Cox, Renae Grundy, Nick Harkness, Andrew J Palmer, Barbara de Graaff, Emma Ball

{"title":"Optimal lung cancer care pathways: a Tasmanian perspective.","authors":"Chui Lyn Leong, Ingrid Cox, Renae Grundy, Nick Harkness, Andrew J Palmer, Barbara de Graaff, Emma Ball","doi":"10.1071/AH24249","DOIUrl":"10.1071/AH24249","url":null,"abstract":"Objective In Australia, Tasmania has the second highest rate of incident lung cancer cases at 44.0 per 100,000 population, with an overall 5year relative survival rate of 20%. The aim of this retrospective study was to map and compare patient transit timelines from referral, diagnosis and treatment, to national care quality indicators (NCQI) and optimal care pathway (OCP) benchmarks. Methods Data were extracted from the weekly lung cancer multidisciplinary team meeting minutes, digital medical records and the ARIA Oncology-Information System for newly diagnosed small cell and non-small cell lung cancer cases between 2019 and 2022, at a regional, university-affiliated tertiary hospital in Tasmania. Sociodemographic data and key dates were extracted, including first general practitioner (GP) referral, specialist appointments (respiratory, medical oncology, radiation oncology and cardiothoracic), investigations, diagnosis, staging and treatment of any intent. Timelines were benchmarked against NCQI and the OCP. Results A total of 165 cases were included; mean patient age was 72years, and 57% were male. A total of 153 patients (93%) were diagnosed with non-small cell cancer and 12 (7%) with small cell lung cancer. Results for all years showed that 93% of patients were seen by the respiratory service within 14days of their GP referral and 71% diagnosed within 28days of their referral, in accordance with current standards. The time taken between GP referrals and diagnosis to any treatment was greater than the required standards, with on average 7% of patients meeting the quality standards (range, 0-16%) for all treatment intents. Conclusion Current national benchmarks have proven challenging to achieve, with prolonged time to treatment of any intent. Challenges both at a patient and systemic level will need to be assessed to improve clinical indicator outcomes.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392465","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

Mandatory and statutory compliance screening for undergraduate nursing students in Australia: a review of compliance requirements. 强制性和法定合规筛选本科护理学生在澳大利亚：合规要求的审查。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24235

Alycia Jacob, Paula Ince, Carolyn Ross, Susan Hua, Bill Swannie, Lara Demetrios, Darren Falconer

{"title":"Mandatory and statutory compliance screening for undergraduate nursing students in Australia: a review of compliance requirements.","authors":"Alycia Jacob, Paula Ince, Carolyn Ross, Susan Hua, Bill Swannie, Lara Demetrios, Darren Falconer","doi":"10.1071/AH24235","DOIUrl":"10.1071/AH24235","url":null,"abstract":"Objective Statutory checking requirements for nursing students vary across Australian states and territories. In Australia, predictions of a shortfall of 123,000 full-time equivalent nurses will occur by 2030, emphasising the necessity for standardised policies that enhance processes and address inconsistencies to ensure a qualified and accessible nursing workforce. The objective of this study was to understand the requirements for nursing students' statutory checking across Australian jurisdictions. Methods The study investigated compliance requirements through in-depth pragmatic case study analysis utilising publicly available data from official government sources. Results The study found that nursing students in Australia are mandated by the federal government to undergo statutory checks that are regulated by state and territory laws. All have similarities while varying in cost, processes, and timeframes. Costs varied widely between A$19.90 and A$254 over the course of a 3-year degree. Conclusion This study highlights the inconsistencies regarding nursing students' statutory checking requirements in different jurisdictions in Australia. Various financial and logistical challenges negatively impact nursing students as they prepare for clinical placements. Further examination and potential reforms in healthcare policy to facilitate a smoother transition for nurses entering health care are required.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384377","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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Lived Experience Advisor Program initiative: harnessing consumer leadership for best care. 生活体验顾问计划倡议：利用消费者领导力提供最佳护理。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 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":"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":"2025-02-01","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

State- and territory-based differences that impede the establishment of a harmonised national registry. 以州和地区为基础的差异阻碍了统一的国家登记制度的建立。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24338

Larissa K Lloyd, Calum Nicholson, Geoff Strange, David S Celermajer

引用次数: 0