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

Manifesting change: an organisation's approach to burnout, recruitment, and retention of junior doctors in Western Australia. 显着的变化：一个组织的方法，倦怠，招聘和保留初级医生在西澳大利亚州。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24053

Katie McLeod, Deepan Krishnasivam, George Eskander

{"title":"Manifesting change: an organisation's approach to burnout, recruitment, and retention of junior doctors in Western Australia.","authors":"Katie McLeod, Deepan Krishnasivam, George Eskander","doi":"10.1071/AH24053","DOIUrl":"10.1071/AH24053","url":null,"abstract":"Facing unprecedented levels of junior medical officer (JMO) vacancies, absenteeism, and burnout, the Sir Charles Gairdner Osborne Park Health Care Group (SCGOPHCG) collaborated with JMOs to create and implement the JMO Manifesto in January of 2023. With the aim of improving the organisation's attraction, recruitment, and retention of JMOs, this initiative consisted of five strategic imperatives that addressed key workplace issues affecting JMOs: (1) part-time work opportunities, (2) access to leave and (3) overtime pay, (4) limited support for workplace issues (particularly after-hours), and (5) poor workplace culture and bullying. Led by the Clinical Services team, the JMO Manifesto was an investment in building JMO wellbeing, trust, and engagement with simple but innovative strategies. The effectiveness of these strategies was evaluated by comparing pre- and post-JMO Manifesto results from routinely collected organisational data (e.g. vacancy rates) and JMO feedback through the annual Hospital Health Check survey by the Australian Medical Association. Within 6months, the SCGOPHCG was fully recruited, had created 35 new part-time positions and new processes for managing leave, overtime claims, and support for JMOs. Eighteenmonths in, we remain the top-ranking public health service provider for access to leave, claiming of un-rostered overtime, workplace culture and morale, and wellbeing support for JMOs in Western Australia. The JMO Manifesto highlights the importance of healthcare organisations investing in the engagement and wellbeing of their junior doctors to achieve a sustainable medical workforce.","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":"143442666","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

Paramedic to general practitioner referral pathways within Australian jurisdictional ambulance clinical practice guidelines: a document analysis. 护理人员到全科医生转诊途径在澳大利亚管辖的救护车临床实践指南：文件分析。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24335

Belinda Delardes, Mostyn Gooley, Kelly-Ann Bowles, Samantha Chakraborty

{"title":"Paramedic to general practitioner referral pathways within Australian jurisdictional ambulance clinical practice guidelines: a document analysis.","authors":"Belinda Delardes, Mostyn Gooley, Kelly-Ann Bowles, Samantha Chakraborty","doi":"10.1071/AH24335","DOIUrl":"10.1071/AH24335","url":null,"abstract":"Objectives We aimed to compare the prevalence and clarity of paramedic to general practitioner (GP) referral pathways among clinical practice guidelines (CPGs) of Australian jurisdictional ambulance services (JASs). Methods We completed a document analysis on all publicly available Australian JAS CPGs that were accessed online during 2024. We appraised CPGs according to the AGREE II Domain 4: Clarity of Presentation criteria. Results We located 711 CPGs across the eight Australian JASs, of which 109 (15%) referenced a pathway to GP referral. Overall, 5.5% (n =6/109) of CPGs met all the AGREE II Domain 4 criteria and considerations. The items most frequently satisfied across CPGs were (i) 'specific recommendations are appropriately selected and reflect the key messages of the guideline' and (ii) 'specific recommendations are grouped together in one section', both of which were met in 96% (105/109) of CPGs. The item least often satisfied was 'uncertainty in the interpretation and discussion of the evidence is reflected in the recommendations and explicitly stated', with only 17% (18/109) of CPGs including a discussion of evidence supporting or cautioning referral to GP pathways. Inclusion of a 'specific and unambiguous statement of the recommended action' was also consistently lacking from CPGs, with only 23% (25/109) of CPGs with referral pathways giving a specific timeframe within which the patient should be seen by a GP. Conclusion A minority of Australian JAS CPGs include a referral to GP pathway, however, these recommendations are generally non-specific and ambiguous, limiting usability for paramedics.","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":"143495022","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

Health research governance of data access: a black-box challenge. 卫生研究数据访问的治理：一个黑箱挑战。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24341

Paula McDonald, Robyn Mayes, Peter Frederiksen, Christina Malatzky, Alicia Feldman, Janet M Davies, Diana Leon-Espinoza

引用次数: 0

Trends in retention and attrition in nine regulated health professions in Australia. 澳大利亚九个受管制的卫生专业人员的保留和流失趋势。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24268

Jade Tan, Rechu Divakar, Lee Barclay, Sunita Bayyavarapu Bapuji, Sarah Anderson, Eva Saar

{"title":"Trends in retention and attrition in nine regulated health professions in Australia.","authors":"Jade Tan, Rechu Divakar, Lee Barclay, Sunita Bayyavarapu Bapuji, Sarah Anderson, Eva Saar","doi":"10.1071/AH24268","DOIUrl":"10.1071/AH24268","url":null,"abstract":"Objective To identify factors associated with the retention and attrition of regulated health practitioners in Australia across nine health professions. Methods An online survey of practitioners and an analysis of 10years of Australian Health Practitioner Regulation Agency (Ahpra) registration data were carried out. Results Among surveyed health practitioners, 20,449 (79.4%) intended to stay, 1368 (5.3%) intended to leave, and 1759 (6.8%) were unsure. Most intending to leave planned to do so immediately or within 1-year (72.8%). Top reasons for leaving included mental burnout (32.9%), retirement (30.5%), feeling undervalued/unrecognised (28.5%), lack of professional satisfaction (27.9%), and work no longer being fulfilling (25.1%). Men, older practitioners, those working fewer than 20h per week, and non-self-employed practitioners were more likely to consider not renewing or to be unsure. Analysis of Ahpra registration data from 2014 to 2023 showed that the number of registered practitioners per 100,000 population increased by 29.6%, but the replacement rate showed notable fluctuations over the observed period. Females consistently exhibited higher replacement rates compared to males, with exits from the workforce highest in those aged under 35 pre-2020 and highest in those aged 35-60 post-2020. Conclusions Although the overall number of health practitioners increased from 2014 to 2023, replacement rates have been fluctuating, highlighting concerns about workforce stability, particularly among males, older practitioners, those working fewer or greater than full-time hours, and non-self-employed practitioners. Addressing intrinsic and workplace factors such as mental burnout, lack of recognition, and job satisfaction may improve retention.","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":"143384380","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

Environmental, Social and Governance principles in Australian publicly funded healthcare: an extension of value-based care. 澳大利亚公共资助医疗保健的环境、社会和治理原则：基于价值的护理的延伸。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24296

Aletha Ward, Mark E Holmes, Isabella Ward, Zerina Lokmic-Tomkins, Leah East, Tracy Levett-Jones

{"title":"Environmental, Social and Governance principles in Australian publicly funded healthcare: an extension of value-based care.","authors":"Aletha Ward, Mark E Holmes, Isabella Ward, Zerina Lokmic-Tomkins, Leah East, Tracy Levett-Jones","doi":"10.1071/AH24296","DOIUrl":"10.1071/AH24296","url":null,"abstract":"Australia's publicly funded healthcare system is financed through a complex mix of Commonwealth, State, Territory and private sources, which include activity-based funding, fee for service and block funding. These models may be insufficient to meet future budgetary constraints, and healthcare systems in Australia and worldwide are increasingly adopting value-based healthcare (VBHC), which is defined as 'health outcomes that matter to patients relative to the resources or costs required, over a full cycle of care'. There is no national Australian strategy for the adoption of VBHC, and examining other industries or policies may provide solutions to enhance implementation. For example, as of January 2025, the Australian Securities Exchange will mandate climate-related disclosures for listed companies. This change reflects a growing societal and shareholder emphasis on environmental accountability. Our paper argues that universally applying Environmental, Social and Governance principles across all healthcare sectors represents a strategic evolution of VBHC to ensure fiscally responsible climate change mitigation and adaptation strategies.","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":"143495004","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

Comprehensive day-to-day care and support needs of older Australians requiring government-funded home-based aged care: a scoping review. 需要政府资助的居家老年护理的澳大利亚老年人的综合日常护理和支持需求：范围审查。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-02-01 DOI: 10.1071/AH24234

Rachel McKittrick, Elizabeth Manias, Martin Hensher, James Meroiti, Alison M Hutchinson

{"title":"Comprehensive day-to-day care and support needs of older Australians requiring government-funded home-based aged care: a scoping review.","authors":"Rachel McKittrick, Elizabeth Manias, Martin Hensher, James Meroiti, Alison M Hutchinson","doi":"10.1071/AH24234","DOIUrl":"10.1071/AH24234","url":null,"abstract":"Objective This study aimed to locate and describe research studies in which the comprehensive day-to-day care and support needs of older Australians requiring home-based aged care have been measured and reported in detail. Methods A scoping review was conducted according to Joanna Briggs Institute guidance. A systematic search of peer-reviewed and grey literature was undertaken. Results Screening identified 2/866 eligible records. Researchers studying the 'service needs' of older people (n =50) residing in a rural/remote Aboriginal and Torres Strait Islander community found a high need for home care (86%), transport (59%), and allied health (46%) services. In the second study, older people (n =55) from a regional community had 38/79 'underlying care needs' including for washing/bathing, managing urinary incontinence, and arranging/keeping appointments. The authors of each study took a different perspective of 'needs' - that is, their participants' need for specific service types (e.g. transport) versus their fundamental underlying needs (e.g. arranging/keeping appointments) which give rise to service needs. Conclusions The findings suggest Australian aged care providers and policy-makers lack a strong evidence base about the comprehensive underlying day-to-day care and support needs experienced by older Australians, to optimally inform both the design of home-based aged care programs and services, and workforce skill and skill mix requirements for the sector. Future studies about the population's underlying day-to-day care and support needs, with larger and more representative study populations (e.g. making use of routinely collected aged care datasets), would be beneficial. Such studies would provide important information to support the development of a government-funded home-based aged care system optimised to effectively and efficiently meet the needs of the population it is seeking to support.","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":"143434587","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 : 2025-01-01 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":"10.1071/AH24241","url":null,"abstract":"Objective This 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. Methods A 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. Results A 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. Conclusions The 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":"2025-01-01","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 : 2025-01-01 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 : 2025-01-01 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":"10.1071/AH24281","url":null,"abstract":"Objective The 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. Methods Electronic 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. Results Oral 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. Conclusion Oral 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":"2025-01-01","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

The impact of COVID-19 on public and private emergency departments in Queensland, Australia. COVID-19对澳大利亚昆士兰州公共和私人急诊部门的影响。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2025-01-01 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":"10.1071/AH24182","url":null,"abstract":"Objective COVID-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). Methods This 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. Results In 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. Conclusions During 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":"2025-01-01","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