Australian health review : a publication of the Australian Hospital Association最新文献_第7页

Comparison of a visiting subspecialist ophthalmology service to Royal Darwin Hospital with interstate transfers: costs and clinical outcomes of treatment. 达尔文皇家医院眼科亚专科巡诊服务与州际转诊服务的比较：治疗成本和临床效果。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-10-01 DOI: 10.1071/AH23263

Danny Lam, Madelaine Moore, Michelle Cunich, Stewart Lake, I-Van Ho, Peter McCluskey, Tharmalingam Mahendrarajah

引用次数: 0

Evaluating patient experience and healthcare utilisation in cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. 评估患者在细胞再生手术和腹腔内热化疗中的体验和医疗利用率。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-10-01 DOI: 10.1071/AH24192

Adrian Siu, Daniel Steffens, Nabila Ansari, Sascha Karunaratne, Henna Solanki, Nima Ahmadi, Michael Solomon, Cherry Koh

{"title":"Evaluating patient experience and healthcare utilisation in cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.","authors":"Adrian Siu, Daniel Steffens, Nabila Ansari, Sascha Karunaratne, Henna Solanki, Nima Ahmadi, Michael Solomon, Cherry Koh","doi":"10.1071/AH24192","DOIUrl":"10.1071/AH24192","url":null,"abstract":"Objective Approximately 30% of Australians reside in rural communities, where accessing healthcare facilities can be challenging due to considerable distance. This can result in disparities in healthcare equity, subsequently increasing risk of adverse health outcomes, delayed diagnosis, and diminished quality of life. These geographical constraints may be exacerbated in advanced cancers for which treatment is available only at selected centres with appropriate expertise. The aim of this study was therefore to explore the impact of patient residence on experience and healthcare utilisation following cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). Methods A retrospective study examined consecutive CRS and HIPEC patients at Royal Prince Alfred hospital from 2017 to 2022. Patients were stratified as metropolitan and regional based on their postcode. Demographics, experiential, and healthcare utilisation data were collected at multiple time points. Statistical analysis included chi-squared and T -tests. Results Of the 317 participants, 228 (72%) were from metropolitan and 89 (28%) from regional areas. Regional patients tended to rate their hospital experience as 'very good' (P =0.016). Metropolitan patients were more compliant with surgical follow-up (P <0.001). No other differences were observed in patient characteristics, experience or healthcare utilisation. Conclusions The geographical location of patients undergoing CRS and HIPEC for peritoneal malignancies at a major tertiary referral centre did not significantly influence their experience or healthcare utilisation outcomes. Future studies should evaluate long-term healthcare service utilisation or the ramifications of reduced follow-up on recurrence and survival, which will contribute to a deeper understanding of resource allocation in metropolitan and regional Australia, and illuminate its impact on clinical outcomes.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382731","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

Pattern of hospital admissions and costs associated with acute rheumatic fever and rheumatic heart disease in Australia, 2012-2017. 2012-2017 年澳大利亚与急性风湿热和风湿性心脏病相关的住院模式和费用。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-10-01 DOI: 10.1071/AH24148

Ingrid Stacey, Judith Katzenellenbogen, Joseph Hung, Rebecca Seth, Carl Francia, Bradley MacDonald, James Marangou, Kevin Murray, Jeffrey Cannon

{"title":"Pattern of hospital admissions and costs associated with acute rheumatic fever and rheumatic heart disease in Australia, 2012-2017.","authors":"Ingrid Stacey, Judith Katzenellenbogen, Joseph Hung, Rebecca Seth, Carl Francia, Bradley MacDonald, James Marangou, Kevin Murray, Jeffrey Cannon","doi":"10.1071/AH24148","DOIUrl":"10.1071/AH24148","url":null,"abstract":"Objective This study aims to describe the pattern and trends in acute rheumatic fever (ARF)/rheumatic heart disease (RHD)-related hospitalisations and costs for Australians aged <65 years. Methods This retrospective linked data study measured trends in hospitalisations and costs for ARF, RHD and complications of ARF/RHD in Northern Territory, South Australia, Western Australia, Queensland and New South Wales between 1 July 2012 and 30 June 2017. Persons with ARF/RHD were identified from RHD registers and/or hospital records. Results Over the 5-year study period, 791 children, aged <16years (86.3% Indigenous), and 2761 adults, aged 16-64years (44.8% Indigenous), were hospitalised for ARF, RHD or associated complications. On average there were 296 paediatric admissions per year, increasing 6.1% annually (95% CI: 2.4-9.6%, P =0.001) and 1442 adult admissions per year, increasing 1.7% annually (95% CI: 0.1-3.4%, P =0.03). Total 5-year costs were AU$130.6m (AU$17.6m paediatric, AU$113.0m adult). Paediatric costs were mostly for ARF-related admissions whereas adult costs mostly involved valvular surgery. Emergency admissions and air ambulance transfers were common, particularly for non-metropolitan residents. Conclusions Successful ARF/RHD prevention would deliver significant hospital cost savings. Investment in primary and specialist health care in regional areas may reduce emergency admissions and regional transfers, further reducing hospital burden.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482837","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

Corrigendum to: Variation in direct healthcare costs to the health system by residents living in long-term care facilities: a Registry of Senior Australians study. 更正：居住在长期护理设施中的居民向医疗系统支付的直接医疗费用的变化：澳大利亚老年人登记研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-10-01 DOI: 10.1071/AH24081_CO

Jyoti Khadka, Julie Ratcliffe, Gillian Caughey, Tracy Air, Steve Wesselingh, Megan Corlis, Keith Evans, Maria Inacio

引用次数: 0

Estimating the true number of people with acute rheumatic fever and rheumatic heart disease from two data sources using capture-recapture methodology. 利用捕获-再捕获方法，从两个数据源中估算急性风湿热和风湿性心脏病患者的真实人数。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-10-01 DOI: 10.1071/AH24267

Joanne Thandrayen, Ingrid Stacey, Jane Oliver, Carl Francia, Judith M Katzenellenbogen, Rosemary Wyber

{"title":"Estimating the true number of people with acute rheumatic fever and rheumatic heart disease from two data sources using capture-recapture methodology.","authors":"Joanne Thandrayen, Ingrid Stacey, Jane Oliver, Carl Francia, Judith M Katzenellenbogen, Rosemary Wyber","doi":"10.1071/AH24267","DOIUrl":"10.1071/AH24267","url":null,"abstract":"Objective In Australia, accurate case ascertainment of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) diagnoses for disease surveillance and control purposes requires the use of multiple data sources, including RHD registers and hospitalisation records. Despite drawing on multiple data sources, the true burden of ARF/RHD is likely to be underestimated. Methods This study used capture-recapture methods to quantify the missing number of ARF/RHD cases in data from hospitals and jurisdictional RHD registers. Linked datasets comprised reported cases of ARF/RHD in register records and administrative hospital data. Results Capture-recapture analyses indicated the total number of new ARF/RHD cases in three Australian jurisdictions (Queensland, South Australia and Western Australia), among people aged 3-54years, was 3480 (95% CI=3366-3600) during 2011-2016. This included 894 (25.7%) individuals who were not listed in either the hospital or register datasets. Non-Indigenous, urban and older people with ARF/RHD were least likely to be identified in either the hospital or register data sources. Conclusions The 894 likely ARF/RHD cases our analyses detected that are not included in the routine surveillance datasets are concerning and quantify the magnitude and characteristics of under-notification to RHD registers in Australia, especially for groups that are not typically at high risk of ARF.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482834","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

A quality improvement project to increase treatment rates of osteoporosis in general practice. 提高全科医生骨质疏松症治疗率的质量改进项目。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-10-01 DOI: 10.1071/AH24214

Patrick Bolton, Markus Seibel, Daniel Moses, Michael Moore, Brendan Goodger

引用次数: 0

Twice daily allied health rehabilitation is feasible in acutely hospitalised older people: an observational study. 每天两次专职医疗康复对急性期住院老年人可行吗：一项观察性研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-10-01 DOI: 10.1071/AH24078

J E Kay, A N D'Souza, M Klaic, A N Jacob, C Marston, R Goonan, H Crowley, C L Granger

{"title":"Twice daily allied health rehabilitation is feasible in acutely hospitalised older people: an observational study.","authors":"J E Kay, A N D'Souza, M Klaic, A N Jacob, C Marston, R Goonan, H Crowley, C L Granger","doi":"10.1071/AH24078","DOIUrl":"10.1071/AH24078","url":null,"abstract":"Objective To evaluate the feasibility of twice daily rehabilitation in older patients admitted to an acute care of the elderly (ACE) hospital ward. Method This was a prospective single-site, cohort study of twice daily interventions provided by ACE physiotherapists, occupational therapists and/or allied health assistants in an ACE hospital ward. The feasibility of twice daily therapy was evaluated using a range of outcomes including satisfaction, fidelity and limited efficacy. Results A total of 220 patients were included (median age 86 [IQR 81-91]years, 54% female, with a median length of hospital stay of 7 [IQR 5-10] days). Twice daily therapy was delivered on 71% (n =757) of patient admitted weekdays (fidelity). Moderate-to-large effect sizes were observed in patient functional and mobility measures during their hospital stay and most patients (74%) were able to be successfully discharged home (limited efficacy). Both staff and patients reported high levels of satisfaction with physiotherapy and occupational therapy while on the ACE ward. Conclusion Twice daily therapy with acutely hospitalised elderly patients is feasible, facilitated discharge home, and is associated with high patient and staff satisfaction.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482840","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 treatment gap for deep brain stimulation in Parkinson's disease: a comparative analysis of cost and utilisation in high-income countries. 帕金森病的脑深部刺激治疗差距：高收入国家的成本和利用率比较分析。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-09-16 DOI: 10.1071/AH24036

Athena Stein, Nathan Higgins, Mehul Gajwani, Christian A Gericke

{"title":"The treatment gap for deep brain stimulation in Parkinson's disease: a comparative analysis of cost and utilisation in high-income countries.","authors":"Athena Stein, Nathan Higgins, Mehul Gajwani, Christian A Gericke","doi":"10.1071/AH24036","DOIUrl":"https://doi.org/10.1071/AH24036","url":null,"abstract":"ObjectiveParkinson's disease (PD) is one of the most prevalent neurodegenerative disorders, globally affecting approximately 120 per 100,000 people by age 70. Deep brain stimulation (DBS) is a US Federal Drug Administration (FDA)-approved and highly effective treatment for late-stage PD. However, country-specific reimbursement regulations and health policies may affect access to PD-DBS. We aimed to evaluate the uptake rate and 'treatment gap' for DBS across high-income countries.MethodsWe reviewed previous literature to investigate the cost and utilisation of PD-DBS in high-income countries across Asia, Europe, Oceania, and North America (Australia, Canada, France, Germany, Hong Kong, Japan, Korea, the Netherlands, New Zealand, Norway, Spain, Switzerland, UK, and USA). Using previous estimates of DBS candidate eligibility rates, we calculated theoretical DBS uptake rates and treatment gaps nationally.ResultsPD-DBS utilisation was highest in Australia and the USA and lowest in Korea and New Zealand. The total cost of PD-DBS in the first 12months was highest in the USA and France and lowest in the UK and Germany. The utilisation rate (i.e. uptake rate) of PD-DBS (% DBS surgeries per PD case) was highest in Australia and the USA, and lowest in New Zealand and the UK, where the treatment gap reflected these trends.ConclusionsOur results highlight differences in access to DBS for PD patients among high-income countries, which we discuss in the context of health systems. Better access to effective PD treatments such as DBS is critical given the increasing prevalence of PD in an ageing world and the associated, avoidable morbidity.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303279","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

A collaborative approach to support people with a disability living in Australian group homes during the COVID-19 pandemic: a case study. 在 COVID-19 大流行期间为居住在澳大利亚集体之家的残疾人提供支持的合作方法：案例研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-09-16 DOI: 10.1071/AH24070

James Everingham, Sarah Todd, Sarita Y Lo, Vasi Naganathan

{"title":"A collaborative approach to support people with a disability living in Australian group homes during the COVID-19 pandemic: a case study.","authors":"James Everingham, Sarah Todd, Sarita Y Lo, Vasi Naganathan","doi":"10.1071/AH24070","DOIUrl":"https://doi.org/10.1071/AH24070","url":null,"abstract":"In this case study we describe how Sydney Local Health District (SLHD) Disability Inclusion and Advice Service (DIAS) provided support to disability group homes during the COVID-19 Delta and Omicron waves. The study provides insights into group home providers' experience of supports implemented by SLHD and other stakeholders. A mixed method approach was undertaken that included analysing data from a database and electronic medical records and a survey of disability group home managers. DIAS developed a range of processes to support prevention, outbreak preparedness and response. This included developing a Disability Shared Living COVID-19 Pathway, engaging with group home providers through a fortnightly Community of Practice, assisting with improving vaccination status and procuring personal protective equipment. During an outbreak DIAS provided a 24h, 7days per week on call support, coordinated outbreak management team meetings and collaborated with several internal and external stakeholders. SLHD infection prevention and control nurses were recruited to undertake a process of reviewing outbreak management plans and providing support during an outbreak. Most disability providers (86%) reported that they felt very prepared to manage outbreaks at the time of the survey (August 2022) compared with the pre-Delta wave, for which 36% reported feeling 'not prepared'. The proportion who rated the support from the stakeholders as very supportive/supportive was as follows: SLHD (100%), NSW Health (64%), National Disability Insurance Agency (50%) and National Disability Insurance Scheme Quality & Safeguards Commission (37%). Our case study provides insights into the support that LHDs can provide to disability homes in response to future outbreaks.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303276","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

Clinical care ratios: differences in allied health roles in New Zealand. 临床护理比率：新西兰专职医疗角色的差异。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-09-12 DOI: 10.1071/AH24069

Seamus Gary McNicholl, Duncan Reid, Felicity Bright

引用次数: 0