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

A population-based model of indicators of allied health workforce needs: proof-of-concept in podiatry. 基于人口的专职医疗队伍需求指标模型：足病学概念验证。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-12-01 DOI: 10.1071/AH24191

Joshua Horsley, Susan Nancarrow

{"title":"A population-based model of indicators of allied health workforce needs: proof-of-concept in podiatry.","authors":"Joshua Horsley, Susan Nancarrow","doi":"10.1071/AH24191","DOIUrl":"10.1071/AH24191","url":null,"abstract":"Objective Allied health workforce planning faces challenges because of insufficient metrics that accurately reflect population need for services. This paper presents a method and proof-of-concept in the podiatry profession for developing population-based need indicators and indices suitable for allied health workforce planning and comparative benchmarking. Methods Population-based indicators of podiatry need were selected and combined into an index of need by Statistical Area Level 3 (SA3) in Australia. Medicare patient age and sex distributions for relevant item numbers were used to determine the inclusion of specific population age groups and sex as indicators. Other indicators included diabetes, socioeconomic status, and Aboriginal and Torres Strait Islander status. The need index was calculated based by aggregating these indicators at the SA3 level. The resulting need index was compared with podiatry supply (per capita clinician counts) using a population-weighted correlation coefficient (pwCorr). Results Analysis of Medicare usage data led to the inclusion of indicators: population aged 65 and over, and female gender. The need index had a small but significant negative correlation with supply at the SA3-level (pwCorr =-0.12, P =0.03) and positively, but not significantly, correlated at the state/territory-level (pwCorr=0.42, P =0.30). Conclusions Developing profession-specific population-based need indices provides a valuable tool for allied health workforce planners to benchmark need and supply within professions. Combining single need indicators with supply metrics offers a concise framework for effective workforce planning and advocacy.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796394","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

Addressing unnecessary and avoidable transfers from residential aged care to emergency departments and hospitals. 解决从养老院到急诊室和医院的不必要和可避免的转院问题。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-11-01 DOI: 10.1071/AH24230

Micah Dj Peters, Jarrod Clarke, Casey Marnie

{"title":"Addressing unnecessary and avoidable transfers from residential aged care to emergency departments and hospitals.","authors":"Micah Dj Peters, Jarrod Clarke, Casey Marnie","doi":"10.1071/AH24230","DOIUrl":"10.1071/AH24230","url":null,"abstract":"Purpose The purpose of this article is to examine and discuss the literature regarding emergency department (ED) transfers from residential aged care with a focus on reducing potentially avoidable transfers to enhance care experiences, safety, and outcomes. Design Researchers experienced in evidence synthesis and policy research in the aged care space reviewed the literature about residential aged care transfers to EDs, including factors underlying transfers and interventions to reduce transfers. Findings Transfers to EDs from aged care are common. They can be harmful, distressing, costly, and have a variety of negative impacts on residents, staff, and the aged care and health system. High rates of potentially avoidable or unwarranted transfers suggests the presence of systemic issues, including the lack of sufficient staffing levels and skills mix with the requisite knowledge, training, resources, and support. Reforms are required to improve staffing levels and skills mix, enhance access to on-site and in-reach clinical expertise, provide access to quality improvement initiatives, and engage consumers to ensure shared decision-making. Further research is also required to help determine the best approach to reducing unnecessary hospital transfers from aged care considering the specific scopes of practice of aged care workers. Conclusion While some transfers from residential aged care to EDs are necessary, many do not represent safe, dignified care for older people. Unwarranted transfers are burdensome and risky and should be minimised through the provision of a range of reforms including sufficient staffing, resources, and support, that allow for the delivery of care in place where appropriate.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649971","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

Hospital visiting hours - do they need to be revised? 医院探视时间--是否需要修改？

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-11-01 DOI: 10.1071/AH24145

Roberto Forero, Mohammed Mohsin, Florence Singh, Leanne Hunt, Steven Frost, Scott McDonnell, Milan Piya, Dev Verick, Friedbert Kohler, Josephine Sau Fan Chow, Shane Widloecher, Ken Hillman

{"title":"Hospital visiting hours - do they need to be revised?","authors":"Roberto Forero, Mohammed Mohsin, Florence Singh, Leanne Hunt, Steven Frost, Scott McDonnell, Milan Piya, Dev Verick, Friedbert Kohler, Josephine Sau Fan Chow, Shane Widloecher, Ken Hillman","doi":"10.1071/AH24145","DOIUrl":"10.1071/AH24145","url":null,"abstract":"Objective This study aimed to determine the number of visitors to an acute hospital, the time of visit, destination, and details of parking over the same period. Methods A prospective observational pilot study in a large metropolitan public hospital in Australia was performed. The research team observed all visitors over a 14-day period between 17 and 30 October 2022 counting the people visiting relatives or friends of admitted hospital patients as well as those visiting outpatient clinics during the observation period. Other outcome measures included time of the visit, destination, and estimated costs of parking. Results During the 14 days of observation there were 18,066 visitors, averaging 1290 per day. The majority were visitors to inpatients (62.2%, 11,232, averaging 802 per day). Those attending outpatients were less (37.8%, 6834, averaging 668 per weekday). The estimated average parking cost was A$18.10 per day normally and A$11.85 for concessions. Conclusions This was the first known study on hospital-wide visiting in Australia or globally. These findings would be important for addressing issues such as hospital planning, and for future research including the impact of visiting on patient outcomes, the patient and community experience, and the expectations and experience of hospital visitors.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142670086","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

Implementation of an Ambassador program to reduce occupational violence in hospital inpatient settings: a pilot study. 实施 "大使 "计划以减少医院住院环境中的职业暴力：一项试点研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-11-01 DOI: 10.1071/AH24248

Lita Jeffries, Hui Grace Xu, Anna Doubrovsky, Kaylene Woollett, Joanna Griffiths, Jed Duff

{"title":"Implementation of an Ambassador program to reduce occupational violence in hospital inpatient settings: a pilot study.","authors":"Lita Jeffries, Hui Grace Xu, Anna Doubrovsky, Kaylene Woollett, Joanna Griffiths, Jed Duff","doi":"10.1071/AH24248","DOIUrl":"10.1071/AH24248","url":null,"abstract":"Background Occupational violence (OV) is a significant workplace issue that affects 62% of healthcare workers globally. An Ambassador is a new role that focuses on preventing OV in healthcare settings. They proactively engage with patients and visitors, using behavioural strategies to redirect or de-escalate people who may be of concern. This pilot study evaluated the introduction of an Ambassador in an acute inpatient hospital setting. Methods A cross-sectional multiple-method evaluation was conducted in three surgical wards in a major metropolitan hospital in Australia from December 2020 to February 2021. Data from security records, incident reports and staff surveys were collected before and during the pilot. The survey included multiple-choice and open-ended questions. Quantitative data were analysed in SPSS, and qualitative data were analysed using thematic analysis. Results After the 3 month pilot, a significant decrease was seen in security calls (from 111 to 44, a decrease of 60%, χ 2 =28.96, P <0.001) and incident reports (from 20 to 6, a decrease of 70%, χ 2 =7.54, P =0.006). Staff surveys showed an increased awareness of OV as a workplace issue (from 60% to 82%, χ 2 =7.65, P =0.005). The qualitative analysis identified three main themes: professional roles and functions, key personnel characteristics, and suggestions for future implementation. Conclusions An improvement was seen in the staff perception of safety and a reduction in organisational metrics related to OV. Future research is required to evaluate program effectiveness across different wards and settings. Application to practice The success of the Ambassador program relies on selecting the right candidates, providing clear role descriptions, offering appropriate training and ensuring adequate support resources.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649972","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

Examining the experience of healthcare workers who led staff wellness rounding during the COVID-19 pandemic. 研究在 COVID-19 大流行期间领导员工健康查房的医护人员的经验。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-11-01 DOI: 10.1071/AH24015

Natalie Wilson, Louise Smith, Robyn Taylor, Friedbert Kohler

{"title":"Examining the experience of healthcare workers who led staff wellness rounding during the COVID-19 pandemic.","authors":"Natalie Wilson, Louise Smith, Robyn Taylor, Friedbert Kohler","doi":"10.1071/AH24015","DOIUrl":"10.1071/AH24015","url":null,"abstract":"Objective Staff wellness rounding (SWR) is a process in which healthcare leaders have real-time conversations with healthcare workers (HCW) to identify safety and wellness issues. This study examined the experience of multidisciplinary healthcare leaders, who were not trained in psychology, who delivered SWR during the surge phase of the COVID-19 pandemic. Methods A mixed methods approach was used. Phase 1 included a survey of HCW who participated in SWR during July-October 2021. Phase 2 included semi-structured interviews of leaders who delivered SWR. Results There were 403 respondents to the survey, with 169 participants (41.9%) being eligible for the study. More than 67% of eligible respondents would recommend SWR to other colleagues, and 77.5% reported that SWR provided an opportunity to escalate issues or concerns about COVID-19. Eleven SWR leaders were interviewed about their experience of leading SWR. Four key themes were identified: SWR (1) offered a defined process for communication between executive leaders and HCW; (2) enabled escalation and actioning of issues to and from executive teams in the organisation; (3) required flexible scheduling to meet varied work schedules of HCW; and (4) required the leaders to have a core set of skills and competencies. Conclusion This study examined the contribution that an SWR intervention can make to support HCW wellbeing during crisis-type events. The model facilitated interactions between executive leaders, managers and frontline staff. It fostered collegiality with peers, managers and leaders, supported recognition and acknowledgment of peers and used available resources effectively to support staff wellness during the surge phase of the COVID-19 pandemic.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592381","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: Hospitalisations and emergency department presentations by older individuals accessing long-term aged care in Australia.

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-11-01 DOI: 10.1071/AH24019_CO

Stephanie L Harrison, Catherine Lang, Tesfahun C Eshetie, Maria Crotty, Craig Whitehead, Keith Evans, Megan Corlis, Steve Wesselingh, Gillian E Caughey, Maria C Inacio

引用次数: 0

Allied health and the frail patient in hospital - a prospective cohort study. 辅助医疗与医院中的体弱病人--一项前瞻性队列研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-11-01 DOI: 10.1071/AH24280

James Huylam Bui, Vincent J J Ngian, Fiona Tran, Kirralee Scott, Ka Chi Ngai, Bin S Ong

{"title":"Allied health and the frail patient in hospital - a prospective cohort study.","authors":"James Huylam Bui, Vincent J J Ngian, Fiona Tran, Kirralee Scott, Ka Chi Ngai, Bin S Ong","doi":"10.1071/AH24280","DOIUrl":"10.1071/AH24280","url":null,"abstract":"Objectives Frailty is associated with significant mortality and morbidity in hospitalised patients. We describe physiotherapy and occupational therapy practices in hospitalised frail patients and examine the role of early intervention. Methods We performed a prospective, observational cohort study in a medical assessment unit in a tertiary care hospital. Patients with COVID-19 infection were excluded. Frailty was measured by the Clinical Frailty Scale (CFS). Early allied health intervention was defined as involvement within 48h of admission. Demographic data, clinical diagnoses, time spent with physiotherapy and occupational therapy, CFS, hospital length of stay and outcomes were recorded and analysed. Results A total of 356 patients were categorised into non-frail (CFS score <5) and frail (CFS score ≥5) groups. The prevalence of frailty was 68% (n =241). Physiotherapy (77.2%) and occupational therapy (75.5%) reviews were more frequent in frail patients than in non-frail patients. Frail patients who had allied health involvement within 48h of admission had a significant reduction in their hospital length of stay (mean reduction of 7.3days, 95% CI: 0.53, 14, P =0.035) and a 2.44% reduction in the relative risk of developing pressure injuries (95% CI: 1.31, 4.53). There was no statistically significant differences in outcomes with allied health intervention for non-frail patients and patients who require residential aged care facility level care. Conclusions Allied health have a key role in the management of frailty. Early allied health intervention was associated with a reduced hospital length of stay as well as a reduced incidence of pressure injury in frail patients.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712217","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

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