Australian health review : a publication of the Australian Hospital Association最新文献_第8页

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

Chronic diseases and their behavioural risk factors among South Asian immigrants in Australia. 澳大利亚南亚移民的慢性病及其行为风险因素。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-09-01 DOI: 10.1071/AH24032

Mehwish Nisar, Tracy Kolbe-Alexander, Asaduzzaman Khan

{"title":"Chronic diseases and their behavioural risk factors among South Asian immigrants in Australia.","authors":"Mehwish Nisar, Tracy Kolbe-Alexander, Asaduzzaman Khan","doi":"10.1071/AH24032","DOIUrl":"10.1071/AH24032","url":null,"abstract":"Objectives The prevalence of chronic diseases among immigrants varies across different ethnic groups attributed to the disparities in their risk factors. This study aimed to explore the prevalence and correlates of chronic diseases among the rapidly growing South Asian population in Australia. Methods An online survey was administered (2020-2021) among South Asian immigrants in Australia. Diagnosed chronic diseases, smoking habits, physical activity, alcohol consumption, body mass index, and fruit and vegetable intake were assessed. A multivariable logistic regression model was used to examine factors associated with chronic disease. Results Overall, 50% of the study participants had one chronic disease and 39% had more than one chronic disease (n =282). Back pain (30%), depression (22%), diabetes (21%), hypertension (19%), and heart disease (12%) were the most reported diseases. Approximately 78% of participants were insufficiently active and 38% regularly consumed alcohol. Approximately three-quarters consumed fruits and vegetables less than once per day. Multivariable analyses showed that those who were aged more than 50years (OR=4.38, 95% CI 1.66-11.56), consumed alcohol more than once/month (OR=3.25, 95% CI 1.17-8.96), and ate less than one serving of vegetables/day (OR=2.94, 95% CI 1.19-7.26) had higher odds of having two or more chronic diseases. Conclusions Fifty percent of study participants presented with preventable diseases, signifying a substantial health burden. Public health interventions should primarily focus on reducing alcohol intake and increasing fruit and vegetable consumption, particularly among individuals of advanced age, to reduce the overall burden on the healthcare system.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115891","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 anti-bullying training in surgery: surgeons' perceptions from Australia and Aotearoa New Zealand. 评估外科反欺凌培训：澳大利亚和新西兰外科医生的看法。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-26 DOI: 10.1071/AH24104

Paul Gretton-Watson, Jodi Oakman, Sandra G Leggat

{"title":"Evaluating anti-bullying training in surgery: surgeons' perceptions from Australia and Aotearoa New Zealand.","authors":"Paul Gretton-Watson, Jodi Oakman, Sandra G Leggat","doi":"10.1071/AH24104","DOIUrl":"https://doi.org/10.1071/AH24104","url":null,"abstract":"ObjectiveTo evaluate how surgeons in Australia and Aotearoa New Zealand perceive the effectiveness of the Operating with Respect (OWR) face-to-face training program in reducing workplace bullying.MethodsA cross-sectional survey examined the perceived effectiveness of the Royal College of Surgeons' (RACS) face-to-face OWR training and complementary interventions in reducing workplace bullying in surgical settings. The sample included supervisory surgeons, RACS committee members, and targeted educators. The survey instrument had 35 questions, including five related to the research question. In December 2020, the survey was distributed by RACS to all surgeons who undertook OWR training between April 2017 and December 2019. Likert scales and coded free text responses were used to explore the effectiveness of face-to-face OWR training and other interventions included in the 2015 RACS Action Plan.ResultsOf the 756 surveys sent, 252 were received. The face-to-face OWR training program was rated as moderately effective. RACS's overarching approach to anti-bullying was almost equally important, highlighting the need to consider a broader ecosystem of reform.ConclusionsThis study finds the RACS full-day anti-bullying training moderately effective in reducing bullying in surgical workplaces. However, enhancing its impact requires a sustained, multi-faceted strategy, including broader policy reforms, accountability measures, and cultural changes, to foster a long-term respectful environment in surgical settings.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057575","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 staff perspectives on the cost and efficiency of peripheral intravenous catheter use: a case study from three Australian hospitals. 医院员工对外周静脉导管使用成本和效率的看法：澳大利亚三家医院的案例研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-08-26 DOI: 10.1071/AH24176

Kathleen McFadden, Claire M Rickard, Christine Brown, Amanda Corley, Jessica A Schults, Alison Craswell, Joshua Byrnes

{"title":"Hospital staff perspectives on the cost and efficiency of peripheral intravenous catheter use: a case study from three Australian hospitals.","authors":"Kathleen McFadden, Claire M Rickard, Christine Brown, Amanda Corley, Jessica A Schults, Alison Craswell, Joshua Byrnes","doi":"10.1071/AH24176","DOIUrl":"https://doi.org/10.1071/AH24176","url":null,"abstract":"Peripheral intravenous catheters (PIVCs) are required by most hospitalised patients. Difficult intravenous access (DIVA) makes insertion challenging, with poor patient outcomes, treatment delays and resource waste from multiple insertion attempts, often by multiple clinicians. This exploratory qualitative case study aimed to investigate how clinical and executive hospital staff view PIVC insertions for patients with DIVA from a cost and efficiency perspective. Fifteen semi-structured interviews were conducted with staff from three large, urban Australian hospitals. Data was thematically analysed, with four themes generated: (1) PIVCs are not considered from a cost or resource use perspective; (2) resources required for successful PIVC insertion are variable and unpredictable; (3) limited funding and support exist for advanced skill and ultrasound-guided insertion; and (4) processes for PIVC training and competency are inefficient. Investment in advanced PIVC inserters (with ultrasound-guided cannulation skills, and ability to train and assess novice inserters), with clear escalation pathways to these clinicians may reduce inefficiencies and waste associated with difficult PIVC insertions.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057576","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