Australian health review : a publication of the Australian Hospital Association最新文献_第9页

Evaluation of a novel sub-acute Hospital in the Home model for providing inpatient geriatric and rehabilitation services. 对提供老年病住院和康复服务的新型亚急性家庭医院模式进行评估。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-24 DOI: 10.1071/AH23141

Anya Suzuki, Greg Kyle, Clare Webb, Ruth Cox, Laurelie Wishart, Melissa McCusker, Alex McConnell, Sally Courtice, Elizabeth C Ward, Leo Ross

{"title":"Evaluation of a novel sub-acute Hospital in the Home model for providing inpatient geriatric and rehabilitation services.","authors":"Anya Suzuki, Greg Kyle, Clare Webb, Ruth Cox, Laurelie Wishart, Melissa McCusker, Alex McConnell, Sally Courtice, Elizabeth C Ward, Leo Ross","doi":"10.1071/AH23141","DOIUrl":"https://doi.org/10.1071/AH23141","url":null,"abstract":"ObjectiveTo report on the development and implementation of a multidisciplinary, sub-acute Geriatric Evaluation and Management Rehabilitation Hospital in the Home (GEMRHITH) model of care with the initial 2years' service outcome data (October 2019 - September 2021).MethodsA retrospective analysis was conducted using hospital centralised data, and the GEMRHITH internal service database. Descriptive statistics were used to describe the patient population. Student's t-test was used for comparative data.ResultsOver 2years, GEMRHITH admitted 617 patients (13%, n=82 directly from the emergency department). Median age was 82years (range, 32-102 years), with 60.5% (n=373) being female and 39.5% (n=244) presenting with moderate frailty. Most patients (79.6%, n=491) entered from a medical speciality (28.5%, n=178 from neurology). Average GEMRHITH stay was 6days (range, 1-33 days). Average bed occupancy was 5.3 virtual beds. There was an average of 26 discharges per month with 97% of patients (n=598) discharged to their own home. Transfers back to the emergency department with the same diagnosis-related group were low (3.6%). The 7-28day re-admission rate was 2.3%. Service safety was high, with only eight hospital-acquired complications reported in seven patients. Significant improvements were noted for total and sub-scale Functional Independence Measure scores (P<0.001).ConclusionsThe addition of rehabilitation and geriatric care to traditional HITH services provides opportunities for multidisciplinary teams to support a larger cohort of patients with various medical and surgical conditions and functional abilities, to efficiently transition home from hospital settings. There were minimal complications and occupied bed stays were saved within a hospital.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443926","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

Improving equitable access to publicly funded bariatric surgery in Queensland, Australia. 改善澳大利亚昆士兰州公平获得政府资助的减肥手术的机会。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-18 DOI: 10.1071/AH24080

Megan Cross, Jody Paxton, Katie Wykes, Viral Chikani, George Hopkins, Srinivas Teppala, Paul Scuffham

{"title":"Improving equitable access to publicly funded bariatric surgery in Queensland, Australia.","authors":"Megan Cross, Jody Paxton, Katie Wykes, Viral Chikani, George Hopkins, Srinivas Teppala, Paul Scuffham","doi":"10.1071/AH24080","DOIUrl":"https://doi.org/10.1071/AH24080","url":null,"abstract":"BackgroundPeople living in regional Queensland, Australia, have less access to health care than their metropolitan neighbours; a gap that is wider if they are also of Aboriginal and Torres Strait Islander ethnicity. The Bariatric Surgery Initiative (BSI) aims to provide metabolic bariatric surgery as a public service accessible to all Queenslanders for patients with morbid obesity according to need, regardless of location or ethnicity.MethodsWe investigated the BSI's progress in closing the metro-regional gap by comparing the distribution of referrals for surgery with the geographic and ethnic spread of obesity across Queensland in 2017-2019.ResultsRegional Queensland is home to 59.8% of Queensland's individuals with obesity, whereas 40.2% live in metropolitan Brisbane. In contrast, 47.8% of referrals were from regional areas, with 52.2% received from Brisbane. We found that more patients from metropolitan than regional areas underwent metabolic bariatric surgery, probably due to a paucity of referrals from regional locations. Aboriginal and Torres Strait Islander peoples were able to access the service and all patients realised significant health benefits after surgery.ConclusionsThe BSI improved access to this service, and inequities in metro-regional access may depend on patient choice and healthcare provider awareness of the BSI.Trial registrationThis initiative was a quality improvement study focused on providing access to care rather than a clinical trial; as such it was not registered as a clinical trial.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422194","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

Multi-parametric magnetic resonance imaging of the prostate in Victoria, Australia; unintended consequences of changing Medicare Benefits Schedule access. 澳大利亚维多利亚州的前列腺多参数磁共振成像；改变医疗保险福利表获取途径的意外后果。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-18 DOI: 10.1071/AH24024

Patrick Gordon, Evan Urquhart, Symrin Oad, Kenneth Mackenzie, Eldho Paul, Philip McCahy

{"title":"Multi-parametric magnetic resonance imaging of the prostate in Victoria, Australia; unintended consequences of changing Medicare Benefits Schedule access.","authors":"Patrick Gordon, Evan Urquhart, Symrin Oad, Kenneth Mackenzie, Eldho Paul, Philip McCahy","doi":"10.1071/AH24024","DOIUrl":"https://doi.org/10.1071/AH24024","url":null,"abstract":"ObjectiveTo assess whether prostate biopsy rates have altered with the July 2018 change in Australian Medicare Benefits Schedule (MBS) rebates supporting multiparametric magnetic resonance imaging (mpMRI) for diagnosing prostate cancer.MethodsBiopsy data (both trans-rectal and trans-perineal) were obtained from the Victorian Agency for Health Information from July 2016 to June 2022. The data were stratified by financial year, age group and hospital type (public vs private). Comparison was made between rates pre and post the mpMRI MBS code change.ResultsThere was an 11.9% increase in the number of biopsies performed per year compared to the pre-MBS change period. There is a significant decreasing trend (P<0.001-4) in number of biopsies in the 40-49, 50-59 and 60-69-year-old age groups with a significant increasing trend (P<0.001) in the 70-79 and 80-89-year-old age groups. There was a 32.9% reduction in the mean number of biopsies performed per year in public hospitals, compared with an 18.3% increase in private.ConclusionContrary to expectations, and proposed funding, there has been an increase in the number of prostate biopsies since MRI became more easily available. This change will put increased pressure on the health budget and the large increase in biopsies in elderly patients was not anticipated when the changes were proposed. A review of the criteria is suggested.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422195","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

Temporal trends in medical device implant procedures in Australia 2008-22: evidence from the Australian Institute of Health and Welfare National Hospital Morbidity database. 2008-22 年澳大利亚医疗器械植入手术的时间趋势：来自澳大利亚卫生与福利研究所全国医院发病率数据库的证据。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-17 DOI: 10.1071/AH23126

Mohammad Afshar Ali, Thu-Lan Kelly, Marianne Gillam

{"title":"Temporal trends in medical device implant procedures in Australia 2008-22: evidence from the Australian Institute of Health and Welfare National Hospital Morbidity database.","authors":"Mohammad Afshar Ali, Thu-Lan Kelly, Marianne Gillam","doi":"10.1071/AH23126","DOIUrl":"https://doi.org/10.1071/AH23126","url":null,"abstract":"ObjectiveExamine the temporal trends in medical device implant procedures in the Australian population.MethodsWe used data from the Australian Institute of Health and Welfare from the financial years 2007-08 to 2021-22 and chose the most frequently performed medical device implant procedures. We estimated the annual change in volume of procedures and age-standardised rates by calculating the compound annual growth rate (CAGR), and used regression with the Newey-West robust variance estimator to examine whether there was a linear trend in the age-standardised rates for each procedure.ResultsFor procedures including cardiac pacemakers, heart valves, hip and knee arthroplasties, and intraocular lenses, the crude CAGR was over 3%. For the age-standardised rates, the CAGR was largest for cardiac pacemaker, followed by heart valve replacement and hip arthroplasty procedures. For some procedures, the growth was more than in the Australian population, including cardiac pacemakers (β=1.00; 95% CI: 0.14-1.86), heart valve replacements (β=0.41; 95% CI: 0.28-0.54), hip arthroplasty (β=3.50; 95% CI: 1.61-5.38), and knee arthroplasty (β=4.31; 95% CI: 0.54-8.09) procedures. The trend of standardised rates of procedures, including incisional hernia with mesh, breast implants, coronary stents, and cardiac defibrillators, grew at the same rate as the population, whereas the rate for gastric banding procedures decreased (β=-3.14; 95% CI: -4.92 to -1.34).ConclusionThe findings from the current study, showing a large increase in medical device implant procedures, will assist in future healthcare planning and efforts in post-market surveillance of safety of medical devices.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332666","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

Variation in direct healthcare costs to health system by residents living in longterm care facilities: a Registry of Senior Australians study. 居住在长期护理设施中的居民对医疗系统造成的直接医疗成本差异：澳大利亚老年人登记研究。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-04 DOI: 10.1071/AH24081

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

{"title":"Variation in direct healthcare costs to health system by residents living in longterm care facilities: a Registry of Senior Australians study.","authors":"Jyoti Khadka, Julie Ratcliffe, Gillian Caughey, Tracy Air, Steve Wesselingh, Megan Corlis, Keith Evans, Maria Inacio","doi":"10.1071/AH24081","DOIUrl":"https://doi.org/10.1071/AH24081","url":null,"abstract":"ObjectiveThis study aimed to examine the national variation in government-subsidised healthcare costs of residents in long-term care facilities (LTCFs) and costs differences by resident and facility characteristics.MethodsA retrospective population-based cohort study was conducted using linked national aged and healthcare data of older people (≥65years) living in 2112 LTCFs in Australia. Individuals' pharmaceutical, out-of-hospital, hospitalisation and emergency presentations direct costs were aggregated from the linked healthcare data. Average annual healthcare costs per resident were estimated using generalised linear models, adjusting for covariates. Cost estimates were compared by resident dementia status and facility characteristics (location, ownership type and size).ResultsOf the 75,142 residents examined, 70% (N=52,142) were women and 53.4% (N=40,137) were living with dementia. The average annual healthcare cost (all costs in $A) was $9233 (95% CI $9150-$9295) per resident, with hospitalisation accounting for 47.2% of the healthcare costs. Residents without dementia had higher healthcare costs ($11,097, 95% CI $10,995-$11,200) compared to those with dementia ($7561, 95% CI $7502-$7620). Residents living in for-profit LTCFs had higher adjusted average overall annual healthcare costs ($11,324, 95% CI $11,185-$11,463) compared to those living in not-for-profit ($11,017, 95% CI $10,895-$11,139) and government ($9731, 95% CI $9365-$10,099) facilities.ConclusionsThe healthcare costs incurred by residents of LTCFs varied by presence of dementia and facility ownership. The variation in costs may be associated with residents' care needs, care models and difference in quality of care across LTCFs. As hospitalisation is the biggest driver of the healthcare costs, strategies to reduce preventable hospitalisations may reduce downstream cost burden to the health system.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237060","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

Isn't it time for health professionals to shift their focus from preaching politics to promoting peace? 现在不正是卫生专业人员将工作重点从宣扬政治转向促进和平的时候吗？

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-01 DOI: 10.1071/AH24119

Naomi T Katz, Merav L Katz, Nikki R Adler, Jack Green

引用次数: 0

The impact of self-assessment and surveyor assessment on site visit performance under the National General Practice Accreditation scheme. 自我评估和调查员评估对国家全科医生认证计划实地考察表现的影响。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-01 DOI: 10.1071/AH23235

David T McNaughton, Paul Mara, Michael P Jones

{"title":"The impact of self-assessment and surveyor assessment on site visit performance under the National General Practice Accreditation scheme.","authors":"David T McNaughton, Paul Mara, Michael P Jones","doi":"10.1071/AH23235","DOIUrl":"10.1071/AH23235","url":null,"abstract":"Objective There is a need to undertake more proactive and in-depth analyses of general practice accreditation processes. Two areas that have been highlighted as areas of potential inconsistency are the self-assessment and surveyor assessment of indicators. Methods The data encompass 757 accreditation visits made between December 2020 and July 2022. A mixed-effect multilevel logistic regression model determined the association between attempt of the self-assessment and indicator conformity from the surveyor assessment. Furthermore, we present a contrast of the rate of indicator conformity between surveyors as an approximation of the inter-assessor consistency from the site visit. Results Two hundred and seventy-seven (37%) practices did not attempt or accurately report conformity to any indicators at the self-assessment. Association between attempting the self-assessment and the rate of indicator non-conformity at the site visit failed to reach statistical significance (OR = 0.90 [95% CI = 1.14-0.72], P = 0.28). A small number of surveyors (N = 9/34) demonstrated statistically significant differences in the rate of indicator conformity compared to the mean of all surveyors. Conclusions Attempt of the self-assessment did not predict indicator conformity at the site visit overall. Appropriate levels of consistency of indicator assessment between surveyors at the site visit were identified.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":"222-227"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139901011","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: Taking a value based commissioning approach to non-clinical and clinical support services. 更正：对非临床和临床支持服务采取基于价值的委托方法。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-01 DOI: 10.1071/AH23278_CO

Trinette Kinsman, Samantha Reid, Hayley Arnott

引用次数: 0

Highlighting efficiency and redundancy in the Royal Australian College of General Practice standards for accreditation. 强调澳大利亚皇家全科医学院认证标准中的效率和冗余。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-01 DOI: 10.1071/AH24043

David McNaughton, Paul Mara, Michael Jones

{"title":"Highlighting efficiency and redundancy in the Royal Australian College of General Practice standards for accreditation.","authors":"David McNaughton, Paul Mara, Michael Jones","doi":"10.1071/AH24043","DOIUrl":"10.1071/AH24043","url":null,"abstract":"Objectives Accreditation to standards developed by the Royal Australian College of General Practice provides assurance to the community of the quality and safety of general practices in Australia. The objective of this study was to conduct an empirical evaluation of the 5th edition standards. Minimal empirically driven evaluation of the standards has been conducted since their publication in 2020. Methods Data encompass consecutive Australian general practice accreditation assessments between December 2020 and July 2022 recorded from a single accrediting agency. Met and not met compliance (binary) scores for 124 indicators evaluated at the site visit were recorded. A subset of indicators derived from a selection of existing and consistently non-conformant indicators within each criterion was generated. Concordance between the indicator subset and the criterion was assessed to determine the predictive ability of the indicator subset in distinguishing practices who are conformant to the entire criterion. Results A total of 757 general practices were included in the analysis. On average, 113.69 (s.d. = 8.16) of 124 indicators were evaluated as conformant at the site visit. In total, 52 (42%) indicators were required to obtain a true positive conformity rate above 95% for all criterions of the standards. For criterion 1 (General Practice 1) conformity to the entire criterion (nine indicators; >95% true positive rate) could be obtained by including 2/9 indicators (C1-1a and C1-2a). Conclusion Our results identified that indicator non-conformity was driven by a small proportion of indicators and identifying a subset of these consistently non-conformant indicators predicted a true positive rate above 95% at the criterion level.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":"228-234"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178212","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 pilot model of care to achieve next-day discharge in patients undergoing hip and knee arthroplasty in an Australian public hospital setting. 在澳大利亚一家公立医院，为接受髋关节和膝关节置换术的患者提供了一种实现次日出院的试点护理模式。

Australian health review : a publication of the Australian Hospital Association Pub Date : 2024-06-01 DOI: 10.1071/AH24011

Marisa Delahunt, Rebekah McGaw, Andrew Hardidge

{"title":"A pilot model of care to achieve next-day discharge in patients undergoing hip and knee arthroplasty in an Australian public hospital setting.","authors":"Marisa Delahunt, Rebekah McGaw, Andrew Hardidge","doi":"10.1071/AH24011","DOIUrl":"10.1071/AH24011","url":null,"abstract":"Objectives Internationally, hip or knee arthroplasty (TJA) with a 1-day hospital length of stay (LOS) is common and demonstrates improved patient and health service outcomes. This study aimed to develop and pilot an enhanced recovery program (ERP) for patients undergoing TJA to achieve a next-day discharge in an Australian public hospital setting. Methods A project lead and six perioperative clinical craft group leads developed an ERP protocol based on enhanced recovery after surgery (ERAS) principles. Strict patient eligibility criteria were developed. Quality improvement methodology was used to implement the ERP. A patient navigator was put in place as a single contact point for patients. Results A total of 825 patients were screened for the ERP and 47 patients completed the protocol. The mean ± standard deviation (s.d.) of the LOS was 34.7 (± 7.2) h with 41 patients (87%) achieving next-day discharge, the remaining six (13%) discharged on Day 2. Compliance with ERAS was high (96%) with mobilisation within 12 h occurring on 87% of occasions. There were no adverse events. Patient experience was positive. Conclusion Next-day discharge was achieved with a selected cohort of patients with no adverse events and positive patient experience, using a multidisciplinary approach and an improvement framework. Broadening inclusion criteria will make ERP available to more patients.","PeriodicalId":93891,"journal":{"name":"Australian health review : a publication of the Australian Hospital Association","volume":" ","pages":"312-320"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913509","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