Academic literature on the topic 'Australian public services'

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Journal articles on the topic "Australian public services"

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Baxter, Ken. "The Future of Australian Public Services." Australian Journal of Public Administration 55, no. 3 (September 1996): 3–6. http://dx.doi.org/10.1111/j.1467-8500.1996.tb01217.x.

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Duckett, S. J. "Australian hospital services: An overview." Australian Health Review 25, no. 1 (2002): 2. http://dx.doi.org/10.1071/ah020002a.

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Hospital services in Australia are provided by public hospitals (about 75% of hospitals, two-thirds of separations) and private hospitals (the balance). Australians use about one bed day per person per year, with an admission rate of about300 admissions per thousand population per annum. Provision rates for public hospitals have declined significantly (by 40%) over the last 20 years but separation rates have increased. Average length of stay for overnight patients has been stable but, because the proportion of same day patients has increased dramatically, overall length of stay has declined from around seven days in the mid 1980s to around four days in the late 1990s. Overall, the Commonwealth and state governments each meet about half the costs of public hospital care, private health insurance meets about two-thirds of the costs of private hospitals.
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Webster, Elizabeth, and Glenys Harding. "Outsourcing Public Employment Services: The Australian Experience." Australian Economic Review 34, no. 2 (June 2001): 231–42. http://dx.doi.org/10.1111/1467-8462.00193.

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Whiteford, Harvey, Bronwyn Macleod, and Elizabeth Leitch. "The National Mental Health Policy: Implications for Public Psychiatric Services in Australia." Australian & New Zealand Journal of Psychiatry 27, no. 2 (June 1993): 186–91. http://dx.doi.org/10.1080/00048679309075767.

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The Health Ministers of all Australian States, Territories and the Commonwealth endorsed National Mental Health Policy in April 1992 [1]. This Policy is intended to set clear direction for the future development of mental health services within Australia. The Policy recognises the high prevalence of mental health problems and mental disorders in the Australian community and the impact of these on consumers, carers, families and society as whole. It also clearly accepts the need to address the problems confronting the promotion of mental health and the provision of mental health services.
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Lambert, Alex, Scott McQuire, and Nikos Papastergiardis. "Public Wi-Fi." Journal of Telecommunications and the Digital Economy 2, no. 3 (May 26, 2020): 17. http://dx.doi.org/10.18080/jtde.v2n3.289.

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Public Wi-Fi services are rolling out across Australia, with city councils and telcos building large-scale networks in urban areas. Questions as to the value of public Wi-Fi have never been more significant in the Australian context. In this article we explore how free Wi-Fi services offered by cultural institutions and municipalities influence public spaces, and ask how such services can engender practices which promote the social good. Drawing on ethnographic research into six Wi-Fi equipped spaces in Victoria, we find a variety of issues which influence whether a service will be popular and hence have a significant influence on public space. Services which are popular enable a range of uses, and this can add to the appeal and atmosphere of a space. However, Wi-Fi has yet to truly facilitate the kind of social interactions and rich civic placemaking we associate with the social good.
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Moorhead, Simon. "Revisiting the Universal Service Obligation Scheme." Journal of Telecommunications and the Digital Economy 9, no. 3 (September 29, 2021): 194–215. http://dx.doi.org/10.18080/jtde.v9n3.451.

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In this Journal’s tradition of revisiting past papers which have relevance to today’s events, this article reminds us of the value of the paper “Better telecommunications services for all Australians.” (2015) by Reg Coutts. This paper makes five interrelated recommendations to replace the current Universal Service Obligation (USO) policy in Australia, given the NBN rollout and customer preference for mobile services anywhere anytime. Some of its recommendations were arguably taken up by the Productivity Commission’s Public Inquiry into the USO in 2016-17, and implemented by the Australian Government in the form of a new Universal Service Guarantee.
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Mitchell, Andrew D., and Theodore Samlidis. "Cloud services and government digital sovereignty in Australia and beyond." International Journal of Law and Information Technology 29, no. 4 (December 1, 2021): 364–94. http://dx.doi.org/10.1093/ijlit/eaac003.

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Abstract The Australian government has expressed concerns about various ‘data challenges’ confronting the public sector. Similar concerns are reverberating throughout the globe. Other governments continue to voice and act upon their own apprehensions about the threats posed to public and private society by attenuations to their nations’ ‘digital sovereignty’. This article critically examines the Australian government’s potential justifications, particularly under international trade law, for introducing digital sovereignty policies explicitly targeted at protecting government cyber systems and government data. We explore the risks and vulnerabilities of hosting government data offshore or with foreign cloud providers onshore. We find that Australia has sufficient latitude under its existing trade commitments, and within its current procurement framework, to introduce legitimate and proportionate digital sovereignty measures for the public sector.
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Thompson, Walter R., Garry D. Phillips, and Michael J. Cousins. "Anaesthesia underpins acute patient care in hospitals." Australian Health Review 31, no. 5 (2007): 116. http://dx.doi.org/10.1071/ah07s116.

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The Australian and New Zealand College of Anaesthetists (ANZCA) carried out a review of the roles of anaesthetists in providing acute care services in both public and private hospitals in Europe, North America and South-East Asia. As a result, ANZCA revised its education and training program and its processes relating to overseastrained specialists. The new training program, introduced in 2004, formed the basis for submissions to the Australian Medical Council, and the Australian Competition and Consumer Commission/ Australian Health Workforce Officials? Committee review of medical colleges. A revised continuing professional development program will be in place in 2007. Anaesthetists in Australia and New Zealand play a pivotal role in providing services in both public and private hospitals, as well as supporting intensive care medicine, pain medicine and hyperbaric medicine. Anaesthesia allows surgery, obstetrics, procedural medicine and interventional medical imaging to function optimally, by ensuring that the patient journey is safe and has high quality care. Specialist anaesthetists in Australia now exceed Australian Medical Workforce Advisory Committee recommendations
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Given, Jock. "A 50/50 Proposition: Public-Private Partnerships in Australian Communications." Media International Australia 129, no. 1 (November 2008): 104–15. http://dx.doi.org/10.1177/1329878x0812900111.

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The Australian government's proposed public–private broadband partnership is the latest dramatisation of the constantly shifting roles of the private and public sectors in communications. Over the last century and a half, the sector has been a steady source of new institutional models around the world. This article examines the experience of Australia's main wireless company, AWA, as a private–public partnership for nearly 30 years. Reconstructed as a joint enterprise in 1922 to establish direct wireless telegraph services between Australia and Britain and North America, AWA remained co-owned by the Commonwealth and private shareholders until 1951. Several features of this experience seem relevant to the proposed national broadband partnership: the level of political support for the structure; the implications of changes in the use of wireless technology over the life of the investment; the management of market power; financial performance; and the duration of the arrangement.
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Colley, Linda, and Robin Price. "Future Public Service Capacity: Employment of Young People into Australian Public Services during the GFC." Australian Journal of Public Administration 74, no. 3 (January 24, 2015): 324–35. http://dx.doi.org/10.1111/1467-8500.12123.

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Dissertations / Theses on the topic "Australian public services"

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Allan, Geoffrey, and n/a. "A Different Agenda: The Changing Meaning of Public Service Efficiency and Responsiveness in Australia's Public Services." Griffith University. Griffith Business School, 2005. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20060914.104311.

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This thesis examines the changing nature of efficiency and tesponsiveness of Australian public services over the past century It will examine how over the past 100 years efficiency has been improved and assessed. It will also examine how, since the 1970s, efficiency has become synonymous with responsiveness. The main argument of this thesis is that the nature of efficiency and responsiveness has changed over the past century.. Reforms introduced fiom the 1970s where the rationale at the time was improved efficiency, were essentially designed to make the public service more accountable and thereby responsive to the political executive. The study will examine: 1. the measures governments employed to improve efficiency and assess their effectiveness; 2. how responsiveness became the corollary of efficiency; 3. the resultant changes assessment of government perfbrmance; and 4. the effect these changes had on the Westminster system in Australia. The thesis is in three parts. Part one deals with the nature of public service efficiency and responsiveness. It examines the literature surrounding the nature of the terms and provides a definition of each. Part two details and analyses how public service efficiency was measured and improved from the end of the nineteenth century to the beginning of the 1970s. It will detail the rise and decline in public service boards and commissions and how they were used to initially limit patronage and then to act as monitoring agencies to ensure that public service input costs were as small as they could be 1i will also detail how other factors, such as the training and education of staff and computerisation had an increasing role in improving efficiency. The third part deals with the changes that have occurred since the 1970s. This will examine how responsiveness emerged as an issue and how it became an essential companion to efficiency when promoting bureaucratic change.. It will examine how the nomenclature of efficiency has been applied when the political executive seeks to ensure greater responsiveness from the public service. This third part will examine the main apparatus that were employed by the political executive to improve efficiency and responsiveness: progr am budgeting, corporate planthng, efficiency audits and contracts with senior staff. Finally, I will demonstrate the inability or unwillingness of many ministers and governments to detail policy objectives and their reluctance to evaluate the effectiveness of spending. This was accompanied by a greater reliance on senior employment contracts as the main lever to improve efficiency and responsiveness of the service.
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Allan, Geoffrey. "A Different Agenda: The Changing Meaning of Public Service Efficiency and Responsiveness in Australia's Public Services." Thesis, Griffith University, 2005. http://hdl.handle.net/10072/367174.

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This thesis examines the changing nature of efficiency and tesponsiveness of Australian public services over the past century It will examine how over the past 100 years efficiency has been improved and assessed. It will also examine how, since the 1970s, efficiency has become synonymous with responsiveness. The main argument of this thesis is that the nature of efficiency and responsiveness has changed over the past century.. Reforms introduced fiom the 1970s where the rationale at the time was improved efficiency, were essentially designed to make the public service more accountable and thereby responsive to the political executive. The study will examine: 1. the measures governments employed to improve efficiency and assess their effectiveness; 2. how responsiveness became the corollary of efficiency; 3. the resultant changes assessment of government perfbrmance; and 4. the effect these changes had on the Westminster system in Australia. The thesis is in three parts. Part one deals with the nature of public service efficiency and responsiveness. It examines the literature surrounding the nature of the terms and provides a definition of each. Part two details and analyses how public service efficiency was measured and improved from the end of the nineteenth century to the beginning of the 1970s. It will detail the rise and decline in public service boards and commissions and how they were used to initially limit patronage and then to act as monitoring agencies to ensure that public service input costs were as small as they could be 1i will also detail how other factors, such as the training and education of staff and computerisation had an increasing role in improving efficiency. The third part deals with the changes that have occurred since the 1970s. This will examine how responsiveness emerged as an issue and how it became an essential companion to efficiency when promoting bureaucratic change.. It will examine how the nomenclature of efficiency has been applied when the political executive seeks to ensure greater responsiveness from the public service. This third part will examine the main apparatus that were employed by the political executive to improve efficiency and responsiveness: progr am budgeting, corporate planthng, efficiency audits and contracts with senior staff. Finally, I will demonstrate the inability or unwillingness of many ministers and governments to detail policy objectives and their reluctance to evaluate the effectiveness of spending. This was accompanied by a greater reliance on senior employment contracts as the main lever to improve efficiency and responsiveness of the service.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
Griffith Business School
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Parker, Lukas Jay, and lukasparker@gmail com. "Trust and the Australian retail banking industry : the impact of deinstitutionalisation of Australian retail banking services on consumer trust." Swinburne University of Technology, 2005. http://adt.lib.swin.edu.au./public/adt-VSWT20051117.105403.

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Consumer trust research has principally developed from established psychological-based research. This conception of consumer trust largely draws from research pertaining to interpersonal trust. This study combined existing theories from both sociological and psychological research in developing a consumer trust model specifically for banks. Partly because of their historical position in society and also because of their government-protected position, banks, bank branches and bank managers have traditionally held a respected, and trusted position in Australian communities. Because of this reputation and position in communities, banks were seen to display institutional attributes. These attributes were defined in this study as local community focus, local availability and visibility, relationship power symmetry and social obligation fulfilment. This study explored the notion of institution-based trust in an Australian retail banking context. Institution-based trust was a measure of the levels of consumer trust in various defined institutional attributes. It was contended that through the diminishment and divestment of its institutional attributes banks were impairing their institutional cachet. The process was termed 'deinstitutionalisation' and was postulated to have a negative impact on consumer trust. The hypothetico-deductive methodological framework was employed throughout the study, with a mail-based consumer survey used as the main means of primary data collection. 468 useable questionnaires from adult bank customers were yielded and the data analysed. These data were analysed and used to test twenty-three research hypotheses of which nineteen were supported. From the results, it was concluded that perceived local community focus, perceived social obligation fulfilment and perceived relationship power symmetry were antecedents to consumer trust in banks. Also, reasonable availability of conventional bank branch services was found to be an important component of perceived community focus of their banks, thus having an indirect relationship to institution-based consumer trust in banks. Community Banks were found to be exhibiting and promoting many of these institutional attributes. Consumers were found to be less likely to need bank branches for transactional or functional purposes, but branches were seen to be symbolically important. Also, consumers were found to be more likely to identify with intangible elements of their bank, principally bank brand, than with tangible attributes such as the bank branch. Importantly, consumers were found to be trusting of their banks, however they were more likely to believe that banks were less trustworthy now than they were in the past.
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King, Susan Therese, and sue king@unisa edu au. "The Changing of the Guard: conceptualisations of prison officers' work in three South Australian prisons." Flinders University. Flinders Institute of Public Policy and Management, 2007. http://catalogue.flinders.edu.au./local/adt/public/adt-SFU20070313.175216.

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The prison officer is central to prison life, yet understandings of this role are limited. This thesis argues that the two overarching (and often competitive)conceptualisations of prison officers' work as custodial work or human services work are limited. Eight conceptualisations of prison officers' work from the correctional literature are identified - Para-military officer, Security Officer, Warehouser of prisoners, Public Servant /bureaucrat, Professional, Manager of Prisoners , Therapist and Case Manager. These conceptualisations are defined and related to one another by examining their construction through discourses of prison purpose and prison process (Adler and Longhurst 1994). The thesis develops the analysis of du Gay (1996) that organisations use discourse as a means of constructing work identities for their employees and the work of Halford and Leonard (1999) who argue that workers are active agents in this process and do not always take on the identity the organisation is seeking to promote. The thesis addresses three research questions How has the role of the prison officer been conceptualised by the South Australian Department for Correctional Services over time? How is the role of the prison officer currently conceptualised by personnel working within South Australian prisons, what influences the way the role is conceptualised and what purposes do these conceptualisations serve? To what extent have the new conceptualisations of the role of the prison officer, articulated by the Department for Correctional Services in the last ten years, been adopted by staff within prisons and what determines the influence of these new conceptualisations? These questions are addressed using qualitative research techniques of document analysis and semi-structured interviews. The thesis identifies that in recent decades the Department has emphasised conceptualisations of the role constructed from normalisation and rehabilitative discourses. Interviewees, forty-four working in three South Australian prisons, (both departmental and privately managed), conceptualised the work of a prison officer as complex and unique and identified three influential audiences for the performance of prison officers' work – prisoners, officers and their colleagues, and the Departmental hierarchy. Interviewees constructed the role of the prison officer in terms that would earn respect for the work from each of these audiences and manage the vulnerability of the officer as a worker and a prison officer. Half of those interviewed conceptualised the prison officer based on a Manager of Prisoners. Other interviewees, critical of the role within their prison, described it as a Warehouser and saw the competition between custodial and human services roles as irreconcilable. The thesis argues that Departmental discourse can be seen to have a significant influence on the conceptualisation of the prison officer’s role by those working within prisons, but that it competes for influence with the discourse of the other powerful audiences for the performance of prison officers' work – prisoners and other staff.
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Murphy, Patricia, and n/a. "An Examination of the Influence the Broader Insurance-Based Rehabilitation Context has on the Experience of Work Stress Among Rehabilitation Professionals." Griffith University. School of Human Services, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040629.160954.

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The phenomenon of work stress is ubiquitous and has been the source of considerable attention over the past few decades. Work stress is a common problem in human services, particularly in the area of rehabilitation. The prevalence of this problem for rehabilitation has, however, been fuelled over the last two decades by the rapid growth of the insurance-based rehabilitation sector in Australia. The expansion of this sector has created a major market for rehabilitation practitioners. Using a qualitative research paradigm, the current study examined the insurance-based rehabilitation context in Australia. Specifically, this study explored the influence of this context on the experience of work stress for rehabilitation professionals. Although attempts to account for work stress usually focus on the qualities of the individual and organizational factors, the current study has responded to the call in occupational stress literature to examine this phenomenon at a broader, contextual level. Twenty-five rehabilitation professionals were asked to provide visual representations to illustrate their experience of the insurance-based rehabilitation work context. Interviews were conducted with each participant to elicit a more in-depth understanding of this experience. The findings revealed that the insurance-context appears to be characterized by inconsistency, chaos, confusion, and a strong focus on profit and cost effectiveness as depicted by the themes Maelstrom, Co-dependent Liaisons, Implosion of Responsibility, Legislative Pluralism, External Trumping and Greed. The deleterious influence of this context on rehabilitation professionals manifested in several ways as represented by the themes Impotence, Cynicism, Going Through the Motions, and Betrayal. A metaphor of a virus was used to provide a context for understanding how rehabilitation professionals were infected by the stressors inherent in the unhealthy contextual environment of the insurance sector. The results of this study have important implications for informing future policy, practice and research within the rehabilitation industry. Clearly, the health of the insurance sector needs to improve to ensure the well-being of rehabilitation professionals such as those who participated in this study. Improved health of this sector must include a greater respect for the profession of rehabilitation. Also crucial to the improved health of the sector is consistency in legislation and procedures that underpin rehabilitation. In addition, rehabilitation professionals must accept responsibility for enhancing their core competencies if they are to inoculate themselves against the harmful influence of the broader insurance context. Strategies to inoculate rehabilitation professionals against the infiltration of these contextual stressors must include an understanding of business administration and policy. Finally, the findings suggest that unless the health of the sector and the rehabilitation professionals improve, poor rehabilitation outcomes are likely to continue to plague the insurance industry and the experience of work stress and turnover among rehabilitation professionals will remain unacceptably high.
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Dockery, Michael. "The Evaluation of Australian Labour Market Assistance Policy." Curtin University of Technology, School of Economics and Finance, 2002. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=13384.

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This thesis is comprised of a series of published papers relating to the evaluation of active assistance measures for the unemployed in Australia. It offers both applied evaluations of active assistance measures as well as critical assessment of the evaluation approaches that have dominated the literature and policy formation in Australia. "Active" assistance for the unemployed is distinguished from "passive" assistance, such as income support.The motivation behind the work lies in the fact that a very large amount of public expenditure is directed to active assistance for the unemployed. Over $2 billion dollars was spent on labour market programs at the height of the Working Nation package in each of 1995-96 and 1996-97, and $1.5 billion was allocated to "labour market assistance to jobseekers and industry" in the most recent (2001-02) Commonwealth budget. Despite this considerable past and ongoing expenditure, the evaluation effort in Australia has been far short of international best practice. As a consequence, there is no convincing empirical evidence as to how effectively these public resources are being used, or of the relative merits of various options in the design of active interventions for the unemployed.Ultimately, the goal of the research is to improve supply-side policies designed to address unemployment. As stated, it aims to do this through original empirical evaluations of programs and through critical assessment of existing evaluations and institutional arrangements.
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Dockery, Alfred Michael. "The Evaluation of Australian Labour Market Assistance Policy." Thesis, Curtin University, 2002. http://hdl.handle.net/20.500.11937/872.

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This thesis is comprised of a series of published papers relating to the evaluation of active assistance measures for the unemployed in Australia. It offers both applied evaluations of active assistance measures as well as critical assessment of the evaluation approaches that have dominated the literature and policy formation in Australia. "Active" assistance for the unemployed is distinguished from "passive" assistance, such as income support.The motivation behind the work lies in the fact that a very large amount of public expenditure is directed to active assistance for the unemployed. Over $2 billion dollars was spent on labour market programs at the height of the Working Nation package in each of 1995-96 and 1996-97, and $1.5 billion was allocated to "labour market assistance to jobseekers and industry" in the most recent (2001-02) Commonwealth budget. Despite this considerable past and ongoing expenditure, the evaluation effort in Australia has been far short of international best practice. As a consequence, there is no convincing empirical evidence as to how effectively these public resources are being used, or of the relative merits of various options in the design of active interventions for the unemployed.Ultimately, the goal of the research is to improve supply-side policies designed to address unemployment. As stated, it aims to do this through original empirical evaluations of programs and through critical assessment of existing evaluations and institutional arrangements.
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Brown, Robert Maxwell. "Drivers of student satisfaction and student loyalty in an Australian university setting." Connect to this title, 2006. http://theses.library.uwa.edu.au/adt-WU2007.0060/public/02whole.pdf.

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Thesis (Ph. D.)--Graduate School of Management, University of Western Australia.
Title taken from title screen (viewed October 5, 2007). Includes bibliographical references (p. 355-383) and appendices.
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Crosland, Gerri, and n/a. "Social welfare professionals as managers : a feminist perspective." University of Canberra. Management, 1992. http://erl.canberra.edu.au./public/adt-AUC20060703.122518.

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The dissertation presents the argument that the formal training of a professional social worker is relevant but not equivalent to the training needs of a professional manager in the social work field. Social work professionals as managers do not, without management training, have the same credibility and/or skills as professional managers of social work. Within the general topic of welfare, research is first directed to the Australian welfare experience in its historic sense. Selecting relevant philosophical and ideological frameworks the writer a) critically explores traditional and contemporary theories, with special reference being made to bureaucracy, organization, and management; b) investigates theories and practices of social workers and social work managers to ascertain their relevance to contemporary Australian society, using the A.C.T. Family Services Branch as an example of a social welfare agency. This assists in explaining the context, functions and obligations of a welfare agency, as it responds to the needs of the community and of the staff it employs.
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Roantree, Anne Elizabeth, and n/a. "Policy changes, the impact on preschool staff and a way forward in the provision of early childhood services : a case study in the ACT." University of Canberra. Teacher Education, 1998. http://erl.canberra.edu.au./public/adt-AUC20061107.141351.

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In recent years Australia has seen a national change in policy focus for the provision of early childhood services. The change has been from delivery of a discrete education model of sessional preschool to a diverse range of services to families. This policy focus is reflected in the Australian Capital Territory (ACT). There has been a move from a discrete preschool provision by the Department of Education and Training to a more cohesive early childhood approach by Children's Services Branch within the expanded Department of Education and Training and Children's, Youth and Family Services Bureau. The purpose of the study is to investigate reasons for, and nature of, the shift in policy focus and the impact on preschool staff in the ACT. The review of literature reveals that implementation of a more cohesive provision of early childhood services in Australia has not been without difficulties. These difficulties are investigated. The research is undertaken at an ACT Government preschool site. At this site the sessional government preschool and a community long day care centre are located in a purpose built shared facility. The research traces the values and practices of preschool staff in the sessional government preschool as they work in the shared facility in the first year of operation. Action research is employed in the form of a single case study, and guided by principles of Problem Based Methodology to clarify the issues involved and develop strategies to address a positive way forward in the ACT. The reflective, qualitative research provides the government preschool staff and the researcher with opportunities to develop and implement strategies to address difficulties. These difficulties are discussed in the context of the review of literature. Drawing on conclusions and recommendations from the case study, the investigation provides management insight into a way forward for more cohesive provision of early childhood services in the ACT.
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Books on the topic "Australian public services"

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Wiles, David. Human services: Australian explorations. Perth, W.A: Faculty of Health and Human Sciences, Centre for the Development of Human Resources, Edith Cowan University, 1993.

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Ommeren, Marijke van. Inventory of Australian health data collections. Canberra: Australian Govt. Pub. Service, 1991.

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Bligh, Grant, and Kortt Michael A, eds. Councils in cooperation: Shared services and Australian local government. Annandale, N.S.W: Federation Press, 2012.

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1956-, Short Stephanie D., ed. Health care & public policy: An Australian analysis. South Melbourne: Macmillan Company of Australia, 1989.

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Palmer, George R. Health care & public policy: An Australian analysis. 2nd ed. South Melbourne: Macmillan Education Australia, 1994.

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Willis, Eileen. Understanding the Australian health care system. 2nd ed. Chatswood, N.S.W: Churchill Livingstone, 2012.

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The Australian welfare state: Origins, control, choices. 3rd ed. Sydney: Allen & Unwin, 1990.

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A, Jones M. The Australian welfare state: Evaluating social policy. 4th ed. St. Leonards, NSW, Australia: Allen & Unwin, 1996.

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Western Australia. Office of the Auditor General. Righting the wrongs: Complaints management in the Western Australian Public Sector. West Perth, W.A: Auditor General, 2001.

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Baum, Frances. The new public health: An Australian perspective. Melbourne: Oxford University Press, 1998.

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Book chapters on the topic "Australian public services"

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Armstrong, Anona. "Governance of Public Service Companies: Australian Cases and Examples." In Organizational Innovation in Public Services, 151–69. London: Palgrave Macmillan UK, 2013. http://dx.doi.org/10.1057/9781137011848_9.

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Mays, Jennifer. "Reconfiguring Social Security Arrangements and Strengthening Public Services." In Basic Income, Disability Pensions and the Australian Political Economy, 103–32. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-32349-3_4.

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McAllister, Ian, Malcolm Mackerras, and Carolyn Brown Boldiston. "The public service." In Australian Political facts, 436–59. London: Macmillan Education UK, 1997. http://dx.doi.org/10.1007/978-1-349-15196-7_10.

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Jaensch, Dean. "The Public Service." In The Politics of Australia, 168–92. London: Macmillan Education UK, 1992. http://dx.doi.org/10.1007/978-1-349-15148-6_7.

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Davis, Glyn. "A Contract State? New Public Management in Australia." In New Public Service, 177–97. Wiesbaden: Gabler Verlag, 2003. http://dx.doi.org/10.1007/978-3-663-10900-6_9.

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Hawkins, Gay. "Public Service Media in Australia: Governing Diversity." In Reinventing Public Service Communication, 287–97. London: Palgrave Macmillan UK, 2010. http://dx.doi.org/10.1057/9780230277113_23.

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Lansbury, Russell D., and Duncan K. Macdonald. "Employment Relations in the Australian Public Sector." In Strategic Choices in Reforming Public Service Employment, 216–42. London: Palgrave Macmillan UK, 2001. http://dx.doi.org/10.1057/9781403920171_9.

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Emel Ganapati, N., and Meredith A. Newman. "Australia." In The Palgrave Handbook of Global Perspectives on Emotional Labor in Public Service, 197–230. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-24823-9_9.

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Korac-Kakabadse, Nada, Andrew Korac-Kakabadse, and Alexander Kouzmin. "Towards Electronic Service Delivery: Canadian, Australian and United Kingdom Government Initiatives." In Public Sector Reform, 167–84. London: Palgrave Macmillan UK, 2001. http://dx.doi.org/10.1057/9781403900982_11.

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Davis, M. E., and M. J. Miller. "The Australian Five Year Space Plan — Public Good, Commercial Benefits or Internationalization?" In Space of Service to Humanity, 71–78. Dordrecht: Springer Netherlands, 1997. http://dx.doi.org/10.1007/978-94-011-5692-9_8.

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Conference papers on the topic "Australian public services"

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Sage, Jack, and Michael Sankey. "Managing career transitions into post-secondary Learning Designer Jobs: An Australasian perspective." In ASCILITE 2021: Back to the Future – ASCILITE ‘21. University of New England, Armidale, 2021. http://dx.doi.org/10.14742/ascilite2021.0103.

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This semi-structured qualitative study maps out the diversity of career paths of Australian and New Zealand (ANZ) learning designers (LDs) and summarises their career advice for those aspiring to be LDs. It identifies that, among the 92 participants, there were many different pathways into the profession both from an academic and from professional backgrounds. It identified that the most common entry points into the postsecondary LD profession come through previously working: as a primary and secondary teacher; in higher education student services, as an English as a Second Language (ESL) professional, a sessional academic seeking job stability; in private industry, such as in film and television and in the area of training and development. Most career transitions into LD were serendipitous, or a natural progression rather than a deliberate and planned process. The study further identified a paucity of LD and associated professions career information in ANZ public domain, which held some back from entering a Learning Design career earlier. This paper concludes with some recommended strategies to address this, to the extent that it is hoped that this paper will aid aspiring LDs in planning their career transitions more effectively.
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Jovanović, Zoran. "Uticaj novog javnog menadžmeta na privatizaciju javnih službi." In XVI Majsko savetovanje. University of Kragujevac, Faculty of Law, 2020. http://dx.doi.org/10.46793/upk20.891j.

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Public services that satisfy the interest of the community in contemporary conditions are provided by administrative organizations, market entities or an administrative organization and a private entity together through various arrangements, all depending on the generally accepted conception of the role of the state in public administration. Some of the countries to be analyzed went much deeper into management than other countries because governments realized that they did not have to provide goods and services to citizens if they could not guarantee that services would be provided fairly, which contributed to the rapid and effective public service reform. The state (administration) becomes (remains) only the coordinator of public policies that ensures fairness in providing services to citizens, and ceases to be its undisputed immediate executor. In this paper, the author analyzes the impact of new public management on the privatization of public services in the United States and in Westminster countries (Canada, United Kingdom and Australia). Private provision of public services has long been a part of efficient and effective governance in these countries. In the midst of new public management reforms that have spread around the world since the 1980s and beyond, there is a growing interest in private governance and ownership of key public services at all levels of government. A key question for governments considering privatizing public services is whether private firms provide higher quality services than their public sector partners. Compared to the performance of private sector organizations, the quality of public service delivery is difficult to measure and monitor in today's context. For these reasons, it is sometimes thought that private firms may not have the necessary capabilities to deal with all elements of effective public service management.
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Campbell, Marilyn. "What is the Place of Innovative ICT Uses in School Counseling?" In InSITE 2004: Informing Science + IT Education Conference. Informing Science Institute, 2004. http://dx.doi.org/10.28945/2823.

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With our ever-changing society there seems to be more pressures on young people. Recent epidemiological studies in Australia have found that adolescent mental health is an important public health problem (Sawyer et al., 2001). As many as one in five Australian children aged from 4 to 17 have significant mental health concerns (Zubrick, Silburn, Burton, & Blair, 2000). However, only one in four young people receive professional help (Sawyer, et al., 2001). Schools in Australia provide school counselors to assist students, yet many young people do not avail themselves of this service. However, young people do seek help from telephone help-lines (in 2002 almost 1.1 million phone calls were made to Kids Help Line) and from the Internet (Kids Help Line, 2003a). Perhaps more anonymous forms of counseling, such as cybercounseling, could deliver a more effective service within a school setting. The difficulties and benefits of school based webcounseling are discussed in terms of therapeutic, ethical and legal issues, as well as technical problems and recent research outcomes.
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Billestrup, Jane, Nis Bornø, Anders Bruun, and Jan Stage. "Usability problems found across public self-service applications and self-service providers." In the 28th Australian Conference. New York, New York, USA: ACM Press, 2016. http://dx.doi.org/10.1145/3010915.3011839.

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Hawking, Paul, Andrew Stein, and Susan Foster. "e-HR and Employee Self Service: A Case Study of a Victorian Public Sector Organisation." In InSITE 2004: Informing Science + IT Education Conference. Informing Science Institute, 2004. http://dx.doi.org/10.28945/2757.

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The application of the internet to the Human Resource function (e-HR) combines two elements: one is the use of electronic media whilst the other is the active participation of employees in the process. These two elements drive the technology that helps organisations lower administration costs, improve employee communication and satisfaction, provide real time access to information while at the same time reducing processing time. This technology holds out the promise of challenging the past role of HR as one of payroll processing and manual administrative processes to one where cost efficiencies can be gained, enabling more time and energy to be devoted to strategic business issues. The relative quick gains with low associated risk have prompted many Australian companies to realise what can be achieved through the implementation of a business to employee (B2E) model. Employee Self Service (ESS), a solution based on the B2E model enables employees to access the corporate human resource information system 24x7. This paper adopts a case study approach with a view to investigating the benefits and associated issues obtained from an implementation of an ESS in an Australian public sector organisation.Keywords: Employee Self Service, e-Human Resources, B2E, HRMIS, ERP Systems, Australian Case Study
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Alam, Firoz, and Reza N. Jazar. "An Experimental Study of Acid Exposed Fibre Reinforced Plastic Gratings." In ASME 2011 International Mechanical Engineering Congress and Exposition. ASMEDC, 2011. http://dx.doi.org/10.1115/imece2011-64152.

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Fibre Reinforced Plastics (FRPs) generally have greater advantages over conventional materials for their structural properties. However, the service life can significantly be shortened if the fibre reinforced plastics are exposed to adverse environmental conditions especially acid vapour, humidity and high temperature. In many chemical industrial plants in Australia and elsewhere fibre reinforced plastic gratings are used as structural components of stairs and passages where they are subjected to varying degrees of fluosilicic acid, a byproduct of the industrial manufacturing process. As currently no experimental data on the effects of fluosilicic acid on FRPs is available in the public domain, it is difficult to predict the service life of FRPs with some certainty. In order to understand the structural strength of fluosilicic acid exposed FRPs, an experimental study was undertaken. A series of specimens from various locations of a chemical plan in Australia were acquired and studied. Some new specimens (not exposed to acid, humidity and high temperature) were also studied to provide a benchmark for the comparison. The results indicated that the long time exposure to harsh environment and acid vapour can significantly deteriorate the flexural strength and service life of FRPs.
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Kumar Debnath, Ashim, Tamara Banks, and Ross Blackman. "Beyond the Barriers: Road Construction Safety Issues From the Office and the Roadside." In Applied Human Factors and Ergonomics Conference. AHFE International, 2019. http://dx.doi.org/10.54941/ahfe100162.

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Conceptually, the management of safety at roadworks can be seen in a three level framework. At the regulatory level, roadworks operate at the interface between the work environment, governed by workplace health and safety regulations, and the road environment, which is subject to road traffic regulations and practices. At the organizational level, national, state and local governments plan and purchase road construction and maintenance which are then delivered in-house or tendered out to large construction companies who often subcontract multiple smaller companies to supply services and labor. At the operational level, roadworks are difficult to isolate from the general public, hindering effective occupational health and safety controls. This study, from the State of Queensland, Australia, examines how well this tripartite framework functions. It includes reviews of organizational policy and procedures documents; interviews with 24 subject matter experts from various road construction and maintenance organizations, and on-site interviews with 66 road construction personnel. The study identified several factors influencing the translation of safety policies into practice including the cost of safety measures in the context of competitive tendering, lack of firm evidence of the effectiveness of safety measures, and pressures to minimize disruption to the travelling public.
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Buultjens, Melissa, Priscilla Robinson, Gregory Murphy, and Jeannette Milgrom. "The Outcomes of an Exploration of Maternity Models of Care and Allied Health Service Delivery in the Public Sector across Victoria, Australia." In 2nd Annual Global Healthcare Conference (GHC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2251-3833_ghc13.13.

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Reports on the topic "Australian public services"

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Ryan, Mark David, Greg Hearn, Marion McCutcheon, Stuart Cunningham, and Katherine Kirkwood. Australian Cultural and Creative Activity: A Population and Hotspot Analysis: Albany and Denmark. Queensland University of Technology, September 2021. http://dx.doi.org/10.5204/rep.eprints.213126.

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Located a 45-minute drive apart from each other in WA’s Great Southern Region, Albany and Denmark attract creative practitioners who are drawn to the region’s natural beauty and country lifestyle. A regional services hub, Albany has a robust creative services presence with a legacy media sector that functions as a hub for public and commercial media organisations servicing Great Southern and the Wheatbelt. Denmark, while a much smaller town, is renowned nationally as an enclave for locally, nationally, and internationally acclaimed artists and creatives.
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Chou, Mark, Rachel Busbridge, and Serrin Rutledge-Prior. The changing role of local government in Australia : National survey findings. Research Centre for Social and Political Change, Australian Catholic University, February 2023. http://dx.doi.org/10.24268/acu.8yqz3.

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[Extract] The aim of this report is to analyse public perceptions on the changing role of local government in Australia. Exploring how the Australian public views and understands the expansion of local government activity, from the Three Rs to a more expansive if still limited tier of government, offers crucial insights about the sector’s current state and future direction. This report presents the findings from a new national survey of 1,350 respondents who were asked what they saw the role local government to be, what services the sector should deliver, and whether acting on controversial issues to do with national identity, refugee support, and climate change, for example, should be within local government’s remit.
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Cunningham, Stuart, Marion McCutcheon, Greg Hearn, Mark Ryan, and Christy Collis. Australian Cultural and Creative Activity: A Population and Hotspot Analysis: Sunshine Coast. Queensland University of Technology, December 2020. http://dx.doi.org/10.5204/rep.eprints.136822.

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The Sunshine Coast (unless otherwise specified, Sunshine Coast refers to the region which includes both Sunshine Coast and Noosa council areas) is a classic regional hotspot. In many respects, the Sunshine Coast has assets that make it the “Goldilocks” of Queensland hotspots: “the agility of the region and our collaborative nature is facilitated by the fact that we're not too big, not too small - 330,000 people” (Paddenburg, 2019); “We are in that perfect little bubble of just right of about everything” (Erbacher 2019). The Sunshine Coast has one of the fastest-growing economies in Australia. Its population is booming and its local governments are working together to establish world-class communications, transport and health infrastructure, while maintaining the integrity of the region’s much-lauded environment and lifestyle. As a result, the Sunshine Coast Council is regarded as a pioneer on smart city initiatives, while Noosa Shire Council has built a reputation for prioritising sustainable development. The region’s creative economy is growing at a faster rate that of the rest of the economy—in terms of job growth, earnings, incomes and business registrations. These gains, however, are not spread uniformly. Creative Services (that is, the advertising and marketing, architecture and design, and software and digital content sectors) are flourishing, while Cultural Production (music and performing arts, publishing and visual arts) is variable, with visual and performing arts growing while film, television and radio and publishing have low or no growth. The spirit of entrepreneurialism amongst many creatives in the Sunshine Coast was similar to what we witnessed in other hotspots: a spirit of not necessarily relying on institutions, seeking out alternative income sources, and leveraging networks. How public agencies can better harness that energy and entrepreneurialism could be a focus for ongoing strategy. There does seem to be a lower level of arts and culture funding going into the Sunshine Coast from governments than its population base and cultural and creative energy might suggest. Federal and state arts funding programs are under-delivering to the Sunshine Coast.
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Althaus, Catherine, and Carmel McGregor. Ensuring a world-class Australian Public Service: delivering local solutions. Australia and New Zealand School of Government, March 2019. http://dx.doi.org/10.54810/yybw7779.

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Toloo, Sam, Ruvini Hettiarachchi, David Lim, and Katie Wilson. Reducing Emergency Department demand through expanded primary healthcare practice: Full report of the research and findings. Queensland University of Technology, January 2022. http://dx.doi.org/10.5204/rep.eprints.227473.

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Demand for public hospital emergency departments’ services and care is increasing, placing considerable restraint on their performance and threatens patient safety. Many factors influence such demand including individual characteristics (e.g. perceptions, knowledge, values and norms), healthcare availability, affordability and accessibility, population aging, and internal health system factors (e.g patient flow, discharge process). To alleviate demand, many initiatives have been trialled or suggested, including early identification of at-risk patients, better management of chronic disease to reduce avoidable ED presentation, expanded capacity of front-line clinician to manage sub-acute and non-urgent care, improved hospital flow to reduce access block, and diversion to alternate site for care. However, none have had any major or sustained impact on the growth in ED demand. A major focus of the public discourse on ED demand has been the use and integration of primary healthcare and ED, based on the assumption that between 10%–25% of ED presentations are potentially avoidable if patients’ access to appropriate primary healthcare (PHC) services were enhanced. However, this requires not only improved access but also appropriateness in terms of the patients’ preference and PHC providers’ capacity to address the needs. What is not known at the moment is the extent of the potential for diversion of non-urgent ED patients to PHC and the cost-benefits of such policy and funding changes required, particularly in the Australian context. There is a need to better understand ED patients’ needs and capacity constraint so as to effect delivery of accessible, affordable, efficient and responsive services. Jennie Money Doug Morel
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Hearn, Greg, Marion McCutcheon, Mark Ryan, and Stuart Cunningham. Australian Cultural and Creative Activity: A Population and Hotspot Analysis: Geraldton. Queensland University of Technology, August 2020. http://dx.doi.org/10.5204/rep.eprints.203692.

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Grassroots arts connected to economy through start-up culture Geraldton is a regional centre in Western Australia, with 39,000 people and a stable, diverse economy that includes a working port, mining services, agriculture, and the rock-lobster fishing industry (see Appendix). Tourism, though small, is growing rapidly. The arts and culture ecosystem of Geraldton is notable for three characteristics: - a strong publicly-funded arts and cultural strategy, with clear rationales that integrate social, cultural, and economic objectives - a longstanding, extensive ecosystem of pro-am and volunteer arts and cultural workers - strong local understanding of arts entrepreneurship, innovative business models for artists, and integrated connection with other small businesses and incubators
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Rankin, Nicole, Deborah McGregor, Candice Donnelly, Bethany Van Dort, Richard De Abreu Lourenco, Anne Cust, and Emily Stone. Lung cancer screening using low-dose computed tomography for high risk populations: Investigating effectiveness and screening program implementation considerations: An Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW. The Sax Institute, October 2019. http://dx.doi.org/10.57022/clzt5093.

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Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.
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