Journal articles on the topic 'Australian public services'
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1
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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Rezaei, Omid, Hossein Adibi, and Vicki Banham. "Integration Experiences of Former Afghan Refugees in Australia: What Challenges Still Remain after Becoming Citizens?" International Journal of Environmental Research and Public Health 18, no. 19 (October 8, 2021): 10559. http://dx.doi.org/10.3390/ijerph181910559.
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This paper explores, analyses, and documents the experiences of Afghan-Australians who arrived in Australia as refugees and were granted citizenship after living in Australia for several years. This research adopted a mixed method of qualitative and quantitative approaches and surveyed 102 people, interviewed 13 participants, and conducted two focus-groups within its research design. Analysis of data indicates that former Afghan refugees gradually settled down and integrated within Australian society. They value safety and security, open democracy and orderly society of Australia, as well as accessing to education and healthcare services and opportunity for social mobility. However, since the integration is a long process, they are also facing some challenges in this area. Findings of this study show that Afghan-Australians require more support from Australian governments to overcome some of these challenges particularly securing employment within their area of interests and professional occupations that they have qualifications and experiences from Afghanistan. They are also experiencing broader challenges in the area of socio-cultural issues within Australian society. Since the Afghan community is an emerging community in Western Australia, they require more support from local government to enhance their ethnic cohesion and solidarity.
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Mahoney, P. D. "Private Settlement - Public Justice?" Victoria University of Wellington Law Review 31, no. 1 (April 3, 2000): 225. http://dx.doi.org/10.26686/vuwlr.v31i1.5966.
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In this paper, the Principal Family Court Judge discusses the pros and cons of "court-annexed" mediation services. He notes some powerful constitutional arguments against such forms of mediation but eventually agrees with the stand taken by the Australian and New Zealand Council of Chief Justices in support of a fully serviced court-based system. This paper was delivered at the New Zealand Institute for Dispute Resolution Colloquium held on 29 June 1999.
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Kendall *, Timothy. "Exporting Australian educational services to China." Journal of Higher Education Policy and Management 26, no. 1 (March 2004): 23–33. http://dx.doi.org/10.1080/1360080042000182519.
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Cheng, I.-Hao, Sayed Wahidi, Shiva Vasi, and Sophia Samuel. "Importance of community engagement in primary health care: the case of Afghan refugees." Australian Journal of Primary Health 21, no. 3 (2015): 262. http://dx.doi.org/10.1071/py13137.
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Refugees can experience problems accessing and utilising Australian primary health care services, resulting in suboptimal health outcomes. Little is known about the impact of their pre-migration health care experiences. This paper demonstrates how the Afghan pre-migration experiences of primary health care can affect engagement with Australian primary care services. It considers the implications for Australian primary health care policy, planning and delivery. This paper is based on the international experiences, insights and expert opinions of the authors, and is underpinned by literature on Afghan health-seeking behaviour. Importantly, Afghanistan and Australia have different primary health care strategies. In Afghanistan, health care is predominantly provided through a community-based outreach approach, namely through community health workers residing in the local community. In contrast, the Australian health care system requires client attendance at formal health service facilities. This difference contributes to service access and utilisation problems. Community engagement is essential to bridge the gap between the Afghan community and Australian primary health care services. This can be achieved through the health sector working to strengthen partnerships between Afghan individuals, communities and health services. Enhanced community engagement has the potential to improve the delivery of primary health care to the Afghan community in Australia.
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Longman, Jo, Jennifer M. Pilcher, Deborah A. Donoghue, Margaret Rolfe, Sue V. Kildea, Sue Kruske, Jeremy J. N. Oats, Geoffrey G. Morgan, and Lesley M. Barclay. "Identifying maternity services in public hospitals in rural and remote Australia." Australian Health Review 38, no. 3 (2014): 337. http://dx.doi.org/10.1071/ah13188.
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Objective This paper articulates the importance of accurately identifying maternity services. It describes the process and challenges of identifying the number, level and networks of rural and remote maternity services in public hospitals serving communities of between 1000 and 25 000 people across Australia, and presents the findings of this process. Methods Health departments and the national government’s websites, along with lists of public hospitals, were used to identify all rural and remote Australian public hospitals offering maternity services in small towns. State perinatal reports were reviewed to establish numbers of births by hospital. The level of maternity services and networks of hospitals within which services functioned were determined via discussion with senior jurisdictional representatives. Results In all, 198 rural and remote public hospitals offering maternity services were identified. There were challenges in sourcing information on maternity services to generate an accurate national picture. The nature of information about maternity services held centrally by jurisdictions varied, and different frameworks were used to describe minimum requirements for service levels. Service networks appeared to be based on a combination of individual links, geography and transport infrastructure. Conclusions The lack of readily available centralised and comparable information on rural and remote maternity services has implications for policy review and development, equity, safety and quality, network development and planning. Accountability for services and capacity to identify problems is also compromised. What is known about the topic? Australian birthing services have previously been identified for hospitals with 50 or more births a year. Less is known about public hospitals with fewer than 50 births a year or those with only antenatal and postnatal services, particularly in rural and remote locations, or how maternity services information may be identified from publicly available sources. What does this paper add? This paper describes the process and challenges of identifying maternity services in rural and remote public hospitals serving towns of between 1000 and 25 000, and presents the findings of this process. What are the implications for practitioners? Nationally accessible, reliable and comparable information is important for health planners, policy makers and health practitioners. This paper provides useful information on the variations in the capability and location of maternity services across Australia. Opportunities exist for consistent collection, collation and reporting of maternity services across rural and remote Australia. This will ensure quality and safety of services, contribute to policy review, support the development and maintenance of service networks, and assist in planning services and expenditure, as well as in the identification of problems. It is therefore key to providing equitable services across the country.
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Wines, Graeme L., Rodney A. Carr, Barry J. Cooper, Colin B. Ferguson, Phil K. Hellier, and Beverley F. Jackling. "Rural and Regional Australian Public Accounting Firm Services: Service Provision, Concerns and Tensions." Australian Accounting Review 23, no. 2 (June 2013): 163–76. http://dx.doi.org/10.1111/j.1835-2561.2012.00185.x.
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Lakra, V. "Telehealth in Australia." European Psychiatry 65, S1 (June 2022): S569. http://dx.doi.org/10.1192/j.eurpsy.2022.1457.
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Introduction There is a significant psychiatry workforce shortage in Australia, particularly in rural and remote communities. Given the large distances involved, telehealth – providing consultation via videoconference – has been widely accepted. Psychiatrists were among the highest users of telehealth services in Australia before the COVID-19 pandemic. However, the outbreak of COVID-19 resulted in a major transformation to service delivery across Australia. Private psychiatrists and state public mental health services had to rapidly transition to largely telehealth delivery to ensure continuity of care for consumers. In March 2020, additional telehealth item numbers were added to the Australian Medicare Benefits Schedule (MBS) to encourage physical distancing for those accessing medical services during the pandemic. Objectives To provide an overview of the increase in telehealth activity since the COVID-19 pandemic. Methods The MBS is the list of services for which the Australian Government will pay a rebate. Key data on MBS telehealth activity since March 2020 was examined. Results The use of telehealth has increased during the pandemic. A survey of Royal Australian and New College of Psychiatrists (RANZCP) psychiatrists found that 93% supported retention of telehealth MBS item number numbers following the COVID-19 pandemic, noting increased accessibility for consumers. Positive feedback has been received from consumers. Conclusions During 2020 and 2021, the RANZCP worked with the Australian Government to ensure there were appropriate MBS telehealth services available for consumers. The RANZCP continues to work with the Government as they plan for a longer-term transformation of telehealth services beyond 2021. Disclosure No significant relationships.
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Karim, Shakir, and Ergun Gide. "The use of interactive mobile technology to improve the quality of health care services in private and public hospitals in Australia." Global Journal of Information Technology: Emerging Technologies 8, no. 3 (December 29, 2018): 134–45. http://dx.doi.org/10.18844/gjit.v8i3.4054.
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The research questions, ‘As an Australian, can we expect fully mobile technology integrated health care services in Australia? Is it possible everywhere in Australia’? A healthcare system whether private or public should provide comprehensive health care services all over in Australia, including countryside and CBD. The term ‘Mobile Technology integrated health care’ refers to a healthcare system designed for electronic and smart devices which can be used anytime and anywhere in the world. This research paper examines ‘how patients can access GPs, specialists, private and public hospitals in Australia’, which provide interactive mobile technology-based health services. The research has mainly used secondary research data analysis and methods to provide a broad investigation of the issues relevant to interactive mobile technology and health care system in Australia, the problems, problem factors, benefits and opportunities in the health care industry. Finally, the mobile technology integrated health care system will ensure that the framework is user and environmentally friendly. Keywords: Interactive mobile technology, quality, health care, services, hospitals, Australia.
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Lee, Jeongyoon, and Inseon Park. "Comparative Analysis of Disaster and Safety Datasets, Data Quality, and Services in Korean and Australian Public Data Portals." Fire Science and Engineering 36, no. 1 (February 28, 2022): 81–89. http://dx.doi.org/10.7731/kifse.910c81fa.
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The objective of this study is to design improved plans for disaster and safety management through comparative analysis of datasets comprising details regarding the disaster and safety sector that are available in Korean and Australian public data portals and thereby examine the associated portal strategies and national operating systems To this end, based on previous studies and national public data portal evaluation standards, public data portal comparison standards were established. Furthermore, quantitative configuration analysis, data mining analysis, data quality analysis, and various service analyses were conducted. Consequently, it was found that compared to the Australian public data portal, the number and proportion of public data openings for disaster and safety management are significantly smaller in the Korean public data portal. The number of prevention datasets available in both countries accounts for the highest proportion in disaster and safety management. In addition, “supply management and resource support” accounts for the majority of Korean disaster response collaborations, whereas in the case of Australia, “comprehensive situation management” has a high proportion. In terms of data quality, Australian datasets include 69.54% of the total insoluble data, which implies inefficient data quality management. However, there are merely few Korean insoluble datasets. Through comparative analysis of the national operating systems, it was found that detailed guidelines for public data are available in Australia. However, the Korean public data portal is operated in accordance with the comprehensive Framework Act on Intelligence Informatization. Hence, a promotion strategy operation policy has to devise for the Korean public data portal to expand the usage of public data in the disaster and safety sector, along with quantitative growth policies that will increase the number and proportion of public data in the disaster and safety sector.
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Lee, Jeongyoon, and Inseon Park. "Comparative Analysis of Disaster and Safety Datasets, Data Quality, and Services in Korean and Australian Public Data Portals." Fire Science and Engineering 36, no. 1 (February 28, 2022): 81–89. http://dx.doi.org/10.7731/kifse.910c81fa1.
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The objective of this study is to design improved plans for disaster and safety management through comparative analysis of datasets comprising details regarding the disaster and safety sector that are available in Korean and Australian public data portals and thereby examine the associated portal strategies and national operating systems To this end, based on previous studies and national public data portal evaluation standards, public data portal comparison standards were established. Furthermore, quantitative configuration analysis, data mining analysis, data quality analysis, and various service analyses were conducted. Consequently, it was found that compared to the Australian public data portal, the number and proportion of public data openings for disaster and safety management are significantly smaller in the Korean public data portal. The number of prevention datasets available in both countries accounts for the highest proportion in disaster and safety management. In addition, “supply management and resource support” accounts for the majority of Korean disaster response collaborations, whereas in the case of Australia, “comprehensive situation management” has a high proportion. In terms of data quality, Australian datasets include 69.54% of the total insoluble data, which implies inefficient data quality management. However, there are merely few Korean insoluble datasets. Through comparative analysis of the national operating systems, it was found that detailed guidelines for public data are available in Australia. However, the Korean public data portal is operated in accordance with the comprehensive Framework Act on Intelligence Informatization. Hence, a promotion strategy operation policy has to devise for the Korean public data portal to expand the usage of public data in the disaster and safety sector, along with quantitative growth policies that will increase the number and proportion of public data in the disaster and safety sector.
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Hordacre, Ann-Louise, Anne Taylor, Christy Pirone, and Robert J. Adams. "Assessing patient satisfaction: implications for South Australian public hospitals." Australian Health Review 29, no. 4 (2005): 439. http://dx.doi.org/10.1071/ah050439.
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This paper reports on the results from 2620 South Australians who participated in the 2003 Patient Evaluation of Hospital Services. Patients were found to be generally satisfied with the care, services and amenities provided, with a statewide overall score of 86.3. Satisfaction was lowest in the patients? assessment of their involvement in their own care and treatment. Three demographic factors (younger age, female sex or tertiary education) predicted lower levels of satisfaction in the multivariate analysis, whereas living with others, non-emergency admission or admission to smaller hospitals were found to predict higher satisfaction. Despite administrative and organisational difficulties, and limited current evidence of increased quality or satisfaction, it is considered important to continue satisfaction research with the goal of encouraging the development of action plans for improvement of care, services and amenities.
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Kerr, Rhonda, and Delia V. Hendrie. "Is capital investment in Australian hospitals effectively funding patient access to efficient public hospital care?" Australian Health Review 42, no. 5 (2018): 501. http://dx.doi.org/10.1071/ah17231.
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Objective This study asks ‘Is capital investment in Australian public hospitals effectively funding patient access to efficient hospital care?’ Methods The study drew information from semistructured interviews with senior health infrastructure officials, literature reviews and World Health Organization (WHO) reports. To identify which systems most effectively fund patient access to efficient hospitals, capital allocation systems for 17 Organisation for Economic Cooperation and Development (OECD) countries were assessed. Results Australian government objectives (equitable access to clinically appropriate, efficient, sustainable, innovative, patient-based) for acute health services are not directly addressed within Australian capital allocation systems for hospitals. Instead, Australia retains a prioritised hospital investment system for institutionally based asset replacement and capital planning, aligned with budgetary and political priorities. Australian systems of capital allocation for public hospitals were found not to match health system objectives for allocative, productive and dynamic efficiency. Australia scored below average in funding patient access to efficient hospitals. The OECD countries most effectively funding patient access to efficient hospital care have transitioned to diagnosis-related group (DRG) aligned capital funding. Measures of effective capital allocation for hospitals, patient access and efficiency found mixed government–private–public partnerships performed poorly with inferior access to capital than DRG-aligned systems, with the worst performing systems based on private finance. Conclusion Australian capital allocation systems for hospitals do not meet Australian government standards for the health system. Transition to a diagnosis-based system of capital allocation would align capital allocation with government standards and has been found to improve patient access to efficient hospital care. What is known about the topic? Very little is known about the effectiveness of Australian capital allocation for public hospitals. In Australia, capital is rarely discussed in the context of efficiency, although poor built capital and inappropriate technologies are acknowledged as limitations to improving efficiency. Capital allocated for public hospitals by state and territory is no longer reported by Australian Institute of Health and Welfare due to problems with data reliability. International comparative reviews of capital funding for hospitals have not included Australia. Most comparative efficiency reviews for health avoid considering capital allocation. The national review of hospitals found capital allocation information makes it difficult to determine ’if we have it right’ in terms of investment for health services. Problems with capital allocation systems for public hospitals have been identified within state-based reviews of health service delivery. The Productivity Commission was unable to identify the cost of capital used in treating patients in Australian public hospitals. Instead, building and equipment depreciation plus the user cost of capital (or the cost of using the money invested in the asset) are used to estimate the cost of capital required for patient care, despite concerns about accuracy and comparability. What does this paper add? This is the first study to review capital allocation systems for Australian public hospitals, to evaluate those systems against the contemporary objectives of the health systems and to assess whether prevailing Australian allocation systems deliver funds to facilitate patient access to efficient hospital care. This is the first study to evaluate Australian hospital capital allocation and efficiency. It compares the objectives of the Australian public hospitals system (for universal access to patient-centred, efficient and effective health care) against a range of capital funding mechanisms used in comparable health systems. It is also the first comparative review of international capital funding systems to include Australia. What are the implications for practitioners? Clinical quality and operational efficiency in hospitals require access for all patients to technologically appropriate hospitals. Funding for appropriate public hospital facilities, medical equipment and information and communications technology is not connected to activity-based funding in Australia. This study examines how capital can most effectively be allocated to provide patient access to efficient hospital care for Australian public hospitals. Capital investment for hospitals that is patient based, rather than institutionally focused, aligns with higher efficiency.
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Fan, Cynthia, and Wally Karnilowicz. "Attitudes Towards Mental Illness and Knowledge of Mental Health Services Among the Australian and Chinese Community." Australian Journal of Primary Health 6, no. 2 (2000): 38. http://dx.doi.org/10.1071/py00017.
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The study aimed to examine the attitudes toward mental illness and knowledge of mental health services among Anglo-Australian and Chinese-Australian adults. Participants included 105 Anglo-Australians and 129 Chinese-Australians. Participants were requested to complete a questionnaire on attitudes toward mental illness and knowledge of mental health service available in the community. The results indicated that there was a significant ethnic difference in attitudes towards mental illness. Chinese-Australians endorsed authoritarian, restrictive attitudes towards people with mental illness and interpersonal etiology more than Anglo-Australians. There was also a significant difference in attitudes towards mental illness due to the amount of contact with people with mental illness. The more contact the participants had with people with mental illness, the less they endorsed authoritarian, and restrictive attitudes toward people with mental illness. Though there was a non-significant difference in knowledge of mental health services due to ethnic origin or amount of contact with people with mental illness, there were ethnic differences in the type of mental health services preferred. Among Chinese-Australians, age was positively related to knowledge of services for acute and chronic cases of mental illness. Implications for community mental health education programs are discussed.
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Goldsmith, Ben. "Sport and the Transformation of Australian Television." Media International Australia 155, no. 1 (May 2015): 70–79. http://dx.doi.org/10.1177/1329878x1515500109.
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This article examines the history of Australian broadcast television through the lens of sports programming. Ever since the introduction of the medium in Australia just before the 1956 Olympic Games, sports programming – both event coverage and sports-related content – has played a major role in defining television's forms, concerns and technologies, as well as in developing audiences for services and channels. Looking at a series of pivotal moments in Australian television history – the 1956 Olympics, the coming of colour, aggregation in the late 1980s, the launch of subscription television in 1995 and commercial free-to-air multi-channelling – the article examines sports programming as a site of both competition and collaboration between networks and services. It also discusses the role of sports in shaping the schedules and profiles of the two Australian public service broadcasters, before concluding with a look at the possible future of sport and Australian broadcast television.
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Beames, Lee, Esben Strodl, Frances Dark, Jennifer Wilson, Judith Sheridan, and Nicholas Kerswell. "A Feasibility Study of the Translation of Cognitive Behaviour Therapy for Psychosis into an Australian Adult Mental Health Clinical Setting." Behaviour Change 37, no. 1 (March 3, 2020): 22–32. http://dx.doi.org/10.1017/bec.2020.1.
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AbstractThere is evidence that Cognitive Behaviour Therapy for Psychosis (CBTp) is an effective intervention for reducing psychotic symptoms. The recently updated Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines (RANZCP CPG) recommend CBTp for the therapeutic management of schizophrenia and related disorders. Translational research is required to examine how well CBTp can be applied into public mental health services. This feasibility study aimed to provide preliminary evidence on how acceptable, implementable, and adaptable individual or group CBTp may be within a public mental health service in Australia. Twenty-seven participants initially agreed to participate in the study with 16 participants being randomised to either group or individual therapy, 11 starting therapy and 7 completing therapy. The intervention involved approximately 20 h of manualised CBTp. Attendance was higher in the individual therapy. Subjective reports indicated that the therapy was acceptable to all completers. Participants who engaged in individual or group CBTp experienced a similar level of reduction in the severity of hallucinations and delusions. Individual CBTp may be a feasible, acceptable, and effective intervention to include in Australian public mental health services. A pilot trial is now required to provide further evidence for and guidance of how best to translate CBTp protocols to Australian mental health services.
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Bulsara, Caroline. "Study of the recruitment and retention of medical officers to Australian Football League clubs in Australia." Australian Journal of Primary Health 16, no. 2 (2010): 192. http://dx.doi.org/10.1071/py09021.
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The problems for Australian Football League clubs in accessing medical services during the football season in Australia are escalating. This study surveyed medical officers, club officials and Sports Medicine Australia members nationally. Issues for all those involved were explored and any difficulties highlighted in regard to the reasons why doctors were reluctant to provide services to this sporting group. Overall, 132 Sports Medicine Australia members responded to the survey. In addition, 53 medical officers and 28 club officials were surveyed by telephone. This study revealed that there was a definite mismatch between club officials and medical officers as to what was important to doctors in deciding to provide services to a club. The main issues were time demands, the lack of equipment and facilities, remuneration, and impact on family life during the football season. The future of medical officers within Australian football clubs is in need of review if a shortage of trained medical officers providing services to the clubs is to avoid a crisis in the near future.
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DOCKERY, Alfred M., and Thorsten STROMBACK. "Devolving public employment services: Preliminary assessment of the Australian experiment." International Labour Review 140, no. 4 (December 2001): 429–51. http://dx.doi.org/10.1111/j.1564-913x.2001.tb00225.x.
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Taylor, Monica, and Carole A. Harrison. "Introducing clinical supervision across Western Australian public mental health services." International Journal of Mental Health Nursing 19, no. 4 (July 1, 2010): 287–93. http://dx.doi.org/10.1111/j.1447-0349.2010.00675.x.
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Treadwell, Jane, Jerome Maguire, and Anne Howe. "BENCHMARKING CORPORATE SERVICES: A SOUTH AUSTRALIAN PUBLIC SECTOR CASE STUDY." Australian Journal of Public Administration 54, no. 3 (September 1995): 408–13. http://dx.doi.org/10.1111/j.1467-8500.1995.tb01152.x.
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Seah, Davinia S. E., Timothy Z. Cheong, and Matthew H. R. Anstey. "The hidden cost of private health insurance in Australia." Australian Health Review 37, no. 1 (2013): 1. http://dx.doi.org/10.1071/ah11126.
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The provision of health services in Australia currently is primarily financed by a unique interaction of public and private insurers. This commentary looks at a loophole in this framework, namely that private insurers have to date been able to avoid funding healthcare for some of their policy holders, as it is not a requirement to use private insurance when treatment occurs in Australian public hospitals.
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Fasoli, Lyn, and Bonita Moss. "What Can We Learn from ‘Innovative’ Child Care Services? Children's Services Purposes and Practices in Australia's Northern Territory." Contemporary Issues in Early Childhood 8, no. 3 (September 2007): 265–74. http://dx.doi.org/10.2304/ciec.2007.8.3.265.
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This article explores the diversity of services designed for young children currently operating in Australia in remote Northern Territory (NT) Indigenous communities as a provocation for the renewal and revitalisation of mainstream (typical Australian conventional, Western values oriented and urban-based) child care services. Australian society has accepted a standardised model of child care and conceptualised it as a service designed primarily for parents who work. It has become remarkably uniform in look, nature and purpose, regardless of where it is located. The article refers specifically to ‘Innovative’ Indigenous Children's Services (the term ‘Innovative’ refers to a federally funded government initiative called the ‘Innovative Child Care Scheme’, an initiative stemming from the 1992–96 National Child Care Strategy) as a new kind of children's space in the child care landscape. The authors reflect on the findings of recent research which explored what could be learned from remotely located Indigenous children's services staff, particularly in relation to the important questions the research raised for the social agendas and public policies that underpin development and theory currently shaping mainstream centre-based long day care programs.
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CONSIDINE, MARK, SIOBHAN O’SULLIVAN, MICHAEL MCGANN, and PHUC NGUYEN. "Locked-in or Locked-out: Can a Public Services Market Really Change?" Journal of Social Policy 49, no. 4 (November 14, 2019): 850–71. http://dx.doi.org/10.1017/s0047279419000941.
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AbstractAustralia’s welfare-to-work system has been subject to ongoing political contestation and policy reform since the 1990s. In this paper we take a big picture look at the Australian system over time, re-visiting our earlier analysis of the impact of marketisation on flexibility at the frontline over the first ten years of the Australian market in employment services. That analysis demonstrated that marketisation had failed to deliver the service flexibility intended through contracting-out, and had instead produced market herding around a common set of standardised frontline practices. In the interim, there have been two further major redesigns of the Australian system at considerable expense to taxpayers. Re-introducing greater flexibility and service tailoring into the market has been a key aim of these reforms. Calling on evidence from an original, longitudinal survey of frontline employment service staff run in 2008, 2012 and 2016, this paper considers how the Australian market has evolved over its second decade. We find remarkable consistency over time and, indeed, evidence of deepening organisational convergence. We conclude that, once in motion, isomorphic pressures towards standardisation quickly get locked into quasi-market regimes; at least when these pressures occur in low-trust contracting environments.
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Mulgan, Richard. "Outsourcing and public service values: the Australian experience." International Review of Administrative Sciences 71, no. 1 (March 2005): 55–70. http://dx.doi.org/10.1177/0020852305051683.
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With the increasing use of private organizations to provide public services and the corresponding blurring of boundaries between the public and private sectors, can public servants be held to a distinct code of ethics or should public sector ethical standards be applied to private providers? This question is explored in the context of the Australian Commonwealth which has recently codified a set of public service values in legislation and where agencies are being asked to report on the extent to which they require contractors to comply with public service values. Practice is evolving, with most emphasis on values relating to direct service to the public. Public service values dealing with internal organization and employment conditions, including the merit principle, are less likely to be extended to private contractors.
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McNair, Peter, and Stephen Duckett. "Funding Victoria's public hospitals: The casemix policy of 2000-2001." Australian Health Review 25, no. 1 (2002): 72. http://dx.doi.org/10.1071/ah020072.
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On 1 July 1993 Victoria became the first Australian state to use casemix information to set budgets for its public hospitals commencing with casemix funding for inpatient services. Victoria's casemix funding approach now embracesinpatient, outpatient and rehabilitation services.
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Brodie, Pat, and Lesley Barclay. "Contemporary issues in Australian midwifery regulation." Australian Health Review 24, no. 4 (2001): 103. http://dx.doi.org/10.1071/ah010103.
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This paper reports on research that examined the Nurses' Acts, regulations and current policies of each state and territory in Australia, in order to determine their adequacy in regulating the education and practice of midwifery. This is part of a three-year study (Australian Midwifery Action Project) set up to identify and investigate barriers to midwifery within the provision of mainstream maternity services in Australia. Through an in-depth examination and comparison of key factors in the various statutes, the paper identifies their effect on contemporary midwifery roles and practices. The work assessed whether the current regulatory system that subsumes midwifery into nursing is adequate in protecting the public appropriately and ensuring that minimum professional standards are met. This is of particular importance in Australia, where many maternity health care services are seeking to maximise midwives' contributions through the development of new models of care that increase midwives' autonomy and level of accountability.
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White, Kevin, and Fran Collyer. "To market, to market: Corporatisation, privatisation and hospital costs." Australian Health Review 20, no. 2 (1997): 13. http://dx.doi.org/10.1071/ah970013.
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The Australian political arena echoes with calls for the privatisation of health careinstitutions, the contracting-out of health care services and the introduction of variousmarketing strategies into hospital management. These calls are justified by assertingthat the market, rather than the public sector, can provide better services, greaterproductivity and increased efficiency. The National Health Strategy (1991, p 17)provides a good example. Noting that Australia is copying American investment trendsfor hospital ?chains? rather than for independent small establishments, the strategydismisses any concern over changes in ownership, pointing instead to a ?process ofrationalisation? that is to be ?welcomed?. Using evidence from the United States,United Kingdom and Australian hospital sectors, this paper examines claims for thegreater efficiency of market processes.
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Tangas, Jim, and Angel J. Calderon *. "The general agreement on trade in services and educational services: an Australian perspective." Journal of Higher Education Policy and Management 26, no. 1 (March 2004): 123–28. http://dx.doi.org/10.1080/1360080042000182582.
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Allan, John A., Gary D. Hanson, Nicole L. Schroder, Anna J. O’Mahony, Roxanne M. P. Foster, and Grant E. Sara. "Six years of national mental health seclusion data: the Australian experience." Australasian Psychiatry 25, no. 3 (April 4, 2017): 277–81. http://dx.doi.org/10.1177/1039856217700298.
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Objectives: Reducing or eliminating seclusion from mental health care settings has been a national priority for Australia since 2005. This paper describes Australia’s national seclusion data collection, and summarises changes in seclusion rates in Australian public mental health services. Methods: Seclusion events per 1000 patient days were calculated from 2009–2010 to 2014–2015 utilising state and territory administrative data sources. Combined national data were used to calculate results for a number of service characteristics, such as target population and location of the service. Results: The rate of seclusion events decreased by 43% over the 6 years. Child and adolescent services reported consistently higher rates of seclusion, but a shorter duration of seclusion episodes, compared with other service types. There is high variation in seclusion rates between individual services (range 0.0–53.0 seclusion events per 1000 bed days in 2014–2015). Conclusions: Seclusion event rates in Australia’s specialised public acute mental health hospital services are declining. The use of existing administrative data was instrumental in establishing a national data source to facilitate the monitoring and reporting of progress of seclusion reduction strategies.
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Yeh, Hsiu-shan, and Wan-I. Lin. "Disability employment services under new public management: A comparison of Australia and Taiwan." International Social Work 61, no. 3 (June 10, 2016): 437–50. http://dx.doi.org/10.1177/0020872816648201.
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In the 1990s, both Australia and Taiwan were influenced by new public management (NPM) and subsequently reformed their public employment services. However, the reforms of the two countries have led to divergent results. This study assumes that the essential differences lay in the mobilization capacity of the disabled rights advocacy organizations and the disability employment benefits. Taiwan’s disability employment services (supported employment), though privatized, are limited to nonprofit organizations (NPOs), while for-profit organizations (POs) remain absent in this area. In Australia, the employment services (open employment services for people with disabilities) have been privatized, and for-profit organizations are encouraged to compete with one another to enhance the service quality and to reduce the costs. By providing job-search benefits for disabled people and implementing workfare policy, the Australian government reforms have resulted in the change of the relationship between the government and the citizens. In contrast, since the Taiwanese government never provided sufficient social welfare benefits for disabled people, they have to actively seek employment not after encouragement from the government, but as a result of their desperate need to earn a living. Despite the two countries’ differences, the force of neoliberalism, along with NPM, ostensibly continues to be a part of their employment policies for the socially underprivileged.
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De Percy, Michael Alexander. "Policy Legacies from Early Australian Telecommunications." Journal of Telecommunications and the Digital Economy 9, no. 3 (September 11, 2021): 136–52. http://dx.doi.org/10.18080/jtde.v9n3.431.
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The purpose of this article on the policy legacies from Australia’s early telecommunications history is not to present a counterfactual to Australia’s choice of public monopoly provision of early telecommunications services, but rather to indicate the extent that politics limited the private sector’s role in deploying early telegraph and telephone infrastructure in Australia. The article begins by outlining a theoretical framework for analysing government’s role in deploying new telecommunications technologies, before investigating some of the less familiar literature on the historical impact of government intervention on the private sector in the early Australian telegraph and telephone industries. It then discusses some of the political issues relating to the subsequent liberalisation of the telecommunications industry in Australia and concludes with a discussion of the historical legacies of government intervention on the private sector in the Australian telecommunications industry.
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Penney, Greg, and Lisa Spatcher. "Quantifying the benefits of Australian emergency services training." January 2023 10.47389/38, No 1 (January 2023): 49–59. http://dx.doi.org/10.47389/38.1.49.
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There is greater competition for funding within the public sector and, combined with the increasing scope of high-risk hazards that emergency services personnel are responsible for is placing greater economic pressure on emergency services worldwide. With this pressure comes additional requirements to justify expenditure and effort across operational and corporate contexts, including the training of career and volunteer personnel to the necessary level of contemporary multi-hazard expertise. Within this context, Australasian fire and emergency services must submit formalised cases for funding through state or Commonwealth treasury departments, in most cases competing with other government departments for limited funding. These are usually assessed based on public and political value and benefit. The investment in new, high-fidelity practical and simulated training environments, let alone a new training academy or college, is expensive and has the potential to be one of the largest capital projects emergency services can undertake. Justifying the cost of new training environments is complex due to the difficulty of translating the technicalities of specialised emergency response into corporate language and because of the lack of data and literature on which to draw guidance. This paper bridges this knowledge gap by building on existing models and research to propose an Emergency Services Training Financial Rationalisation Model (EST-FRM) for the funding of emergency services academies in Australia. The model has potential application wherever financial rationalisation of emergency services facilities is required.
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Homer, Caroline S. E., Janice Biggs, Geraldine Vaughan, and Elizabeth A. Sullivan. "Mapping maternity services in Australia: location, classification and services." Australian Health Review 35, no. 2 (2011): 222. http://dx.doi.org/10.1071/ah10908.
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Objective. To describe maternity services available to Australian women and, in particular, the location, classification of services and support services available. Design. A descriptive study was conducted using an online survey that was emailed to eligible hospitals. Inclusion criteria for the study included public and private maternity units with greater than 50 births per year. In total, 278 maternity units were identified. Units were asked to classify their level of acuity (Levels 2–6). Results. A total of 150 (53%) maternity units responded. Those who responded were reasonably similar to those who did not respond, and were representative of Australian maternity units. Almost three-quarters of respondents were from public maternity units and almost 70% defined themselves as being in a rural or remote location. Maternity units with higher birth rates were more likely to classify themselves as providing higher acuity services, that is, Levels 5 and 6. Private maternity units were more likely to have higher acuity classifications. Interventions such as induction of labour, either using an artificial rupture of membranes (ARM) and oxytocin infusion or with prostaglandins, were common across most units. Although electronic fetal monitoring (EFM) was also widely available, access to fetal scalp pH monitoring was low. Conclusion. Maternity service provision varies across the country and is defined predominately by location and annual birth rate. What is known about the topic? In 2007, over 99% of the 289 496 women who gave birth in Australia did so in a hospital. It is estimated that there are more than 300 maternity units in the country, ranging from large tertiary referral centres in major cities to smaller maternity units in rural towns, some of which only provide postnatal care with the woman giving birth at a larger facility. Geographical location, population and ability to attract a maternity workforce determine the number of maternity units within a region, although the means of determining the number of maternity units within a region is often unclear. In recent years, a large number of small maternity units have closed, particularly in rural areas, often due to difficulties securing an adequate workforce, particularly midwives and general practitioner obstetricians. There is a lack of understanding about the nature of maternity service provision in Australia and considerable differences across states and territories. What does this paper add? This paper provides a description of the geographic distribution and level of maternity services, the demand on services, the available obstetric interventions, the level of staffing (paediatric and anaesthetic) and support services available and the private and public mix of maternity units. The paper also provides an exploration of the different interventions and discusses whether these are appropriate, given the level of acuity and access to emergency Caesarean section services. What are the implications for practitioners? This study provides useful information particularly for policy-makers, managers and practitioners. This is at a time when considerable maternity reform is underway and changes at a broader level to the health system are planned. Understanding the nature of maternity services is critical to this debate and ongoing planning decisions.
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Colley, Linda. "How Did Public Services Fare? A Review of Australian State Public Service Labour Markets During the Global Financial Crisis." Journal of Industrial Relations 54, no. 5 (November 2012): 612–36. http://dx.doi.org/10.1177/0022185612454962.
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Colley, Linda, Shelley Woods, and Brian Head. "Pandemic effects on public service employment in Australia." Economic and Labour Relations Review 33, no. 1 (December 3, 2021): 56–79. http://dx.doi.org/10.1177/10353046211056093.
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The COVID-19 pandemic is sending shockwaves through communities and economies, and public servants have risen to the novel policy challenges in uncharted waters. This crisis comes on top of considerable turmoil for public services in recent decades, with public management reforms followed by the global financial crisis (GFC) leading to considerable change to public sector employment relations and a deprivileging of public servants. The research adopts the lens of the ‘public service bargain’ to examine the effects of the pandemic across Australian public services. How did Australian public service jurisdictions approach public employment in 2020, across senior and other cohorts of employees? How did this pandemic response compare to each jurisdictions’ response to the GFC a decade earlier? The research also reflects more broadly of the impact on public sector employment relations and to what extent pandemic responses have altered concepts of the diminished public service bargain or the notion of governments as model employers? JEL Codes J45
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Booth, Mark, and Anne-marie Boxall. "Commissioning services and Primary Health Networks." Australian Journal of Primary Health 22, no. 1 (2016): 3. http://dx.doi.org/10.1071/py15167.
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Commissioning is set to become a stronger feature in the Australian health system as Primary Health Networks embrace it as a tool for improving population health outcomes. International experience shows that developing into a commissioning organisation is not always easy. Drawing on international experiences of commissioning, as well as those from the Australian hospital sector, will help smooth the path for Primary Health Networks.
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Bartlett, Ben, and John Boffa. "Aboriginal Community Controlled Comprehensive Primary Health Care: The Central Australian Aboriginal Congress." Australian Journal of Primary Health 7, no. 3 (2001): 74. http://dx.doi.org/10.1071/py01050.
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Aboriginal community controlled PHC services have led the way in Australia in developing a model of PHC service that is able to address social issues and the underlying determinants of health alongside high quality medical care. This model is characterised by a comprehensive style rather than the selective PHC model that tends to be more common in mainstream services. Central to comprehensive PHC is community control, which is critical to the bottom up approach rather than the top down approach of selective PHC. The expansion of Aboriginal Community Controlled Health Services (ACCHSs) in Australia is a product of the colonial relationship that persists between Aboriginal and non-Aboriginal Australia. It is this relationship that explains why community control has been a feature of Aboriginal PHC services while similar attempts in the dominant society have tended to be incorporated into the mainstream. The mechanisms of control occur through community processes and should not be confused with day to day management processes, although the two are related. The Core Functions of PHC is a framework that reflects the experience of ACCHSs and allows for the development and assessment of comprehensive PHC. This framework is applied to a case study of the Central Australian Aboriginal Congress (Congress) which is the major Aboriginal health service in central Australia. The case study illustrates increasing utilisation of PHC services by Aboriginal people, and the capacity of community controlled organisations to respond to demographic and health pattern changes in their client populations.
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Rawson, Helen, and Pranee Liamputtong. "Influence of traditional Vietnamese culture on the utilisation of mainstream health services for sexual health issues by second-generation Vietnamese Australian young women." Sexual Health 6, no. 1 (2009): 75. http://dx.doi.org/10.1071/sh08040.
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Background: The present paper discusses the impact the traditional Vietnamese culture has on the uptake of mainstream health services for sexual health matters by Vietnamese Australian young women. It is part of a wider qualitative study that explored the factors that shaped the sexual behaviour of Vietnamese Australian young women living in Australia. Methods: A Grounded Theory methodology was used, involving in-depth interviews with 15 Vietnamese Australian young women aged 18 to 25 years who reside in Victoria, Australia. Results: The findings demonstrated that the ethnicity of the general practitioner had a clear impact on the women utilising the health service. They perceived that a Vietnamese doctor would hold the traditional view of sex as held by their parents’ generation. They rationalised that due to cultural mores, optimum sexual health care could only be achieved with a non-Vietnamese health professional. Conclusion: It is evident from the present study that cultural influences can impact on the sexual health of young people from culturally diverse backgrounds and in Australia’s multicultural society, provision of sexual health services must acknowledge the specific needs of ethnically diverse young people.
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Hanna, Liz. "Support Funding for Australian Rural and Remote Health Workforce: A Medical - Nursing Mismatch." Australian Journal of Primary Health 7, no. 1 (2001): 9. http://dx.doi.org/10.1071/py01002.
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Successive Australian federal governments have introduced numerous strategies aimed at reducing the differentials in health status between rural and remote populations and their metropolitan counterparts. Foremost among these strategies have been those focused on increasing the numbers of medical practitioners in rural and remote areas (Australian Institute of Health and Welfare, 1998a). The paper challenges the prioritisation of this strategy, identified as a "planning priority" by the Commonwealth government. The 1999-2000 Federal Budget allocated $171 million to "significantly improve access to services in rural and remote areas of Australia and to strengthen the rural workforce". Nurses provide 90% of the health services to these populations yet receive only 0.9% of funding in direct role specific support. This systematic neglect of nursing services results in high turnover as nurses desert their posts, frustrated by lack of organisational support, and subsequent inability to provide adequate care in the difficult circumstances in which they must function. Interruptions to clinical health care provision and health promotion activities diminish health enhancement opportunities for the communities with demonstrated high levels of need (Australian Institute of Health and Welfare [AIHW], 1999; Commonwealth Department of Health & Aged Care, 2000; Kreger, 1991; NSW Health Department, 1998).
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Emden, Carolyn, Inge Kowanko, Charlotte de Crespigny, and Helen Murray. "Better medication management for Indigenous Australians: findings from the field." Australian Journal of Primary Health 11, no. 1 (2005): 80. http://dx.doi.org/10.1071/py05011.
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This paper reports findings from interviews and focus groups conducted within a multi-dimensional action research project concerning medication management among Indigenous Australians. Participants were Aboriginal people with mental health problems, carers and family members, and health and social service workers from different regions in South Australia. A meta-analysis of findings from each regional project component was conducted, and major themes conceptualised and developed into a coherent summary. The findings revealed problems of a magnitude not previously realised - mental health problems (including alcohol and drug problems) and medication management among Aboriginal people clearly are major issues requiring immediate and sustained attention if the health and welfare of the Australian Indigenous population are to be improved. Findings concerned eight major areas: social and emotional wellbeing issues; stressors on Aboriginal health services and providers; training for the Aboriginal health workforce; mainstream health services for Aboriginal people; trust and confidentiality within Aboriginal health services; English language literacy and numeracy skills of Aboriginal clients; remote living arrangements for many Aboriginal people; problems with alcohol use; and institutionalised and individual racism in the community at large.
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Walker, Christopher. "An overview of the role of government in the organisation and provision of health services in Japan." Australian Health Review 19, no. 2 (1996): 75. http://dx.doi.org/10.1071/ah960075.
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This article is illustrated with reference to health services in the Tokyo Prefecture.It seeks to describe the role of government in the organisation and provision of healthservices in Japan. It is based on experiences gained from a three-month placementat the Tokyo Metropolitan Government Bureau of Public Health in late 1994.Wherever possible the article identifies similarities and differences between theJapanese and Australian health care systems. Part of the analysis has been to identifyareas where opportunities exist for Australian health service providers to developfurther cooperation with particular sectors of the Japanese health system and alsowhere the potential for the export of health services may exist.The health systems of Australia and Japan have points of similarity anddifference. Essentially both systems operate within the context of a compulsoryuniversal health insurance system. However, unlike Australia, the bulk of serviceprovision in Japan is left to the private sector, while government retains the primaryrole of regulator. It is interesting to observe that while the Australian health caresystem is currently exploring options to expand the service range and level ofparticipation of private sector services in health care delivery (within the context ofuniversal health insurance), the Japanese health care system appears to be examiningoptions through which further government intervention can improve service accessand service efficiency. Japan presents opportunities to observe the benefits anddisadvantages of predominantly private sector provision within the context ofuniversal health insurance coverage.