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Journal articles on the topic "Health Political aspects Australia"
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Ohr, Se Ok, Vicki Parker, Sarah Jeong, and Terry Joyce. "Migration of nurses in Australia: where and why?" Australian Journal of Primary Health 16, no. 1 (2010): 17. http://dx.doi.org/10.1071/py09051.
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The Australian health care workforce has benefited from an increasing migration of nurses over the past decades. The nursing profession is the largest single health profession, making up over half of the Australian health care workforce. Migration of nurses into the Australian nursing workforce impacts significantly on the size of the workforce and the capacity to provide health care to the Australian multicultural community. Migration of nurses plays an important role in providing a solution to the ongoing challenges of workforce attraction and retention, hence an understanding of the factors contributing to nurse migration is important. This paper will critically analyse factors reported to impact on migration of nurses to Australia, in particular in relation to: (1) globalisation; (2) Australian society and nursing workforce; and (3) personal reasons. The current and potential implications of nurse migration are not limited to the Australian health care workforce, but also extend to political, socioeconomic and other aspects in Australia.
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Wheatland, Fiona Tito. "Medical Indemnity Reform in Australia: “First Do No Harm”." Journal of Law, Medicine & Ethics 33, no. 3 (2005): 429–43. http://dx.doi.org/10.1111/j.1748-720x.2005.tb00510.x.
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Medical indemnity is not usually the stuff of high political and social drama in Australia. When the biggest medical defense organization went into voluntary liquidation in 2002, this all changed. Newspapers carried stories on an almost daily basis about the actual or possible negative impact of the “crisis” on doctors, hospitals, and communities. Doctors became increasingly vocal in their criticisms and expansive in their claims. Their political organization, the Australian Medical Association, lobbied powerfully and successfully for government intervention to address the problem of dramatically escalating premiums for some doctors. This, combined with a broader public relations campaign about public liability insurance, resulted in significant changes in the law at both the federal and state level - not just in the area of medical negligence but in relation to most personal injury litigation.The genesis of and reasons for current medical indemnity problems in Australia have been the subject of much speculation and little rigorous analysis.
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F. Recher, Harry. "Australian Elections, Wilderness and the Lost Billions." Pacific Conservation Biology 4, no. 3 (1998): 177. http://dx.doi.org/10.1071/pc980177.
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As I write this editorial, Australia is in the final week of national elections. Apart from the appearance of a strongly nationalistic, and minority, party which the media has promoted as racist, it is unlikely that Australia's election has received much notice outside Australia. Yet there are aspects to this election which should disturb anyone interested in achieving global ecological sustainability and the conservation of global biodiversity. First, there has been a conspicuous silence from the major political parties concerning environmental issues. To be sure, the sitting conservative government has rolled out the pork barrel and grandly announced funding for local conservation initiatives ? especially in marginal seats ? but there has been no debate on issues nor have environmental policies been afforded even a small fraction of the attention given to the economy, unemployment, health or education. Moreover, the projects funded do nothing to resolve the underlying causes of Australia's declining environmental quality (e.g., land clearing, unsustainable logging practices, over grazing, and excessive demands on fresh water). This is despite the fact that respondents to polls continue to list the environment among the most important issues concerning Australians.
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Roydhouse, Jessica K. "Becoming Australian? Two different approaches to health care reform in the United States." Australian Health Review 33, no. 2 (2009): 303. http://dx.doi.org/10.1071/ah090303.
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THE ?SUBSTANTIAL PRIVATE SECTOR?1 ROLE in Australian health care has sometimes given rise to fears of ?Americanisation? of the Australian health care system, particularly in the media. For example, in 2000 Kenneth Davidson wrote, ?The USstyle health financing route being taken by the Howard Government is mad and bad.?2 The US system is the ?leading example? of ?inferior system performance?3 and is often viewed as a system to be feared and avoided. Despite spending far more per capita than any other country on health care, the United States nonetheless fails to provide equitable health care for everyone. The system is ?a paradox of excess and deprivation?,4 spending far more than other systems without providing adequate care and treatment for all. Although the US system is seen as frightening in Australia, broad historical and political similarities such as the ?strong?5 role and ?long history?5 of private insurance and powerful, vocal physicians? groups1,5 make the Australian experience a useful comparative one for US policymakers. As Altman and Jackson note, the US system will probably not develop into a fully public system, but a system combining private and public aspects along the lines of the Australian model is possible.5 Furthermore, while politicians in the US at the state and local levels have attempted to address the issue of universal or near-universal coverage for some time, previous efforts sought to expand coverage using existing programs instead of establishing a new system.6 More recently, the state of Massachusetts and the county (municipality) of San Francisco have introduced near-universal health care programs. Although introduced nearly simultaneously, their development processes and structures differ. In addition, the Massachusetts plan in particular was viewed as a potential model for future sub-national and possibly national health reforms. Thus, this short paper examines the two plans as two different approaches to health care reform in the US and compares them to the Australian system, asking the question whether or not current reform efforts in the US make the system more like that in Australia, or are likely to do so in the future.
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Pollard, Mike. "Killers in the bush." Australian Health Review 25, no. 2 (2002): 16. http://dx.doi.org/10.1071/ah020016.
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Three senior Chief Executives of acute hospital trusts in the UK recently visited the Northern Territory (NT)and South Australia (SA) to study remote and rural health care in general - and Aboriginal health in particular. As with all other aspects of Aboriginal life, the subject of health status is highly charged and generates heightened emotions and intense political debate across the country but particularly in the NT and SA where many of the remote indigenous people live. Every "mainstream" Australian has an opinion on the trials and tribulations of the indigenous people.The field study was part of the NHS Leadership Centre's Senior Chief Executives' Development Programme. Itcomprised a longitudinal journey across the continent from Darwin (NT) through to Alice Springs to Tanundain the Barossa Valley and then on to Adelaide following the route of the 2,500 kilometre Stuart Highway. Itinvolved visiting rural health services, and meetings with Aboriginal leaders, academics, health practitioners and senior officials of the SA government.A specific research topic was to understand how practitioners working in extreme environments, and delivering long-term programmes of care, can maintain their morale and motivation.
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Sendall, Marguerite C., Phil Crane, Laura McCosker, Marylou Fleming, Herbert C. Biggs, and Bevan Rowland. "Truckies and health promotion: using the ANGELO framework to understand the workplace’s role." International Journal of Workplace Health Management 10, no. 6 (December 4, 2017): 406–17. http://dx.doi.org/10.1108/ijwhm-09-2017-0070.
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Purpose Workplaces are challenging environments which place workers at the risk of obesity. This is particularly true for Australian road transport industry workplaces. The Analysis Grid for Environments Linked to Obesity (ANGELO) framework is a public health tool which can be used to conceptualise obesogenic environments. It suggests that workplaces have a variety of roles (in the physical, economic, political and sociocultural domains) in responding to obesity in transport industry workplaces. The purpose of this paper is to present the findings which explore this idea. Design/methodology/approach The project used a mixed-methods approach located within a participatory action research framework, to engage workplace managers and truck drivers in the implementation and evaluation of workplace health promotion strategies. The project involved six transport industry workplaces in Queensland, Australia. Findings This study found that transport industry workplaces perceive themselves to have an important role in addressing the physical, economic, political and sociocultural aspects of obesity, as per the ANGELO framework. However, transport industry employees – specifically, truck drivers – do not perceive workplaces to have a major role in health; rather, they consider health to be an area of personal responsibility. Practical implications Balancing the competing perceptions of truck drivers and workplace managers about the workplace’s role in health promotion is an important consideration for future health promotion activities in this hard-to-reach, at-risk population. Originality/value The use of the ANGELO framework allows the conceptualisation of obesity in a novel workplace context.
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Eisen, Peter. "Potential for Psychiatric Leadership in Health Care." Australian & New Zealand Journal of Psychiatry 20, no. 2 (June 1986): 107–11. http://dx.doi.org/10.3109/00048678609161323.
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Some individual Australian psychiatrists have held influential positions in the administration of health care, academic institutions and medical research. It is timely to assess whether individual or group action best meets psychiatry's professional and service needs. Through an exploration of aspects of professionalism, power, leadership, change in the nature and control of health care, and psychiatry's political roles, a case is made for corporate action aimed at psychiatry establishing leadership roles in Australian health care.
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Zubrick, Stephen R., Sven R. Silburn, Paul Burton, and Eve Blair. "Mental Health Disorders in Children and Young People: Scope, Cause and Prevention." Australian & New Zealand Journal of Psychiatry 34, no. 4 (August 2000): 570–78. http://dx.doi.org/10.1080/j.1440-1614.2000.00703.x.
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Objective: To review the scope and characteristics of mental health disorders in children and young people in Australia; detail some emerging concepts of the causal pathways of mental health disorders in children and young people; and discuss aspects of the prevention of mental health disorders and the promotion of mental health in children and young people. Method: An integrated review of selected literature. Results: (i) While as many as one in five Australian children aged from four to 17 have significant mental health problems there remains a need for prevalence estimates in subsections of the population, notably children and young people of Aboriginal and Torres Strait Islander descent; (ii) appropriate studies of gene-environment interaction will require better measurement and developmental exposition of those risk exposures that are known to be on the causal pathway to mental health disorder; and (iii) universal, selective and indicated prevention trials and evaluations directed at anxiety, depression and conduct disorder are needed. Conclusion: Preventive intervention and promotion in mental health must entail effective collaboration at national, state and local levels between health, welfare and education sectors. These sectors must be informed by high quality epidemiology and a knowledge of the causal pathways of mental health disorders. Such intervention must also improve the movement of scientific knowledge to political policy on one hand and to praxis on the other. This will require a clear and persistent vision of the urgency, costs and consequences of mental health disorders in children and young people coupled with effective leadership and political resolve.
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Degeling, C., G. L. Gilbert, P. Tambyah, J. Johnson, and T. Lysaght. "One Health and Zoonotic Uncertainty in Singapore and Australia: Examining Different Regimes of Precaution in Outbreak Decision-Making." Public Health Ethics 13, no. 1 (December 22, 2019): 69–81. http://dx.doi.org/10.1093/phe/phz017.
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Abstract A One Health approach holds great promise for attenuating the risk and burdens of emerging infectious diseases (EIDs) in both human and animal populations. Because the course and costs of EID outbreaks are difficult to predict, One Health policies must deal with scientific uncertainty, whilst addressing the political, economic and ethical dimensions of communication and intervention strategies. Drawing on the outcomes of parallel Delphi surveys conducted with policymakers in Singapore and Australia, we explore the normative dimensions of two different precautionary approaches to EID decision-making—which we call regimes of risk management and organizing uncertainty, respectively. The imperative to act cautiously can be seen as either an epistemic rule or as a decision rule, which has implications for how EID uncertainty is managed. The normative features of each regime, and their implications for One Health approaches to infectious disease risks and outbreaks, are described. As One Health attempts to move upstream to prevent rather than react to emergence of EIDs in humans, we show how the approaches to uncertainty, taken by experts and decision-makers, and their choices about the content and quality of evidence, have implications for who pays the price of precaution, and, thereby, social and global justice.
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England, Erica. "Women's Studies Archives: Female Forerunners Worldwide." Charleston Advisor 24, no. 2 (October 1, 2022): 60–63. http://dx.doi.org/10.5260/chara.24.2.60.
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Women's Studies Archive: Female Forerunners Worldwide (hereafter FFW) contains primary sources that offer an examination of the social, political, and professional aspects of women's lives and their impact on society through social reform movements and organizations, popular culture, and health care. The archive contains 21 collections comprising more than 680,000 pages; has a date range from 1741 to 2016; and includes international content from Europe, Australia, and New Zealand, as well as content from the United States. It is easily navigable and has the familiar layout of Gale Primary Sources databases.
Dissertations / Theses on the topic "Health Political aspects Australia"
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Featherstone, Lisa. "Breeding and feeding: a social history of mothers and medicine in Australia, 1880-1925." Australia : Macquarie University, 2003. http://hdl.handle.net/1959.14/38533.
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Thesis (PhD)--Macquarie University, Division of Humanities, Department of Modern History, 2003.Bibliography: p. 417-478.
Introduction: breeding and feeding -- The medical man: sex, science and society -- Confined: women and obstetrics 1880-1899 -- The kindest cut? The caesarean section as turning point -- Reproduction in decline -- Resisting reproduction: women, doctors and abortion -- From obstetrics to paediatrics: the rise of the child -- The breast was best: medicine and maternal breastfeeding -- The deadly bottle and the dangers of the wet nurse: the "artificial" feeding of infants -- Surveillance and the mother -- Mothers and medicine: paradigms of continuity and change.
The late nineteenth and early twentieth centuries saw profound changes in Australian attitudes towards maternity. Imbibed with discourses of pronatalism and eugenics, the production of infants became increasingly important to society and the state. Discourses proliferated on "breeding", and while it appeared maternity was exulted, the child, not the mother, was of ultimate interest. -- This thesis will examine the ways wider discourses of population impacted on childbearing, and very specifically the ways discussions of the nation impacted on medicine. Despite its apparent objectivity, medical science both absorbed and created pronatalism. Within medical ideology, where once the mother had been the point of interest, the primary focus of medical care, increasingly medical science focussed on the life of the infant, who was now all the more precious in the role of new life for the nation. -- While all childbirth and child-rearing advice was formed and mediated by such rhetoric, this thesis will examine certain key issues, including the rise of the caesarean section, the development of paediatrics and the turn to antenatal care. These turning points can be read as signifiers of attitudes towards women and the maternal body, and provide critical material for a reading of the complexities of representations of mothers in medical discourse.
Mode of access: World Wide Web.
478 p
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Reinke, Leanne 1964. "Community, communication and contradiction : the political implications of changing modes of communication in indigenous communities of Australia and Mexico." Monash University, School of Political and Social Inquiry, 2001. http://arrow.monash.edu.au/hdl/1959.1/8812.
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Wolska, Barbara. "History, culture and alcohol: Drinking patterns in Poland and Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1040.
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It is a widely held view in Poland that for centuries those in power have promoted heavy drinking among their subjects in order to achieve their various goals and that this contributed to the development of Polish drinking patterns. There is some empirical evidence that the political economy of alcohol in Poland promoted heavy drinking among the Polish population. Drinking alcohol in Poland was an important aspect of social situations. The most popular beverage was vodka(s). Social pressure to drink in the extreme was attributed to the tradition of hospitality. Cultural norms encouraged very heavy drinking among men and imposed heavy social sanctions on women who were supposed to display virtues of abstinence. The typical model of drinking was intermittent very heavy drinking, leading to intoxication on most occasions. These norms reinforced the notion that "we can drink more because we are Poles" and the view that safe drinking messages are designed for other nations because "Poles are accustomed to drinking strong alcohol, unlike others". Adult male informants reported drinking much less in Australia than in Poland. The biggest change was a lack of social pressure to drink. Although men claimed that they drink less, some still drink in an unsafe manner. These were largely those whose English skills restricted their employment and friendship networks. Women, on the other hand, admitted that in Australia they drink more often and more alcohol at a sitting than in Poland. Although informants did not mention any alcohol-related family problems in Australia, others reported alcohol related violence within some families. Some safety messages about alcohol do not reach this sample of people. Many view drink driving rules as purely revenue raisers for the government. However, advice from their medical practitioners to reduce their alcohol intake for serious health reasons is given more credibility. Young Polish Australians formed two groups in their attitude to drinking. The first group consisted of people who attended tertiary educational institutions and consumed alcohol in a similar fashion to other Australian students. It is likely that the university environment influenced their drinking patterns. Those who witnessed drinking at home and perceived it as a good thing, modelled their drinking on their parents' and other adults at home. Others, who perceived their parents as non-drinkers, learned to drink from their friends and displayed similar drinking patterns to their peers. The second group was older; some were in the workforce and manifested drinking patterns akin to those in the general Australian population in the same age bracket. Both groups of these young Polish Australians were much more aware of alcohol health messages and more likely to modify their behaviours such as not to drink and drive, than was the older population. However, other drinking related health warnings were largely disregarded. This research demonstrates the negative impact of reduced government funding for English programs and ethno-specific services for migrant groups. More research is needed on migrant drinking in Australia, specifically among those groups whose drinking continues to be problematic.
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Speldewinde, Peter Christiaan. "Ecosystem health : the relationship between dryland salinity and human health." University of Western Australia. School of Population Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0127.
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Australia is experiencing widespread ecosystem degradation, including dryland salinity, erosion and vegetation loss. Approximately 1 million hectares (5.5%) of the south-west agricultural zone of Western Australia is affected by dryland salinity and is predicted to rise to 5.4 million hectares by 2050. Such degradation is associated with many environmental outcomes that may impact on human health, including a decrease in primary productivity, an increase in the number of invasive species, a decrease in the number of large trees, overall decrease in biodiversity, and an increase in dust production. The resulting degradation affects not only farm production but also farm values. This study examines the effects of such severe and widespread environmental degradation on the physical and mental health of residents. Western Australia has an extensive medical record database which links individual health records for all hospital admissions, cancer cases, births and deaths. For the 15 diseases examined in this project, the study area of the south west of Western Australia (excluding the capital city of Perth) contained 1,570,985 morbidity records and 27,627 mortality records for the 15 diseases examined in a population of approximately 460,000. Environmental data were obtained from the Western Australian Department of Agriculture?s soil and landscape mapping database. A spatial Bayesian framework was used to examine associations between these disease and environmental variables. The Bayesian model detected the confounding variables of socio-economic status and proportion of the population identified as Aboriginal or Torres Strait Islander. With the inclusion of these confounders in the model, associations were found between environmental degradation (including dryland salinity) and several diseases with known environmentally-mediated triggers, including asthma, ischaemic heart disease, suicide and depression. However, once records of individuals who had been diagnosed with coexistent depression were removed from the analysis, the effect of dryland salinity was no longer statistically detectable for asthma, ischaemic heart disease or suicide, although the effects of socio-economic status and size of the Aboriginal population remained. The spatial component of this study showed an association between land degradation and human health. These results indicated that such processes are driving the degree of psychological ill-health in these populations, although it remains uncertain whether this 4 is secondary to overall coexisting rural poverty or some other environmental mechanism. To further investigate this complex issue an instrument designed to measure mental health problems in rural communities was developed. Components of the survey included possible triggers for mental health, including environmental factors. The interview was administered in a pilot study through a telephone survey of a small number of farmers in South-Western Australia. Using logistic regression a significant association between the mental health of male farmers and dryland salinity was detected. However, the sample size of the survey was too small to detect any statistically significant associations between dryland salinity and the mental health of women. The results of this study indicate that dryland salinity, as with other examples of ecosystem degradation, is associated with an increased burden of human disease.
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Nelson, Mark 1957. "Aspects of pharmacological management of hypertension in general practice." Monash University, Dept. of Epidemiology and Preventive Medicine, 2002. http://arrow.monash.edu.au/hdl/1959.1/7923.
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Norrie, Philip Anthony, University of Western Sydney, College of Health and Science, and School of Medicine. "Wine and health through the ages with special reference to Australia." THESIS_CHS_MED_Norrie_P.xml, 2005. http://handle.uws.edu.au:8081/1959.7/709.
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The use of wine as a medicine is not a new idea, but one that has been rediscovered and given credibility due to current research findings. This research examines the use of wine as a medicine in the past and currently. The whole question of wine and health is put into a more balanced and proper perspective, instead of the ill-informed, negative anti-alcohol view. The aim of the thesis is to document the history of the uses of wine as a medicine, particularly in Australia. The author uses a social ecology framework,which is concerned with the interrelationships between the domains of the personal, social and environmental, with a critical, holistic transdisciplinary understanding approach. One aim of the research is to change the perception of wine from one of a drink for special occasions to one of a daily health drink taken in moderation with a mealDoctor of Philosophy (PhD)
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Wollin, Judy A. "A comparative study of aspects of health care valued by residents with multiple sclerosis and staff at a residential setting." Thesis, Queensland University of Technology, 1993. https://eprints.qut.edu.au/36811/1/36811_Digitised%20Thesis.pdf.
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This research was undertaken in response to the implementation of a program of de-institutionalisation under the auspices of the Disability Services Act 1986, involving people with Multiple Sclerosis {MS) . The impact of de-institutionalisation on people with MS has not been researched before in Australia.
The aim of the research was to identify and compare aspects of health care valued by people with Multiple Sclerosis and staff at an assisted accommodation unit in suburban Australia.
The research participants included the residents and staff of a residential centre for people with MS. Elements of quantitative and qualitative research methods were used. Data were collected using unstructured interviews and sequential questionnaires. These data were analysed using recurrent theme identification technique.
The research shows that the current program of deinstitutionalisation has resulted in changes affecting both residents and staff. The findings of the research were similar for both groups, who wish to see the Centre remain as much as possible as it is, with in-house services continued. Changes resulting in the abolition or reduction of services are not supported by either group.
While the overall objectives of the Disability Services Act 1986 are supported by residents and staff, the major conclusion of the study is that its implementation should more closely reflect the needs of people with MS already living in an assisted accommodation unit.
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Carter, May Elizabeth. "Health and the nature of urban green spaces." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2009. https://ro.ecu.edu.au/theses/1838.
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Recognition that city-dwelling people can benefit from contact with nature is not new. The urban open air movement of the 19th century advised retention of greenways and development of urban parks and gardens to stop disease spread through lack of fresh air, poor sanitation and overcrowding. Now, in the early 21st century, urban green spaces are under threat from inner city infill projects and clearing of remnant vegetation to accommodate suburban sprawl.
While much literature discusses positive health benefits of contact with nature, few studies explore explicit pathways between urban green space and health, despite mounting concern that disassociation between people and nature in urban communities may be detrimental to physical and mental health. This study explored how people’s attitudes toward nature might influence perceptions of nearby green spaces and feelings of attachment to living in their neighbourhood, and in turn, whether people with positive attitudes towards nature and positive perceptions of nearby green space would report better health.
A mixed method research design was adopted in this study. Exploration of research questions required objective measurement of relationships between different aspects of health and nature, and interpretation of the subjective meanings people attach to those relationships. Study design involved distribution of a cross-sectional survey to residents in four neighbourhoods in Perth, Western Australia with respondents invited to participate in a semi-structured interview. Neighbourhoods were selected based on location (either an inner or outer suburban area), age of neighbourhood (established or new), diversity of nearby green space, and socio-demographic characteristics. Data from 440 surveys and 25 interviews were analysed.
Attitudes towards urban nature were diverse and it was clear that feelings about natural environments strongly influenced preference and perceptions of useable green spaces, and for some people, their choice of neighbourhood. In essence, people who enjoyed spending time in nature were more inclined to seek green spaces within their neighbourhood environment that provided complexity and opportunities for exploration or escape. Those who professed little connection to nature and saw bushland areas as untidy, uninviting or unsafe, tended to be more concerned about aesthetic and functional aspects of green space design and preferred to visit ‘civilised’ parks and gardens with manicured lawns, formal paths and playgrounds.
Green spaces were important sites for physical activity, relaxation and social interaction and proximity to useable green space was a significant factor in predicting better selfreported health. In addition, neighbourhoods with trees and greenways were described as healthier places to live. People who lived in close proximity to parks and green spaces where social interaction regularly occurred, who reported that diverse green spaces and bushland areas were being retained in their neighbourhood, who cared about environmental issues and were interested in being involved in conservation activities, were more likely to report better physical function, general health, mental health and feelings of vitality. People who regularly visited nearby green spaces described feeling happier and more satisfied with living in their neighbourhood.
Encouraging people to regularly visit and become actively involved in caring for local nature reserves and parklands can play an important role in health promotion and preventive health strategies. Conservation, useability and management of diverse green spaces must be considered as a critical element of urban planning. This will only occur with continuing recognition of the health benefits that can be achieved by retaining diverse, quality green spaces within suburban neighbourhoods.
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Koo, Fung Kuen. "Disharmony between Chinese and Western views about preventative health : a qualitative investigation of the health beliefs and behaviour of older Hong Kong Chinese people in Australia." University of Sydney, 2005. http://hdl.handle.net/2123/1610.
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Doctor of PhilosophyThis study explores the health beliefs and preventive health behaviours of older Hong Kong Chinese people resident in Australia. Participation in physical activity was used as the case study. There were two frameworks used to shape the research. Because of their perceived influence on the health beliefs and practices of Hong Kong Chinese people, the traditional Chinese philosophies of Confucianism, Taoism, and Buddhism provided the philosophical framework. The Theory of Planned Behaviour provided a theoretical framework for understanding the target group's preventive health behaviour. Data was collected by means of in-depth interviews, participant observation and case study. Twenty-two informants were interviewed, their transcripts analysed, summarised and typologised, identifying six states of physical activity participation. Findings demonstrated that this target group possessed a holistic view of health, with food taking a special role in preventive care and self-treatment at times of illness. The Cantonese terms used to denote “physical activity” caused confusion among the target group. Most interpreted it as meaning deliberate planned body movement, strength-enhancing activities or exercise, although some did see it as including mundane daily activities and chores. Lack of time, no interest and laziness were reported as the main reasons for low participation in deliberate planned physical activity. Cultural, social and environmental determinants were the intrinsic and extrinsic factors influencing attitudes toward physical activity, as well as perceived social supports and perceived control over physical activity participation barriers. To a large extent, these interactive determinants of health were rooted in the three traditional Chinese philosophies mentioned above. The thesis concludes by arguing that rather than simply advocating activities designed for other populations, health promotion strategies and education need to create links to the traditions of this target group and also clarify their conception of physical activity.
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Risely, Melissa. "The politics of precaution : an eco-political investigation of agricultural gene technology policy in Australia, 1992-2000." Title page, contents and abstract only, 2003. http://web4.library.adelaide.edu.au/theses/09PH/09phr5953.pdf.
Full textBooks on the topic "Health Political aspects Australia"
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Independent Scholars Association of Australia. Annual Conference. Australia: a work in progress - the natural and built environment: 2007 ISAA Annual Conference Proceedings. Edited by Poiner Gretchen and Independent Scholars Association of Australia. Canberra: Independent Scholars Association of Australia, 2007.
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Gardner, Heather. Health policy in Australia. Melbourne: Oxford University Press, 1997.
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Lavanty, Donald F. Political Aspects of Health Care. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7.
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Tradition and reality: Nursing and politics in Australia. Melbourne: Churchill Livingstone, 1994.
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Glenda, Korporaal, ed. Bid: How Australia won the 2000 games. Port Melbourne, Vic: William Heinemann Australia, 1994.
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Authority, Victoria Environment Protection. Melbourne mortality study: Effects of ambient air pollution on daily mortality in Melbourne 1991-1996 : appendices. Melbourne?]: The Authority, 2000.
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Unwin, Elizabeth. Smoking-caused deaths and hospitalisation in Western Australia by health services. [East Perth], W.A: Health Information Centre, Health Dept. of Western Australia, 1997.
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Publications, Australian Military History, ed. Chemical warfare in Australia. Loftus, N.S.W: Australian Military History Publications, 2007.
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Acker, Elizabeth Van. Different voices: Gender and politics in Australia. South Yarra: Macmillan Education Australia, 1998.
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Dissent events: Protest, the media, and the political gimmick in Australia. Kensington, NSW: University of New South Wales Press, 2002.
Find full textBook chapters on the topic "Health Political aspects Australia"
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Lorenzi, Nancy M., and Robert T. Riley. "Negotiating the Political Minefields." In Organizational Aspects of Health Informatics, 162–82. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4757-4184-1_9.
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Lavanty, Donald F. "Pre-Medicare." In Political Aspects of Health Care, 1–12. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_1.
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Lavanty, Donald F. "The Federal Government Enters the Healthcare Field." In Political Aspects of Health Care, 13–22. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_2.
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Lavanty, Donald F. "The Action Period of Healthcare Legislation." In Political Aspects of Health Care, 23–32. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_3.
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Lavanty, Donald F. "The Cost Realities and Political Events’ Impact on National Healthcare Action." In Political Aspects of Health Care, 33–43. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_4.
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Lavanty, Donald F. "The Era of Budget Politics." In Political Aspects of Health Care, 45–51. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_5.
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Lavanty, Donald F. "The Reagan Era of Politics and Healthcare." In Political Aspects of Health Care, 53–64. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_6.
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Lavanty, Donald F. "Medicare Meets the Marketplace: The Bush-Clinton Years." In Political Aspects of Health Care, 65–78. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_7.
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Lavanty, Donald F. "Healthcare Reductions and the “Donut Hole”." In Political Aspects of Health Care, 79–85. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_8.
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Lavanty, Donald F. "The Politics of the Affordable Care Act." In Political Aspects of Health Care, 87–98. New York: Palgrave Macmillan US, 2018. http://dx.doi.org/10.1057/978-1-137-40283-7_9.
Full textConference papers on the topic "Health Political aspects Australia"
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Collins, Julie. "Fresh Air and Sunshine: The Health Aspects of Sleepouts, Sunrooms, and Sundecks in South Australian Architecture of the 1930s." In The 38th Annual Conference of the Society of Architectural Historians Australia and New Zealand. online: SAHANZ, 2022. http://dx.doi.org/10.55939/a3989p6hza.
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This paper examines the development of infrastructures for outdoor advertising and debates over visual ‘oversaturation’ in the built environment. It begins with the boom in posters that came in the 19th century with a plethora of new manufactured goods and the attempts by civic officials to create structures that would extend cities’ available surface area for the placement of ads. It then charts the rise of building-top ‘sky signs,’ articulated billboards, kiosks, and digital media facades while detailing the policy initiatives meant to regulate these ad surfaces. This work builds on ongoing research into the development of signage technologies in Sydney and Melbourne, the measurement and regulation of ‘visual pollution’, and the promotion of entertainment and nightlife in precincts defined by neon and historic signage.
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Nasution, Siti Saidah. "Quality of Life of Pregnant Women in the Dimensions of Physical Health Aspects, Psychological well-being, Social Relations and Environment in Medan, North Sumatera Province." In 1st International Conference on Social and Political Development (ICOSOP 2016). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/icosop-16.2017.36.
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Zhang, Gang. "Research on the Collaborative Education Mechanism of College Counselors and Ideological and Political Teachers from the Perspective of “Three-Aspects Education”." In 2022 3rd International Conference on Mental Health, Education and Human Development (MHEHD 2022). Paris, France: Atlantis Press, 2022. http://dx.doi.org/10.2991/assehr.k.220704.125.
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Misheva, Kristina, and Marija Ampovska. "THE LEGAL ASPECTS OF TELEHEALTH." In The recovery of the EU and strengthening the ability to respond to new challenges – legal and economic aspects. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2022. http://dx.doi.org/10.25234/eclic/22436.
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Telehealth seems to be the new normal in this fast-changing environment. According to the European Commission eHealth was among the highest priorities before the COVID -19 pandemic. Transformation of health and care in the digital single market is among the EU`s six political priorities of the Commission 2019-2024 (2018 Communication on Digital Health and Care). The pandemic caused by COVID-19 just accelerates the necessity of the inclusion of digital health into the traditional healthcare systems. Telehealth services are among the biggest eHealth trends in EU. Therefore, one of the challenges is the national, regional and regulatory priorities regarding telehealth. There is lack of telehealth special legislative and governmental policies that needs to stimulate the developing and innovative solutions in medicine through technology and to envisage the upcoming innovation technology. Therefore, the government support and adequate policy making is important to support the development of the telehealth services. One of the main challenges is the electronic transactions of patient data among the telehealth providers and services and the cross-border patient data share. Another issue is the exchange of information among the national health institutions and providers and their interoperability. The Macedonian legislation does not have special legislation (policies, or laws) about telehealth. Telehealth is regulated as a term in the Law on health protection. Additionally, there is a lack of national acts, literature, and research in this subject matter. Thus, this paper will explore the telehealth from two main perspectives: scientific theories and legal practice and the users’ practice. Hence, this paper will analyze the legislation about the telehealth on the EU level and the EU Member States and the Macedonian legislation and the impact on the e-health that was made during COVID-19 pandemic. Furthermore, it will make comparative analyses among different countries into the EU zone compared with the EU aspirant country- the Republic of North Macedonia. A survey conducted among doctors in private and public healthcare institutions in the primary, secondary, and tertiary healthcare levels in the city of Stip and in the city of Skopje will provide data about the challenges, risks, and trends in telehealth before and during COVID -19.
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Alzain, Hassan, Ali Abu Qurain, Abdulrahman Al-Jaafari, and Jason Hall. "The Use of Health Management Programs for the Contractors Workforce." In International Petroleum Technology Conference. IPTC, 2022. http://dx.doi.org/10.2523/iptc-22122-ms.
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Abstract This paper aims to detail key success factors in understanding the effective principles of managing the health and well-being of the contractor workforce during and post pandemics, specifically for organizations in the oil, gas and energy industry. Furthermore, it shall provide insights and guidance on how to maintain and enhance contractor workforce experience, particularly during and post the COVID-19 pandemic; detailing the benefits of having well-established health management programs designed specifically for the contractor workforce. The social determinants of health (SDH) can be defined as the social and economic conditions in which people are born, grow, live, learn, work and age. They are nonmedical factors that influence a vast range of health conditions; affecting individuals' overall quality-of-life. Economic policies, social norms and political systems are all examples of forces and factors that shape daily life conditions and affect human health (ODPHP, n.d.; WHO, n.d.a). SDH also encompasses education, employment, socioeconomic status, access to health care, social support as well as neighborhood and physical environment (Artiga and Hinton, 2018). SDH have a crucial influence on health disparities and inequities – "the unfair and avoidable differences in health status seen within and between countries" (CDC, 2020). A well-known key factor in the emergence and perpetuation of health disparities is housing. Several researchers from a diverse array of disciplines explored the various aspects of the association between housing, health and well-being. They endeavored to comprehensively elucidate the major pathways through which housing conditions can negatively impact health equity, with a focus on the broad spectrum of hazardous exposures, their accumulated impact and their historical production. As reported by Rolfe et al. (2020), there is compelling evidence of poor physical health consequences of toxins within homes, damp and mold, cold indoor temperatures, overcrowding, and safety factors. Beyond the aforementioned impacts of physical aspects of housing on physical health, poor housing conditions have also been linked with high risks of poor mental health and well-being (Pevalin et al., 2017).
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Gajić, Aleksandar V. "FACING REALITY: A NEED TO CHANGE THE LEGAL FRAMEWORK OF THE EU PUBLIC HEALTH POLICY AND THE INFLUENCE OF THE PANDEMIC OF COVID-19 ON THE PERCEPTION OF IDENTITY AND THE ROLE OF THE EU." In The recovery of the EU and strengthening the ability to respond to new challenges – legal and economic aspects. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2022. http://dx.doi.org/10.25234/eclic/22434.
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The main aim of this article is to highlight two interconnected issues raised in the context of the COVID-19 pandemic. The first one concerns a need to change the EU Health Policy legal framework, particularly the founding treaties (TEU and TFEU), while the second one relates to the issue of the very perception of the identity of the European Union. The possible adequate solution for the situation created by the unprecedented nature of the COVID-19 pandemic and unprecedented measures that followed, was to proclaim state of emergency, which was largely avoided. It seems that it should be considered whether there is a need for amendments of the European Union founding treaties and/or the Charter on Fundamental Rights by providing the possibility of the state of emergency proclamation in the case of “the threats of the life” of the EU. The European Union is not entrusted with the competencies, powers, and responsibilities in health matters such as a pandemic, however founding treaties, functioning institutions as well as procedures seem sufficient for an effective response to health crises such as the one caused by the COVID-19 pandemic. However, having in mind experience with the COVID-19 pandemic it seems that there is a need to strengthen the EU legal framework concerning the issues of pandemic and similar threats, not by altering the nature of the EU competence regarding health issues, but by identifying the threats such as pandemic in the founding treaties that should contain basic regulations concerning European Centre for Disease Prevention and Control. In that manner the efficient response would be in a form of an institutionalized mechanism at the core of the European Union instead of being fully dependent on the variable political will. At the same time there is an urgent need to identify those Health Policy issues that should be an adequate subject of judicial scrutiny. The COVID-19 pandemic also proved that Member States and the European Union should be more realistic regarding the perception of the role and identity of the European Union. The author argues that the identity of the European Union is blurred with a variety of considerations and that its content and features should be more determined, not only in academic literature but also in political practice, especially when it comes to the issue of self-determination of the European Union. The world is not the same as it was before the pandemic, and it seems that the European Union, in order to be prepared to face new challenges, must build its identity in realistic parameters and act in one voice “if it wants to make itself heard and play its proper rôle in the world”, as it was declared in the 1973 Declaration on the European Identity.
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Winarna, Nuristy Brillian Ainindyahsari, and Andari Wuri Astuti. "First-Time Advisory Experience of Husbands During Labor Time of Pregnancy: A Scoping Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.66.
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ABSTRACT Background: Mothers experienced enormous physical and emotional changes, especially during childbirth. Birth support role of husbands reassured both husband and wife about labor and birth. This study aimed to review the first-time advisory experience of husbands during labor time of primigravida wife. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included ScienceDirect, Wiley Online Library, ProQuest, and grey literature through Google Scholar search engine databases. The inclusion criteria were English/ Indonesian-language and full-text articles in peer-reviewed journals published between 2009 and 2019. A total of 543,111 articles were obtained by the searched database. After the review process, six articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: Six articles from developed countries (Australia, Sweden, Singapore, Israel, and England) met the inclusion criteria with qualitative and quantitative (cross-sectional) studies. Three main aspects discussed were support, challenges, and psychological conditions of experience of husbands during labor time of pregnancy. Support of husbands was identified as physical and moral. Challenges faced by husbands included lack of preparedness, knowledge, and encouragement from health care professionals. Psychological conditions of satisfaction and concern were found in husbands’ transition to fatherhood. Conclusion: Responsibility, emotion, experience, and barrier of husbands are related to maternal health problems. Better involvement of fathers will be able to enhance better quality of relationships and family health through understanding, experience, and assistance, especially in the childbirth process. Keywords: advisory, husbands, experience, labor, pregnancy Correspondence: Nuristy Brillian Ainindyahsari Winarna. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ring Road Barat) No 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: nuristybrillian02@gmail.com. Mobile: +6285338800207. DOI: https://doi.org/10.26911/the7thicph.03.66
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Hornung, Severin, Matthias Weigl, Britta Herbig, and Jürgen Glaser. "WORK AND HEALTH IN TRANSITION: TRENDS OF SUBJECTIFICATION IN APPLIED PSYCHOLOGY." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact056.
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"Reported is the synthesis of a series of seven studies on work and health, conducted collaboratively by researchers in applied psychology and occupational medicine. This qualitative meta-study develops a framework, in which reviewed studies are structured, aggregated, integrated, and interpreted in a theory-guided iterative process of themed analysis. Building on empirical results, the subsequent interpretive integration seeks to demonstrate, how overarching, pervasive, and in psychological research typically underemphasized tendencies of “subjectification” manifest in exemplary work contexts, research topics, and results. Subjectification of work is operationalized in dimensions of work intensification (performance focus), work internalization (goal adoption), and work individualization (job personalization). A meta-dimension is work insecurity (personal risk), cultivated in contemporary management ideologies of employee self-reliance. Following thematic description, content-analytical structuring criteria include: a) focus on work task (activity) versus working conditions (context); b) primary (close, direct, explicit) versus secondary (inferred, indirect, subtle) references to and/or indication for identified tendencies of subjectification; and c) theoretically assumed and empirically examined relationships with negative (psychopathological) and positive (psychosalutogenic) short, medium, and longer-term attitudinal and health-related work effects, as well as the personality-shaping impact of long-term occupational socialization. Psychological aspects of work tasks are core to 4 studies, 3 focus on working conditions and organizational practices. References to intensification were dominant in 4 studies, whereas 5 include internalization processes, and 3 predominantly focus on individualization of work. All studies share secondary or indirect references to other subjectifying tendencies. Examined work effects were aggregated into a matrix of short, medium and long-term positive and negative manifestations of health and wellbeing. Results suggest tensions and pressures arising from the motivational individualization of work tasks and conditions, resulting internalization of organizational interests and goals (e.g., performance, efficiency, costs), coupled with system-inherent tendencies of work intensification. These dysfunctional dynamics constitute risks factors for psychologically detrimental or harmful forms of self-management, self-control, and self-endangering work behavior, as manifestations of “internalized” incompatibilities between work and health in the neoliberal workplace, aggravated by existential threats associated with political-economic crisis. Outlined are implications of subjectification for a critical reevaluation and reorientation of basic theoretical assumptions of research and practice in applied psychology and occupational health."
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Mohitpour, M., G. Von Bassenheim, and Ardean Braun. "Route Selection for Project Success: Addressing “Feeling/Perception” Issues." In 1998 2nd International Pipeline Conference. American Society of Mechanical Engineers, 1998. http://dx.doi.org/10.1115/ipc1998-2012.
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Selecting a route for a pipeline right-of-way (ROW) generally consists of engineering (technical and economic), socioeconomic and biophysical components. To effectively select a route, simultaneous consideration must be given to all the components from the initiation of a project to the integration of all aspects of each throughout the route selection process. To successfully select a route which creates a win-win situation for all the stakeholders of a pipeline project, political/governmental issues, community and land owner views, public perceptions and other similar controlling factors (such as Safety, Health, Environment and Risk (SHER)) must be carefully analyzed and integrated into the process. It is the consideration of all these issues that will lead to a ROW which will provide a technically acceptable solution, which is at the same time the least expensive, economically viable and acceptable to the community it traverses. This paper will provide an overview of route selection techniques (including new technologies) used and the process generally practiced by pipeline designers, highlighting controlling issues and optimization methods that need to be utilized in order to achieve a cost effective route selection. It provides details on significant “Feeling/Perception” issues that can either thwart or, by careful consideration of these issues, lead to a successful pipeline project. An example of such a route selection process will be provided on a project located in rough and mountainous terrain, that has significant regulatory/governmental, land, environmental, indigenous and geological issues.
Reports on the topic "Health Political aspects Australia"
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Lehtimaki, Susanna, Kassim Nishtar, Aisling Reidy, Sara Darehshori, Andrew Painter, and Nina Schwalbe. Independent Review and Investigation Mechanisms to Prevent Future Pandemics: A Proposed Way Forward. United Nations University International Institute for Global Health, May 2021. http://dx.doi.org/10.37941/pb-f/2021/2.
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Based on the proposal by the European Council, more than 25 heads of state and the World Health Organization (WHO) support development of an international treaty on pandemics, that planned to be negotiated under the auspices of WHO, will be presented to the World Health Assembly in May 2021. Given that the treaty alone is not enough to ensure compliance, triggers for a high-level political response is required. To this end, to inform the design of a support system, we explored institutional mechanismsi with a mandate to review compliance with key international agreements in their signatory countries and conduct independent country investigations in a manner that manages sovereign considerations. Based on our review, there is no single global mechanism that could serve as a model in its own right. There is, however, potential to combine aspects of existing mechanisms to support a strong, enforceable treaty. These aspects include: • Periodic review - based on the model of human rights treaties, with independent experts as the authorized monitoring body to ensure the independence. If made obligatory, the review could support compliance with the treaty. • On-site investigations - based on the model by the Committee on Prevention of Torture according to which visits cannot be blocked by state parties. • Non-negotiable design principles - including accountability; independence; transparency and data sharing; speed; emphasis on capabilities; and incentives. • Technical support - WHO can provide countries with technical assistance, tools, monitoring, and assessment to enhance emergency preparedness and response.
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Fieldsend, Astrid. Evidence and Lessons Learned Regarding the Effect of Equitable Quality Education on ‘Open Society’. Institute of Development Studies (IDS), May 2021. http://dx.doi.org/10.19088/k4d.2021.094.
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The purpose of this review is to assist FCDO in understanding the evidence of impact and any valuable lessons regarding the effect equitable quality education can have on ‘open society’. The search revealed that there is a considerable volume of evidence which focuses on education’s ability to reduce poverty, increase economic growth, boost employability and achieve better health outcomes. There is less which focuses on the aspects of ‘open society’ as defined in this paper. The scope of this review was narrowed to focus upon areas of the ‘open society’ definition where the most evidence does exist, given the timeframe for the review. The scope was narrowed to focus on: democracy, civic engagement, and social cohesion. The review of the literature found strong evidence that equitable quality education can have a range of positive impacts on democracy (specifically, its institutions and processes), civic engagement and social cohesion. There is a considerable body of evidence which indicates that there is a correlation between equitable quality education and benefits to societies (more peaceful, higher levels of trust, greater participation in politics, etc). However, there was no clear evidence that investment in equitable quality education directly leads to positive societal outcomes. This is because there are so many other factors to account for in attempting to prove causation. The lack of rigorous studies which attempt to attribute causation demonstrates a clear evidence gap. It is important to note that education systems themselves are politicised and cannot be divorced from the political process. The extent to which education can impact positively on open society depends a great deal on the value education has within the political system in which it is operating.
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Gordoncillo, Mary Joy N., Ronello C. Abila, and Gregorio Torres. The Contributions of STANDZ Initiative to Dog Rabies Elimination in South-East Asia. O.I.E (World Organisation for Animal Health), January 2016. http://dx.doi.org/10.20506/standz.2789.
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A Grant Agreement between the Government of Australia and the World Organisation for Animal Health (OIE), the Stop Transboundary Animal Diseases and Zoonoses (STANDZ), initiative includes a rabies component with an overarching intended outcome of reducing dog rabies incidence in targeted areas. This initiative envisaged regional rabies activities in South-East Asia as well as specifically designed pilot projects in the Philippines, Myanmar and Cambodia. While remaining anchored to the envisioned outcome, its implementation from 2013 to 2016 also leveraged on the resources made available through the initiative to strategically generate tools, materials and examples that can potentially bridge long-standing gaps on dog rabies elimination in the region. This included developing approaches on rabies communication strategy, risk-based approach for the prioritization of mass dog vaccination, rabies case investigation, post-vaccination monitoring, building capacity through pilot vaccination projects, One Health operationalization at the grass-root level, and reinforcing high-level political support through regional and national rabies strategy development. These are briefly described in this paper and are also further detailed in a series of publications which individually document these approaches for future utility of the countries in the region, or wherever these may be deemed fitting. The STANDZ rabies initiative leaves behind a legacy of materials and mechanisms that can potentially contribute in strategically addressing rabies in the region and in achieving the global vision of eliminating dog-mediated human rabies by 2030.
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Lehtimaki, Susanna, Aisling Reidy, Kassim Nishtar, Sara Darehschori, Andrew Painter, and Nina Schwalbe. Independent Review and Investigation Mechanisms to Prevent Future Pandemics: A Proposed Way Forward. United Nations University International Institute for Global Health, April 2021. http://dx.doi.org/10.37941/rr/2021/1.
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The COVID-19 pandemic has created enormous challenges for national economies, livelihoods, and public services, including health systems. In January 2021, the World Health Organization proposed an international treaty on pandemics to strengthen the political commitment towards global pandemic preparedness, control, and response. The plan is to present a draft treaty to the World Health Assembly in May 2021. To inform the design of a support system for this treaty, we explored existing mechanisms for periodic reviews conducted either by peers or an external group as well as mechanisms for in-country investigations, conducted with or without country consent. Based on our review, we summarized key design principles requisite for review and investigation mechanisms and explain how these could be applied to pandemics preparedness, control, and response in global health. While there is no single global mechanism that could serve as a model in its own right, there is potential to combine aspects of existing mechanisms. A Universal Periodic Review design based on the model of human rights treaties with independent experts as the authorized monitoring body, if made obligatory, could support compliance with a new pandemic treaty. In terms of on-site investigations, the model by the Committee on Prevention of Torture could lend itself to treaty monitoring and outbreak investigations on short notice or unannounced. These mechanisms need to be put in place in accordance with several core interlinked design principles: compliance; accountability; independence; transparency and data sharing; speed; emphasis on capabilities; and incentives. The World Health Organization can incentivize and complement these efforts. It has an essential role in providing countries with technical support and tools to strengthen emergency preparedness and response capacities, including technical support for creating surveillance structures, integrating non-traditional data sources, creating data governance and data sharing standards, and conducting regular monitoring and assessment of preparedness and response capacities.
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Coelho Resende, Noelle, Renata Weber, Jardel Fischer Loeck, Mathias Vaiano Glens, Carolina Gomes, Priscila Farfan Barroso, Janine Targino, Emerson Elias Merhy, Leandro Dominguez Barretto, and Carly Machado. Working Paper Series: Therapeutic Communities in Brazil. Edited by Taniele Rui and Fiore Mauricio. Drugs, Security and Democracy Program, Social Science Research Council, June 2021. http://dx.doi.org/10.35650/ssrc.2081.d.2021.
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Spread across Brazil and attaining an unparalleled political force, therapeutic communities are as inescapable in the debate on drug policy as they are complex to define. Although they are not a Brazilian creation, they have been operating in that country for decades, and their dissemination intensified in the 1990s. In 2011, they were officially incorporated into Brazil's Psychosocial Care Network (Rede de Atenção Psicossocial, or RAPS). Since then, therapeutic communities have been at the center of public debates about their regulation; about how they should—or even if they should—be a part of the healthcare system; about the level of supervision to which they should be submitted; about their sources of funding, particularly whether or not they should have access to public funding; and, most importantly, about the quality of the services they offer and the many reports of rights violation that have been made public. However, a well-informed public debate can only flourish if the available information is based on sound evidence. The SSRC’s Drugs, Security and Democracy Program is concerned with the policy relevance of the research projects it supports, and the debate around therapeutic communities in Brazil points to a clear need for impartial research that addresses different cross-cutting aspects of this topic in its various dimensions: legal, regulatory, health, and observance of human rights, among others. It is in this context that we publish this working paper series on therapeutic communities in Brazil. The eight articles that compose this series offer a multidisciplinary view of the topic, expanding and deepening the existing literature and offering powerful contributions to a substantive analysis of therapeutic communities as instruments of public policy. Although they can be read separately, it is as a whole that the strength of the eight articles that make up this series becomes more evident. Even though they offer different perspectives, they are complementary works in—and already essential for—delineating and understanding the phenomenon of therapeutic communities in Brazil.
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Mayfield, Colin. Higher Education in the Water Sector: A Global Overview. United Nations University Institute for Water, Environment and Health, May 2019. http://dx.doi.org/10.53328/guxy9244.
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Higher education related to water is a critical component of capacity development necessary to support countries’ progress towards Sustainable Development Goals (SDGs) overall, and towards the SDG6 water and sanitation goal in particular. Although the precise number is unknown, there are at least 28,000 higher education institutions in the world. The actual number is likely higher and constantly changing. Water education programmes are very diverse and complex and can include components of engineering, biology, chemistry, physics, hydrology, hydrogeology, ecology, geography, earth sciences, public health, sociology, law, and political sciences, to mention a few areas. In addition, various levels of qualifications are offered, ranging from certificate, diploma, baccalaureate, to the master’s and doctorate (or equivalent) levels. The percentage of universities offering programmes in ‘water’ ranges from 40% in the USA and Europe to 1% in subSaharan Africa. There are no specific data sets available for the extent or quality of teaching ‘water’ in universities. Consequently, insights on this have to be drawn or inferred from data sources on overall research and teaching excellence such as Scopus, the Shanghai Academic Ranking of World Universities, the Times Higher Education, the Ranking Web of Universities, the Our World in Data website and the UN Statistics Division data. Using a combination of measures of research excellence in water resources and related topics, and overall rankings of university teaching excellence, universities with representation in both categories were identified. Very few universities are represented in both categories. Countries that have at least three universities in the list of the top 50 include USA, Australia, China, UK, Netherlands and Canada. There are universities that have excellent reputations for both teaching excellence and for excellent and diverse research activities in water-related topics. They are mainly in the USA, Europe, Australia and China. Other universities scored well on research in water resources but did not in teaching excellence. The approach proposed in this report has potential to guide the development of comprehensive programmes in water. No specific comparative data on the quality of teaching in water-related topics has been identified. This report further shows the variety of pathways which most water education programmes are associated with or built in – through science, technology and engineering post-secondary and professional education systems. The multitude of possible institutions and pathways to acquire a qualification in water means that a better ‘roadmap’ is needed to chart the programmes. A global database with details on programme curricula, qualifications offered, duration, prerequisites, cost, transfer opportunities and other programme parameters would be ideal for this purpose, showing country-level, regional and global search capabilities. Cooperation between institutions in preparing or presenting water programmes is currently rather limited. Regional consortia of institutions may facilitate cooperation. A similar process could be used for technical and vocational education and training, although a more local approach would be better since conditions, regulations and technologies vary between relatively small areas. Finally, this report examines various factors affecting the future availability of water professionals. This includes the availability of suitable education and training programmes, choices that students make to pursue different areas of study, employment prospects, increasing gender equity, costs of education, and students’ and graduates’ mobility, especially between developing and developed countries. This report aims to inform and open a conversation with educators and administrators in higher education especially those engaged in water education or preparing to enter that field. It will also benefit students intending to enter the water resources field, professionals seeking an overview of educational activities for continuing education on water and government officials and politicians responsible for educational activities
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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.