Academic literature on the topic 'Health service provision (Australia)'

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Journal articles on the topic "Health service provision (Australia)"

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Spinks, Jean, Stephen Birch, Amanda J. Wheeler, Lisa Nissen, Christopher Freeman, Thao Thai, and Joshua Byrnes. "Provision of home medicines reviews in Australia: linking population need with service provision and available pharmacist workforce." Australian Health Review 44, no. 6 (2020): 973. http://dx.doi.org/10.1071/ah19207.

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ObjectiveIdentifying and quantifying the health needs of a population are the basis of evidence-based health policy and workforce planning. The motivation for undertaking the present study was to evaluate whether the current level of medication review services corresponds to population need, as proxied by the rate of polypharmacy, and to undertake a preliminary analysis of the sufficiency of the current workforce. This paper: (1) estimates the age- and sex-standardised rates of polypharmacy as a proxy for population need for home medicines review; (2) compares the rate of polypharmacy with current service provision of home medicines reviews; and (3) links the estimated need for services with the current number and location of pharmacist providers. MethodsAge- and sex-adjusted polypharmacy rates, by state, were estimated from the National Health Survey of Australia (2017–18), service levels were estimated from national-level administrative claims data (2017–18) and the current workforce was estimated from the Australian Association of Consultant Pharmacists (2018). The current level of service provision was compared to the estimated population need for services, alongside the size of the pharmacy workforce required if need was met. ResultsThe adjusted rate of polypharmacy in Australia, using the strictest definition of ≥10 medications and ≥3 current chronic illnesses, was 1389 per 100000 population. The illustrative needs-based analysis suggests that there may be a disconnect between the current level of service provision and population health needs. ConclusionGiven that polypharmacy is a risk factor for medication-related problems, and that medication review is one of the few targeted strategies currently available to address medication-related problems in the population, service provision may be inadequate. Policy options to improve service provision could include interventions to increase workforce productivity and relaxing the current eligibility criteria for review, especially in rural and remote areas. What is known about the topic?Polypharmacy is a risk factor for medication-related problems, which can cause increased morbidity and mortality in the population. What does this paper add?This paper provides representative, population-based rates of polypharmacy in Australia and uses these rates in a needs-based analysis of service provision and workforce adequacy to provide home medicines review services. What are the implications for practitioners?Several policy options are available for consideration, including interventions to increase workforce productivity and relaxation of the current eligibility criteria for medicines review, especially in rural and remote areas.
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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.
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Glasheen, Kevin, and Marilyn Campbell. "The use of online counselling within an Australian secondary school setting: A practitioner’s viewpoint." Counselling Psychology Review 24, no. 2 (March 2009): 42–51. http://dx.doi.org/10.53841/bpscpr.2009.24.2.42.

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This paper proposes that the provision of online counselling services for young people accessed through their local school website has the potential to assist students with mental health issues as well as increasing their help seeking behaviours. It stems from the work of the authors who trialled an online counselling service within one Australian secondary school. In Australia, online counselling with the adult population is now an accepted part of the provision of mental health services. Online provision of mental health information for young people is also well accepted. However, online counselling for young people is provided by only a few community organisations such as Kids Help Line within Australia. School-based counselling services which are integral to most secondary schools in Australia, seem slow to provide this service in spite of initial interest and enthusiasm by individual school counsellors. This discussion is the product of reflection on the potential benefits of this trial with a consideration of relevant research of the issues raised. It highlights the need for further research into the use of computer-mediated communication in the provision of counselling within a school setting.
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Wilson, Sally G., Michael Tsui, Nicholas Tong, David I. Wilson, and Colin B. Chapman. "Hospital pharmacy service provision in Australia—1998." American Journal of Health-System Pharmacy 57, no. 7 (April 1, 2000): 677–80. http://dx.doi.org/10.1093/ajhp/57.7.677.

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van Spijker, Bregje A., Jose A. Salinas-Perez, John Mendoza, Tanya Bell, Nasser Bagheri, Mary Anne Furst, Julia Reynolds, et al. "Service availability and capacity in rural mental health in Australia: Analysing gaps using an Integrated Mental Health Atlas." Australian & New Zealand Journal of Psychiatry 53, no. 10 (June 28, 2019): 1000–1012. http://dx.doi.org/10.1177/0004867419857809.

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Objective: Access to services and workforce shortages are major challenges in rural areas worldwide. In order to improve access to mental health care, it is imperative to understand what services are available, what their capacity is and where existing funds might be spent to increase availability and accessibility. The aim of this study is to investigate mental health service provision in a selection of rural and remote areas across Australia by analysing service availability, placement capacity and diversity. Method: This research studies the health regions of Western New South Wales and Country Western Australia and their nine health areas. Service provision was analysed using the DESDE-LTC system for long-term care service description and classification that allows international comparison. Rates per 100,000 inhabitants were calculated to compare the care availability and placement capacity for children and adolescents, adults and older adults. Results: The lowest diversity was found in northern Western Australia. Overall, Western New South Wales had a higher availability of non-acute outpatient services for adults, but hardly any acute outpatient services. In Country Western Australia, substantially fewer non-acute outpatient services were found, while acute services were much more common. Acute inpatient care services were more common in Western New South Wales, while sub-acute inpatient services and non-acute day care services were only found in Western New South Wales. Conclusion: The number and span of services in the two regions showed discrepancies both within and between regions, raising issues on the equity of access to mental health care in Australia. The standard description of the local pattern of rural mental health care and its comparison across jurisdictions is critical for evidence-informed policy planning and resource allocation.
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Fauk, Nelsensius Klau, Anna Ziersch, Hailay Gesesew, Paul Ward, Erin Green, Enaam Oudih, Roheena Tahir, and Lillian Mwanri. "Migrants and Service Providers’ Perspectives of Barriers to Accessing Mental Health Services in South Australia: A Case of African Migrants with a Refugee Background in South Australia." International Journal of Environmental Research and Public Health 18, no. 17 (August 24, 2021): 8906. http://dx.doi.org/10.3390/ijerph18178906.

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International mobility has increased steadily in recent times, bringing along a myriad of health, social and health system challenges to migrants themselves and the host nations. Mental health issues have been identified as a significant problem among migrants, with poor accessibility and underutilisation of the available mental health services (MHSs) repeatedly reported, including in Australia. Using a qualitative inquiry and one-on-one in-depth interviews, this study explored perspectives of African migrants and service providers on barriers to accessing MHSs among African migrants in South Australia. The data collection took place during the COVID-19 pandemic with lockdown and other measures to combat the pandemic restricting face to face meetings with potential participants. Online platforms including Zoom and/or WhatsApp video calls were used to interview 20 African migrants and 10 service providers. Participants were recruited from community groups and/or associations, and organisations providing services for migrants and/or refugees in South Australia using the snowball sampling technique. Thematic framework analysis was used to guide the data analysis. Key themes centred on personal factors (health literacy including knowledge and the understanding of the health system, and poor financial condition), structural factors related to difficulties in navigating the complexity of the health system and a lack of culturally aware service provision, sociocultural and religious factors, mental health stigma and discrimination. The findings provide an insight into the experiences of African migrants of service provision to them and offer suggestions on how to improve these migrants’ mental health outcomes in Australia. Overcoming barriers to accessing mental health services would need a wide range of strategies including education on mental health, recognising variations in cultures for effective service provision, and addressing mental health stigma and discrimination which strongly deter service access by these migrants. These strategies will facilitate help-seeking behaviours as well as effective provision of culturally safe MHSs and improvement in access to MHSs among African migrants.
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Tabatabaei-Jafari, Hossein, Jose A. Salinas-Perez, Mary Anne Furst, Nasser Bagheri, John Mendoza, David Burke, Peter McGeorge, and Luis Salvador-Carulla. "Patterns of Service Provision in Older People’s Mental Health Care in Australia." International Journal of Environmental Research and Public Health 17, no. 22 (November 17, 2020): 8516. http://dx.doi.org/10.3390/ijerph17228516.

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Australia has a population of around 4 million people aged 65 years and over, many of whom are at risk of developing cognitive decline, mental illness, and/or psychological problems associated with physical illnesses. The aim of this study was to describe the pattern of specialised mental healthcare provision (availability, placement capacity, balance of care and diversity) for this age group in urban and rural health districts in Australia. The Description and Evaluation of Services and DirectoriEs for Long Term Care (DESDE-LTC) tool was used in nine urban and two rural health districts of the thirty-one Primary Health Networks across Australia. For the most part service provision was limited to hospital and outpatient care across all study areas. The latter was mainly restricted to health-related outpatient care, and there was a relative lack of social outpatient care. While both acute and non-acute hospital care were available in urban areas, in rural areas hospital care was limited to acute care. Limited access to comprehensive mental health care, and the uniformity in provision across areas in spite of differences in demographic, socioeconomic and health characteristics raises issues of equity in regard to psychogeriatric care in this country. Comparing patterns of mental health service provision across the age span using the same classification method allows for a better understanding of care provision and gap analysis for evidence-informed policy.
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Rudd, Cobie J. "Topic: Current issues in mental health service provision in Australia." Collegian 14, no. 3 (January 2007): 3–4. http://dx.doi.org/10.1016/s1322-7696(08)60556-9.

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Procter, Nicholas G. "Topic: Current issues in mental health service provision in Australia." Collegian 14, no. 3 (January 2007): 4. http://dx.doi.org/10.1016/s1322-7696(08)60557-0.

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Bourke, Sharon L., Claire Harper, Elianna Johnson, Janet Green, Ligi Anish, Miriam Muduwa, and Linda Jones. "Health Care Experiences in Rural, Remote, and Metropolitan Areas of Australia." Online Journal of Rural Nursing and Health Care 21, no. 1 (May 4, 2021): 67–84. http://dx.doi.org/10.14574/ojrnhc.v21i1.652.

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Background: Australia is a vast land with extremes in weather and terrain. Disparities exist between the health of those who reside in the metropolitan areas versus those who reside in the rural and remote areas of the country. Australia has a public health system called Medicare; a basic level of health cover for all Australians that is funded by taxpayers. Most of the hospital and health services are located in metropolitan areas, however for those who live in rural or remote areas the level of health service provision can be lower; with patients required to travel long distances for health care. Purpose: This paper will explore the disparities experienced by Australians who reside in regional and remote areas of Australia. Method: A search of the literature was performed from healthcare databases using the search terms: healthcare, rural and remote Australia, and social determinants of health in Australia. Findings: Life in the rural and remote areas of Australia is identified as challenging compared to the metropolitan areas. Those with chronic illnesses such as diabetes are particularly vulnerable to morbidities associated with poor access to health resources and the lack of service provision. Conclusion: Australia has a world class health system. It has been estimated that 70% of the Australian population resides in large metropolitan areas and remaining 30% distributed across rural and remote communities. This means that 30% of the population are not experiencing their health care as ‘world-class’, but rather are experiencing huge disparities in their health outcomes. Keywords: rural and remote, health access, mental health issues, social determinants DOI: https://doi.org/10.14574/ojrnhc.v21i1.652
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Dissertations / Theses on the topic "Health service provision (Australia)"

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Monisse-Redman, Michael. "Using Maslow's hierarchy of needs to improve mental health service provision to high-risk youth : evaluation of the Peel Youth Counsellor Program." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/254.

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This research focuses on the development, implementation, and evaluation of a youth counselling program with an innovative service delivery model influenced by Maslow's Hierarchy of Needs. The Peel Youth Counsellor Program (PYCP) is a promotion, prevention and early intervention program conceived as a result of an identified local need for a specialised program to work alongside mainstream mental health to provide services to youth aged 15 to 25 years. The PYCP began operation in January 2001 and is administered by the Peel Community Mental Health Service although is located fulltime in a community youth centre. The central service provision framework and understanding of youth engagement is based on youth friendly mental health services and Maslow's research into human motivation and its application to service delivery. The research outlines a comprehensive evaluation that was conducted using Austin's (1982) 'Objectives-Orientated' approach that uses a six step process to guide the implementation and analysis of what the program has achieved. The results suggest that the use of a community based youth counselling program adjunct to mainstream mental health, improves opportunities for promotion and prevention, and early (prodrama) intervention with a range of youth health and mental health issues, especially depression and suicide. With this information it is hoped that consideration will be made about current practice as well as the future development of mainstream mental health both giving priority to "youth" as an important entity in service provision.
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Coe, Christine, and n/a. "Identifying the health needs of refugees from the former Yugoslavia living in the Australian Capital Territory." University of Canberra. Nursing, 1998. http://erl.canberra.edu.au./public/adt-AUC20060629.093233.

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Most health professionals are aware of the amazing diversity of the Australian population, which is made up of people from over 140 different countries. Of these, an increasing number have arrived as refugees under Australia's humanitarian resettlement program. Research indicates that at least 30% of the 12,000 or so people arriving in Australia under the humanitarian assistance programmes each year have been exposed to physical and emotional torture and trauma. They also have well documented health deficits relating to the health standards in their countries of origin, the level of deprivation experienced prior to arrival in Australia, and the time they have spent in transit before arriving in Australia. The purpose of this study was to review the health status of refugees from the former Yugoslavia, and to identify the perceived needs of this group, which represents one of Canberra's largest communities of recently arrived refugees. Utilising both qualitative and quantitative methodologies, findings showed that the cohort had significantly lower levels of both physical and mental health than the wider ACT and Australian population. The difficulties of socialisation of the refugees into the Australian lifestyle are highlighted. In particular, findings from the study have demonstrated the lack of appropriate information given to some refugees on arrival, and the struggles experienced by most of the group with learning a new language, and coping with unemployment and inadequate housing. The problem of covert political harassment in Canberra was also described during the interview process. Recommendations for improving the situation for these refugees were that information for refugees prior to, and following arrival in Australia needs to be consistent and readily available, and there needs to be provision of a formalised support system from the time of arrival, including a review of language facilities. The study also recommended that culturally sensitive health promotion and treatment programs should be incorporated into current health service provision. Nurses are identified as the appropriate health providers to take a leading role in developing such programs for refugees, although findings from this study indicate that current nurse education programs need to place more emphasis on a transcultural framework for the provision of care.
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Murphy, Angela University of Ballarat. "When urban policy meets regional practice : Evidence based practice from the perspective of multi-disciplinary teams working in rural and remote health service provision." University of Ballarat, 2004. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/12747.

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"In the main, contemporary research on Evidence Based Practice (EBP) has taken place within metropolitan locations, and has offered urbocentric solutions and insights. However the transferability of these developments to rural services is untested empirically. In addition, evidence development and studies on the implementation of this evidence have tended to be discipline-stream-specific; there has been very little research into either the development of multi-disciplinary evidence guidelines or the implementation of EBP from the perspective of individual practitioners working within multi-disciplinary teams. This research shortfall has provided the rationale for this study...."
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Murphy, Angela. "When urban policy meets regional practice : Evidence based practice from the perspective of multi-disciplinary teams working in rural and remote health service provision." University of Ballarat, 2004. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/14586.

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"In the main, contemporary research on Evidence Based Practice (EBP) has taken place within metropolitan locations, and has offered urbocentric solutions and insights. However the transferability of these developments to rural services is untested empirically. In addition, evidence development and studies on the implementation of this evidence have tended to be discipline-stream-specific; there has been very little research into either the development of multi-disciplinary evidence guidelines or the implementation of EBP from the perspective of individual practitioners working within multi-disciplinary teams. This research shortfall has provided the rationale for this study...."
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Hollingsworth, Bruce. "Economies of scope and efficiency in health service provision." Thesis, University of Newcastle Upon Tyne, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287806.

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McKenzie, Briony. "Place and power: A history of maternity service provision in Western Australia, 1829-1950." Thesis, McKenzie, Briony (2015) Place and power: A history of maternity service provision in Western Australia, 1829-1950. PhD thesis, Murdoch University, 2015. https://researchrepository.murdoch.edu.au/id/eprint/29497/.

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The nature and provision of maternity services is shaped by many different factors including location and time period. This thesis is a historical study of Western Australia’s maternity services during the period 1829 to 1950. It examines the influence of the medical profession, the state, midwives and women themselves in bringing about important changes to the provision of these services. The study adopts a post-revisionist feminist approach which prioritises the voices of women both as mothers and as midwives. In doing so, it questions established traditional understandings of the quality of the midwifery services offered in WA during the pioneering period and highlights the ways in which medical practitioners and governments undermined empirically-trained midwives and brought about greater state control of their activities. In this analysis, birth in the past is ‘re-normalised’ through an exploration of what birthing may have been like for everyday women and the home is reimagined as a safe and comfortable birthing place. This study further explores important themes which have relevance to maternity care in the contemporary context. It investigates the changing location of birth and the power structures that influenced women’s experiences in different birth locations in the past. Women’s ‘choices’ in childbirth are explored with a focus on the extent to which women were limited in their decision-making by their socioeconomic and geographic status. The study questions the extent to which contemporary understandings of the social importance of birthing, including the emphasis placed on ‘choices’ and birthing location, can be applied to women of the past. It is argued that early twentieth century women in Australia had a complex and somewhat ambiguous relationship to birthing which limits the extent to which modern understandings of birth can be transposed into the historical narrative.
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Taggart, Laurence. "Service provision for adults with learning disabilities and mental health problems." Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272064.

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Okell, Claire Natasha. "Animal health in arid lands and recommendations for strategic animal health service provision in mobile populations." Thesis, Royal Veterinary College (University of London), 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.731270.

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Mary, Joanna Elizabeth. "Learning from foster carers : the experience of fostering and mental health service provision." Thesis, University of Hertfordshire, 2003. http://hdl.handle.net/2299/14173.

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The current study used a grounded theory approach to better understand the experiences of foster carers with regards to how they understood and coped with the emotional and behavioural problems of children in their care and what types of support they required from Child and Adolescent Mental Health Services (CAMHS). Background: In recent years, there has been an increasing research interest in the qualitative experiences of foster carers, given the demands they face in the current context of child-care policy. Previous studies have focused on narrative accounts and specific aspects of experience, such as dealing with difficulties and support. There is, however, a lack of research using grounded theory to explore their experiences in detail. Over the last two years, following the government's "Quality Protects" initiative, new specialist mental health services for looked after children and their carers have been set up around the country. Given these recent service developments and limited research into their role with foster carers as yet, foster carers' views and experiences of CAMHS are valuable in informing future service provision for this client group. Method: In-depth, subjective accounts of eight foster carers from six foster families employed in one local authority were obtained through interviews. Results: Four major and inter-linking categories emerged from the interviews relating to ambivalent relationships with the children in their care, the children's parents and wider services, including CAMHS. However, one core category subsumed all of these categories and was referred to as the inherent contradiction in the foster carers' role - that of being a parent, but at the same time being a professional. Discussion: The themes that emerged from the interviews with the foster carers related to previous literature on their experiences and issues of support. The findings had implications in terms of specialist psychological support and consultation to foster carers.
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Holbrook, Hannah Mead. "Referral Patterns and Service Provision in Child Protective Services: Child, Caregiver, and Case Predictors." ScholarWorks @ UVM, 2019. https://scholarworks.uvm.edu/graddis/921.

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Child maltreatment, and recurrent maltreatment in particular, occurs at an alarmingly high rate. Frequency of reports to Child Protective Services (CPS) is associated with negative psychological outcomes, and children whose reports are unsubstantiated experience similar risk of behavioral, emotional, and substance use disorders as those whose reports are substantiated. Prior research has demonstrated that children with no CPS reports and children with one CPS report showed no significant differences in rates of maltreatment perpetration or substance use in adulthood, suggesting that prevention efforts after one report may have strong merit in reducing negative outcomes in adulthood. However, patterns and risk factors of unsubstantiated reports have been only minimally explored thus far, despite having been found to predict subsequent maltreatment. The current study extends upon previous research by (a) examining both substantiated and unsubstantiated reports to identify longitudinal patterns of timing and recurrence and (b) assessing the extent to which service provision mediates long-term recurrence after each type of report. Analyses were conducted using subsamples of a longitudinal national dataset from 2011-2015 containing data from CPS reports for 3,655,951 children. Measures included child, caregiver, and CPS case characteristics obtained at the time of first report in 2011. Latent class analysis of referral patterns indicated four classes of recurrence patterns: (1) 2011 unsubstantiation followed by moderate recurrence, (2) 2011 unsubstantiation followed by low recurrence, (3) 2011 substantiation followed by moderate recurrence, and (4) 2011 substantiation followed by low recurrence. Multinomial logistic regression with most likely class membership as the outcome variable indicated that domestic violence, caregiver substance abuse, and poverty were better predictors of initial substantiation status than of long-term recurrence. Prior victimization was predictive of initial substantiation status as well as long-term recurrence. Asian American race predicted low rates of recurrence. Latent class analysis of service provision revealed only two classes: a class of children who received services and a class of children who did not. Service provision partially mediated associations between initial substantiation status and five-year maltreatment recurrence, as measured by number of subsequent reports, number of subsequent substantiated reports, and number of subsequent years in foster care. Limitations are considered and implications of using predictive modeling to drive service prioritization are discussed.
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Books on the topic "Health service provision (Australia)"

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Curry, Rob. Allied health therapy services in aged and disability care in remote Aboriginal Communities of the Northern Territory: A framework for quality service provision. Darwin, N.T: Top End Division of General Practice, 1999.

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Western Australia. Parliament. Legislative Council. Standing Committee on Estimates and Financial Operations. Report of the Standing Committee on Estimates and Financial Operations: The provision of health services in the Kimberley region of Western Australia : dental health. Perth, W.A: The Committee, 2000.

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Crichton, Anne. Slowly taking control?: Australian governments and health care provision, 1788-1988. Sydney: Allen & Unwin, 1990.

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Kenya. Ministry of Medical Services. Kenya service provision assessment survey, 2010. Nairobi, Kenya: National Coordinating Agency for Population and Development, 2011.

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Saha, Tulshi. Bangladesh service provision assessment survey 1999-2000. Dhaka: National Institute of Population Research and Training, 2002.

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Culyer, A. J. Organising health service provision: Drawing on experience. London: Institute of Health Services Management, working party on alternative delivery and funding of health services, 1988.

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Culyer, A. J. Organising health service provision: Drawing on experience. (London): Institute of Health Services Management, 1988.

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Health, Rwanda Ministry of, and Macro International, eds. Rwanda: Service provision assessment survey, 2007. Kigali: National Institute of Statistics, Ministry of Finance and Economic Planning, 2008.

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Executive, NHS. Provision of the national freephone health information service. Leeds: NHS Executive, 1995.

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Health, Guyana Ministry of. Guyana HIV/AIDS service provision assessment survey, 2004. Georgetown, Guyana: Ministry of Health, 2005.

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Book chapters on the topic "Health service provision (Australia)"

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Sumsion, Jennifer, Frances Press, and Sandie M. Wong. "Theorizing Integrated Service Provision in Australia: Policies, Philosophies, Practices." In Comparative Early Childhood Education Services, 33–55. New York: Palgrave Macmillan US, 2012. http://dx.doi.org/10.1057/9781137016782_3.

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Schäferhoff, Marco. "Partnerships for Health — Special Focus: Service Provision." In Transnational Partnerships, 45–62. London: Palgrave Macmillan UK, 2014. http://dx.doi.org/10.1057/9781137359537_3.

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Davis, Robert W. "Service and Care in Australia." In Health Care for People with Intellectual and Developmental Disabilities across the Lifespan, 571–79. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-18096-0_51.

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Perez, Rose M. "Latino Mental Health: Acculturation Challenges in Service Provision." In Creating Infrastructures for Latino Mental Health, 31–54. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-9452-3_2.

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Dorn, Christopher. "Hospitals in the context of health care, profession, and organization." In Performance Comparison and Organizational Service Provision, 19–33. Milton Park, Abingdon, Oxon ; New York, NY : Routeldge, 2021. | Series: Routledge studies in the sociology of health and illness: Routledge, 2020. http://dx.doi.org/10.4324/9781003098126-4.

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Roig, Louise, and Jens Normand. "Using Lean at Scale in Mental Health Service Provision." In International Examples of Lean in Healthcare, 97–116. New York: Productivity Press, 2022. http://dx.doi.org/10.4324/9780429346958-7.

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Rao, Sathya, and Josephine Beatson. "Developing a state-wide service for the treatment of patients with Borderline Personality Disorder." In Humanising Mental Health Care in Australia, 367–79. Abingdon, Oxon; New York, NY: Routledge, 2018.: Routledge, 2019. http://dx.doi.org/10.4324/9780429021923-28.

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Morales, Eduardo. "Lessons Learned from HIV Service Provision: Using a Targeted Behavioral Health Approach." In Creating Infrastructures for Latino Mental Health, 251–63. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-9452-3_13.

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Singh, Neha S., Antonia Dingle, Alia H. Sabra, Jocelyn DeJong, Catherine Pitt, Ghina R. Mumtaz, Abla M. Sibai, and Sandra Mounier-Jack. "Healthcare Financing Arrangements and Service Provision for Syrian Refugees in Lebanon." In Health Policy and Systems Responses to Forced Migration, 53–76. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-33812-1_4.

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Wang, Mei-ling, and Xiao-wan Wang. "The World Trade Organization, Hospital Reform and Health Service Provision in China." In WTO, Globalization and China's Health Care System, 134–72. London: Palgrave Macmillan UK, 2007. http://dx.doi.org/10.1057/9780230286962_5.

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Conference papers on the topic "Health service provision (Australia)"

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Lopez-Iturri, Peio, Erik Aguirre, Francisco Falcone, Leyre Azpilicueta, Fran Casino, and Agusti Solanas. "Analysis of vehicular connectivity in smart health service provision scenarios." In 2016 7th International Conference on Information, Intelligence, Systems & Applications (IISA). IEEE, 2016. http://dx.doi.org/10.1109/iisa.2016.7785406.

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Hidayati, Alvy Nur, Hermanu Joebagyo, and Bhisma Murti. "Female Prisoners' Health Perspective and Health Service Provision in Female Prison, Semarang, Central Java." In The 5th International Conference on Public Health 2019. Masters Program in Public Health, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/theicph.2019.04.08.

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Shao, Lixu, Yucong Duan, Donghai Zhu, Jinbing Li, Hui Zhou, and Qi Qi. "Health service provision based on typed resources of data, information and knowledge." In 2017 IEEE 19th International Conference on e-Health Networking, Applications and Services (Healthcom). IEEE, 2017. http://dx.doi.org/10.1109/healthcom.2017.8210805.

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Giblin, G., and BF McAdam. "55 Provision of cardiac CT angiography services within the irish public health service." In Irish Cardiac Society Annual Scientific Meeting & AGM, Thursday October 17th – Saturday October 19th 2019, Galway, Ireland. BMJ Publishing Group Ltd and British Cardiovascular Society, 2019. http://dx.doi.org/10.1136/heartjnl-2019-ics.55.

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Jarwar, Muhammad Aslam, Sajjad Ali, and Ilyoung Chong. "Exploring Web Objects enabled Data-Driven Microservices for E-Health Service Provision in IoT Environment." In 2018 International Conference on Information and Communication Technology Convergence (ICTC). IEEE, 2018. http://dx.doi.org/10.1109/ictc.2018.8539684.

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A Nancarrow, Susan, Anna M Moran, and Rosalie Boyce. "How Can Third Party Funders Monitor the Quality and Outcomes of Allied Health Service Provision?" In Annual Global Healthcare Conference. Global Science and Technology Forum (GSTF), 2012. http://dx.doi.org/10.5176/2251-3833_ghc12.63.

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Salmanzadeh-Meydani, Navid, Seyyed Mohammad Taghi Fatemi-Ghomi, and Ali Sabbaghnia. "Improving the Mean Waiting Time of Patients by by Simulation in a Health Service Provision Clinic." In 2019 15th Iran International Industrial Engineering Conference (IIIEC). IEEE, 2019. http://dx.doi.org/10.1109/iiiec.2019.8720615.

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RAWLINGS, Vanessa, and Sarah COMBS. "Addressing the Needs of Young people in Suffolk: An Evaluation of Health and Wellbeing Service Provision." In The 4th International Conference on Economic Sciences and Business Administration. Fundatia Romania de Maine, 2017. http://dx.doi.org/10.26458/v4.i1.39.

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Jain, Neemisha, Maria Padfield, Harriet Godwin, Louise Williams, Paula Mjeda, Nicola Streatfield, Olga Lipova, and Vanessa Phillipson. "898 Service provision for CYPD during COVID 19 pandemic by paediatric diabetes multidisciplinary team." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 15 June 2021–17 June 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-rcpch.270.

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Masters, Helena, Jon Freeman, and Samantha Dixon. "85 Variation in heart failure service provision across the UK: results from a survey of 100 services." In British Cardiovascular Society Annual Conference ‘Digital Health Revolution’ 3–5 June 2019. BMJ Publishing Group Ltd and British Cardiovascular Society, 2019. http://dx.doi.org/10.1136/heartjnl-2019-bcs.83.

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Reports on the topic "Health service provision (Australia)"

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Rachpaul, Christina C., Claudia Sendanyoye, Alexa Mahling, Monica Sourial, Sajra Trto, and Paul A. Peters. Report: Service Provision for Children and Youth with Disabilities in Rural Canada and Australia. Spatial Determinants of Health Lab, Carleton University, June 2021. http://dx.doi.org/10.22215/sdhlab/2021.2.

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McFadden, Alison, Lindsay Siebelt, Cath Jackson, Helen Jones, Nicola Innes, Stephen MacGillivray, Kerry Bell, et al. Enhancing Gypsy, Roma and Traveller peoples’ trust: using maternity and early years’ health services and dental health services as exemplars of mainstream service provision. University of Dundee, September 2018. http://dx.doi.org/10.20933/100001117.

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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.

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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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Steinmann, Peter. What are the effects of social franchising on health service access and quality in low and middle income countries? SUPPORT, 2016. http://dx.doi.org/10.30846/161009.

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Social franchising adapts ideas and approaches developed and used in commercial franchising to the provision of public health services. While commercial franchising is driven by profit generation,social franchising strives to achieve social benefits. Social franchising has been identified as a way of increasing access to health services rapidly, particularly amongst the poorest populations, while maintaining quality standards in low and middle income countries.In such settings, access to health services is currently inadequate and private health service providers play an important role.
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Sripad, Pooja. Exploring barriers and enablers of service provision for survivors of human trafficking in the Bay Area: An action research study. Population Council, 2021. http://dx.doi.org/10.31899/sbsr2021.1067.

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Despite increasing recognition of public health and rights issues associated with human trafficking globally and in the United States following the Trafficking Victims Protection Act of 2000, there has been limited research on how to systematically strengthen service access for survivors of sex and labor trafficking. The experience of service providers may provide insight into how trafficking survivor responses and service networks function in California’s Bay Area. This study explores provider perspectives on existing service networks and collaboration dynamics, including the barriers to and enablers of long-term service provision and survivor follow-up. A participatory research design included qualitative interviews with key informants working at nongovernmental organizations, organizational website reviews, and consultation with network service providers in the Greater San Francisco Bay Area. This study approach allowed for eliciting in-depth reflections of service provision, collective generation of stakeholder mapping, and consensus-driven recommendations arising from barriers and enablers to anti-trafficking service provision. This report enhances stakeholder awareness of existing organizational and policy resources and offers insights into research and programming on how anti-trafficking service response networks can be strengthened to provide survivor-centric support in the long-term.
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McKenna, Patrick, and Mark Evans. Emergency Relief and complex service delivery: Towards better outcomes. Queensland University of Technology, June 2021. http://dx.doi.org/10.5204/rep.eprints.211133.

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Emergency Relief (ER) is a Department of Social Services (DSS) funded program, delivered by 197 community organisations (ER Providers) across Australia, to assist people facing a financial crisis with financial/material aid and referrals to other support programs. ER has been playing this important role in Australian communities since 1979. Without ER, more people living in Australia who experience a financial crisis might face further harm such as crippling debt or homelessness. The Emergency Relief National Coordination Group (NCG) was established in April 2020 at the start of the COVID-19 pandemic to advise the Minister for Families and Social Services on the implementation of ER. To inform its advice to the Minister, the NCG partnered with the Institute for Governance at the University of Canberra to conduct research to understand the issues and challenges faced by ER Providers and Service Users in local contexts across Australia. The research involved a desktop review of the existing literature on ER service provision, a large survey which all Commonwealth ER Providers were invited to participate in (and 122 responses were received), interviews with a purposive sample of 18 ER Providers, and the development of a program logic and theory of change for the Commonwealth ER program to assess progress. The surveys and interviews focussed on ER Provider perceptions of the strengths, weaknesses, future challenges, and areas of improvement for current ER provision. The trend of increasing case complexity, the effectiveness of ER service delivery models in achieving outcomes for Service Users, and the significance of volunteering in the sector were investigated. Separately, an evaluation of the performance of the NCG was conducted and a summary of the evaluation is provided as an appendix to this report. Several themes emerged from the review of the existing literature such as service delivery shortcomings in dealing with case complexity, the effectiveness of case management, and repeat requests for service. Interviews with ER workers and Service Users found that an uplift in workforce capability was required to deal with increasing case complexity, leading to recommendations for more training and service standards. Several service evaluations found that ER delivered with case management led to high Service User satisfaction, played an integral role in transforming the lives of people with complex needs, and lowered repeat requests for service. A large longitudinal quantitative study revealed that more time spent with participants substantially decreased the number of repeat requests for service; and, given that repeat requests for service can be an indicator of entrenched poverty, not accessing further services is likely to suggest improvement. The interviews identified the main strengths of ER to be the rapid response and flexible use of funds to stabilise crisis situations and connect people to other supports through strong local networks. Service Users trusted the system because of these strengths, and ER was often an access point to holistic support. There were three main weaknesses identified. First, funding contracts were too short and did not cover the full costs of the program—in particular, case management for complex cases. Second, many Service Users were dependent on ER which was inconsistent with the definition and intent of the program. Third, there was inconsistency in the level of service received by Service Users in different geographic locations. These weaknesses can be improved upon with a joined-up approach featuring co-design and collaborative governance, leading to the successful commissioning of social services. The survey confirmed that volunteers were significant for ER, making up 92% of all workers and 51% of all hours worked in respondent ER programs. Of the 122 respondents, volunteers amounted to 554 full-time equivalents, a contribution valued at $39.4 million. In total there were 8,316 volunteers working in the 122 respondent ER programs. The sector can support and upskill these volunteers (and employees in addition) by developing scalable training solutions such as online training modules, updating ER service standards, and engaging in collaborative learning arrangements where large and small ER Providers share resources. More engagement with peak bodies such as Volunteering Australia might also assist the sector to improve the focus on volunteer engagement. Integrated services achieve better outcomes for complex ER cases—97% of survey respondents either agreed or strongly agreed this was the case. The research identified the dimensions of service integration most relevant to ER Providers to be case management, referrals, the breadth of services offered internally, co-location with interrelated service providers, an established network of support, workforce capability, and Service User engagement. Providers can individually focus on increasing the level of service integration for their ER program to improve their ability to deal with complex cases, which are clearly on the rise. At the system level, a more joined-up approach can also improve service integration across Australia. The key dimensions of this finding are discussed next in more detail. Case management is key for achieving Service User outcomes for complex cases—89% of survey respondents either agreed or strongly agreed this was the case. Interviewees most frequently said they would provide more case management if they could change their service model. Case management allows for more time spent with the Service User, follow up with referral partners, and a higher level of expertise in service delivery to support complex cases. Of course, it is a costly model and not currently funded for all Service Users through ER. Where case management is not available as part of ER, it might be available through a related service that is part of a network of support. Where possible, ER Providers should facilitate access to case management for Service Users who would benefit. At a system level, ER models with a greater component of case management could be implemented as test cases. Referral systems are also key for achieving Service User outcomes, which is reflected in the ER Program Logic presented on page 31. The survey and interview data show that referrals within an integrated service (internal) or in a service hub (co-located) are most effective. Where this is not possible, warm referrals within a trusted network of support are more effective than cold referrals leading to higher take-up and beneficial Service User outcomes. However, cold referrals are most common, pointing to a weakness in ER referral systems. This is because ER Providers do not operate or co-locate with interrelated services in many cases, nor do they have the case management capacity to provide warm referrals in many other cases. For mental illness support, which interviewees identified as one of the most difficult issues to deal with, ER Providers offer an integrated service only 23% of the time, warm referrals 34% of the time, and cold referrals 43% of the time. A focus on referral systems at the individual ER Provider level, and system level through a joined-up approach, might lead to better outcomes for Service Users. The program logic and theory of change for ER have been documented with input from the research findings and included in Section 4.3 on page 31. These show that ER helps people facing a financial crisis to meet their immediate needs, avoid further harm, and access a path to recovery. The research demonstrates that ER is fundamental to supporting vulnerable people in Australia and should therefore continue to be funded by government.
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Ndhlovu, Lewis. Quality of care and utilisation of MCH and FP services at Kenyan health facilities. Population Council, 1999. http://dx.doi.org/10.31899/rh1999.1017.

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Quality of services is playing an increasingly important role in many family planning (FP) programs. In 1995, a national Situation Analysis Study of 254 health facilities was conducted in Kenya to assess the status and quality of FP services in the country. An in-depth survey of a subsample of 28 health facilities was conducted the following year. From these facilities, 1,834 women were interviewed about their experiences with services at facilities when they sought antenatal, child health, and FP services. The goal of the survey was to examine the links between quality of care in FP services and contraceptive behavior. A key focus was directed at information and counseling as elements of service quality. Further, the subject of quality was explored in the context of how women switched facilities for the same and different services of antenatal care, child health, and FP. As noted in this report, this study highlights the gap that exists in the provision of quality reproductive health services. Despite the call for client-centered services, there is evidence that a wide gap still remains in providing relevant information to clients.
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Collyer, Michael, Diana Mitlin, Robert Wilson, and Zaman Shahaduz. Covid-19: Community Resilience in Urban Informal Settlements. Institute of Development Studies, April 2021. http://dx.doi.org/10.19088/cc.2021.001.

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Around the world, the Covid-19 pandemic has exacerbated differences that already existed. Health outcomes and the economic impacts of resulting lockdowns have not been evenly distributed and inequalities have deepened. As the pandemic began, there were widespread concerns for the urban poor. Population density and limited service provision in informal neighbourhoods meant that standard measures to reduce transmission were difficult or impossible. Livelihoods based on day labour and the unskilled service economy were also most seriously affected by the resulting lockdowns.
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Lazdane, Gunta, Dace Rezeberga, Ieva Briedite, Elizabete Pumpure, Ieva Pitkevica, Darja Mihailova, and Marta Laura Gravina. Sexual and reproductive health in the time of COVID-19 in Latvia, qualitative research interviews and focus group discussions, 2020 (in Latvian). Rīga Stradiņš University, February 2021. http://dx.doi.org/10.25143/fk2/lxku5a.

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Qualitative research is focused on the influence of COVID-19 pandemic and restriction measures on sexual and reproductive health in Latvia. Results of the anonymous online survey (I-SHARE) of 1173 people living in Latvia age 18 and over were used as a background in finalization the interview and the focus group discussion protocols ensuring better understanding of the influencing factors. Protocols included 9 parts (0.Introduction. 1. COVID-19 general influence, 2. SRH, 3. Communication with health professionals, 4.Access to SRH services, 5.Communication with population incl. three target groups 5.1. Pregnant women, 5.2. People with suspected STIs, 5.3.Women, who require abortion, 6. HIV/COVID-19, 7. External support, 8. Conclusions and recommendations. Data include audiorecords in Latvian of: 1) 11 semi-structures interviews with policy makers including representatives from governmental and non-governmental organizations involved in sexual and reproductive health, information and health service provision. 2) 12 focus group discussions with pregnant women (1), women in postpartum period (3) and their partners (3), people living with HIV (1), health care providers involved in maternal health care and emergency health care for women (4) (2021-02-18) Subject: Medicine, Health and Life Sciences Keywords: Sexual and reproductive health, COVID-19, access to services, Latvia
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Saavedra, Lissette M., Antonio A. Morgan-Lopez, Anna C. Yaros, Alex Buben, and James V. Trudeau. Provider Resistance to Evidence-Based Practice in Schools: Why It Happens and How to Plan for It in Evaluations. RTI Press, May 2019. http://dx.doi.org/10.3768/rtipress.2019.rb.0020.1905.

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Evidence-based practice is often encouraged in most service delivery settings, yet a substantial body of research indicates that service providers often show resistance or limited adherence to such practices. Resistance to the uptake of evidence-based treatments and programs is well-documented in several fields, including nursing, dentistry, counseling, and other mental health services. This research brief discusses the reasons behind provider resistance, with a contextual focus on mental health service provision in school settings. Recommendations are to attend to resistance in the preplanning proposal stage, during early implementation training stages, and in cases in which insufficient adherence or low fidelity related to resistance leads to implementation failure. Directions for future research include not only attending to resistance but also moving toward client-centered approaches grounded in the evidence base.
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