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1
Briggs, Patricia. "Family Aide Services in Victoria." Children Australia 14, no. 3 (1989): 9–13. http://dx.doi.org/10.1017/s0312897000002307.
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Data has been gathered by the Family Aide Projects Association from family aide services throughout the State of Victoria to enable policy and program decision making within the family aide program to be better informed. The 52 member agencies were canvassed to generate information which gives a more comprehensive picture of the operation of services than previously available. This paper presents a summary of the survey process and outcome.
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Saunders, Alan. "Drug Information Services in Victoria: Please Don't Follow This Leader." Australian Journal of Hospital Pharmacy 28, no. 6 (December 1998): 391–92. http://dx.doi.org/10.1002/jppr1998286391.
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Raw, Josephine. "Josephine Raw: Director, Clinical Information Services, the Royal Women's Hospital, Victoria." Health Information Management Journal 37, no. 1 (February 2008): 61–63. http://dx.doi.org/10.1177/183335830803700109.
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Fyffe, Chris, Susana T. Gavidia-Payne, and Jeffrey McCubbery. "Early Intervention and Families in Rural Victoria." Australasian Journal of Early Childhood 20, no. 4 (December 1995): 34–39. http://dx.doi.org/10.1177/183693919502000407.
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Families are increasingly understood as inter-related systems where each component interacts with other components in diverse ways. Contemporary research on families which have children with disabilities emphasises the complexity of families and the futility of searching for one characteristic of a family as predictive of family outcomes. The current study investigated the relationship between family needs, family supports, and demographic information for rural families who were eligible for early intervention services. The study did not attempt to review specific early intervention services, but rather to associate the characteristics of services which families found most and least effective. The results are discussed in terms of the practice of providing family-focused models of service delivery. This project was funded by the Golden North Centre, Spastic Society, Bendigo
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McNair, Peter, and Stephen Duckett. "Funding Victoria's public hospitals: The casemix policy of 2000-2001." Australian Health Review 25, no. 1 (2002): 72. http://dx.doi.org/10.1071/ah020072.
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On 1 July 1993 Victoria became the first Australian state to use casemix information to set budgets for its public hospitals commencing with casemix funding for inpatient services. Victoria's casemix funding approach now embracesinpatient, outpatient and rehabilitation services.
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Wilson, Gai, Paul Butler, Tricia Szirom, and Jenny Cameron. "Indirect Services Funded by the National Women's Health Program in Victoria." Australian Journal of Primary Health 4, no. 2 (1998): 77. http://dx.doi.org/10.1071/py98023.
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Victoria's Women's Health Services and Centres Against Sexual Assault have implemented a range of indirect activities utilising various strategies and methods with a particular focus on information and resource provision, education and training, community development and promotional activity. They have increased women's access to existing services by working to make those services more appropriate and relevant. To achieve this they have involved women in the community in program management, design and implementation. Collaboration with other agencies in health and related services has also been a key strategy in achieving changes to mainstream services and fulfilling the aims of the dual strategy.
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Glockner, Brigitte. "Hospital patient libraries andinformation services in Australia." Australian Health Review 24, no. 4 (2001): 156. http://dx.doi.org/10.1071/ah010156.
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In order to find out how many and what kind of Hospital Patient Libraries exist in Australia I placed a "Request for Information" on our national electronic discussion list entitled 'aliaHealth'. This discussion list has presently nearly 300 subscribers. Most of them are located in Australia, but they also come from Canada, Germany, Hong Kong, the United Kingdom and New Zealand. The e-mail address for 'aliaHealth' is: aliaHealth@alianet.alia.org.au. The result of my enquiry was rather poor: there are three Hospital Patient Libraries in Western Australia, one in Queensland and two in Victoria. The criterion was that the Library or Patient information Service had to be located within the Hospital grounds. The six Libraries or Information Services are described in detail.
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Sullivan, Doreen. "Characteristics of E-Mail Reference Services in Selected Public Libraries, Victoria, Australia." Reference Librarian 41, no. 85 (June 30, 2004): 51–80. http://dx.doi.org/10.1300/j120v41n85_05.
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Renzaho, Andre. "Re-visioning cultural competence in community health services in Victoria." Australian Health Review 32, no. 2 (2008): 223. http://dx.doi.org/10.1071/ah080223.
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There are few studies exploring the need to develop and manage culturally competent health services for refugees and migrants from diverse backgrounds. Using data from 50 interviews with service providers from 26 agencies, and focus group discussion with nine different ethnic groups, this paper examines how the Victorian state government funding and service agreements negatively impact on the quest to achieve cultural competence. The study found that service providers have adopted ?one approach fits all? models of service delivery. The pressure and competition for resources to address culturally and linguistically diverse communities? needs allows little opportunity for partnership and collaboration between providers, leading to insufficient sharing of information and duplication of services, poor referrals, incomplete assessment of needs, poor compliance with medical treatment, underutilisation of available services and poor continuity of care. This paper outlines a model for cultural consultation and developing needs-led rather than serviceled programs.
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Ansari, M. Z., D. Simmon s, W. G. Hart, F. Cicuttin i, N. J. Carson, N. I. A. G. Brand, M. J. Ackland, and D. J. Lang. "Preventable Hospitalisations for Diabetic Complications in Rural and Urban Victoria." Australian Journal of Primary Health 6, no. 4 (2000): 261. http://dx.doi.org/10.1071/py00060.
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The objective of the study was to describe and explain variations in rates of hospital admissions for long-term complications of diabetes mellitus in rural and urban Victoria as an indicator of the adequacy of ambulatory care services. The Victorian Inpatient Minimum Database (VIMD), Health Insurance Commission data for 1998, Medical Labour Force Annual Survey 1998, Socioeconomic Indexes for Areas 1996 (SEIFA) and Accessibility/Remoteness Index of Australia (ARIA) were merged to determine the extent to which hospitalisation for complications of diabetes can be predicted from accessibility and utilisation of general practitioner services. The rural and urban differentials for long-term diabetic complications and their strong relationship with GP services, the degree of remoteness, lack of insurance, and Aboriginality reflect issues related to equity and access, patient and GP education, and inclination to seek care, all of which have implications for planning of primary health services in rural areas. This study describes a model for the analysis of ambulatory care sensitive conditions, and illustrates the important use of routine databases combined with other sources of information in quantifying the impact of factors related to primary care services.
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Meadows, Graham. "Geographical Resource Allocation for Public Mental Health Services in Victoria." Australian & New Zealand Journal of Psychiatry 31, no. 1 (February 1997): 95–104. http://dx.doi.org/10.3109/00048679709073805.
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Objective:To provide background information on the approach of area based funding models for mental health services, to describe the considerations which have come to bear in the development process of the Victorian model, to explore the impacts of different models, and to suggest courses for further development. Method:The history of this approach to funding in the UK and the USA is summarised, then an account is given of the development of the Victorian model. The position is put that the validation of such models is hampered by having only sparse relevant data. Suggestions are made for improving this situation. Results:The Victorian model has come to include adjustments for socioeconomic disadvantage, the age, sex and marital status structure of the population, and a variable discounting for estimated substitutive activity of the private sector. Different methods of combining these adjustments into a working formula can be seen to have very different impacts. Conclusions:The approach taken in development of this model can be expected to have major influence on funding within Victoria, but also more widely in Australia. The impacts of differing assumptions within these models are significant. Specifically targeted epidemiological research, and activity analysis of the private sector will be necessary to enhance the validity of models of this type.
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Hegarty, Kieran. "Defining and Inscribing ‘Multicultural Library Services’ in Australia: A Case Study of the Working Group on Multicultural Library Services (Victoria)." Journal of the Australian Library and Information Association 70, no. 1 (January 2, 2021): 44–59. http://dx.doi.org/10.1080/24750158.2021.1875972.
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Campbell, Lynda, and Margaret Kertesz. "Boys aged 9-12 years using the services of Anglicare Victoria: A three month population study." Children Australia 28, no. 3 (2003): 22–29. http://dx.doi.org/10.1017/s103507720000568x.
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This study was conducted in response to the concerns of staff within Anglicare Victoria about the presenting problems of boys aged 9-12 years across the various agency programs and the lack of systematic data about them. Under the umbrella of the Anglicare Victoria/University of Melbourne Social Work Partnership Program, a study was undertaken with the assistance of social work students on placement within the agency. A census-style survey was completed by AV staff members for any boy aged 9, 10, 11 or 12 years in an agency program during a three-month period. Non-identifying survey forms were returned for 203 boys and this article reports the major descriptive information and service implications derived from those returns.
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Wilson, Beth. "Issues in Service Delivery for Women Statewide: The Consumer Context." Australian Journal of Primary Health 4, no. 3 (1998): 72. http://dx.doi.org/10.1071/py98032.
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This article presents data from two sources. The first set of data comes from complaints received by the Health Services Commissioner (Health Ombudsman) in Victoria from Consumers of Health Services about health service providers. The second set of data has been provided by 92 public hospitals using the health complaints information program. The Health Complaints Resolution Process is described and the data are presented in the hope that they may assist in formulating policies for women's health.
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Aitken, Campbell, and Cheryl Delalande. "A Public Health Initiative for Steroid Users in Victoria." Australian Journal of Primary Health 8, no. 2 (2002): 21. http://dx.doi.org/10.1071/py02022.
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Anabolic steroid injectors are at risk of infection with blood-borne viruses (BBVs), but have received little attention from researchers, practitioners or agencies working in public health. In recognition of this gap, in early 1996 the Steroid Peer Education Project (SPEP) began providing part-time mobile needle and syringe distribution and health information and referral services to steroid injectors in north-eastern Melbourne. Demand repeatedly caused the project to expand, and its sole peer worker now operates Victoria-wide, five days per week. Basic information on injecting practices collected from SPEP clients showed that many were at risk of BBV infection. This led to the initiation of a collaborative research project, in which SPEP clients were tested for BBV antibodies and provided detailed information about their risk behaviours. Of 29 steroid injectors tested between May and August 1999, three (10%) had antibodies to the hepatitis C virus, and they described behaviour which could spread the virus to other steroid users. These results show that blood-borne viruses are present in the Victorian steroid injecting community, and reinforce the SPEP's commitment to reducing harm in this group.
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Ranson, David L., and Lyndal Bugeja. "Medicolegal Death Investigation: Coroner and Forensic Pathology Functions and Processes in Victoria, Australia." Academic Forensic Pathology 7, no. 4 (December 2017): 567–81. http://dx.doi.org/10.23907/2017.048.
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The medicolegal death investigation in Victoria, Australia is a traditional coroner system based on the model in England and Wales in the early 20th Century. In 1985, the first of a series of legislative amendments were made that proved the vanguard of reform of the coroners' jurisdictions in Australia. The Victorian Institute of Forensic Medicine (the Institute) was established by the Coroners Act 1985 (Vic.), now the Victorian Institute of Forensic Medicine Act 1985 (Vic.), to provide forensic pathology, medical, and related scientific services needed by the justice system. In addition to death investigation, other forensic and scientific services are performed by the Institute including: clinical medical examinations and support services for assault victims and perpetrators, forensic toxicology services and molecular biology, and anthropology and odontology services in relation to human identification. Medical and nursing staff provide medical information and support to families in a therapeutic setting, as well as direct referral to clinical medical specialists. This takes place where a medical death investigation procedure uncovers genetic or familial disease that may place other family members at risk of future illness. A donor tissue bank ensures that a death also provides the opportunity for families to donate organs and tissues from the deceased for transplantation. Today, the traditional autopsy is one of several modalities of death investigation with postmortem radiology and imaging playing a significant role. This paper describes the principles and new processes at the Institute that support the coroner in death investigation and prevention as well as the therapeutic services designed to relieve the burden of disease on the community.
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McCoppin, Brigid. "Guest Editorial: Community Participation in Community Health: A PHACS Information Resource." Australian Journal of Primary Health 5, no. 2 (1999): 6. http://dx.doi.org/10.1071/py99014.
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In his foreword to the recent Department of Human Services (DHS) publication Community participation in community health: A PHACS information resource 3 (1999), the Parliamentary Secretary to the Victorian Minister for Health says that the 'heart' of the current primary health and community support (PHACS) reforms is to ensure that the 'locally based alliances' which are to emerge from them will be responsive to client needs, and notes also that the proposed PHACS demonstration projects will have to include plans for community participation. The aim of this Information Resource in the series Towards a stronger primary health and community support system from the Department of Human Services Victoria, is to guide workers in community health agencies, and in the other PHACS services, in developing ways of encouraging community participation. As such, the document provides both a rationale and practical suggestions, and should be a useful resource for board members and staff of community agencies, as well as for those either teaching or studying in such fields as health promotion and health education, where engaging the interest of members of the public is a central purpose.
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Hallam, Gillian, and Robyn Ellard. "Our Future, Our Skills: Using Evidence to Drive Practice in Public Libraries." Evidence Based Library and Information Practice 10, no. 4 (December 13, 2015): 113. http://dx.doi.org/10.18438/b8fg6w.
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Objective – The public library sector’s future prosperity is contingent upon a well-trained, experienced, and valued workforce. In a collaborative initiative, State Library Victoria (SLV) and the Public Libraries Victoria Network (PLVN) commissioned an in-depth research study to examine the skills requirements of staff across the State. The Our Future, Our Skills project sought to identify the range of skills used by public library staff today, to anticipate the range of skills that would be needed in five years’ time, and to present a skills gap analysis to inform future training and development strategies.
Methods – The project encompassed qualitative and quantitative research activities: literature review and environmental scan, stakeholder interviews, focus groups and a workforce skills audit. The research populations were staff (Individual survey) and managers (Management survey) employed in 47 library services, including metropolitan, outer metropolitan and regional library services in Victoria.
Results – The high response rate (45%) reflected the relevance of the study, with 1,334 individual and 77 management respondents. The data captured their views related to the value of their skillsets, both now and in five years’ time, and the perceived levels of confidence using their skills. The sector now has a bank of baseline evidence which has contributed to a meaningful analysis of the anticipated skills gaps.
Conclusions – This paper focuses on the critical importance of implementing evidence-based practice in public libraries. In an interactive workshop, managers determined the skills priorities at both the local and sectoral levels to inform staff development programs and recruitment activities. A collaborative SLV/PLVN project workgroup will implement the report’s recommendations with a state-wide workforce development plan rolled out during 2015-17. This plan will include a training matrix designed to bridge the skills gap, with a focus on evaluation strategies to monitor progress towards objectives. The paper provides insights into the different ways in which the project workgroup is using research evidence to drive practice.
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Shojaei, D., H. Olfat, M. Briffa, and A. Rajabifard. "3D DIGITAL CADASTRE JOURNEY IN VICTORIA, AUSTRALIA." ISPRS Annals of Photogrammetry, Remote Sensing and Spatial Information Sciences IV-4/W5 (October 23, 2017): 117–23. http://dx.doi.org/10.5194/isprs-annals-iv-4-w5-117-2017.
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Land development processes today have an increasing demand to access three-dimensional (3D) spatial information. Complex land development may need to have a 3D model and require some functions which are only possible using 3D data. Accordingly, the Intergovernmental Committee on Surveying and Mapping (ICSM), as a national body in Australia provides leadership, coordination and standards for surveying, mapping and national datasets has developed the Cadastre 2034 strategy in 2014. This strategy has a vision to develop a cadastral system that enables people to readily and confidently identify the location and extent of all rights, restrictions and responsibilities related to land and real property. <br><br> In 2014, the land authority in the state of Victoria, Australia, namely Land Use Victoria (LUV), has entered the challenging area of designing and implementing a 3D digital cadastre focused on providing more efficient and effective services to the land and property industry. LUV has been following the ICSM 2034 strategy which requires developing various policies, standards, infrastructures, and tools. Over the past three years, LUV has mainly focused on investigating the technical aspect of a 3D digital cadastre. This paper provides an overview of the 3D digital cadastre investigation progress in Victoria and discusses the challenges that the team faced during this journey. It also addresses the future path to develop an integrated 3D digital cadastre in Victoria.
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McQuiddy, Victoria Ann, Angela Bates, Shannon Teeters, Sara Ruth Strain-Riggs, Aurora Hoobler, Anna R. Ramstetter, Marissa Hosp, Sabella Smith, Madison Vines, and Hannah Osterfeld. "Evaluating the Long-Term Effectiveness of an Intensive OT Sensory Integration (OT-SI) Program for Children With Challenges in Sensory Processing and Integration." American Journal of Occupational Therapy 76, Supplement_1 (July 1, 2022): 7610510215p1. http://dx.doi.org/10.5014/ajot.2022.76s1-po215.
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Abstract Date Presented 04/02/2022 Children experiencing challenges with sensory processing and integration often receive OT services to improve functional performance. However, information about the long-term effectiveness of OT intervention for children with sensory challenges is limited. The purpose of this study was to explore whether children were able to maintain improvements after OT services ended and to understand parent perspectives of OT using a sensory integration approach. Primary Author and Speaker: Victoria Ann McQuiddy Additional Authors and Speakers: Marissa Hosp, Sabella Smith, Madison Vines, Hannah Osterfeld Contributing Authors: Angela Bates, Shannon Teeters, Sara Ruth Strain-Riggs, Aurora Hoobler, Anna R. Ramstetter
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Iansek, Robert, and Mary Danoudis. "Patients’ Perspective of Comprehensive Parkinson Care in Rural Victoria." Parkinson's Disease 2020 (March 31, 2020): 1–7. http://dx.doi.org/10.1155/2020/2679501.
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Introduction. There is a higher prevalence of Parkinson’s disease (PD) in rural Australia and a poorer perceived quality of life of rural Australians with PD. Coordinated multidisciplinary teams specialised and experienced in the treatment of PD are recommended as the preferred model of care best able to manage the complexities of this disorder. There remains a lack of team-based specialised PD services in rural Australia available to people living with PD. This study aims to explore how the lack of specialised PD services impacts on the person’s experiences of the health care they receive in rural Victoria. This study compared the health-care experiences of two different cohorts of people with PD living in rural Victoria; one cohort living in East Gippsland have had an established comprehensive care model implemented with local trained teams and supported by a metropolitan PD centre, and the other cohort was recruited from the remainder of Victoria who had received standard rural care. Methods. This descriptive study used a survey to explore health-care experiences. Questionnaires were mailed to participants living in rural Victoria. Eligibility criteria included having a diagnosis of PD or Parkinsonism and sufficient English to respond to the survey. The validated Patient-Centred Questionnaire for PD was used to measure health-care experiences. The questions are grouped accordingly under one of the 6 subscales or domains. Outcomes from the questionnaire included summary experience scores (SES) for 6 subscales; overall patient-centeredness score (OPS); and quality improvement scores (QIS). Secondary outcomes included health-related quality of life using the disease-specific questionnaire PDQ39; disease severity using the Hoehn and Yahr staging tool; and disability using the Movement Disorders Society-Unified Parkinson’s Disease Rating Scale, part II. Results. Thirty-nine surveys were returned from the East Gippsland group and 68 from the rural group. The East Gippsland group rated significantly more positive the subscales “empathy and PD expertise,” P=0.02, and “continuity and collaboration of professionals,” P=0.01. The groups did not differ significantly for the remaining 4 subscales (P>0.05) nor for the OPS (P=0.17). The QIS showed both groups prioritised the health-care aspect “provision of tailored information” for improvement. Quality of life was greater (P<0.05) and impairment (P=0.012) and disability were less (P=0.002) in the East Gippsland group. Conclusion. Participants who received health care from the East Gippsland program had better key health-care experiences along with better QOL and less impairment and disability. Participants prioritised provision of information as needing further improvement.
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Cox, Shelley, Rohan Martin, Piyali Somaia, and Karen Smith. "The development of a data-matching algorithm to define the ‘case patient’." Australian Health Review 37, no. 1 (2013): 54. http://dx.doi.org/10.1071/ah11161.
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Objectives. To describe a model that matches electronic patient care records within a given case to one or more patients within that case. Method. This retrospective study included data from all metropolitan Ambulance Victoria electronic patient care records (n = 445 576) for the time period 1 January 2009–31 May 2010. Data were captured via VACIS (Ambulance Victoria, Melbourne, Vic., Australia), an in-field electronic data capture system linked to an integrated data warehouse database. The case patient algorithm included ‘Jaro–Winkler’, ‘Soundex’ and ‘weight matching’ conditions. Results. The case patient matching algorithm has a sensitivity of 99.98%, a specificity of 99.91% and an overall accuracy of 99.98%. Conclusions. The case patient algorithm provides Ambulance Victoria with a sophisticated, efficient and highly accurate method of matching patient records within a given case. This method has applicability to other emergency services where unique identifiers are case based rather than patient based. What is known about the topic? Accurate pre-hospital data that can be linked to patient outcomes is widely accepted as critical to support pre-hospital patient care and system performance. What does this paper add? There is a paucity of literature describing electronic matching of patient care records at the patient level rather than the case level. Ambulance Victoria has developed a complex yet efficient and highly accurate method for electronically matching patient records, in the absence of a patient-specific unique identifier. Linkage of patient information from multiple patient care records to determine if the records are for the same individual defines the ‘case patient’. What are the implications for practitioners? This paper describes a model of record linkage where patients are matched within a given case at the patient level as opposed to the case level. This methodology is applicable to other emergency services where unique identifiers are case based.
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Ward, Bernadette, Julie Ellis, and Karen Anderson. "Barriers to the provision of home and community care services to culturally and linguistically diverse populations in rural Australia." Australian Journal of Primary Health 11, no. 2 (2005): 147. http://dx.doi.org/10.1071/py05033.
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In 2002, qualitative methods in the form of in-depth interviews and focus groups were used to gather data from culturally and linguistically diverse (CALD) population residents, service providers and key stakeholders across rural Victoria, to identify and describe barriers to the effective delivery of home services to people from CALD populations in rural Australia. Barriers to the provision of Home and Community Care (HACC) services to CALD populations in rural areas were not specific to HACC programs. For CALD residents, barriers included lack of information about the range of available services, cultural factors, and negative past and recent experiences in dealing with both the broader community and service providers. Service providers indicated lack of information about the profile of the local CALD population and lack of experience in working with these groups to be barriers. Communication was also an issue both for CALD residents and service providers, in terms of cultural factors and specific communication strategies such as inadequate printed material and under-utilisation of existing resources such as interpreter services. As one of the world?s most ethno-culturally diverse nations, Australia has a responsibility to provide health services that are culturally responsive and acceptable. Greater attention needs to be given to the needs of rural CALD population groups in accessing home services.
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Poljski, Carolyn, Regina Quiazon, and Chau Tran. "Ensuring Rights: Improving Access to Sexual and Reproductive Health Services for Female International Students in Australia." Journal of International Students 4, no. 2 (April 1, 2014): 150–63. http://dx.doi.org/10.32674/jis.v4i2.475.
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Drawing on the research and advocacy work being conducted by the Multicultural Centre for Women’s Health (MCWH), a national community-based organization in Victoria, Australia, the paper analyzes female international students’ experiences with accessing sexual and reproductive health information and services. Accessibility of sexual and reproductive health services is one of a number of areas identified by MCWH in which international students experience unequal treatment. The limitations of international students’ mandatory health insurance is of particular concern because it appears to conflict with Australia’s human rights obligations to take all appropriate measures to eliminate discrimination and to ensure appropriate services in connection with pregnancy. Given the social, cultural and economic benefits international students bring to the country in which they choose to study, state action on equitable health access for international students is urgently called for.
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Haydon, Helen M., Liam J. Caffery, Centaine L. Snoswell, Emma E. Thomas, Monica Taylor, Marc Budge, Jacinta Probert, and Anthony C. Smith. "Optimising specialist geriatric medicine services by telehealth." Journal of Telemedicine and Telecare 27, no. 10 (November 2, 2021): 674–79. http://dx.doi.org/10.1177/1357633x211041859.
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Telehealth can effectively increase access to specialist care and reduce the need for travel. The Geri-Connect service was established in 2017 to support people living in residential aged care facilities in regional Victoria, Australia. Using the Model for the Assessment of Telemedicine, an evaluation of the Geri-Connect service identified service activity patterns and factors associated with uptake. Service activity from 2017 to 2020 and 10 semi-structured, key stakeholder interviews were captured and analysed. Between 2017 and 2020, video consultations were provided to 53 residential aged care facilities. Sustained growth (over 178%) and strong stakeholder acceptance highlight the effectiveness of this telegeriatric service. Four recommendations provide opportunities to further enhance service delivery including: implementation of an integrated health information system; systematic evaluation of service impact on stakeholders and residents, auditing and subsequent provision of targeted training; and regular auditing of software and hardware. Additionally, the need to augment fixed room hardware with mobile telehealth systems would increase access for residents with mobility problems. Dedicated personnel of the centralised team are best suited to implementing the recommendations. Whilst the provision of routine telehealth services into residential aged care facilities is challenging, the Geri-Connect service demonstrates that telehealth can be effectively provided to residential aged care facility residents needing specialist geriatric care.
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Crowe, B. L., and I. G. Mcdonald. "Telemedicine in Australia. Recent developments." Journal of Telemedicine and Telecare 3, no. 4 (December 1, 1997): 188–93. http://dx.doi.org/10.1258/1357633971931147.
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There have been a number of important developments in Australia in the area of telemedicine. At the national level, the House of Representatives' Standing Committee on Family and Community Affairs has been conducting the Inquiry into Health Information Management and Telemedicine. The Australian Health Ministers' Advisory Council has supported the establishment of a working party convened by the South Australian Health Commission to prepare a detailed report on issues relating to telemedicine. State governments have begun a number of telemedicine projects, including major initiatives in New South Wales and Victoria and the extensive development of telepsychiatry services in Queensland. Research activities in high-speed image transmission have been undertaken by the Australian Computing and Communications Institute and Telstra, and by the Australian Navy. The matter of the funding of both capital and recurrent costs of telemedicine services has not been resolved, and issues of security and privacy of medical information are subject to discussion. The use of the Internet as a universal communications medium may provide opportunities for the expansion of telemedicine services, particularly in the area of continuing medical education. A need has been recognized for the coordinated evaluation of telemedicine services as cost-benefit considerations are seen to be very important.
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Gill, Stephen D., Sarah Mansfield, Margie McLeod, Kathryn von Treuer, Matthew Dunn, and Frances Quirk. "HealthPathways improving access to care." Australian Health Review 43, no. 2 (2019): 207. http://dx.doi.org/10.1071/ah17090.
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Objective HealthPathways (HPW) is an international web-based information portal that provides health practitioners with guidelines and referral pathways to specialists and services. The present study explored usage of HPW by general practitioners (GPs) in the Barwon region, south-west Victoria, and any benefits and barriers to its use. Methods Approximately 421 GPs provide services in 86 clinics across the Barwon region, south-west Victoria and Barwon Health is the public health service providing acute, subacute, residential aged care and community health services to approximately 350000 people. The present study was a mixed-methods analysis of all GPs in the region, who were invited to complete a survey in two waves (2014 and 2016) and participate in focus groups. Data were survey/questionnaire (fixed response and free text options, analysed with descriptive statistics and content analysis), and focus groups (interview and facilitated group discussion, analysed using the principles of thematic analysis). Results Most GPs surveyed used HPW and usage increased over time from 2014 to 2016 (67% vs 77% respectively). Junior GPs used HPW more often than the more experienced practitioners. GPs reported that HPW was easy to access and navigate, improved their knowledge of local services, improved their confidence, changed their clinical management and saved them time. Main barriers to use of HPW were: GPs did not think to look at HPW, or simply did not know about it. Conclusions HPW has the potential to improve patient management and health outcomes, and use of HPW is increasing over time. What is known about the topic? Initiatives such as HPW are viewed positively by clinicians and have the potential to address challenges at the primary–secondary care interface, specifically, referral to secondary specialists. What does this paper add? Proof of concept that the ongoing availability of localised HPW for common clinical conditions improves GP usage of HPW and has increased access to HPW as the first source of clinical information. Benefits and barriers to use have been identified. What are the implications for practitioners? HPW improves knowledge of local services and provides GPs with easy access to referral pathways.
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Collett, Nick G., and Alan L. Yen. "An overview of the terrestrial invertebrates in the Victorian north central region." Proceedings of the Royal Society of Victoria 122, no. 2 (2010): 100. http://dx.doi.org/10.1071/rs10019.
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Invertebrates are the dominant faunal group in most terrestrial habitats. They play important roles, often incompletely understood, in maintaining essential ecosystem services. Despite the enormous environmental changes to the North Central Region of Victoria since European settlement, and despite the lack of information about how these changes affected the native invertebrate fauna, it is not too late to include invertebrates in the management and restoration of native habitats in the region. This paper provides an overview of our understanding about terrestrial invertebrates in the region, and provides some suggestions on how to elevate the profile and utility of invertebrates in conservation management.
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George, Ouma, Odhiambo G. Duncan, Musyimi David, and Kwach Johnson. "Livelihood assessment of avocado growing in western Kenya and its socioeconomic implications using agricultural extension services." International Journal of Agricultural Extension 6, no. 2 (September 9, 2018): 71–79. http://dx.doi.org/10.33687/ijae.006.02.2286.
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Avocado (Persia americana) is an important world crop. In Kenya, it has become a very important crop but its production is limited by several factors. Studies were conducted in the Lake Victoria Basin counties of Bunyala in Busia, Kisumu, Muhoroni, Nyando and Rachuonyo in western Kenya to investigate the socioeconomic factors affecting Avocado production. Information were collected from focus group discussions, key informants, individual interviews and secondary sources. Statistical Package for Social Scientist was used to analyze data collected interpreted and reported. The objectives were to assess how Avocado growers in western Kenya using Agricultural extension services affects the Livelihood of farmers considering their level of education and extension services and the implication it has on their decisions making to invest in Avocado production. There was positive relationship within the participating farmers as relates their level of education, income and availability of extension services that led to high adoption of inputs, choice of rootstocks to grow the crop, varieties chosen, planting, cultural practices harvesting, storage and marketing.
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Walker, Rae, Beverley Lewis, and Sally Mitchell. "Community Health Service Agreements 1992 to 1995: Changes in Practice and Purpose." Australian Journal of Primary Health 2, no. 4 (1996): 42. http://dx.doi.org/10.1071/py96054.
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In Victoria, community health centres are undergoing major changes. In this paper, a study of service and funding agreements, their changed purposes, and how the practices surrounding them have also changed, is reported. The study provides some insights into the dynamics of the contractual model of health system management. The information was obtained from the service and funding agreements of community health centres, interviews with staff of the Department of Human Services, and interviews with community health centre managers. At the end of 1995, community health centres were still in a transitional phase. They were changing from being locally focused, multi-disciplinary organisations that approached health as a social and technical issue to ones that were centrally focused, still multi-disciplinary but increasingly attending to the technical provision of services. There were, however, many ambiguities in the system that allowed services to resist the changes that were considered least desirable. To a degree they de-coupled internal operations from the external presentation of them.
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Llewellyn-Jones, Lorraine, and David Harvey. "The development of a Health Promotion Community Participation Framework." Australian Journal of Primary Health 11, no. 2 (2005): 136. http://dx.doi.org/10.1071/py05032.
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This paper reports on research conducted through Monash University located in the state of Victoria, Australia. The outcome of the research was the development of a Health Promotion Community Participation Framework, providing guidelines for health professionals in community health centres and services to assist them with facilitating community participation in health promotion. A literature review was conducted and information collected from health professionals working in metropolitan and rural community health centres and services across the state of Victoria, Australia. The Framework does not emphasise levels of community participation as a hierarchy, but instead proposes using the levels or types of participation across a continuum. This has been done to encourage the use of appropriate transparent strategies that will enable both individual community members and different sections of communities to participate in health promotion activities. This is particularly important where government policies dictate the direction of health promotion, as this "top down" approach can lead to the community being excluded for health promotion processes. The use of a continuum promotes the concept that participation can be effective at different levels, even when the issue to be addressed has already been identified. The Framework also proposes that in order for community participation strategies to take place, there needs to be capacity building at both the organisational level and the community level.
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Copley, Anna, Lindy McAllister, and Linda Wilson. "We Finally Learnt to Demand: Consumers’ Access to Rehabilitation Following Traumatic Brain Injury." Brain Impairment 14, no. 3 (December 2013): 436–49. http://dx.doi.org/10.1017/brimp.2013.32.
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Clinical care guidelines exist internationally recommending the appropriate standards of care for adults following brain injury. These guidelines recommend a care pathway including acute, inpatient and outpatient rehabilitation and community-based care. However, if and how these guidelines are implemented is largely unknown. The aim of this study was to explore the recollected continuum of care experienced by 202 adults with moderate to severe traumatic brain injury (TBI) in Victoria, Australia. The experiences of participants in this study were investigated using a mixed methods research approach (surveys and in-depth interviews). The results indicated that only 20% of participants in this study recollected receiving care in line with recommendations made in clinical care guidelines. Reasons they identified for their problematic access to services included: a lack of information about the services available, the absence of an advocate and services being restricted by limited funding. The findings of this study indicate that while guidelines provide recommendations regarding standards of care and can serve as a benchmark to improve the quality of services, they do not ensure the equitable delivery of services. Clinicians using these guidelines need to be aware of the factors that restrict clients’ access to services and take these into account when planning the delivery of services.
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Nilaweera, Irosha, Heather Rowe, Hau Nguyen, Joanna Burns, Frances Doran, and Jane Fisher. "Sri Lankan-born women who have given birth in Victoria: a survey of their primary postpartum health-care needs." Australian Journal of Primary Health 22, no. 2 (2016): 133. http://dx.doi.org/10.1071/py14067.
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Women who migrate are vulnerable after giving birth. Normal postpartum adaptive challenges are heightened by separation from family and lack of familiarity with local services. The aim was to investigate primary care needs among Sri Lankan-born women with at least one Victorian-born child aged under 2 years. Health care, information and support needs and unmet needs were assessed in a structured Sinhala or English survey offered in print, online or by telephone. Fifty women provided data. Most (80%) had at least one relative from Sri Lanka to stay for postpartum support. Despite this, many had difficulties settling (62%), feeding (58%) and soothing (42%) their babies. They used significantly fewer health services on average (2.3) than mothers in the general community (2.8) (P < 0.004). Only 32% of primiparous women attended at least one First-Time Parents’ group session. Of women experiencing infant care difficulties, only two-thirds accessed care from a Maternal and Child Health Nurse and only one-third from a General Practitioner. Sri Lankan-born mothers have significant unmet needs for primary care, which are not reduced by informal support. A two-pronged approach is indicated in which women are informed about primary care availability, and the cultural competence and client friendliness of services is strengthened.
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Mendes, Philip, and Badal Moslehuddin. "Moving out from the state parental home: A comparison of leaving care policies in Victoria and New South Wales." Children Australia 29, no. 2 (2004): 20–29. http://dx.doi.org/10.1017/s1035077200005976.
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Young people leaving care are arguably one of the most vulnerable and disadvantaged groups in society. Compared to most young people, they face numerous barriers to accessing educational, employment and other developmental and transitional opportunities.Using information from interviews and a range of documents, this study compares the leaving care supports currently available in two Australian states, Victoria and New South Wales. Attention is drawn to the history of the leaving care debate in both states, the nature of the existing legislative and program supports for care leavers in each state, the key political and policy actors that have either helped or hindered the development of leaving care policies and services in each state, and the principal unmet needs of care leavers in each state.The findings suggest that NSW leads the way in terms of providing effective legislative and program supports to care leavers. The differences between Victoria and NSW are attributed to a number of factors including particularly the different relationships between the respective government bureaucracies and non-government child welfare sectors.
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Gibbs, Lisa, and Daniel Reidpath. "What about the men? General differences in utilisation of arthritis self-management services." Australian Journal of Primary Health 11, no. 1 (2005): 63. http://dx.doi.org/10.1071/py05009.
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As self-management programs for chronic illness increasingly become the domain of primary health care providers, it is important to consider gender inequities in access to these services and gender differences in patterns of use to inform the development and delivery of services. This study explores gender differences in levels and patterns of access to arthritis self-management services by analyzing data collected from the Telephone Information Service of Arthritis Victoria. Contingency tables were analyzed and odds-ratios calculated to confirm gender differences in levels and patterns of service utilisation. Men were found to be significantly under-represented as users of the service, even after taking into account gender differences in prevalence of arthritis in the population. Women were more likely than men to contact the service on their own behalf. Men were more likely to have a family member or friend contact the service for them. Women showed more interest in learning about their condition while men focused more on symptom management. These gender differences in rates and patterns of service use indicate that service providers of self-management services for conditions such as arthritis need to take into account the interaction between gender and service utilisation.
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Ainsworth, Frank, and John Berger. "Family Inclusive Child Protection Practice: The History of the Family Inclusion Network and Beyond." Children Australia 39, no. 2 (May 21, 2014): 60–64. http://dx.doi.org/10.1017/cha.2014.1.
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This article records briefly the history of the Family Inclusion Network as an organisation that promotes family inclusive child protection practice. Since its inception in Queensland in 2006, Family Inclusion Network organisations have been formed elsewhere and now exist in Western Australia, South Australia, Victoria, Tasmania, Australian Capital Territory and New South Wales. In 2010, developments at a national level saw the formation of the Family Inclusion Network Australia. Most organisations are incorporated and some have achieved charitable status. Each organisation endorses a common set of aims and objectives. There are, however, differences in terms of whether state or territory organisations accept government funding or not, are staffed by professionals or rely entirely on volunteer personnel, and have a capacity or otherwise to provide direct casework services to parents. Some state organisations focus on information and advice services, and legislative and policy reform efforts. All have telephone advice lines and a webpage presence. This article also focuses on a code of ethics for child protection practice and on the contribution parents can make to child protection services, and their rights to do so.
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Carlberg, Ulf. "Review: Insects - a World of Diversity." Entomologica Fennica 6, no. 1 (January 1, 1995): 42. http://dx.doi.org/10.33338/ef.83838.
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Commonwealth Scientific Industrial Research Organization (Ed.) 1994: Insects- a World of Diversity. - C.S.I.R.O., Information Services, 314 Albert Street, East Melbourne, Victoria 3002, Australia. CDROM Version 1.0 and printed Teachers' Guide, 104 pp (A4 size, alternatively spiralbound 17.5 x 24.5 em). CD-ROM available for both Windows and Macintosh versions. System requirements: Windows: IBM-compatibel computer 386-33 or faster, super VGA video card and monitor; 4Mb of RAM, Microsoft Windows 3.1 or later, Microsoft Windows compatible digital audio card and CD-ROM drive. Macintosh: Apple Macintosh computer, 13 inch colour monitor (or larger), 4Mb of RAM, CD-ROM drive and Quicktime 1.6 or later(providedonCD).Price: CD-ROM: AUD 109.-,CD-ROMandTeachers' GuideAUD 129.-.
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Hay, D. A., C. Gleeson, C. Davies, B. Lorden, D. Mitchell, and L. Paton. "What Information Should the Multiple Birth Family Receive Before, During and After the Birth?" Acta geneticae medicae et gemellologiae: twin research 39, no. 2 (April 1990): 259–69. http://dx.doi.org/10.1017/s0001566000005481.
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AbstractAdvances in the management of the multiple pregnancy and delivery must be accompanied by corresponding improvements in service access outside key centres and especially in the information families receive about what may happen during or after the pregnancy. A major review of birthing services in Victoria has focussed attention on four areas where the quality of information is often inadequate. 1) Prepregnancy and the standard of counselling about the incidence of multiples as a result of fertility drugs and in vitro fertilization procedures and about problems which may accompany a multiple birth. 2) Antenatal: At what stage of the pregnancy should parents be told of the multiple pregnancy and how should monitoring of the mother and procedures such as bedrest take into account what are often conflicting demands within the family? 3) Perinatal: Families are frequently illprepared for a cesarean delivery and for the procedures for premature multiples. The problem is often compounded by separation of the mother from one or both twins. While bereavement services are improving, much still needs to be learned about handling congenital abnormalities in one or more multiples. 4) Postnatal: Irrespective of the level of prenatal advice, families greatly underestimate the workload with multiples. The resulting stress contributes to the incidence of postnatal depression, child abuse and divorce now being reported from multiple birth families. Some suggestions are made from social psychology and genetic counselling about how families can best handle risk information to achieve the goal of neither under- nor overestimating the risks at these different stages of the multiple pregnancy.
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Smith, Courtney, Allison Griffiths, Sandra Allison, Dee Hoyano, and Linda Hoang. "Escherichia coli O103 outbreak associated with minced celery among hospitalized individuals in Victoria, British Columbia, 2021." Canada Communicable Disease Report 48, no. 1 (January 26, 2022): 46–50. http://dx.doi.org/10.14745/ccdr.v48i01a07.
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Background: In April 2021, a Shiga toxin-producing Escherichia coli (E. coli) (STEC) O103 outbreak was identified among patients at two hospitals in Victoria, British Columbia (BC). The objective of this study is to describe this outbreak investigation and identify issues of food safety for high-risk products prepared for vulnerable populations. Methods: Confirmed cases of E. coli O103 were reported to the Island Health communicable disease unit. The provincial public health laboratory conducted whole genome sequencing on confirmed case isolates, as per routine practice for STEC in BC. Exposure information was obtained through case interviews and review of hospital menus. Federal and local public health authorities conducted an inspection of the processing plant for the suspect source. Results: Six confirmed cases of E. coli O103 were identified, all related by whole genome sequencing. The majority of cases were female (67%) and the median age was 61 years (range 24–87 years). All confirmed cases were inpatients or outpatients at two hospitals and were exposed to raw minced celery within prepared sandwiches provided by hospital food services. A local processor supplied the minced celery exclusively to the two hospitals. Testing of product at the processor was infrequent, and chlorine rinse occurred before mincing. The spread of residual E. coli contamination through the mincing process, in addition to temperature abuse at the hospitals, are thought to have contributed to this outbreak. Conclusion: Raw vegetables, such as celery, are a potential source of STEC and present a risk to vulnerable populations. Recommendations from this outbreak include more frequent testing at the processor, a review of the chlorination and mincing process and a review of hospital food services practices to mitigate temperature abuse.
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Ruth, Denise, Rosalind Hurworth, and Nabil Sulaiman. "Moving towards meaningful local population health data: The service provider perspective." Australian Journal of Primary Health 11, no. 2 (2005): 113. http://dx.doi.org/10.1071/py05029.
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Increasingly, primary care services are required to use data to assess their local population's health needs and plan services. This paper reports focus group discussions of service providers' perceived current practice, issues and needs related to obtaining and using data for planning services in two local government areas of Melbourne. Six groups were conducted with nominees from two municipal councils, four divisions of general practice, three community health services, three hospital networks and eight community organizations. Two groups were conducted with planners and data providers from the Department of Human Services, Victoria. The 66 participants had a broad range of experience in using data to assess local population health needs. Participants reported that issues limiting the use of data related to: access to data (lack of awareness, contacting the right person, poor communication between data providers and users, resource constraints, lack of central access); gaps in data; quality of data (inconsistent definitions and collection, currency, ties to funding); applicability of data (unfriendly format, problems with aggregated versus small area data, non-matching data sets, lack of contextual information); and support for data use in local population health planning. If local population needs assessment is to lead to better health outcomes, service providers need access to high quality data presented in formats that are applicable to their communities. They also need practicable planning methods, skills training and support in using data for local population needs assessment and service planning.
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Kelly, Glenn, and Ann Parry. "Managing Challenging Behaviour of People With Acquired Brain Injury in Community Settings: The First 7 Years of a Specialist Clinical Service." Brain Impairment 9, no. 3 (December 1, 2008): 293–304. http://dx.doi.org/10.1375/brim.9.3.293.
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AbstractThis article provides a review of the development and clinical practice of the ABI Behaviour Consultancy (the ‘Consultancy’), a specialist clinical service that provides outreach behaviour management support across the state of Victoria, Australia, to people with acquired brain injury (ABI) and their social network (i.e., family members, friends, support workers, and therapists). The Consultancy is a small, unique service that has developed ways of providing behaviour management strategies in community settings, despite the difficulties presented by changing and uncontrolled environments. The aim of this article is to provide a detailed account of this service. Information from the first 7 years of full operation, 1998 to 2004, is presented, during which a small number of psychologists saw more than 800 clients. A detailed description is given of behaviours referred and associated risks, assessment procedures, intervention approaches, and research activity. A variety of key service aspects are detailed, including the qualifications required of specialised staff, the service funding levels, and funding and service issues. These detailed accounts of service delivery are placed in the context of several major themes: specialist versus generalist services, the deployment of targeted interventions throughout the lifespan of a brain-injured individual, the role of specialist behaviour management services in the continuum of brain-injury support services, and broader equity issues.
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Young, Jesse T., Cheneal Puljević, Alexander D. Love, Emilia K. Janca, Catherine J. Segan, Donita Baird, Rachel Whiffen, Stan Pappos, Emma Bell, and Stuart A. Kinner. "Staying Quit After Release (SQuARe) trial protocol: a randomised controlled trial of a multicomponent intervention to maintain smoking abstinence after release from smoke-free prisons in Victoria, Australia." BMJ Open 9, no. 6 (June 2019): e027307. http://dx.doi.org/10.1136/bmjopen-2018-027307.
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IntroductionSmoke-free policies have been introduced in prisons internationally. However, high rates of relapse to smoking after release from prison indicate that these policies typically result in short-term smoking cessation only. These high rates of relapse, combined with a lack of investment in relapse prevention, highlight a missed opportunity to improve the health of a population who smoke tobacco at two to six times the rate of the general population. This paper describes the rationale and design of a randomised controlled trial, testing the effectiveness of a caseworker-delivered intervention promoting smoking cessation among former smokers released from smoke-free prisons in Victoria, Australia.Methods and analysisThe multicomponent, brief intervention consists of behavioural counselling, provision of nicotine spray and referral to Quitline and primary care to promote use of government-subsidised smoking cessation pharmacotherapy. The intervention is embedded in routine service delivery and is administered at three time points: one prerelease and two postrelease from prison. Control group participants will receive usual care. Smoking abstinence will be assessed at 1 and 3 months postrelease, and confirmed with carbon monoxide breath testing. Linkage of participant records to survey and routinely collected administrative data will provide further information on postrelease use of health services and prescribed medication.Ethics and disseminationEthical approval has been obtained from the Corrections Victoria Research Committee, the Victorian Department of Justice Human Research Ethics Committee, the Department of Human Services External Request Evaluation Committee and the University of Melbourne Human Research Ethics Committee. Results will be submitted to major international health-focused journals. In case of success, findings will assist policymakers to implement urgently needed interventions promoting the maintenance of prison-initiated smoking abstinence after release, to reduce the health disparities experienced by this marginalised population.Trial registration numberACTRN12618000072213; Pre-results.
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Mercier, Eric, Peter A. Cameron, Karen Smith, and Ben Beck. "Prehospital trauma death review in the State of Victoria, Australia: a study protocol." BMJ Open 8, no. 7 (July 2018): e022070. http://dx.doi.org/10.1136/bmjopen-2018-022070.
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IntroductionRegionalised trauma systems have been shown to improve outcomes for trauma patients. However, the evaluation of these trauma systems has been oriented towards in-hospital care. Therefore, the epidemiology and care delivered to the injured patients who died in the prehospital setting remain poorly studied. This study aims to provide an overview of a methodological approach to reviewing trauma deaths in order to assess the preventability, identify areas for improvements in the system of care provided to these patients and evaluate the potential for novel interventions to improve outcomes for seriously injured trauma patients.Methods and analysisThe planned study is a retrospective review of prehospital and early in-hospital (<24 hours) deaths following traumatic out-of-hospital cardiac arrest that were attended by Ambulance Victoria between 2008 and 2014. Eligible patients will be identified from the Victorian Ambulance Cardiac Arrest Registry and linked with the National Coronial Information System. For patients who were transported to hospital, data will be linked the Victoria State Trauma Registry. The project will be undertaken in four phases: (1) survivability assessment; (2) preventability assessment; (3) identification of potential areas for improvement; and (4) identification of potentially useful novel technologies. Survivability assessment will be based on predetermined anatomical injuries considered unsurvivable. For patients with potentially survivable injuries, multidisciplinary expert panel reviews will be conducted to assess the preventability as well as the identification of potential areas for improvement and the utility of novel technologies.Ethics and disseminationThe present study was approved by the Victorian Department of Justice and Regulation HREC (CF/16/272) and the Monash University HREC (CF16/532 – 2016000259). Results of the study will be published in peer-reviewed journals and reports provided to Ambulance Victoria, the Victorian State Trauma Committee and the Victorian State Government Department of Health and Human Services.
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Rodríguez, María Angeles Prieto, Astrid Suess, Joan Carles March Cerdá, María Escudero Carretero, and Alina Danet. "Opinions and Expectations of Women in the Treatment of Cervical and Uterine Cancer in Spain." Women's Health 7, no. 6 (November 2011): 709–18. http://dx.doi.org/10.2217/whe.11.50.
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Aim: To know the experiences, needs and expectations of women in the treatment of cervical and uterine cancer in the Andalusian Health Service. Methods: Focus groups and in-depth interviews with women being treated for cervical–uterine cancer within the Andalusian Health Service. Analysis with Nudist Vivo 1.0 (QSR International Pty Ltd, Doncaster, Victoria, Australia). Results: The needs and expectations detected were: coherence in the promotion strategies and the presence of a proactive approach by health professionals, availability of comprehensive information and understanding, possibility of expressing to health professionals one's doubts and fears, and of participation in decision-making, technical quality, humane treatment and continuity of care and attention to psychosocial aspects. Conclusion: The knowledge of women in the treatment of cancer of the cervix and uterus plays a crucial part in improving the delivery of these services.
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Sanders, Rachael, Jennifer Lehmann, and Fiona Gardner. "Parents’ experiences and use of parenting resources during the transition to parenthood." Children Australia 45, no. 4 (July 3, 2020): 317–25. http://dx.doi.org/10.1017/cha.2020.33.
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AbstractThe purpose of this paper is to report on new parents’ experiences of using the available range of parenting resources that help to guide parenting choices and practices. Using a semi-structured interview schedule, 30 participants were asked about their engagement with parenting resources. The types of resources considered most salient to the participants of this study in Victoria, Australia, included professional services, peers, family and friends, and written material. On the whole, these parents valued expert opinion when they encountered problems but experienced a level of frustration when they did not ‘feel heard’ by professionals or when faced with mixed messages. While they reported some resistance to overt advice offered by family and friends, especially if the information was considered ‘out-dated’, they relied heavily on informal advice and support from peers, even if this was supported only by anecdotal evidence.
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Szwarc, Barbara. "Give them a break: A study of families’ perceptions of the supports available in the community for families with a child with a life-threatening illness." Children Australia 23, no. 2 (1998): 21–27. http://dx.doi.org/10.1017/s1035077200008592.
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The effectiveness of current support services for families who have a child with a progressive life-threatening illness seems to be a frequently overlooked issue. This paper, which is based on the findings of a recently conducted study, attempts to elucidate the critical issues in supporting this unique group of families. The study examined the perceptions of families regarding the value and effectiveness of the social supports available in the community for families caring for a child with a life-threatening illness in Victoria. Attention has been drawn to perceived gaps in support for these families. Also considered is the effectiveness of supports available for bereaved families who have lost children with life-threatening illnesses. The study was based on information provided by families who had been involved with a family support agency known as Very Special Kids.
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Oyebola, F. O. "Communication Issues and Challenges of Information Sharing, Care Plans and Treatment Modalities for Cancer Patients and Families Accessing Hospice and Palliative Care Services in Nigeria and South Africa." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 106s. http://dx.doi.org/10.1200/jgo.18.24600.
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Background: The recent upsurge in the prevalence of cancer cases in Nigeria and other African countries is fast becoming a great challenge for the clinicians and urgently required holistic interventions. Most patients (60%–70%) usually present at an advanced incurable stage. Communication issues such as breaking bad news, discussions around treatment options, prognosis and advance care plans are often neglected. Cancer diagnosis is often synonymous to a death sentence and inadequate knowledge about disease trajectories and information sharing with patients and their families is often responsible for patients' frustration. A supportive palliative oncology teams play a critical role in facilitating and communicating between clinicians, patients and their families to bridge the gap and ensure effective therapeutic communication. Aim: In preparation for the forthcoming UICC African Cancer fellowship visit to the Life Abundant Palliative Care, Victoria Hospital in Wynberg, South Africa, a preliminary study will be made to identify relevant challenging issues and data among cancer patients at the Federal Medical Center Abeokuta Nigeria. Methods: A retrospective and prospective study will be performed of diagnosed cancer patients referred to the Pain and Palliative Medicine Department of the Federal Medical Centre Abeokuta, Nigeria between 2016 and 2017. Their diagnosis, treatment options, treatment compliance and defaults, offer of advance care plans, extent of interdisciplinary team and family involvement will be evaluated using the patients' case-notes. For surviving patients attending the pain and supportive palliative oncology clinic, their knowledge of the disease, treatment challenges, prognostication and family support will be identified and documented. Results: The observational gaps in the retrieved information and data about the treatment outcomes and interdisciplinary team support and challenges will form the basis or rather the prestudy platform for the planned fellowship visit on to the Life Abundant Palliative Care, Victoria Hospital in Wynberg, South Africa. The identified knowledge and skills gap would be used to design the final study in South Africa in August 2018. Conclusion: It is expected that the two studies will reflect communication issues and the approach to cancer patients' management in two different African clinical settings. The acquired lessons or experience during the second phase studies in the South Africa clinical setting would be translated to Nigeria practice and also shared at the 2018 UICC World Congress.
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Cheng, Melanie S., Angela Clarke, Timothy D. Moore, and Phyllis M. Lau. "Making the connection: a qualitative study of brokerage in Aboriginal health in a metropolitan area of Victoria and a regional area of New South Wales." Australian Health Review 35, no. 1 (2011): 18. http://dx.doi.org/10.1071/ah09809.
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Objective. Health brokerage is one method being employed by government health agencies in an attempt to improve Aboriginal and Torres Strait Islander people’s access to primary healthcare. This qualitative study explores key stakeholders’ understanding and acceptance of the health brokerage model, prior to the implementation of brokerage services. Methods. Semistructured interviews and focus groups were conducted with key stakeholders. The resulting data was analysed using a grounded theory approach. Results. Qualitative analysis of the interviews and focus groups revealed five major themes. These were: (1) the perceived limitations of brokerage as a service delivery model; (2) the benefits of health brokerage such as increased flexibility; (3) issues relating to patient independence; (4) the necessity for broker independence; and (5) a mistrust of health brokerage and the authority handling the brokerage funds. Conclusions. Since this study was conducted in 2008, ongoing funding for urban brokerage services has been suspended. Although the reasons for this are unclear, our study suggests that barriers to the acceptance of brokerage services by the community may have existed even before such services were implemented, thus highlighting the need for transparency when launching new health initiatives that hope to engage the Aboriginal community. What is known about the topic? Brokerage models have previously been described in the areas of mental health and aged care. In these examples, brokerage agencies have provided patients with a key entry point into the healthcare system. Benefits of the brokerage model, such as flexibility, have been contrasted with its limitations, such as a heavy reliance upon existing services. What does this paper add? This paper provides insight into the acceptability of health brokerage, as a service delivery model, to the Aboriginal community. Although findings from the study reinforce many of the benefits and limitations already described in the literature, they also introduce the new and important themes of patient empowerment and mistrust. What are the implications for practitioners? This study provides vital information about community perceptions of health brokerage. It is important that policy makers take heed of such insights when planning attempts to close the gap in Aboriginal health.
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Nguthi, ST, Oscar Kambona, and Billy Wadongo. "Pull Motivation Factors Influencing Tourists’ Destination Loyalty in the Lake Victoria Region Tourism Circuit, Kenya." Journal of Hospitality and Tourism 1, no. 1 (April 12, 2021): 1–18. http://dx.doi.org/10.47672/jht.698.
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Purpose: The purpose of this study was to identify pull motivation factors influencing tourists’ destination loyalty in the Lake Victoria Region Tourism Circuit, Kenya.
Methodology: The study adopted an explanatory research approach based on a cross-sectional survey design to collect and analyse quantitative data. This study proposed destination loyalty the most appropriate indicator of destination competitiveness. Self-administered questionnaires were used to collect quantitative primary data to help understand tourist pull motivation factors and destination loyalty. The instrument was pre-tested using 20 tourists who were not included in the final study. The study population consisted of 461 tourists drawn from the circuits’ 26 classified hotels, based on the region’s 35% average occupancy rate. Multi-stage sampling technique was used to get 299 tourists whereby proportionate sampling followed by simple random sampling was used to identify hotels while convenience sampling helped obtain actual respondents.
Findings: Tourists’ pull motivation factors were identified as; destination core resources, destination support resources, qualifying and amplifying resources and destination management factors.
Recommendations: Based on the findings, the researcher suggests that destination managers should: constantly avail information linked to tourism to any intending traveler; ensure high quality hotel services; pay close attention to the safety and security of tourists in the destination, and; pay close attention to the accessibility of the destination for all intending clients respectively. Moreover, findings of this study offer guidelines to destination managers in the Lake Victoria Region Tourism Circuit Kenya, in monitoring and enhancing the destinations competitiveness based on destination loyalty.
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Tilbury, Clare, and June Thoburn. "Children in out-of-home care in Australia: International comparisons." Children Australia 33, no. 3 (2008): 5–12. http://dx.doi.org/10.1017/s1035077200000262.
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As governments increasingly search globally for strategies to improve child welfare outcomes, it is vital to consider how policies and programs developed in other countries are likely to suit local conditions. Routinely collected child welfare administrative data can provide contextual information for cross-national comparisons. This article examines out-of-home care in Australia compared to other developed countries, and explores possible explanations for differences in patterns and trends. In doing so, it also examines the similarities and differences between NSW, Victoria and Queensland. It is argued that a sound understanding of how out-of-home care is used, the profile of children in care and the influences on data can assist policy makers to match proposed solutions to clearly understood current problems. The imperative is to plan and implement policies and programs that locate out-of-home care within a range of child welfare services that meet the diverse needs of children and families within local contexts.