Journal articles: 'Orthodontic services south australia'

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Kruger, E., and M. Tennant. "Accessing government subsidized specialist orthodontic services in Western Australia." Australian Dental Journal 51, no. 1 (March 2006): 29–32. http://dx.doi.org/10.1111/j.1834-7819.2006.tb00397.x.

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Selby Smith, Chris. "Health services management education in South Australia." Australian Health Review 18, no. 4 (1995): 15. http://dx.doi.org/10.1071/ah950015.

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In December 1994 the Australian College of Health Service Executives (SABranch) sought ?a needs analysis for health management training programs withinSouth Australia?. Although the college was interested in a range of matters, thecentral issue was whether the current Graduate Diploma in Health Administration(or a similar course) would continue to be provided in Adelaide. The college providedbackground material and discussions were held with students, the health industry,relevant professional associations and the universities. This commentary sets out someof the background factors and my conclusions, which have been accepted by the SouthAustralian authorities.

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Watts, R. W. "Obstetric Epidural Services in Rural South Australia." Anaesthesia and Intensive Care 20, no. 3 (August 1992): 345–47. http://dx.doi.org/10.1177/0310057x9202000313.

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A survey of sixty South Australian country hospitals found that 35 units had more than 25 deliveries per year (total deliveries 4,247, which is 21.5% of total live births in South Australia during 1989). Twenty-five of these units had an epidural service (71%) and the overall epidural rate was 16.7%, 9.5% provided by general practitioner anaesthetists and 7.2% by specialists. General practitioner anaesthetists were involved more in the medium-sized units (50–200 deliveries per year), whereas specialists provided more services in the larger regional units and the small units as visitors. The epidural rate varied between 6–20% depending on the size of the unit. Most country regions in South Australia have reasonable access to an epidural service. The more geographically isolated areas are being serviced by general practitioner anaesthetists.

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Gilligan, John E., William M. Griggs, Michael T. Jelly, David G. Morris, Ross R. Haslam, Neil T. Matthews, Evan R. Everest, Robert L. Bryce, Peter B. Marshall, and Ron A. Peisach. "Mobile intensive care services in rural South Australia." Medical Journal of Australia 171, no. 11-12 (December 1999): 617–20. http://dx.doi.org/10.5694/j.1326-5377.1999.tb123822.x.

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Long, Randall, and Stephen Allison. "Expert leadership of eating disorder services in South Australia." Australasian Psychiatry 24, no. 3 (June 2016): 243–45. http://dx.doi.org/10.1177/1039856216634823.

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Goldney, Robert D., Anne W. Taylor, and Marcus A. Bain. "Depression and remoteness from health services in South Australia." Australian Journal of Rural Health 15, no. 3 (June 2007): 201–10. http://dx.doi.org/10.1111/j.1440-1584.2007.00885.x.

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Spencer, A. John, Joan H. Allister, and David S. Brennan. "Predictors of fixed orthodontic treatment in 15-year-old adolescents in South Australia." Community Dentistry and Oral Epidemiology 23, no. 6 (December 1995): 350–55. http://dx.doi.org/10.1111/j.1600-0528.1995.tb00261.x.

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Sandford, Donald, and Rob Elzinga. "The consumers of community mental health services within South Australia." Clinical Psychologist 3, no. 2 (January 1, 1998): 41–44. http://dx.doi.org/10.1080/13284209908521043.

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SMITH, W. STEPHEN. "Development of government veterinary services in South Australia 1840–1970." Australian Veterinary Journal 70, no. 4 (April 1993): 145–47. http://dx.doi.org/10.1111/j.1751-0813.1993.tb06109.x.

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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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Sawyer, Michael Gifford, and Robert John Kosky. "Approaches to Delivering Child and Adolescent Mental Health Services: The South Australian Experience." Australian & New Zealand Journal of Psychiatry 29, no. 2 (June 1995): 230–37. http://dx.doi.org/10.1080/00048679509075915.

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Approximately 10% of children and adolescents experience mental health problems, however only a small proportion receive specialised help. Identifying approaches which can provide a balanced and effective service for the large number of children and adolescents with problems is currently a major challenge for child and adolescent mental health services in Australia. In South Australia, following a review in 1983, child and adolescent services were reorganised into two separate but closely related services. This paper draws on experience in South Australia over the last decade to identify approaches which can be employed in six key areas that significantly influence the effectiveness of child and adolescent mental health services. The paper also describes the specific features which were included in the South Australian child and adolescent mental health service to address these issues.

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Cord-Udy, Nigel. "The Medical Specialist Outreach Assistance Programme in South Australia." Australasian Psychiatry 11, no. 2 (June 2003): 189–94. http://dx.doi.org/10.1046/j.1039-8562.2003.00532.x.

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Objective: The present paper aims to provide an overview of the Medical Specialist Outreach Assistance Programme (MSOAP) and its implementation in South Australia with particular reference to the expansion of visiting psychiatric services to rural and remote areas. Included is a discussion of a number of the practical issues and challenges experienced by the author in the development of a visiting psychiatric service to the remote community of Coober Pedy in northern South Australia. Conclusions: There has been much success to date with the expansion of visiting psychiatric services to rural and remote areas within South Australia under MSOAP. MSOAP appears to have considerable merit, particularly for psychiatrists working in private practice. There are several practical issues to be considered in taking on this type of work. The professional rewards are substantial.

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Quach, Stacey, Hashmat Popat, Anup Karki, Rebecca Playle, and Stephen Richmond. "Factors influencing orthodontic treatment outcome in South East Wales and implications for service commissioning." Journal of Orthodontics 46, no. 4 (October 19, 2019): 311–22. http://dx.doi.org/10.1177/1465312519881454.

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Aim: To determine factors that may influence the outcome of orthodontic treatment undertaken in General Dental Services/Personal Dental Services in South East Wales. Design and setting: A retrospective study of a requested 20 consecutively treated cases (for the year 2014–2015) provided by 26 performers in South East Wales. Method: Performer and patient information was obtained by use of a questionnaire and FP17OW forms, respectively. A calibrated investigator recorded the Index of Orthodontic Treatment Need (IOTN), Peer Assessment Rating (PAR) and the Index of Complexity, Outcome and Need (ICON) on start- and end-study models for each case. Descriptive and regression analyses were undertaken to identify any predictive factors of a good treatment outcome. Results: Two respondents completed < 20 cases, so all of their cases were assessed. A total of 495 cases were assessed. The overall achieved mean end-PAR score of 5 is collectively a good occlusal outcome. Predictive factors of a good quality of occlusal outcome (end-PAR score being ⩽ 5) were: dual arch treatment; use of functional with fixed appliances; treatment undertaken in non-corporate practices; and treatment undertaken by registered specialists ( P < 0.001). Predictive factors for occlusal improvement (change in PAR score) were: IOTN aesthetic component (AC); IOTN dental health component (DHC) (1–3 or 4–5); and number of arches treated and malocclusion type ( P < 0.001). Conclusions: Dual arch fixed appliances undertaken by orthodontic specialists in non-corporate environments produced the highest quality orthodontic outcomes. Those who have the highest need for treatment according to IOTN DHC and AC benefit most in terms of improvement achieved in PAR score.

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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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Kenealy, Pamela, Neil Frude, and William Shaw. "The Effects of Social Class on the Uptake of Orthodontic Treatment." British Journal of Orthodontics 16, no. 2 (May 1989): 107–11. http://dx.doi.org/10.1179/bjo.16.2.107.

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The relationship between social class and uptake of orthodontic treatment was investigated in a longitudinal cohort study of 1018 children living in South Glamorgan, Wales. Previous studies have shown that working class people make less use of dental services and receive inferior dental care than middle class people. The present investigation examined the role of one factor which appears likely to contribute to this effect: namely, the uptake of orthodontic treatment by families from different social classes. If a significant association were shown then findings relating to the effectiveness of orthodontic treatment might be confounded by this social class factor.

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Loughhead, Mark, Sophie Guy, Gareth Furber, and Leonie Segal. "Consumer views on youth-friendly mental health services in South Australia." Advances in Mental Health 16, no. 1 (August 17, 2017): 33–47. http://dx.doi.org/10.1080/18387357.2017.1360748.

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Talbot, Michael. "Multicultural library services in South Australia prior to World War One." Australian Library Journal 44, no. 4 (January 1995): 195–211. http://dx.doi.org/10.1080/00049670.1995.10755723.

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Graham, Susan K., and Ian D. Cameron. "A survey of rehabilitation services in Australia." Australian Health Review 32, no. 3 (2008): 392. http://dx.doi.org/10.1071/ah080392.

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A survey, which achieved a 54% response rate, was completed to assess the availability and type of rehabilitation health services in Australia. 1044 surveys were sent out and 561 were returned. The details of a total of 346 rehabilitation services were obtained. There were more services in metropolitan compared with rural areas, more services in New South Wales and Victoria than in the other states, and a higher proportion of services led by health care workers other than rehabilitation physicians in rural compared with metropolitan areas. There is likely to be a need for additional rehabilitation services of all types across Australia. The majority of rural, regional and remote areas are likely to need additional physician-led, allied health and nursing services. Further work is needed to assess the size and catchment areas of services in the capital cities and other large population centres to assess whether additional services are also needed in these areas.

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Mathers, Colin, Theo Vos, and Chris stevenson. "The burden of disease and injury in Australia." Australian Health Review 23, no. 1 (2000): 216. http://dx.doi.org/10.1071/ah000216.

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Mude, William Wingard, Christopher M. Fisher, Roslyn Le Gautier, Jack Wallace, and Jacqueline A. Richmond. "South Sudanese perceptions of health and illness in South Australia." International Journal of Migration, Health and Social Care 16, no. 4 (October 23, 2020): 469–79. http://dx.doi.org/10.1108/ijmhsc-10-2019-0082.

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Purpose South Sudanese people form the largest number of resettled refugees in Australia between 2003 and 2004. This study aims to explore how this community understands and responds to health and illness. No study has specifically examined the concept of health and illness in the broader socio-cultural context of the South Sudanese people in Australia. Design/methodology/approach The design was a qualitative study using interviews and focus group discussions with 33 South Sudanese people in Adelaide, South Australia. Participants were asked to reflect on their understanding of health and illness and influences on their access and use of health and other services. Data were electronically audio-recorded, transcribed verbatim and analysed thematically. Findings Three main themes emerged from the analysis demonstrating complex and multifaceted views on health and illness. Participants described health as both a lack of disease and wider issues involving social belonging and participation, cultural well-being, living conditions and harmony in the society. They revealed that illnesses are predetermined by God or caused by a curse, breaking a cultural taboo, disharmony with the environment, community and ancestral spirits. Participants deeply tied their beliefs about illness causation and treatment to their historical, social and cultural lived realities, shaping their responses and health-care-seeking decisions. Originality/value The current study revealed a complex understanding of health and health-care-seeking practices amongst South Sudanese Australians. The multifaceted views of health and health-care-seeking practices underscore the importance of person-centred care for culturally and linguistically diverse people.

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Caplehorn, John R. M., and Robert G. Batey. "Methadone Maintenance in Australia." Journal of Drug Issues 22, no. 3 (July 1992): 661–78. http://dx.doi.org/10.1177/002204269202200314.

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The history of methadone treatment in Australia has been and continues to be marked by conflict between two competing aims: harm minimisation and abstinence. The two approaches tend to be associated with high dose-long term and low dose-short term treatment, respectively. Most programmes fail to provide adequate ancillary services, often to the detriment of patient outcome. Despite chronic under-funding, a relative lack of staff training and, in some states, the absence of a system of clinical accountability, Australian methadone services have grown significantly in the last decade. Factors influencing the growth of programmes have been described using the New South Wales programme as the example as it represents the largest and most complex programme in the country. Current problems and the impact of the Human Immunodeficiency Virus on policy development are highlighted.

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Littleford, Angela, Debbie Martin, Lee Martinez, and Angela May. "Rural and Metropolitan Community Health: Celebrating the Strengths." Australian Journal of Primary Health 5, no. 3 (1999): 60. http://dx.doi.org/10.1071/py99034.

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The paper outlines the strengths, similarities and differences of metropolitan and rural community health sectors. Case studies are used to look at the history of community health in South Australia, its current status is described and some future directions are proposed. Perspectives are drawn from the authors' collective experiences. Rural and metropolitan community health services in South Australia have developed from different models since they were established in the 1970s. Rural community health services have invariably been established as entities within hospitals and health services, although metropolitan community health services have generally been established as stand alone facilities independent of the acute sector. To illustrate this, two case studies are used to demonstrate the evolution of metropolitan and rural community health services.

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Hunt, Roger, and Kieran McCaul. "Coverage of cancer patients by hospice services, South Australia, 1990 to 1993." Australian and New Zealand Journal of Public Health 22, no. 1 (January 1998): 45–48. http://dx.doi.org/10.1111/j.1467-842x.1998.tb01143.x.

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Sandhu, Harpinder, Beverley Clarke, Ryan Baring, Sharolyn Anderson, Claire Fisk, Sabine Dittmann, Stewart Walker, Paul Sutton, Ida Kubiszewski, and Robert Costanza. "Scenario planning including ecosystem services for a coastal region in South Australia." Ecosystem Services 31 (June 2018): 194–207. http://dx.doi.org/10.1016/j.ecoser.2018.04.006.

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Collins, Joanne E., Helen Winefield, Lynn Ward, and Deborah Turnbull. "Understanding help seeking for mental health in rural South Australia: thematic analytical study." Australian Journal of Primary Health 15, no. 2 (2009): 159. http://dx.doi.org/10.1071/py09019.

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This study investigated barriers to help seeking for mental health concerns and explored the role of psychological mindedness using semistructured interviews with sixteen adults in a South Australian rural centre. Prior research-driven thematic analysis identified themes of stigma, self-reliance and lack of services. Additional emergent themes were awareness of mental illness and mental health services, the role of general practitioners and the need for change. Lack of psychological mindedness was related to reluctance to seek help. Campaigns, interventions and services promoting mental health in rural communities need to be compatible with rural cultural context, and presented in a way that is congruent with rural values.

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Bell, Maureen. "From the 1870s to the 1970s: the Changing Face of Public Psychiatry in South Australia." Australasian Psychiatry 11, no. 1 (March 2003): 79–86. http://dx.doi.org/10.1046/j.1440-1665.2003.00513.x.

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Objective: To give an overview of the development of psychiatric services in South Australia from the 1870s to the 1970s, to describe some of the milestones in their progress, and to demonstrate that many of the guiding principles of contemporary services can be found to have their roots in this period. Conclusions: Psychiatric services in South Australia progressed in fits and starts, but not for want of commitment and concern by those responsible for the care of the mentally ill. While in broad outline the development of services followed the course taken in other states, it is clear that the individual efforts of staff of the hospitals and a number of members of the public played an important role in improving the conditions and treatment of those with a mental illness, and laying the foundations for the movement of psychiatric services from their early isolationist position into the general health arena.

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Ruddy Kabwe. "The VAT Treatment of Cryptocurrencies in South Africa: Lessons From Australia." Obiter 41, no. 4 (March 24, 2021): 767–86. http://dx.doi.org/10.17159/obiter.v41i4.10487.

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Cryptocurrencies are revolutionary digital currencies used by people on a peer to peer network. Cryptocurrencies are predominantly used as a payment method in business transactions. However, challenges arise with cryptocurrency borne transactions due to the lack of universal accepted classification of cryptocurrencies, the result of which leads to unintended tax consequences for cryptocurrency users. This article examines the recent amendment to the Value-Added Tax (VAT) 89 of 1991 pertaining specifically to the VAT treatment of cryptocurrencies in South Africa. Currently, transactions in cryptocurrencies are deemed to be financial services in South Africa. This means that a supply of any cryptocurrency in South Africa is exempt from VAT. This article makes a comparison with the Australian legislative framework to determine how cryptocurrencies are treated for VAT/GST purposes in that country. Although the move to regulate cryptocurrencies is welcomed, this article argues that cryptocurrency activities are incorrectly legislated as financial services in the VAT Act.

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Bendall, Jason C., Paul M. Simpson, and Paul M. Middleton. "Prehospital Analgesia in New South Wales, Australia." Prehospital and Disaster Medicine 26, no. 6 (December 2011): 422–26. http://dx.doi.org/10.1017/s1049023x12000180.

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AbstractIntroduction: With at least 20% of ambulance patients reporting pain of moderate to severe intensity, pain management has become a primary function of modern ambulance services. The objective of this study was to describe the use of intravenous morphine, inhaled methoxyflurane, and intranasal fentanyl when administered in the out-of-hospital setting by paramedics within a large Australian ambulance service.Methods: A retrospective analysis was conducted using data from ambulance patient health care records (PHCR) for all cases from 01 July 2007 through 30 June 2008 in which an analgesic agent was administered (alone or in combination).Results: During the study period, there were 97,705 patients ≤100 years of age who received intravenous (IV) morphine, intranasal (IN) fentanyl, or inhaled methoxyflurane, either alone or in combination. Single-agent analgesia was administered in 87% of cases. Methoxyflurane was the most common agent, being administered in almost 60% of cases. Females were less likely to receive an opiate compared to males (RR = 0.83, 95% CI, 0.82–0.84, p <0.0001). Pediatric patients were less likely to receive opiate analgesia compared to adults (RR = 0.65, 95% CI, 0.63–0.67, p <0.0001). The odds of opiate analgesia (compared to pediatric patients 0–15 years) were 1.47; 2.10; 2.56 for 16–39 years, 40–59 years, and ≥60 years, respectively. Pediatric patients were more likely to receive fentanyl than morphine (RR = 1.69, 95% CI, 1.64–1.74, p < 0.0001).Conclusion: In this ambulance service, analgesia most often is provided through the use of a single agent. The majority of patients receive non-opioid analgesia with methoxyflurane, most likely because all levels of paramedics are authorized to administer that analgesic. Females and children are less likely to receive opiate-based analgesia than their male and adult counterparts, respectively. Paramedics appear to favor intranasal opiate delivery over intravenous delivery in children with acute pain.

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Price, Kay. "Understanding Life Transitions." Australian Journal of Primary Health 12, no. 2 (2006): 9. http://dx.doi.org/10.1071/py06017.

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I wanted to share with readers the outcomes of a research project I have been involved with. It was funded by a three-year nationally competitive discovery grant (2003-2005) from the Australian Research Council (ARC [DP 0346092]). This was a collaborative project between the Research Unit, Royal District Nursing Services, South Australia and University of South Australia, School of Nursing and Midwifery.

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Islam, Md Irteja, Claire O’Neill, Hibah Kolur, Sharif Bagnulo, Richard Colbran, and Alexandra Martiniuk. "Patient-Reported Experiences and Satisfaction with Rural Outreach Clinics in New South Wales, Australia: A Cross-Sectional Study." Healthcare 10, no. 8 (July 26, 2022): 1391. http://dx.doi.org/10.3390/healthcare10081391.

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Introduction: Many studies have been conducted on how physicians view outreach health services, yet few have explored how rural patients view these services. This study aimed to examine the patient experience and satisfaction with outreach health services in rural NSW, Australia and the factors associated with satisfaction. Methods: A cross-sectional study was conducted among patients who visited outreach health services between December 2020 and February 2021 across rural and remote New South Wales, Australia. Data on patient satisfaction were collected using a validated questionnaire. Both bivariate (chi-squared test) and multivariate analyses (logistic regression) were performed to identify the factors associated with the outcome variable (patient satisfaction). Results: A total of 207 participants were included in the study. The mean age of respondents was 58.6 years, and 50.2% were men. Ninety-three percent of all participants were satisfied with the outreach health services. Respectful behaviours of the outreach healthcare practitioners were significantly associated with the higher patient satisfaction attending outreach clinics. Conclusions: The current study demonstrated a high level of patient satisfaction regarding outreach health services in rural and remote NSW, Australia. Further, our study findings showed the importance of collecting data about patient satisfaction to strengthen outreach service quality.

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Apat, Daniel Kwai, and Wellington Digwa. "Mental health data: A case for the African communities in New South Wales." Australasian Review of African Studies 42, no. 1 (June 1, 2021): 64–80. http://dx.doi.org/10.22160/22035184/aras-2021-42-1/64-80.

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This paper examines mental health policies in relation to African communities residing in New South Wales, Australia and the attitudes of African communities toward mental disorders and mental health services. Current mental health policy frameworks have shown an inadequate inclusion of African communities. This may negatively affect the design of mental health interventions and how African communities engage with mental health services. The available mental health literature on African communities showed disjointed and uncoordinated data which focuses on specific community-groups within African communities. Insufficient mental health or suicide data, combined with African community members’ perception toward mental disorders and mental health services, makes it very difficult to progress engagement and interventions. There is a need for proper and sizable data on mental health related to people of African descent in NSW and Australia wide, if positive outcomes are to be realised.

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Cho, Han-A., Bo-Ra Kim, and Hosung Shin. "Travel Time for Dental Care Services Based on Patient Preference in South Korea." International Journal of Environmental Research and Public Health 19, no. 4 (February 12, 2022): 2051. http://dx.doi.org/10.3390/ijerph19042051.

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This study analyzed patient preferences using travel time from residence to dental institution when selecting dental care services. We used data from the Korean Health Panel from 2008 to 2017 and analyzed each dental service episode. Since the distribution of travel time was skewed to the left, median travel time was analyzed. The association of travel time with services was analyzed via the population-averaged generalized estimating equation (GEE) with the Poisson family. The median of the average travel time per episode was longer for non-National Health Insurance (NHI)-covered services and shorter for NHI-covered services. The first quintile of low-income subjects traveled the longest for all services and utilized dental care the most. In the GEE analysis, travel time was approximately three times longer for implant treatment and gold inlay/resin fillings and >2 times longer for orthodontic care than for NHI-covered services. Patients residing in rural counties traveled for longer than residents of large cities. Income was statistically significant; however, the coefficient was close to zero. Travel time was related to the type of service and reflected patient preference. This was more prominent for expensive non-NHI-covered services than for NHI-covered services. The findings suggest patients’ subjective preferences for dental clinic selection are expressed as rational deliberation considering each individual’s situation.

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Greenwood, John E., and Andrew P. Pearce. "Burns Assessment Team as Part of Burn Disaster Response." Prehospital and Disaster Medicine 21, no. 01 (February 2006): 45–52. http://dx.doi.org/10.1017/s1049023x00003319.

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AbstractWith a huge, climactically hostile catchment area, limited retrieval options and finite resources at the only adult burns unit in South Australia, this paper discusses the case for the establishment and maintenance of a Burns Assessment Team in South Australia. The composition and role of the team and its relationship with other retrieval services, the primary care unit, and the proposed National Burn Coordinator also are discussed.

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Nolan-Isles, Davida, Rona Macniven, Kate Hunter, Josephine Gwynn, Michelle Lincoln, Rachael Moir, Yvonne Dimitropoulos, et al. "Enablers and Barriers to Accessing Healthcare Services for Aboriginal People in New South Wales, Australia." International Journal of Environmental Research and Public Health 18, no. 6 (March 15, 2021): 3014. http://dx.doi.org/10.3390/ijerph18063014.

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Background: Australia’s healthcare system is complex and fragmented which can create challenges in healthcare, particularly in rural and remote areas. Aboriginal people experience inequalities in healthcare treatment and outcomes. This study aimed to investigate barriers and enablers to accessing healthcare services for Aboriginal people living in regional and remote Australia. Methods: Semi-structured interviews were conducted with healthcare delivery staff and stakeholders recruited through snowball sampling. Three communities were selected for their high proportion of Aboriginal people and diverse regional and remote locations. Thematic analysis identified barriers and enablers. Results: Thirty-one interviews were conducted in the three communities (n = 5 coastal, n = 13 remote, and n = 13 border) and six themes identified: (1) Improved coordination of healthcare services; (2) Better communication between services and patients; (3) Trust in services and cultural safety; (4) Importance of prioritizing health services by Aboriginal people; (5) Importance of reliable, affordable and sustainable services; (6) Distance and transport availability. These themes were often present as both barriers and enablers to healthcare access for Aboriginal people. They were also present across the healthcare system and within all three communities. Conclusions: This study describes a pathway to better healthcare outcomes for Aboriginal Australians by providing insights into ways to improve access.

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de Crespigny, Charlotte, Carol Grbich, and Jennifer Watson. "Older Aboriginal Women's Experiences of Medications in Urban South Australia." Australian Journal of Primary Health 4, no. 4 (1998): 6. http://dx.doi.org/10.1071/py98057.

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Older women are more likely to live alone in poverty than others in the community. They are also likely to maintain their independence well into older life. Recent Australian research into women's health issues has not investigated older women's direct experiences associated with their medication use, or any related interactions with health professionals such as general practitioners, pharmacists or registered nurses. This is despite significant funding, policy and research in most other areas of women's health in the 1990s. Similarly, the medication experiences of older Aboriginal women have been neglected. This paper reports on a cohort of older Aboriginal women (N-10) from a recent South Australian qualitative study into medication use of diverse groups of older women (N-142). In-depth, semi-structured, face to face interviews were conducted, predominantly in participants' suburban homes, and in a community setting. Thematic analysis of the data was undertaken, and comparisons were made with other cohorts in the overall study. Results showed that the experiences and perspectives of the urban Aboriginal women highlighted their connectedness with family, services and community, and that this was largely due to their access to particular Aboriginal services, and to indigenous cultural affiliations and practices. Despite this connectedness, and regular contact with general practitioners and pharmacists, there were significant deficits in their knowledge and skills in managing their medication. It became clear that there is an urgent need for culturally safe medication information, education and support for older Aboriginal women. There is also an urgent need for better education, training and support of all health workers who have critical roles and responsibilities in assisting this group in the community.

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Dew, Angela, Gisselle Gallego, Kim Bulkeley, Craig Veitch, Jennie Brentnall, Michelle Lincoln, Anita Bundy, and Scott Griffiths. "Policy Development and Implementation for Disability Services in Rural New South Wales, Australia." Journal of Policy and Practice in Intellectual Disabilities 11, no. 3 (September 2014): 200–209. http://dx.doi.org/10.1111/jppi.12088.

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Rossi, Alberto, Vera Morgan, Francesco Amaddeo, Marco Sandri, Michele Tansella, and Assen Jablensky. "Psychiatric Out-Patients Seen Once Only in South Verona and Western Australia: A Comparative Case-Register Study." Australian & New Zealand Journal of Psychiatry 39, no. 5 (May 2005): 414–22. http://dx.doi.org/10.1080/j.1440-1614.2005.01590.x.

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Objective: This study examined variables associated with having a once-only contact with the out-patient department of two community mental health services in Italy and Australia. Method: Two 8-year cohorts of patients, who had a new episode of care with out-patient psychiatric departments in South Verona and in Western Australia, were followed-up for 3 months after the first contact, to identify those patients who had no further contact with services. Potential determinants of once-only contact were analysed. Results: Thirty percent of new episodes of care for persons who met the inclusion criteria of the study were once-only contacts with the service in South Verona. In Western Australia, the figure was 24%. Moreover, the proportion of once-only contact patients has increased over time in South Verona whereas, in Western Australia, it has remained stable. In Western Australia, once-only contact patients were younger whereas in South Verona they tended to be older. At both research sites, patients who had a once-only contact were more likely to be male and to have a less severe mental illness. Conclusions: The results of this study suggest that only clinical characteristics were significant determinants of this pattern of contact with services consistently at both sites: the less severe the patient's diagnosis, the more likely the patient is to have a once-only contact. This may well indicate good screening at the initial point of contact by both sets of mental health service providers. Prospective studies are necessary to clarify the problem of ‘onceonly contact’ and to organize a proper psychiatric care.

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Domaniczky, Endre. "Possible Ways for Development of the Consular Service in the South Pacific." Acta Universitatis Sapientiae Legal Studies 9, no. 1 (December 2, 2020): 25–37. http://dx.doi.org/10.47745/ausleg.2020.9.1.02.

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The author presents the specifi c elements of diplomatic and consular work in the South Pacifi c region from the perspective of a career diplomat. He shows the main geographical and political characteristics of Australia which infl uence consular activity and also the characteristics of the benefi ciaries of consular services who need to be served by the consular infrastructure. The study presents several models for undertaking Hungarian consular work and for organizing the Hungarian consular network in Australia. The author also outlines current inconsistencies in the regulations applicable to consular activity in Australia under domestic, international, and Hungarian norms as well as functional issues and the possible ways to correct them. In his conclusions, the author formulates proposals for the redesign of consular organization in Australia.

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Mulligan, Ea C. "Striving for excellence in abortion services." Australian Health Review 30, no. 4 (2006): 468. http://dx.doi.org/10.1071/ah060468.

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The legalisation of abortion allowed the publication of surgical outcome data demonstrating low complication rates. South Australian data from the outcomes of surgery conducted at the Pregnancy Advisory Centre illustrate the monitoring of complication rates such as uterine perforation, continuing pregnancy and incomplete abortion to improve surgical outcomes. While quality improvement systems produce positive results, there are many barriers to their uptake in Australia. Hostility towards abortion has the potential effect of retarding the adoption of improved techniques.

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Paterson, Tom, Christopher Seiboth, Barbara Magin, Rajan Nagesh, Cyndy Lloyd, and Helena Williams. "An initiative in primary care psychiatry in South Australia." Australasian Psychiatry 10, no. 3 (September 2002): 259–64. http://dx.doi.org/10.1177/103985620201000313.

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Objective: To describe a joint mental health project involving the Adelaide Northern Division of General Practice (ANDGP) and the North West Adelaide Mental Health Service (NWAMHS). Conclusions: This project has been developed to explore alternative strategies to facilitate the identification and management of patients with mental illness in the primary care setting. The project has also endeavoured to explore alternative types of psychiatrist/general practitioner interactions other than the conventional ‘general practitioner referred psychiatrist consultation’. The development of adequate and clinically relevant evaluation methods, both quantitative and qualitative, has also been an explicit objective of the project. While the project provides an exciting stimulus for ongoing development of models of Primary Psychiatric Care, it is evident that such models can only evolve in the context of significant service and systemic change. It is hoped that the experiences in the northern suburbs of Adelaide can stimulate others to explore the ongoing collaborations between psychiatric services and general practitioners in ways that can produce better mental health outcomes in our patients.

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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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Beckmann, Kerri R., Ian N. Olver, Brenda Wilson, David M. Roder, Linda M. Foreman, and Graeme P. Young. "Patient and carer perceptions of cancer care in South Australia." Australian Health Review 33, no. 4 (2009): 645. http://dx.doi.org/10.1071/ah090645.

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Quality of care from the patient?s perspective is an increasingly important outcome measure for cancer services. Patients? and carers? perceptions of cancer care were assessed through structured telephone interviews, 4?10 months post-discharge, which focused on experiences during the most recent hospital admission. A total of 481 patients with a primary diagnosis of cancer (ICD-10 C codes) were recruited, along with 345 carers nominated by the patients. Perceptions of clinical care were generally positive. Less positive aspects of care included not being asked how they were coping, not being offered counselling, and not receiving written information about procedures. Results also highlighted inadequate discharge processes. Carers were more likely than patients to report negative experiences. Perceptions of care also differed by cancer type.

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Draper, Diane. "Preparing for New Health Privacy Legislation in Rural Australia." Health Information Management 31, no. 2 (June 2003): 15–17. http://dx.doi.org/10.1177/183335830303100210.

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This Rural Professional Practice item describes the benefits of a collaborative, regional approach to implementing new health privacy legislation. Videoconferencing has been adopted to surmount the problems of long-distance communication between the Privacy Officers of 11 regional health services spread throughout a large region of south-eastern Australia.

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Manchikanti, Prashanti, I.-Hao Cheng, Jenny Advocat, and Grant Russell. "Acceptability of general practice services for Afghan refugees in south-eastern Melbourne." Australian Journal of Primary Health 23, no. 1 (2017): 87. http://dx.doi.org/10.1071/py16020.

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Over 750000 refugees have resettled in Australia since 1945. Despite complex health needs related to prior traumatic experiences and the challenges of resettlement in a foreign country, refugees experience poor access to primary care. Health and settlement service providers describe numerous cultural, communication, financial and health literacy barriers. This study aimed to investigate the acceptability of general practitioner (GP) services and understand what aspects of acceptability are relevant for Afghan refugees in south-eastern Melbourne. Semi-structured interviews were conducted with two Afghan community leaders and 16 Dari- or English-speaking Afghan refugees who accessed GP services. Two distinct narratives emerged – those of recently arrived refugees and established refugees (living in Australia for 3 years or longer). Transecting these narratives, participants indicated the importance of: (1) a preference for detailed clinical assessments, diagnostic investigations and the provision of prescriptions at the first consultation; (2) ‘refugee-friendly’ staff; and (3) integrated, ‘one-stop-shop’ GP clinic features. The value of acceptable personal characteristics evolved over time – GP acceptability was less a consideration for recently arrived, compared with more, established refugees. The findings reinforce the importance of tailoring healthcare delivery to the evolving needs and healthcare expectations of newly arrived and established refugees respectively.

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Callander, Emily, Sarah Larkins, and Lisa Corscadden. "Variations in out-of-pocket costs for primary care services across Australia: a regional analysis." Australian Journal of Primary Health 23, no. 4 (2017): 379. http://dx.doi.org/10.1071/py16127.

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The aim of this study is to describe average out-of-pocket costs across different regions of Australia, as defined by Primary Health Network (PHN) boundaries, and assess the association between population characteristics and out-of-pocket costs for selected primary care services. A combination of descriptive and regression analysis was undertaken using administrative data from the Australian Department of Human Services reporting on the health services used across PHNs in Australia. Those in regional areas paid significantly more for Allied Health services than those in capital cities (A$5.68, P=0.006). The proportion of an area’s population aged 65 years and over was inversely related to out-of-pocket charges for Allied Mental Health (–A$79.12, P=0.029). Some areas had both high charges and disadvantaged populations: Country South Australia, Northern Queensland, Country Western Australia, Tasmania and Northern Territory, or populations with poor health: Northern Territory and Tasmania. Although there was a large amount of variation in out-of-pocket charges for primary care services between PHNs in Australia, there was little evidence of inequality based on health, age and socioeconomic characteristics of a population or the proportion of Aboriginal and Torres Strait Islander people.

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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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Allister, J. H., A. J. Spencer, and D. S. Brennan. "Provision of orthodontic care to adolescents in South Australia: The type, the provider, and the place of treatment." Australian Dental Journal 41, no. 6 (December 1996): 405–10. http://dx.doi.org/10.1111/j.1834-7819.1996.tb06027.x.

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Bond, Sue. "Care-leaving in South Africa: an international and social justice perspective." Journal of International and Comparative Social Policy 34, no. 1 (February 2018): 76–90. http://dx.doi.org/10.1080/21699763.2017.1413994.

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AbstractInternationally, the care-leaving debate began in the 1970s. The poor outcomes associated with care-leaving in the United Kingdom, United States of America and Australia prompted attention resulting in policy change in recent years, which continues to develop. The experience and outcomes for care leavers in South Africa reflects that of their contemporaries in other countries, however, contextual factors compound the problems that they face and there is little support available to them. This paper discusses some of the challenges facing care leavers and the development of the care-leaving debate, legislation and policy in the United Kingdom, United States and Australia. A comparison of the care-leaving arena in South Africa and the support services available to care leavers in the different countries will be presented. The paper concludes by arguing that the absence of services for care leavers is a neglect of the state's responsibility as corporate parent, and represents an issue of social justice.

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Lawn, Sharon, Elaine Waddell, Taryn Cowain, Carol Turnbull, and Janne McMahon. "Implementing national mental health carer partnership standards in South Australia." Australian Health Review 44, no. 6 (2020): 880. http://dx.doi.org/10.1071/ah19156.

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ObjectiveThe aim of this study was to describe the current state of carer engagement and partnership in two mental health (MH) services in South Australia and the implementation of the six partnership standards in A Practical Guide to Working with Carers of People with a Mental Illness. MethodsAnonymous surveys of carer experiences and clinician self-ratings of their own practice against the six partnership standards were completed by 94 staff and 58 carers within public and private MH in-patient units before and after exposure of clinicians to education about the partnership standards. Descriptive statistical analysis was performed and, where applicable, a comparative analysis used the two-sample Z-test of proportions. Qualitative data was analysed thematically. ResultsConsiderable gaps were evident between carer experiences and clinician self-ratings of their own practice. Overall, the surveys point to the lack of a consistent approach by both public and private services, and suggest potential barriers to fostering carer participation and engagement. Confidentiality was a particularly noted barrier to partnership with carers. ConclusionSignificant improvement is needed to meet the partnership standards. Brief exposure to the Guide is not, in itself, sufficient to effect change in the overall attitudes, skills and knowledge of clinical staff about engaging carers. Significantly more focus on staff education, clinical discussions and supervision is needed to meet the MH carer partnership standards. What is known about the topic?Partnership with MH consumers and carers is an established key principle within national MH policies and accreditation standards. Family carers play an important role in supporting consumers’ recovery, yet many carers continue to report being excluded, particularly by in-patient clinical staff. What does this paper add?This is the first study to investigate the partnership standards in practice by comparing the perspectives of carers and in-patient MH clinical staff. What are the implications for practitioners?Improving partnership with carers of people with mental illness will require significant MH service leadership support shifts in current practice and culture. In addition, a more nuanced understanding of confidentiality is required to overcome the barriers to involving family carers more meaningfully in care.

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Byrne, Louise, Michael Wilson, Karena J. Burke, Cadeyrn J. Gaskin, and Brenda Happell. "Mental health service delivery: a profile of mental health non-government organisations in south-east Queensland, Australia." Australian Health Review 38, no. 2 (2014): 202. http://dx.doi.org/10.1071/ah13208.

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Objective Non-government organisations make a substantial contribution to the provision of mental health services; despite this, there has been little research and evaluation targeted at understanding the role played by these services within the community mental health sector. The aim of the present study was to examine the depth and breadth of services offered by these organisations in south-east Queensland, Australia, across five key aspects of reach and delivery. Methods Representatives from 52 purposively targeted non-government organisations providing mental health services to individuals with significant mental health challenges were interviewed regarding their approach to mental health service provision. Results The findings indicated a diverse pattern of service frameworks across the sector. The results also suggested a positive approach to the inclusion of consumer participation within the organisations, with most services reporting, at the very least, some form of consumer advocacy within their processes and as part of their services. Conclusions This paper offers an important first look at the nature of non-government service provision within the mental health sector and highlights the importance of these organisations within the community sector. What is known about the topic? Non-government organisations make a substantial contribution to the multisectorial provision of services to mental health consumers in community settings. Non-government organisations in Australia are well established, with 79.9% of them being in operation for over 10 years. There is an increasing expectation that consumers influence the development, delivery and evaluation of mental health services, especially in the community sector. What does this paper add? This paper provides a profile of non-government organisations in one state in Australia with respect to the services they provide, the consumers they target, the practice frameworks they use, the use of peer workers and consumer participation, the success they have had with obtaining funding and the extent to which they collaborate with other services. What are the implications for practitioners? This paper provides readers with an understanding of the non-government organisations and the services they provide to people with mental health conditions. In addition, the findings provide an opportunity to learn from the experience of non-government organisations in implementing consumer participation initiatives.

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