Journal articles on the topic 'Physicians (General practice) New South Wales'
To see the other types of publications on this topic, follow the link: Physicians (General practice) New South Wales.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Physicians (General practice) New South Wales.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Khan, Asaduzzaman, David Plummer, Rafat Hussain, and Victor Minichiello. "Sexual risk assessment in general practice: evidence from a New South Wales survey." Sexual Health 4, no. 1 (2007): 1. http://dx.doi.org/10.1071/sh06012.
Full textAbstract:
Background: Physicians’ inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician’s embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.
2
Phillipson, Lyn, Sandra C. Jones, and Elizabeth Wiese. "Effective Communication Only Part of the Strategy Needed to Promote Help-Seeking of Young People with Mental Health Problems." Social Marketing Quarterly 15, no. 2 (May 22, 2009): 50–62. http://dx.doi.org/10.1080/15245000902878860.
Full textAbstract:
Formative research was undertaken in the Illawarra region of New South Wales (south of Sydney, Australia) to identify local communication strategies to influence the help-seeking behavior of young people in relation to a new youth-focused general practice (or physician) led mental health service. Research with the target market (12–25years) revealed the need for a local campaign to address the stigma associated with the use of mental health services and the need to emphasize the central role of the general practitioner or physician to the service. The results also indicated that any overarching campaign should be complemented by segment-specific strategies which tailor not only communication variables and channels to reach different market segments, but also consider varying aspects of the product or service to reach a broad cross-section of the target group.
3
Hallinan, Christine Mary, Jane Maree Gunn, and Yvonne Ann Bonomo. "Implementation of medicinal cannabis in Australia: innovation or upheaval? Perspectives from physicians as key informants, a qualitative analysis." BMJ Open 11, no. 10 (October 2021): e054044. http://dx.doi.org/10.1136/bmjopen-2021-054044.
Full textAbstract:
Objective We sought to explore physician perspectives on the prescribing of cannabinoids to patients to gain a deeper understanding of the issues faced by prescriber and public health advisors in the rollout of medicinal cannabis. Design A thematic qualitative analysis of 21 in-depth interviews was undertaken to explore the narrative on the policy and practice of medicinal cannabis prescribing. The analysis used the Diffusion of Innovations (DoI) theoretical framework to model the conceptualisation of the rollout of medicinal cannabis in the Australian context. Setting Informants from the states and territories of Victoria, New South Wales, Tasmania, Australian Capital Territory, and Queensland in Australia were invited to participate in interviews to explore the policy and practice of medicinal cannabis prescribing. Participants Participants included 21 prescribing and non-prescribing key informants working in the area of neurology, rheumatology, oncology, pain medicine, psychiatry, public health, and general practice. Results There was an agreement among many informants that medicinal cannabis is, indeed, a pharmaceutical innovation. From the analysis of the informant interviews, the factors that facilitate the diffusion of medicinal cannabis into clincal practice include the adoption of appropriate regulation, the use of data to evaluate safety and efficacy, improved prescriber education, and the continuous monitoring of product quality and cost. Most informants asserted the widespread assimilation of medicinal cannabis into practice is impeded by a lack of health system antecedents that are required to facilitate safe, effective, and equitable access to medicinal cannabis as a therapeutic. Conclusions This research highlights the tensions that arise and the factors that influence the rollout of cannabis as an unregistered medicine. Addressing these factors is essential for the safe and effective prescribing in contemporary medical practice. The findings from this research provides important evidence on medicinal cannabis as a therapeutic, and also informs the rollout of potential novel therapeutics in the future.
4
Hindle, Don. "General practice in Australia 2000." Australian Health Review 24, no. 1 (2001): 201. http://dx.doi.org/10.1071/ah010201.
Full text
5
Benzie, Daniel. "New South Wales rural general practice from a Yank's perspective." Australian Journal of Rural Health 11, no. 1 (January 2003): 44–46. http://dx.doi.org/10.1046/j.1440-1584.2003.00446.x.
Full text
6
Chambers, Georgina M., Christopher Harrison, James Raymer, Ann Kristin Petersen Raymer, Helena Britt, Michael Chapman, William Ledger, and Robert J. Norman. "Infertility management in women and men attending primary care—patient characteristics, management actions and referrals." Human Reproduction 34, no. 11 (November 1, 2019): 2173–83. http://dx.doi.org/10.1093/humrep/dez172.
Full textAbstract:
Abstract STUDY QUESTION How did general practitioners (GPs) (family physicians) manage infertility in females and males in primary care between 2000 and 2016? SUMMARY ANSWER The number of GP infertility consultations for females increased 1.6 folds during the study period, with 42.9% of consultations resulting in a referral to a fertility clinic or specialist, compared to a 3-fold increase in the number of consultations for men, with 21.5% of consultations resulting in a referral. WHAT IS KNOWN ALREADY Infertility affects one in six couples and is expected to increase with the trend to later childbearing and reports of declining sperm counts. Despite GPs often being the first contact for infertile people, very limited information is available on the management of infertility in primary care. STUDY DESIGN, SIZE, DURATION Data from the Bettering the Evaluation and Care of Health programme were used, which is a national study of Australian primary care (general practice) clinical activity based on 1000 ever-changing, randomly selected GPs involved in 100 000 GP–patient consultations per year between 2000 and 2016. PARTICIPANTS/MATERIALS, SETTING, METHODS Females and males aged 18–49 years attending GPs for the management of infertility were included in the study. Details recorded by GPs included patient characteristics, problems managed and management actions (including counselling/education, imaging, pathology, medications and referrals to specialists and fertility clinics). Analyses included trends in the rates of infertility consultations by sex of patient, descriptive and univariate analyses of patient characteristics and management actions and multivariate logistic regression to determine which patient and GP characteristics were independently associated with increased rates of infertility management and referrals. MAIN RESULTS AND THE ROLE OF CHANCE The rate of infertility consultations per capita increased 1.6 folds for women (17.7–28.3 per 1000 women aged 18–49 years) and 3 folds for men over the time period (3.4–10.2 per 1000 men aged 18–49 years). Referral to a fertility clinic or relevant specialist occurred in 42.9% of female infertility consultations and 21.5% of male infertility consultations. After controlling for age and other patient characteristics, being aged in their 30s, not having income assistance, attending primary care in later years of the study and coming from a non-English-speaking background, were associated with an increased likelihood of infertility being managed in primary care. In female patients, holding a Commonwealth concession card (indicating low income), living in a remote area and having a female GP all indicated a lower adjusted odds of referral to a fertility clinic or specialist. LIMITATIONS, REASONS FOR CAUTION Data are lacking for the period of infertility and infertility diagnosis, which would provide a more complete picture of the epidemiology of treatment-seeking behaviour for infertility. Australia’s universal insurance scheme provides residents with access to a GP, and therefore these findings may not be generalizable to other settings. WIDER IMPLICATIONS OF THE FINDINGS This study informs public policy on how infertility is managed in primary care in different patient groups. Whether the management actions taken and rates of secondary referral to a fertility clinic or specialist are appropriate warrants further investigation. The development of clinical practice guidelines for the management of infertility would provide a standardized approach to advice, investigations, treatment and referral pathways in primary care. STUDY FUNDING/COMPETING INTEREST(S) This paper is part of a study being funded by an Australian National Health and Medical Research Council project grant APP1104543. G.C. reports that she is an employee of The University of New South Wales (UNSW) and Director of the National Perinatal Epidemiology and Statistics Unit (NPESU), UNSW. The NPESU manages the Australian and New Zealand Assisted Reproductive Technology Database on behalf of the Fertility Society of Australia. W.L. reports being a part-time paid employee and minor shareholder of Virtus Health, a fertility company. R.N. reports being a small unitholder in a fertility company, receiving grants for research from Merck and Ferring and speaker travel grants from Merck. TRIAL REGISTRATION NUMBER NA
7
Dean, Mark G., and Niki C. Vincent. "Infrastructure for monitoring blood transfusion practice in New South Wales hospitals." Medical Journal of Australia 173, no. 5 (September 2000): 241–43. http://dx.doi.org/10.5694/j.1326-5377.2000.tb125628.x.
Full text
8
Khan, Asaduzzaman, Rafat Hussain, David Plummer, and Victor Minichiello. "Willingness to offer chlamydia testing in general practice in New South Wales." Australian and New Zealand Journal of Public Health 30, no. 3 (June 2006): 226–30. http://dx.doi.org/10.1111/j.1467-842x.2006.tb00862.x.
Full text
9
Holland, JF, and WL Felton. "Effect of tillage practice on grain sorghum production in northern New South Wales." Australian Journal of Experimental Agriculture 29, no. 6 (1989): 843. http://dx.doi.org/10.1071/ea9890843.
Full textAbstract:
Grain sorghum was sown at 5 sites in northern New South Wales to examine the response of this crop to no-tillage compared with cultivated fallows. The sites were at Duri and Tamworth in 1980-81, and Warialda, Croppa Creek and Burren Junction in 1982-83. Other treatments investigated were: rates of atrazine applied in the fallow at 4 sites, the gypsum x tillage interaction at 2 sites, and effect of stubble burning during the cultivated fallow at 2 sites. An average of 31 mm more water was stored in the soil with a no-tillage fallow, and this was associated with a consistent grain yield advantage averaging 0.45 t/ha compared with cultivated, stubble retained fallows over all sites. At Warialda and Croppa Creek the stubble on the cultivated treatments from the 1981 wheat crop was either retained or burnt. Moisture accumulation and yield were substantially reduced in the stubble burnt treatment, particularly at Warialda. There was a yield advantage of the no-tillage treatment over the stubble burnt cultivated treatment of about 1.8 t/ha at Warialda, and 0.7 t/ha at Croppa Creek. At Burren Junction, gypsum increased grain sorghum yield by 0.57 t/ha in both the cultivated and no-tillage treatments, indicating that it was not necessary to incorporate the gypsum to improve soil structure. The results of this study indicate that no-tillage sorghum, using atrazine as the primary method of weed control, is an efficient method of production. Potential yield advantages of about 0.5 t/ha over cultivated fallows with stubble retained, and greater yield advantages in comparison with cultivated fallows with burnt stubble, are associated with improved moisture storage.
10
Jorm, Louisa, Fiona Blyth, Simon Chapman, and Chris Reynolds. "Smoking in child Family Day Care homes: policies and practice in New South Wales." Medical Journal of Australia 159, no. 8 (October 1993): 518–22. http://dx.doi.org/10.5694/j.1326-5377.1993.tb138004.x.
Full text
11
Alexander, Christian. "THE SHORTAGE OF RURAL GENERAL PRACTITIONERS IN NORTH-WESTERN NEW SOUTH WALES." Australian Journal of Rural Health 5, no. 1 (February 1997): 31–36. http://dx.doi.org/10.1111/j.1440-1584.1997.tb00232.x.
Full text
12
Fischer, JE, and T. Marchant. "Owners’ insights into private practice dentistry in New South Wales and the Australian Capital Territory." Australian Dental Journal 55, no. 4 (December 2010): 423–29. http://dx.doi.org/10.1111/j.1834-7819.2010.01264.x.
Full text
13
Fraser, John, Christian Alexander, and Karin Fisher. "Hepatitis C education needs of rural general practitioners working in northern New South Wales." Australian Journal of Rural Health 12, no. 4 (August 2004): 152–56. http://dx.doi.org/10.1111/j.1440-1854.2004.00588.x.
Full text
14
Welberry, Heidi, Margo Linn Barr, Elizabeth J. Comino, Ben F. Harris-Roxas, Elizabeth Harris, and Mark Fort Harris. "Increasing use of general practice management and team care arrangements over time in New South Wales, Australia." Australian Journal of Primary Health 25, no. 2 (2019): 168. http://dx.doi.org/10.1071/py18113.
Full textAbstract:
The number of older people living with chronic health conditions is increasing in Australia. The Chronic Disease Management (CDM) items program was introduced to the Medicare Benefits Schedule (MBS) to encourage a more structured approach to managing patients with chronic conditions. Initial uptake was slow and recent research has suggested that uptake is decreasing. This paper examines: person MBS CDM claims in NSW between 2006 and 2014 — using baseline survey data (2006–09) from the Sax Institute’s 45 and Up Study linked to MBS and Death Registry data (2006–14) — and MBS CDM claims per 100000 population — using billing data sourced from the Medicare Australia Statistics website — to systematically examine any changes in uptake using a time-series analysis. After age adjustment, claims for initial plans increased from 11.3% in 2006 to 22.4% in 2014. Increases were also seen for allied health service claims (from 4.1% in 2006 to 20.8% in 2014) and for plan reviews (from 5.9% in 2006 to 16.0% in 2014). These increases were consistent with the MBS summary claims data. There is evidence that these plans are appropriately targeting those in most need; however, there is limited evidence of their effect. Claims for plan reviews, although increasing, are suboptimal and may indicate poor continuity of care.
15
McCarthy, Melissa, Lewis J. Haddow, Virginia Furner, and Adrian Mindel. "Contact tracing for sexually transmitted infections in New South Wales, Australia." Sexual Health 4, no. 1 (2007): 21. http://dx.doi.org/10.1071/sh06019.
Full textAbstract:
Background: Contact tracing is an important strategy in the control of sexually transmitted infections (STI) because it encourages individuals who may be unaware they have been exposed to an infection to be tested and treated. The aim of this study was to review STI contact tracing procedures in NSW by sexual health clinics (SHC), public health units (PHU) and general practitioners (GP). Methods: A questionnaire study carried out in 2004–2005 of SHC, PHU and a random sample of GP in NSW. SHC and PHU participated in structured interviews and GP completed questionnaires at educational workshops or through a mail-out. Interviews and questionnaires addressed current contact tracing practice and methods of improving the service. Results: All 35 SHC, 6/18 (33%) PHU and 172/212 (81%) of the GP who responded to the survey undertook contact tracing for STI. Chlamydia was the STI most commonly traced by SHC (34/35, 97%) and GP (165/172, 96%). HIV was the STI most commonly traced by PHU (5/6, 83%). Only 23/172 (13%) GP were familiar with the ‘Australasian contact tracing manual’. The commonest barriers to tracing for SHC and GP included patient reluctance (SHC 60%, GP 71%), and the lack of contact details for partners (SHC 46%, GP 60%). GP identified the availability of information for patients (82%) and more training (55%) as necessary resources for optimal contact tracing. Conclusions: SHC and GP frequently undertook contact tracing for some STI; PHU do so less frequently. Barriers to contact tracing are similar for all health-care providers. For GP, there is a need for increased training and the development of written policies and agreed pathways for referral.
16
Buhrich, Neil, Anne Butchart, Susan Johnston, and Roberta Lauchlan. "Delivery of Medication to Psychiatric Patients in Community Health Services in New South Wales." Australian & New Zealand Journal of Psychiatry 30, no. 4 (August 1996): 523–30. http://dx.doi.org/10.3109/00048679609065027.
Full textAbstract:
Objective: We investigated the supply and monitoring of medication to patients who attend community mental health services in NSW. Method: The staff at four metropolitan and one rural community centre health service were interviewed. Information sought included policies and procedures concerning medication, the delivery of medication to patients, and staff reports concerning their knowledge and practice related to the legal requirements of the New South Wales Poisons Act 1966. Results: Sixty-five (62%) of 104 coordinators, medical officers and staff who were responsible for case managing patients were interviewed. The centres all differed in their existing policies and practices and the extent to which they were supported by their local hospital and retail pharmacies. Only one centre had a designated pharmacist and this was a part-time position. Conclusions: The delivery of medication at most centres is a fairly ad hoc arrangement with staff organising medication as best as they can. At times the supply of medication to patients fails to comply with legal and New South Wales Department of Health requirements.
17
Quilter, Julia, and David Brown. "Speaking Too Soon: The Sabotage of Bail Reform in New South Wales." International Journal for Crime, Justice and Social Democracy 3, no. 3 (October 8, 2014): 73–97. http://dx.doi.org/10.5204/ijcjsd.v3i2.181.
Full textAbstract:
Within just over one month of coming into operation in May 2014, the new Bail Act 2013 (NSW), a product of long-term law reform consideration, was reviewed and then amended after talk-back radio ‘shock jock’ and tabloid newspaper outcry over three cases. This article examines the media triggers, the main arguments of the review conducted by former New South Wales (NSW) Attorney General John Hatzistergos, and the amendments, with our analysis of the judicial interpretation of the Act thus far providing relevant background. We argue that the amendments are premature, unnecessary, create complexity and confusion, and, quite possibly, will have unintended consequences: in short, they are a mess. The whole process of reversal is an example of law and order politics driven by the shock jocks and tabloid media, the views of which, are based on fundamental misconceptions of the purpose of bail and its place in the criminal process, resulting in a conflation of accusation, guilt and punishment. Other consequences of the review and amendments process recognised in this article include the denigration of judicial expertise and lack of concern with evidence and process; the disproportionate influence of the shock jocks, tabloids and Police Association of NSW on policy formation; the practice of using retired politicians to produce ‘quick fix’ reviews; and the political failure to understand and defend fundamental legal principles that benefit us all and are central to the maintenance of a democratic society and the rule of law. The article concludes with some discussion of ways in which media and political debate might be conducted to produce more balanced outcomes.
18
Ferris, IG, WL Felton, JF Holland, and MS Bull. "Effect of tillage practice on the persistence of atrazine in two contrasting soils in northern New South Wales." Australian Journal of Experimental Agriculture 29, no. 6 (1989): 849. http://dx.doi.org/10.1071/ea9890849.
Full textAbstract:
Grain sorghum was sown at 2 sites at Tamworth in northern New South Wales in 1980 in order to examine the influence of fallow tillage practices and post harvest cultivation on the persistence of atrazine. In a non-cracking red clay (pH 5.7) atrazine (3.2 kg/ha) was applied both to the sorghum fallow and at sowing (1.8 kg/ha). The concentration of carryover atrazine 3 months after sorghum harvest was 0.11 µg/g in the 0-5 cm mil layer and 0.06 µg/g in the 5-15 cm layer. By contrast, the same treatment resulted in 0.61 and 0.52 µg/g in the 0-5 and 5-15 cm zones of a grey clay (pH 7.5). Cultivation after the sorghum was harvested reduced the atrazine residue in the surface soil (0-5 cm) by 20-40%, depending on the initial rate of application. There was no associated increase in the 5-15 cm zone. Despite the reduction in the amount of atrazine residue, cultivation increased the severity of atrazine injury to wheat sown at the grey clay site. There was no evidence of phytotoxicity at the red clay site.
19
Littlewood, Jean, Reece Hinchcliff, Winston Lo, and Joel Rhee. "Advance care planning in rural New South Wales from the perspective of general practice registrars and recently fellowed general practitioners." Australian Journal of Rural Health 27, no. 5 (June 28, 2019): 398–404. http://dx.doi.org/10.1111/ajr.12525.
Full text
20
Hindle, Don. "Health care funding in New South Wales: from health care needs to hospital outputs." Australian Health Review 25, no. 1 (2002): 40. http://dx.doi.org/10.1071/ah020040.
Full textAbstract:
This paper summarises the structure of the State's health care system, and then focuses on the main processes of resource allocation: needs-based funding of 17 Area Health Services, and output-based funding of specific service providers. The general model is widely accepted by informed observers to be fundamentally sound. In particular, the resource distribution formula whereby needs-based allocations are made is a largely valid model that has been progressively refined over fifteen years and is probably as good as any in the world. I conclude that the recent decision to require Area Health Services to use a common framework for out-put-based funding was long overdue, and that many of its features represent best practice. However, I argue that more shouldbe done to refine some of the details and that NSW Health might need to give more consideration to ideas that have been tested and evaluated in other health care systems.
21
Martin, RJ, MG McMillan, and JB Cook. "Survey of farm management practices of the northern wheat belt of New South Wales." Australian Journal of Experimental Agriculture 28, no. 4 (1988): 499. http://dx.doi.org/10.1071/ea9880499.
Full textAbstract:
A survey of management practices on wheat farms in northern New South Wales was carried out on 50 farms between 1983 and 1985 and was supplemented by a questionnaire mailed to 750 growers in 1985. Information was collected on crop rotation, tillage practice, fertiliser use and weed control practices. Data were collected from 1 paddock on each farm and included: wheat grain yield and quality, available soil water and nutrients at sowing, wild oat density, and incidence of soil-borne diseases. The 3-year average grain yield in survey paddocks was 2.2 t/ha. Multiple regression analysis was used to identify factors affecting grain yield and protein in 1985. Of the variation in wheat grain yield, 74% was explained by variation in available soil water at sowing, available soil nitrate at sowing, sowing date and wild oat density. Grain protein content declined with increasing available soil water and phosphate at sowing and with earlier sowing, but increased with available nitrate at sowing. Agronomic practices aimed at maximising wheat grain yield, in the presence of a deficiency ofavailable soil nitrate, are likely to result in a reduction of grain protein content. Likewise, responses to application of nitrogenous fertiliser are likely to be inversely related to available soil water at sowing. The mean gross margin for 1984 and 1985, based on $100/t of wheat grain, was $128. The mean gross margin for the least profitable 20% of paddocks was $37, and $253 for the top 20%. New varieties of wheat and herbicides were readily adopted by farmers. On the other hand, adoption of nitrogenous fertiliser use was slow, considering the widespread and long-standing deficiencies of nitrogen in cropping soils of the region. Crop rotation and tillage practices have changed only marginally since the late 1940s. The results of this survey indicate that the usefulness of soil testing for predicting fertiliser requirements could be improved by taking into account levels of available soil water, weed competition and sowing date and by using multiple regression analysis.
22
Andrews, Bruce, Peter Simmons, Ian Long, and Ross Wilson. "IDENTIFYING AND OVERCOMING THE BARRIERS TO ABORIGINAL ACCESS TO GENERAL PRACTITIONER SERVICES IN RURAL NEW SOUTH WALES." Australian Journal of Rural Health 10, no. 4 (June 28, 2008): 196–201. http://dx.doi.org/10.1111/j.1440-1584.2002.tb00032.x.
Full text
23
Welch, Mark, Tina Philip, and Greg Aldridge. "First, build the foundations:Practical considerations in general practitioner-mental health service liaison." Australian Health Review 23, no. 1 (2000): 52. http://dx.doi.org/10.1071/ah000052.
Full textAbstract:
The co-working relationship between general practitioners and local mental health serviceslies at the heart of the success of recent changes in mental health care. These changes haveseen large-scale deinstitutionalisation, a shift to primary and community care, and agovernment policy of prevention and partnerships. This article outlines a liaison projectdeveloped jointly by the South-East New South Wales Division of General Practice and theSouthern Area Mental Health Service to address these issues. We describe the developmentof a protocol of basic standards which were practical, pragmatic and possible and, when fullyestablished, would be the foundation of effective, efficient and efficacious shared care inmental health.
24
Harmon, Karen, Vaughan J. Carr, and Terry J. Lewin. "Comparison of integrated and consultation-liaison models for providing mental health care in general practice in New South Wales, Australia." Journal of Advanced Nursing 32, no. 6 (December 2000): 1459–66. http://dx.doi.org/10.1046/j.1365-2648.2000.01616.x.
Full text
25
Wardle, Jonathan Lee, David Sibbritt, and Jon Adams. "Acupuncture Referrals in Rural Primary Healthcare: A Survey of General Practitioners in Rural and Regional New South Wales, Australia." Acupuncture in Medicine 31, no. 4 (December 2013): 375–82. http://dx.doi.org/10.1136/acupmed-2013-010393.
Full textAbstract:
Background Acupuncture services form a significant part of the Australian healthcare setting, with national registration of acupuncture practitioners, public subsidies for acupuncture services and high use of acupuncture by the Australian public. Despite these circumstances, there has been little exploration of the interface between acupuncture providers and conventional primary healthcare practitioners in rural and regional Australia. Methods A 27-item questionnaire was sent by post in the second half of 2010 to all 1486 general practitioners (GPs) currently practising in rural and regional Divisions of General Practice in New South Wales, Australia to explore their practices and attitudes to a variety of complementary and alternative medicine (CAM) practices. Their responses on other therapies have been published previously; this report covers acupuncture. Results A total of 585 GPs completed the questionnaire; 49 were returned as ‘no longer at this address’, resulting in an adjusted response rate of 40.7%. Two-thirds of GPs (68.3%) referred patients to an acupuncturist at least a few times per year, while only 8.4% stated that they would not refer patients to an acupuncturist under any circumstances. GPs being older (OR=6.08), GPs being women (OR=2.94), GPs practising in a rural rather than remote area (OR=6.25), GPs having higher levels of self-reported knowledge of acupuncture (OR=5.54), the use of complementary medicine (CAM) by a GP for their personal health (OR=2.37), previous prescription of CAM to other patients (OR=2.99), lack of other treatment options (OR=4.31) and GPs using CAM practitioners as the major source of their CAM information (OR=3.05) were all predictive of increased referral to acupuncture among rural GPs. Conclusions There is a significant interface between acupuncture and Australian rural and regional general practice, with generally high levels of support for acupuncture.
26
Vallis, I., VR Catchpoole, RM Hughes, RJK Myers, DR Ridge, and KL Weier. "Recovery in plants and soils of 15N applied as subsurface bands of urea to sugarcane." Australian Journal of Agricultural Research 47, no. 3 (1996): 355. http://dx.doi.org/10.1071/ar9960355.
Full textAbstract:
The recovery of fertiliser N by sugarcane crops is low in comparison with most other field crops. Application of urea in subsurface bands instead of by broadcasting can greatly reduce loss of fertiliser N due to ammonia volatilisation, but the fertiliser N is still susceptible to loss from leaching or denitrification, which could be affected by soil internal drainage, trash management, or tillage practice. The recovery of fertiliser N in crops and soil from 15N-labelled urea applied as subsurface bands was measured in ratoon crops in southern Queensland and northern New South Wales. Two soil types, with contrasting internal drainage, were used in each region. In Queensland, the cultural practice was either trash burnt with inter-row cultivation or trash retained on the surface ('trash blanket') with no cultivation. In northern New South Wales, where the trash was burnt prior to harvest, the practice was either inter-row cultivation or zero tillage. Crop recovery of fertiliser N was nearly always in the range 20-40% of the amount applied. Residual fertiliser N in the soil at crop maturity ranged from 13 to 42% (average 26%). Total recovery of fertiliser N in the soil-plant system ranged from 35 to 76% (average 52%) at 6 months after application, and from 35 to 96% (average 56%) at crop maturity. Urea fertiliser supplied only 20-40% of the crop N uptake in a given season. Neither crop recovery nor loss of fertiliser N from the soil-plant system were related to the soil type or cultural practice used, indicating that compensatory effects occurred.
27
Visser, Hannah, Megan Passey, Emma Walke, and Sue Devlin. "Screening for latent tuberculosis infection by an Aboriginal Community Controlled Health Service, New South Wales, Australia, 2015." Western Pacific Surveillance and Response Journal 10, no. 4 (December 30, 2019): 24–30. http://dx.doi.org/10.5365/wpsar.2018.9.2.010.
Full textAbstract:
Objective: Ongoing transmission of tuberculosis (TB) continues in Indigenous communities in New South Wales (NSW), Australia. In a pilot project, a Public Health Unit TB team partnered with an Aboriginal Community Controlled Health Service (ACCHS) in a community with a cluster of TB to augment screening for latent TB infection (LTBI) using interferongamma release assay (IGRA). This study examined screening data and programme outcomes at 12 months post hoc to advise practice and policy formulation. Methods: We conducted a retrospective, cross-sectional analysis of demographic and clinical data of ACCHS patients, stratified by IGRA testing status. Differences in sex and age distribution between the groups and cases of a genetically and epidemiologically linked TB cluster in Aboriginal people in NSW were assessed using non-parametric tests. Results: Of 2019 Aboriginal and Torres Strait Islander people seen by general practitioners during the study period, 135 (6.7%) participated in the screening. Twenty-four (17.8%) participants were IGRA positive. One person was diagnosed with active TB. Twelve participants received a chest X-ray at the time of the positive test, and six participants had an additional chest X-ray within 12 months. None commenced preventive treatment for LTBI. Discussion: ACCHS screening for LTBI reached individuals in the age group most commonly affected by TB in these Aboriginal communities. No conclusions can be made regarding the population prevalence due to the low screening rate. Further strategies need to be developed to increase appropriate follow-up and preventive treatment.
28
May, Jenny, Rodney Cooper, Parker Magin, and Anthony Critchley. "Integrated models or mayhem? Lessons learnt from three integrated primary health care entities in regional New South Wales." Australian Health Review 32, no. 4 (2008): 595. http://dx.doi.org/10.1071/ah080595.
Full textAbstract:
While ?integration? may be a policy imperative at present, the reality of integrating services whilst managing the business of service delivery and best patient outcomes is both challenging and unfamiliar territory for most general practitioners. Recent policy changes in general practice have challenged traditional financial and governance models. This paper reviews three integrated general practice entities, all under the auspice of the University of Newcastle, for commonalities and concerns. A model was conceptualised and key factors identified and discussed. These factors included careful selection of partners, elucidation of the level of integration and the need for a lead champion to promote the changed environment. The financial and clinical governance systems needed to be clearly delineated, including the type and priority of service delivery intended. Integration is not a blanket solution but may be useful for patients with chronic and complex health problems. Being resource-intense, it may not be available or appropriate for all. The practical realities of workforce however, and the political and funding environment are likely to dictate how GP practices in the future embrace integration.
29
Basedow, Martin, William B. Runciman, Wendy Lipworth, and Adrian Esterman. "Australian general practitioner attitudes to clinical practice guidelines and some implications for translating osteoarthritis care into practice." Australian Journal of Primary Health 22, no. 5 (2016): 403. http://dx.doi.org/10.1071/py15079.
Full textAbstract:
Clinical practice guidelines (CPGs) have been shown to improve processes of care and health outcomes, but there is often a discrepancy between recommendations for care and clinical practice. This study sought to explore general practitioner (GP) attitudes towards CPGs, in general and specifically for osteoarthritis (OA), with the implications for translating OA care into practice. A self-administered questionnaire was conducted in January 2013 with a sample of 228 GPs in New South Wales and South Australia. Seventy-nine GPs returned questionnaires (response rate 35%). Nearly all GPs considered that CPGs support decision-making in practice (94%) and medical education (92%). Very few respondents regarded CPGs as a threat to clinical autonomy, and most recognised that individual patient circumstances must be taken into account. Shorter CPG formats were preferred over longer and more comprehensive formats, with preferences being evenly divided among respondents for short, 2–3-page summaries, flowcharts or algorithms and single page checklists. GPs considered accessibility to CPGs to be important, and electronic formats were popular. Familiarity and use of The Royal Australian College of General Practitioners OA Guideline was poor, with most respondents either not aware of it (30%; 95% confidence interval (CI) 27 – 41%), had never used it (19%; 95% CI 12 – 29%) or rarely used it (34%; 95% CI 25–45%). If CPGs are to assist with the translation of evidence into practice, they must be easily accessible and in a format that encourages use.
30
Davies, S. L., J. M. Virgona, M. H. McCallum, A. D. Swan, and M. B. Peoples. "Effectiveness of grazing and herbicide treatments for lucerne removal before cropping in southern New South Wales." Australian Journal of Experimental Agriculture 45, no. 9 (2005): 1147. http://dx.doi.org/10.1071/ea04202.
Full textAbstract:
The difficulty of reliably removing an established lucerne pasture before cropping has been identified as a major problem with phase-farming systems on mixed farms. A series of experiments were undertaken on established lucerne stands at the Ginninderra Experimental Station in the Australian Capital Territory (ACT) and at the Temora Research Station in southern New South Wales (NSW) to compare the ability of grazing, either alone or in combination with herbicides, to remove a lucerne pasture. A pilot study at the Ginninderra Experimental Station in 1998–99 utilised a high stocking rate (30 dry sheep equivalents [dse]/ha), while the main study at the Ginninderra Experimental Station and the Temora Research Station in 1999–2000 used a lower stocking rate (10–12 dse/ha) considered to be closer to farmer practice in the region. Continuous grazing at the high stocking rate removed 73% of the lucerne stand over 3 months. In contrast, the stocking rates applied in the main study proved too low to substantially impact on lucerne survival at both the ACT and NSW sites (13–23% removal) under the good seasonal conditions experienced in 1999–2000 even though the pastures were continuously grazed for 8–9 months. The use of herbicides both alone or in conjunction with grazing greatly improved lucerne removal in both studies. However, herbicide efficacy was variable (53–100% removal), and seemed to be related to the time of year it was applied, the period of lucerne regrowth or the amount of rainfall before herbicide application. An additional on-farm study was undertaken near Junee Reefs in southern NSW between 2001 and 2003 that compared the survival of a range of lucerne cultivars under simulated hay-cutting (mown) and commercial grazing regimes. Dry conditions during 2002–03 resulted in a decline in lucerne frequency at about 50% in mown control plots. Grazing increased the stand decline, particularly for many winter-active cultivars where lucerne frequency was reduced by up to 70–93%. It was concluded that: (i) continuous grazing for prolonged periods can be effective at removing lucerne, but the rate of lucerne loss will be influenced by both stocking rate and rainfall; (ii) the application of herbicides can improve lucerne removal either in association with, or in the absence of grazing; however, herbicide efficacy appeared to be dependent upon the physiological status of the lucerne plants and/or the environmental conditions before application; and (iii) cultivar responses indicated that lucerne types could potentially be developed for phase-farming systems with increased susceptibility to grazing mismanagement.
31
Huett, D. O., A. P. George, J. M. Slack, and S. C. Morris. "Diagnostic leaf nutrient standards for low-chill peaches in subtropical Australia." Australian Journal of Experimental Agriculture 37, no. 1 (1997): 119. http://dx.doi.org/10.1071/ea96040.
Full textAbstract:
Summary. A leaf nutrient survey was conducted of the low-chill peach cultivars, Flordaprince (October maturing) and Flordagold (mid November–early December maturing) at 3 commercial sites in both northern New South Wales and southern Queensland. Recently mature leaves from the middle third of a current season’s fruiting lateral (spring flush) were sampled at stone hardening and 2-weeks postharvest and of a non-fruiting lateral at maturity of the summer flush (after summer pruning) during the 1992–93 and 1993–94 seasons. At an additional site in New South Wales (Alstonville), leaf nutrient concentrations were also determined on cv. Flordagem (early November maturing) at 2-week intervals during both seasons. Soil (0–30 cm) chemical determinations were conducted at all sites at 2-weeks postharvest Seasonal trends in leaf nutrient composition were associated with a leaf age–maturity effect. As flush leaves matured during spring, and as mature leaves aged after hardening of the summer flush, nitrogen (N) concentration declined and calcium (Ca) concentration increased. Nitrogen and Ca concentrations increased when young leaves produced from the summer flush were sampled. Time of sampling produced the most consistently significant (P<0.05) main effects on leaf nutrient concentration. The 2-week postharvest period was selected as a convenient time to sample—when leaves were of a consistent age and maturity, and the effect of crop load on tree nutrient reserves was still present. Paclobutrazol, which reduces vegetative growth in stonefruit, was applied to all Queensland sites and, as a consequence, mid lateral leaves contained higher (P<0.05) Ca, magnesium (Mg) and chloride (Cl) and lower (P<0.05) N and phosphorus (P) concentrations than leaves from New South Wales sites. State effects can therefore be interpreted as paclobutrazol effects. Cultivar effects (P<0.05) occurred for many leaf nutrients, however, at the 2-week postharvest sampling, concentrations were sufficiently similar to combine as a narrow adequate concentration range for both cultivars. The diagnostic adequate leaf nutrient concentrations were within the range developed for high-chill peaches (Leece et al. 1971) with the exception of lower Ca, lower Mg for New South Wales (both cultivars), lower iron for Flordaprince (both states), higher P for Flordaprince in New South Wales and higher manganese values for Queensland (both cultivars). Regression analyses were conducted between leaf and fruit nutrient concentrations and soil chemical properties. The only consistent result demonstrated that as the soil Ca : Mg ratio increased, leaf Mg concentration decreased exponentially (P<0.001), indicating that the practice of heavy annual agricultural limestone or gypsum applications in the absence of Mg fertiliser, which had been adopted by several growers in the survey, is associated with lower leaf Mg concentrations.
32
Higgins, M. A., and R. Evans. "Antidotes — inappropriate timely availability." Human & Experimental Toxicology 19, no. 9 (September 2000): 485–88. http://dx.doi.org/10.1191/096032700676333384.
Full textAbstract:
The aim of this study was to determine the availability of antidotes to poisons in Wales and the South West of England. A stocklist of antidotes that are available to accident and emergency departments was requested and was compared with recommendations from the International Programme on Chemical Safety (IPCS). Chief pharmacists were invited to complete a short questionnaire regarding knowledge of existing guidelines. Thirty-four of 43 centres replied (response rate 77%). No department held all 36 antidotes (mean 13, range 7-33). All departments held antidotes that were frequently used. Ninety-one percent of departments held one cyanide antidote. Eighty-eight percent held one heavy metal chelating agent. The remaining antidotes were variably stocked. New agents such as 4-methylpyrazole, hydroxocobalamin and the heavy metal chelating agents DMSA and DMPS were infrequently held. Twenty of 34 chief pharmacists were unfamiliar with existing UK guidelines. A trend exists whereby larger departments stocked more antidotes. Some antidotes to poisons are not available in a timely fashion in Wales and the South West of England. There is a lack of awareness of existing guidelines. New recommendations relevant to clinical need and local practice should ideally be developed.
33
Hughes, RM, and DF Herridge. "Effect of tillage on yield, nodulation and nitrogen fixation of soybean in far north-coastal New South Wales." Australian Journal of Experimental Agriculture 29, no. 5 (1989): 671. http://dx.doi.org/10.1071/ea9890671.
Full textAbstract:
An experiment to examine the effect of tillage practice on yield, nodulation and nitrogen fixation of soybean in a podsolic soil on the far north coast of New South Wales is reported. Soybeans were sown into either a cultivated or no-tilled seedbed following pasture in 1983 and 1984, and following soybeans in 1984 and 1985. Results over the 3 seasons indicated substantially improved nodulation under no-tillage. The mean nodulation index (nodule mass as a percentage of shoot mass) was 4.5 for no-tillage soybean and 2.3 for the cultivated crops. Nitrogen fixation, assessed using the ureide technique, was higher in the no-tillage plots, especially during early plant growth, Plant growth and seed yield were increased by no-tillage in the wetter 1984 season; the reverse occurred in the other 2 less favourable years. Data on crop N, seed N, and fixed N (estimated by partitioning N accumulated by the crops during successive periods of growth, according to the relative ureide values) were combined to calculate N balances. Potential gains of soil N were greatest under the no-tilled soybeans (as much as 110 kg Nha; mean over all seasons was 80 kg Nha). The cultivated crops showed a maximum gain of 86 kg N/ha and an average gain of 30 kg N/ha. The data indicate that soybean has the potential to improve the N fertility of podsolic coastal soils, particularly when grown using no-tillage practices.
34
Alexander, Christian, and John Fraser. "General practitioners' management of patients with mental health conditions: The views of general practitioners working in rural north-western New South Wales." Australian Journal of Rural Health 16, no. 6 (December 2008): 363–69. http://dx.doi.org/10.1111/j.1440-1584.2008.01017.x.
Full text
35
Falster, Michael O., Alastair H. Leyland, and Louisa R. Jorm. "Do hospitals influence geographic variation in admission for preventable hospitalisation? A data linkage study in New South Wales, Australia." BMJ Open 9, no. 2 (February 2019): e027639. http://dx.doi.org/10.1136/bmjopen-2018-027639.
Full textAbstract:
ObjectivePreventable hospitalisations are used internationally as a performance indicator for primary care, but the influence of other health system factors remains poorly understood. This study investigated between-hospital variation in rates of preventable hospitalisation.SettingLinked health survey and hospital admissions data for a cohort study of 266 826 people aged over 45 years in the state of New South Wales, Australia.MethodBetween-hospital variation in preventable hospitalisation was quantified using cross-classified multiple-membership multilevel Poisson models, adjusted for personal sociodemographic, health and area-level contextual characteristics. Variation was also explored for two conditions unlikely to be influenced by discretionary admission practice: emergency admissions for acute myocardial infarction (AMI) and hip fracture.ResultsWe found significant between-hospital variation in adjusted rates of preventable hospitalisation, with hospitals varying on average 26% from the state mean. Patients served more by community and multipurpose facilities (smaller facilities primarily in rural areas) had higher rates of preventable hospitalisation. Community hospitals had the greatest between-hospital variation, and included the facilities with the highest rates of preventable hospitalisation. There was comparatively little between-hospital variation in rates of admission for AMI and hip fracture.ConclusionsGeographic variation in preventable hospitalisation is determined in part by hospitals, reflecting different roles played by community and multipurpose facilities, compared with major and principal referral hospitals, within the community. Care should be taken when interpreting the indicator simply as a performance measure for primary care.
36
Martin, RJ, WL Felton, and AJ Somervaille. "A comparison of tri-allate formulations for control of wild oats in wheat in northern New South Wales." Australian Journal of Experimental Agriculture 29, no. 2 (1989): 215. http://dx.doi.org/10.1071/ea9890215.
Full textAbstract:
Three field trials and a glasshouse experiment were carried out in northern New South Wales to determine the effects of reduced mechanical incorporation and the presence of crop residues on the efficacy of liquid and granular formulations of triallate [S-(2,3,3-trichioroallyl) diisopropylthiocarbamate] for control of wild oats (Avena fatua and A. sterilis ssp. ludoviciana) in wheat. In field experiments, fallow management practices with surface crop residues ranging from nil to complete retention from the previous wheat crop, did not affect the performance of tri-allate (incorporated by sowing) in terms of control of wild oats and wheat grain yield response. Application of a granular formulation resulted in lower than expected wheat grain yields in 2 of the field experiments and phytotoxicity to the crop was suspected as the reason. Although soil incorporation improved the performance of tri-allate at the recommended rate of 0.8 kg/ha, satisfactory control of wild oats and profitable increases in wheat grain yield were obtained with tri-allate at 1.2 kg/ha when incorporated by sowing into seedbeds containing up to 2 t/ha of crop residue. We conclude that tri-allate as the liquid formulation at 1.2 kg/ha gives economic control of wild oats in no-tillage and stubble-mulched seedbeds when incorporated by sowing provided that the weed-free wheat grain yield potential is not less than 1.5 t/ha. Results from the glasshouse experiment, farmer experience and published literature support the practice of incorporating tri-allate into dry soil with subsequent activation by sowing rain. The potential use of the granular formulation is limited by the greater risk of crop damage compared with the liquid formulation.
37
Tankwanchi, Akhenaten Siankam, Amy Hagopian, and Sten H. Vermund. "International migration of health labour: monitoring the two-way flow of physicians in South Africa." BMJ Global Health 4, no. 5 (September 2019): e001566. http://dx.doi.org/10.1136/bmjgh-2019-001566.
Full textAbstract:
IntroductionAlthough health labour migration is a global phenomenon, studies have neglected the flow of health workers into low-income and middle-income countries (LMICs). In compliance with the data-monitoring recommendation of the WHO Global Code of Practice on the International Recruitment of Health Personnel (Code), we estimated post-Code physician net migration (NM) in South Africa (SA), and SA’s net loss of physicians to Organisation for Economic Co-operation and Development (OECD) countries from 2010 to 2014.MethodsWe sourced data from the National Reporting Instrument reports, the OECD and the General Medical Council. Using the numbers of foreign nationals and international medical graduates (IMGs) registered in SA, and SA medical graduates registered in OECD countries (South African-trained international medical graduates (SA-IMGs)) as respective proxies for immigration and emigration, we estimated ‘NM’ as the difference between immigrant physicians and emigrant physicians and ‘net loss’ as the difference between OECD-trained IMGs and OECD-based SA-IMGs.ResultsIn 2010, SA hosted 8443 immigrant physicians, while OECD countries hosted 14 933 SA-IMGs, yielding a NM of −6490 physicians and a NM rate of −18% in SA. By 2014, SA-based immigrant physicians had increased by 4%, while SA-IMGs had decreased by −15%, halving the NM rate to −9%. SA-to-OECD estimated net loss of physicians dropped from −12 739 physicians in 2010 to −10 563 in 2014. IMGs represented 46% of 2010–2014 new registrations in SA, with the UK, Nigeria and the Democratic Republic of the Congo serving as leading sources. Registrants from conflict-scarred Libya increased >100-fold. More than 3400 SA-IMGs exited OECD-based workforces.ConclusionNM is a better measure of the brain drain than simply the emigration fraction. Strengthened health personnel data management and reporting through implementation of the Code-related system of National Health Workforce Accounts will further increase our understanding of health worker mobility in LMICs, with policymakers empowered to make more informed policies to address shortage.
38
Wright, Murray, Anthony Samuels, and Jeffrey Streimer. "Clinical Practice Issues in Consultation-Liaison Psychiatry." Australian & New Zealand Journal of Psychiatry 30, no. 2 (April 1996): 238–45. http://dx.doi.org/10.3109/00048679609076100.
Full textAbstract:
Objective: To overview and highlight the issues currently challenging and confronting consultation-liaison (C-L) psychiatry and to present them for discussion in a wider forum. Method: Following preliminary discussions, the authors (members of the New South Wales C-L Interest Group) undertook to selectively review a number of issues relevant to C-L psychiatry. A preliminary paper was prepared and then presented to the membership of the interest group. Feedback from this meeting was incorporated into the final version of the paper. Results: Issues selected as a nidus for further discussion include economic issues, changing models of C–L practice, service issues as well as ethical issues. In addition, recognition of C–L psychiatry as a true subspeciality is foreshadowed. Conclusion: This paper highlights some of the challenges for C–L psychiatry both now and in the future. Intuitive beliefs in our efficacy will not suffice in this era of economic rationalisation. Disciplined and focused research substantiating our value is imperative. Subspecialty recognition is likely to ensure uniformity of standards as well as providing the structure and direction required to consolidate C–L psychiatry's future.
39
Staples, Christine, Michelle Butler, Jennifer Nguyen, David N. Durrheim, Patrick Cashman, and Julia M. L. Brotherton. "Opportunities to increase rates of human papillomavirus vaccination in the New South Wales school program through enhanced catch-up." Sexual Health 13, no. 6 (2016): 536. http://dx.doi.org/10.1071/sh15132.
Full textAbstract:
Background The National Human Papillomavirus (HPV) Vaccination Program provides HPV vaccine to high school students through school-based vaccination. We aimed to: 1) assess the vaccine completion rates achieved when general practice is used for completing doses missed at school; 2) estimate the extent of under-notification by general practices of vaccine doses administered; and 3) assess the reasons reported by parents of students for non-completion of HPV vaccination. Methods: A postal survey was conducted of parents and carers of students and identified, using school-program records, as incompletely vaccinated in a large regional area of northern NSW vaccinated during 2010. Information about additional HPV vaccine doses received or reasons for non-completion were sought. Responses were analysed and records cross-checked against the National HPV Vaccination Program Register. Results: Of 660 parents or carers contacted, 207 (31.4%) responded. We found: 1) completion rates increased, an additional 122/207 (45.2%) students had completed all three doses of HPV through their general practitioner (GP); 2) under-notification of GP doses to the National HPV Vaccination Program Register was an issue with only 5/165 (3.0%) reported; 3) the main reason for non-completion was being unaware of the opportunity to catch-up at a GP. Conclusions: Underreporting by GPs of HPV vaccine doses administered and failure to complete courses identifies two opportunities to increase HPV vaccine coverage. These could be addressed by extending provision of catch-up HPV doses in school and by developing practice software solutions for automatic notification of doses from GPs. Reasons given by parents for non-completion, mostly logistical barriers, indicate a high degree of acceptance of HPV vaccination.
40
Fan, Emilia, and Joel J. Rhee. "A self-reported survey on the confidence levels and motivation of New South Wales practice nurses on conducting advance-care planning (ACP) initiatives in the general-practice setting." Australian Journal of Primary Health 23, no. 1 (2017): 80. http://dx.doi.org/10.1071/py15174.
Full textAbstract:
Nurses are well positioned to initiate and conduct advance-care planning (ACP) conversations; however, there has been limited research on practice nurses performing this role in Australia. The aim of the present study was to understand the beliefs, attitudes, perceptions, confidence, training and educational needs of New South Wales practice nurses with regards to involvement in ACP. A cross-sectional online survey was conducted in August to October 2014. Nurses were recruited through nursing organisations and Medicare Locals. There were 147 completed surveys (n=147). Participants were mostly female registered nurses, with a median age of 50, and 6 years of practice-nurse experience. Practice nurses were generally positive towards their involvement in ACP and believed it would be beneficial for the community. Their confidence in initiating ACP increased as their familiarity with patients increased. They showed a high level of interest in participating in training and education in ACP. Barriers to their involvement in ACP included the lack of a good documentation system, limited patient-education resources and unclear source of remuneration. Nurses were also concerned over legalities of ACP, ethical considerations and their understanding of end-of-life care options. Nevertheless, they were highly receptive of integrating ACP discussions and were willing to enhance their skills. These findings uncover a need for further training and development of practice nurses for ACP discussions.
41
Tran, Bich, Michael O. Falster, Federico Girosi, and Louisa Jorm. "Relationship between use of general practice and healthcare costs at the end of life: a data linkage study in New South Wales, Australia." BMJ Open 6, no. 1 (January 2016): e009410. http://dx.doi.org/10.1136/bmjopen-2015-009410.
Full text
42
Wardle, J., J. Adams, and D. Sibbritt. "Homeopathy in rural Australian primary health care: a survey of general practitioner referral and practice in rural and regional New South Wales, Australia." Homeopathy 102, no. 3 (July 2013): 199–206. http://dx.doi.org/10.1016/j.homp.2013.03.002.
Full text
43
Lorch, Rebecca, Christopher Bourne, Leanne Burton, Larissa Lewis, Katherine Brown, Deborah Bateson, Vickie Knight, et al. "ADOPTing a new method of partner management for genital chlamydia in New South Wales: findings from a pilot implementation program of patient-delivered partner therapy." Sexual Health 16, no. 4 (2019): 332. http://dx.doi.org/10.1071/sh18169.
Full textAbstract:
Background Patient-delivered partner therapy (PDPT) for chlamydia is an effective and safe additional partner management strategy. Some Australian regulatory changes have been made to support PDPT, but implementation guidance is lacking. This paper describes a pilot implementation program of PDPT in New South Wales (NSW), the Australian Development and Operationalisation of Partner Therapy (ADOPT). Methods: ADOPT involved: (1) clarification of the NSW PDPT legal and policy framework; (2) development and implementation of PDPT service models, resources and data collection tools for select publicly funded sexual health services (PFSHS) and Family Planning (FP) NSW clinics; and (3) evaluation of PDPT uptake. Results: PDPT can be undertaken in NSW if accompanied by adequate provider, patient and partner information. Regulatory amendments enabled medication prescribing. The pilot implementation took place in four PFSHS and five FPNSW clinics from January to December 2016. In PFSHS, 30% of eligible patients were offered PDPT and 89% accepted the offer. In FPNSW clinics, 42% of eligible patients were offered PDPT and 63% accepted the offer. Most partners for whom PDPT was accepted were regular partners. Conclusions: A close collaboration of researchers, policy makers and clinicians allowed successful implementation of a PDPT model for chlamydia in heterosexual patients at select PFSHS and FPNSW clinics, providing guidance on its use as standard of care. However, for the full public health benefits of PDPT to be realised, it must be implemented in general practice, where most chlamydia is diagnosed. Further work is recommended to explore feasibility, develop guidelines and promote the integration of PDPT into general practice.
44
Scott, B. J., I. G. Fenton, A. G. Fanning, W. G. Schumann, and L. J. C. Castleman. "Surface soil acidity and fertility in the eastern Riverina and Western Slopes of southern New South Wales." Australian Journal of Experimental Agriculture 47, no. 8 (2007): 949. http://dx.doi.org/10.1071/ea05155x.
Full textAbstract:
This study, in southern New South Wales (NSW), examined the chemical properties of ~4700 surface soils in agricultural paddocks and recorded lime and gypsum inputs. The area was bounded approximately by Cootamundra in the north, the NSW/Victorian border in the south, extending to Tumbarumba in the east and to near Berrigan in the west. The long-term average annual rainfall ranged from ~420 mm in the west to a maximum of 1175 mm in the east. The data, collected between 1997 and 2003, were for the surface 20 cm of soil, in two 10-cm layers. The data were generated from a soil testing program conducted with farmers in the region. We grouped the soils into three zones based on a GPS location taken at the time of sampling. These zones were 1 (lower rainfall mixed farming), 2 (higher rainfall mixed farming) and 3 (long-term pasture). Acidic soils occurred across all three zones; however, the soils in zone 1 appeared to be less acidic than soils in the other two zones. We found that surface soils (0–10 cm) with soil pH in 1 : 5 soil : 0.01 mol/L calcium chloride (pHCa) ≤4.5 represented 27%, 57% and 54% for zones 1, 2 and 3, respectively. In addition, zone 1 had 74% of surface soils with a pHCa ≤ 5.0, and this was more acidic than previously reported. However, the surface soils in zone 1 had relatively low exchangeable aluminium (Alex) and had less acidic subsurface soils (10–20 cm), so that responses to lime application by pastures and crops may be less frequent or smaller than the surface soil pHCa alone may indicate. There was a higher frequency of acidic soils (pHCa ≤ 4.5) in the subsurface soils than in the surface soils in zones 2 (62 cf. 57%) and 3 (64 cf. 54%), suggesting that the acidity problem at this depth was a major problem. Low pHCa in the subsurface soil is known to be a constraint on crop yield. We found no evidence of the amendment of this soil depth when lime was applied and incorporated into the 0–10 cm depth, and economic amendment of acidity in the 10–20 cm depth remains unresolved. Increased adoption of liming occurred in the late 1990s, and by 1997 the percentage of paddocks limed was 14.3%, 21.3% and 13.6% in zones 1 to 3, respectively. Soil pH buffering and long-term pHCa decline after liming were similar to rates reported in field experiments. The total quantities of lime applied were insufficient for soil amendment and maintenance of soil pHCa, particularly in the long-term pasture areas. The rate of soil acidification in the 0–20 cm depth in the average annual rainfall range of 525–625 mm was estimated to be 1.52 kmol H+/ha.year. This would require 76 kg lime/ha.year to neutralise. Sodic and saline soils occurred mainly in the lower rainfall cropping areas, and were more frequent in an area around the township of Lockhart. Half the gypsum applications were at low rates (≤0.5 t/ha), and were probably for sulfur application to canola. Some of the sodic soils were acidic (34% ≤ pHCa 4.5) so that the application of lime/gypsum mixes could be appropriate in the amendment of these soils. Soils in the pasture system had mean organic carbon content (OC%) of 2.42, compared to the cropping zones at 1.65 and 1.75%. OC% was related to annual average rainfall; the increase in OC% was 0.19% and 0.08% for each 100 mm of average annual rainfall for the surface and subsurface soil, respectively. A group of soils in the cropping areas had surface OC% ≤ 1.25% OC (zone 1, 12%; zone 2, 20%) and this could be the result of intensive cropping. Most soils (55–63%) were of moderate P status (P(Colwell), 21–60 µg/g). However, there was still a substantial group of soils (31–43%) of low P status (P ≤ 20 µg/g). Most surface soils in all zones (72–80%) were low to marginal in sulfur status (KCl 40, ≤10 mg S/kg). Sulfur deficiency has been identified in canola, and current practice in the cropping areas is for inputs of gypsum at low rates.
45
Khan, Asaduzzaman, and Margot J. Schofield. "General practice management of psychological distress in patients with sexually transmissible infection." Australian Journal of Primary Health 15, no. 1 (2009): 17. http://dx.doi.org/10.1071/py08060.
Full textAbstract:
This paper investigates general practitioners’ (GP) self-reported practices for psychologically distressed patients with sexually transmissible infections (STI). A cross-sectional postal survey was conducted among a 15% random sample of GP practising in New South Wales. The main outcome measures were self-reported strategies to deal with psychologically distressed STI patients, priority of counselling, and perceived need for training in counselling. The great majority (82%) of GP reported that they extended their consultation time to deal with psychologically distressed patients, whereas 49% reported being likely to refer distressed patients to a counsellor. Just over half (54%) considered counselling to be a high priority in STI care, whereas 49% acknowledged benefits of further training in counselling. Overseas medical graduates were more likely to refer patients in distress to counsellors compared with Australian graduates (odds ratio = 1.80, P = 0.008). Female and metropolitan GP were more likely to consider counselling a high priority in STI care (odds ratio = 1.56, P = 0.038; odds ratio = 1.62, P = 0.028, respectively). GP appreciate the need to deal with psychological distress of STI patients; however, referral to counselling services is not a widespread priority. Further research is needed to examine practitioners’ actual practice in caring for psychological distress among STI patients and barriers to referral for counselling.
46
Domb, William C. "Ozone Therapy in Dentistry." Interventional Neuroradiology 20, no. 5 (January 1, 2014): 632–36. http://dx.doi.org/10.15274/inr-2014-10083.
Full textAbstract:
The 21stcentury dental practice is quite dynamic. New treatment protocols and new materials are being developed at a rapid pace. Ozone dental therapy falls into the category of new treatment protocols in dentistry, yet ozone is not new at all. Ozone therapy is already a major treatment modality in Europe, South America and a number of other countries. What is provided here will not be an exhaustive scientific treatise so much as a brief general introduction into what dentists are now doing with ozone therapies and the numerous oral/systemic links that make this subject so important for physicians so that, ultimately, they may serve their patients more effectively and productively.
47
Vaikuntam, Bharat Phani, James W. Middleton, Patrick McElduff, Jim Pearse, John Walsh, Ian D. Cameron, and Lisa Nicole Sharwood. "Assessing the impact of care pathways on potentially preventable complications and costs for spinal trauma patients: protocol for a data linkage study using cohort study and administrative data." BMJ Open 8, no. 11 (November 2018): e023785. http://dx.doi.org/10.1136/bmjopen-2018-023785.
Full textAbstract:
IntroductionTraumatic spinal cord injuries have significant consequences both for the injured individual and the healthcare system, usually resulting in lifelong disability. Evidence has shown that timely medical and surgical interventions can lead to better patient outcomes with implicit cost savings. Potentially preventable secondary complications are therefore indicators of the effectiveness of acute care following traumatic injury. The extent to which policy and clinical variation within the healthcare service impact on outcomes and acute care costs for patients with traumatic spinal cord injury (TSCI) in Australia is not well described.Methods and analysisA comprehensive data set will be formed using record linkage to combine patient health and administrative records from seven minimum data collections (including costs), with an existing data set of patients with acute TSCI (Access to Care Study), for the time period June 2013 to June 2016. This person-level data set will be analysed to estimate the acute care treatment costs of TSCI in New South Wales, extrapolated nationally. Subgroup analyses will describe the associated costs of secondary complications and regression analysis will identify drivers of higher treatment costs. Mapping patient care and health service pathways of these patients will enable measurement of deviations from best practice care standards and cost-effectiveness analyses of the different pathways.Ethics and disseminationEthics approval has been obtained from the New South Wales Population and Health Services Research Ethics Committee. Dissemination strategies include peer-reviewed publications in scientific journals and conference presentations to enable translation of study findings to clinical and policy audiences.
48
Magin, Parker J., Jenny May, Patrick McElduff, Susan M. Goode, Jon Adams, and Georgina L. Cotter. "Occupational violence in general practice: a whole-of-practice problem. Results of a cross-sectional study." Australian Health Review 35, no. 1 (2011): 75. http://dx.doi.org/10.1071/ah10874.
Full textAbstract:
Objective. To examine the experiences of occupational violence in general practitioner (GP) and non-GP staff. Further objectives were to compare prevalence of violence in GP and non-GP staff and to examine levels of apprehension and perceptions of control over violence. Design. Cross-sectional questionnaire-based study. Setting. A network of research general practices, New South Wales, Australia. Participants. GPs and non-GP staff – receptionist, practice-management, nursing and allied health staff. Main outcome measure(s). Experience of occupational violence during the previous 12 months. Other outcomes examined were workplace apprehension regarding violence, perception of occupational violence as a problem in general practice, and perception of control over violence in the workplace. Results. A total of125 questionnaire replies were received (response rate 55%), 59.3% of GPs and 74.6% of non-GPs had experienced work-related violence during the previous 12 months. The difference was not significant (OR 0.65, 95% CI 0.20–2.06). Subjects in rural practices were more likely than those in urban practices to have experienced violence (OR 3.79, 95% CI 1.15–12.5). Personal experience of violence (OR 35.9, 95% CI 6.24–207) and a perception that violence is increasing (OR 8.33, 95% CI 1.89–36.6) were associated with apprehension regarding violence at work. What is known about the topic? The prevalence and impact upon GPs of occupational violence is well established, but occupational violence has been little-researched in non-GP staff. What does this paper add? This study demonstrates that occupational violence is a major issue for non-GP staff – at least as much as it is for GPs. What are the implications for practitioners? Apprehension and fear among general practice staff are strongly associated with experiences of violence and must be addressed at a whole-of-practice level with measures to reduce violence and improve safety.
49
Prosser, Brenton, and Robert Reid. "Changes in Use of Psychostimulant Medication for ADHD in South Australia (1990–2006)." Australian & New Zealand Journal of Psychiatry 43, no. 4 (January 1, 2009): 340–47. http://dx.doi.org/10.1080/00048670902721129.
Full textAbstract:
Objective: The aim of the present study was to undertake a retrospective analysis of archival data on psychostimulant prescriptions from South Australia for the periods 1990–2000 and 2001–2006 for 7849 youths aged from birth to 18 years. Method: A person-based data set was used to assess: (i) rate of new prescriptions by age group; (ii) demographic characteristics (age of psychostimulant start, male: female ratio); (iii) duration of psychostimulant use; and (iv) geographic variation in psychostimulant prescription. Results: Four major findings were observed: (i) the rate of new prescriptions was highly variable both for 1990–2000 and 2000–2006; (ii) demographic characteristics such as start age and male:female ratio declined over both periods; (iii) the duration of psychostimulant use was approximately 2.5 years for 1990–2000 and 2.0 years for 2000–2006; and (iv) there was geographic variation in both periods with a significant correlation between socioeconomic status and prescription rate per region. Conclusions: The patterns of psychostimulant use in Australia closely parallel the USA. Physicians’ prescribing practice may be extremely volatile. Duration of psychostimulant treatment should receive increased attention. There is pronounced geographic variability in prescription rates, which may be related to socioeconomic status.
50
Katz, Mike. "International Professional Development Cooperation Study Tours for Environmental, Social and Sustainable Development for the Indian Mining Sector." Journal of International Cooperation and Development 5, no. 2 (July 5, 2022): 1. http://dx.doi.org/10.36941/jicd-2022-0006.
Full textAbstract:
The Key Centre for Mines International, University of New South Wales, Sydney Australia undertook professional development mining education and cooperation training study tours for overseas government fellows and groups as well as private mining companies from 1988 – 2010. During the technical environmental development short courses at the university and visits to Australian mines and government offices, the programs also covered important social and sustainable aspects as well as relevant briefings on government mining law and regulations, industry’s best practice and community engagement. Details are presented for two major successful international cooperation Indian projects, a World Bank mine environment program in 2004 for state government officials and a TATA Steel Limited coal and iron mine executives and managers training program in 2010.
Received: 21 April 2022 / Accepted: 30 June 2022 / Published: 5 July 2022