Journal articles on the topic 'Queensland Police Service'
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1
Bryett, Keith. "The Preparation of Police Recruits, Queensland Style." Police Journal: Theory, Practice and Principles 65, no. 1 (January 1992): 49–55. http://dx.doi.org/10.1177/0032258x9206500108.
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The preparation of recruit police officers has become an issue in those countries whose police services have evolved from the British model. In Australia, a variety of arrangements exist. These include education and training centred around police academies with academically qualified civilian and police staff, some of whom are academically qualified and others who are not, depending on the nature of their role. These academies are invariably, and not surprisingly, controlled by police officers. At the other end of the scale, the Australian Federal Police now has prospective recruits, who are not yet employees, in many Australian universities undergoing undergraduate studies. The aim being to recruit graduates. The Queensland Police Service has opted for a middle-of-the-road part university, part academy, approach as a means to satisfying as many perceived requirements as possible.
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Goss, Wayne. "A Spirit of Reform." Queensland Review 18, no. 2 (2011): 99–104. http://dx.doi.org/10.1375/qr.18.2.99.
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After 32 years of conservative rule, it was more than the Queensland government that changed on 7 December 1989 — it was the whole state of Queensland. Driving the reform process across a wide cross-section of government policy (and seeing Queenslanders respond) left a legacy of which we who formed part of that government are proud.In our first week in office, we purchased additional tertiary places for Queensland. This underlined our commitment to education and sent the signal that our government believed the future was ‘up the food chain’, and that we would therefore invest in education. We abolished the Special Branch of Queensland Police — a symbol of the misuse of the police service by the previous government. We also abolished imperial honours because we believed that Australia should have its own system of recognising our citizens.
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Schindeler, Emily, and Jacqui Ewart. "Manufacturing a Crime Wave: The Gold Coast Saga." Media International Australia 151, no. 1 (May 2014): 25–36. http://dx.doi.org/10.1177/1329878x1415100105.
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Crime waves make great headlines, and can be an ongoing source of stories for news media. In this article, we track the news media promotion of the spectre of a crime wave at Queensland's Gold Coast and the interplay between politics and policy responses to the media campaign. By analysing news media reports, government, local government and police-documented responses, we explore how the media framed this crime wave and the politically driven policy responses that were disproportionate to the reported (statistical) level of crime. Despite attempts by the Queensland Police Service to defuse the claims of an out-of-control crime problem, followed by its attempts at managing community responses, the local news media continued their campaign with significant consequences. Our findings are important for those charged with publicly managing responses to media-driven crime waves.
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Prenzler, Tim. "The Decay of Reform: Police and Politics in Post-Fitzgerald Queensland." Queensland Review 4, no. 2 (October 1997): 13–25. http://dx.doi.org/10.1017/s1321816600001501.
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The 1989 Fitzgerald Report into police and governmental corruption in Queensland has been a model for public sector reform in Australia. It is especially timely to consider the impact of those reforms in light of the current overhaul of the largest police agency in Australia, the New South Wales Police Service, and of continuing problems with public sector probity in other states. Queensland made significant advances in improving electoral and administrative processes, and creating external independent oversight of the police. Nonetheless, unforeseen gaps in the Fitzgerald agenda allowed reactionary forces to dilute the reform process. Three primary areas remain ‘unreconstructed’. Reform has not been firmly established from the top down, beginning with progressing the system of representative democracy and opening up cabinet. Additionally, the Police Service appears to have successfully resisted the prescribed re-orientation away from law enforcement to community policing. Detection and control of misconduct also remain weak. A more interventionist Criminal Justice Commission is needed, with more proactive strategies for developing compliance with ethical standards.
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Brereton, David, and Andrew Ede. "What has Reform Wrought? The Impact of the Fitzgerald Inquiry on Police Integrity in Queensland." Queensland Review 4, no. 2 (October 1997): 51–58. http://dx.doi.org/10.1017/s1321816600001537.
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On 24 September 1997 the Criminal Justice Commission (CJC) released a comprehensive report entitled Integrity in the Queensland Police Service: Implementation and Impact of the Fitzgerald Inquiry Reforms, in line with its statutory obligation to report to Parliament on the implementation of the recommendations of the Inquiry. Earlier reports have examined the implementation of the Inquiry's recommendations relating to recruitment and training and the restructuring of the police service (see CJC 1993, 1994). This most recent report addresses issues such as whether the Fitzgerald reforms have enhanced the effectiveness of the complaints investigation process, led to improved standards of behaviour within the Queensland Police Service (QPS), reduced the incidence of corruption and weakened the influence of the police ‘code of silence’. In addition to providing a retrospective assessment of the ‘Fitzgerald reforms’, the report identifies key areas where further action is required by the QPS and provides a reference point against which to measure future progress. This article summarises the key findings of the report and briefly discusses the implications for further reform of the QPS and the role of the CJC in that process.
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Holland, Robert C. "Dealing with complaints against the police: the resolution process adopted by the Queensland Police Service, Australia." Police Studies: Intnl Review of Police Development 19, no. 2 (February 1996): 45–62. http://dx.doi.org/10.1108/13639519610123172.
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Ellem, Kathy, and Kelly Richards. "Police Contact with Young People with Cognitive Disabilities: Perceptions of Procedural (In)justice." Youth Justice 18, no. 3 (August 14, 2018): 230–47. http://dx.doi.org/10.1177/1473225418794357.
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The interactions of police with young people with cognitive disabilities (YPWCD) have seldom been considered in research, even though this group is over-represented in the criminal justice system. This article presents the results of a qualitative study into YPWCD’s experiences with police in Queensland, Australia. Semi-structured interviews were undertaken with service providers who work with YPWCD and YPWCD themselves. The procedural justice perspective was used as an analytic framework to provide an insight into YPWCD’s relationships with the police. Findings point to ways in which police can better respond to YPWCD in procedurally just ways, as well as to the role that family and service providers might play in supporting this outcome.
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Holland, Robert C. "Citizen complaints against police: The volume received, and the complaints classification system used by the Queensland police service, Australia." International Journal of Comparative and Applied Criminal Justice 24, no. 1 (March 2000): 31–41. http://dx.doi.org/10.1080/01924036.2000.9678651.
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Douglas, Heather. "Policing Domestic and Family Violence." International Journal for Crime, Justice and Social Democracy 8, no. 2 (April 30, 2019): 31–49. http://dx.doi.org/10.5204/ijcjsd.v8i2.1122.
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How police respond to domestic and family violence (DFV) has important ramifications for the safety of women and their children. Despite recognition of the key role police play in responding to DFV and the importance of the perspectives of survivors in informing appropriate responses, there has been no recent exploration of survivors’ experiences of the police response to DFV in Queensland. This article draws on interviews with women in Brisbane, Australia, who have experienced DFV and engaged in some way with the legal system. It explores women’s reasons for calling, or not calling, the police and their experiences with police between 2014 and 2017. The article highlights the role of police culture in appropriately responding to DFV. It suggests that cultural change is needed and may be facilitated by ongoing training, addressing gender balance within the police service and introducing women-only police stations.
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Kerswell, Nicholas L., Esben Strodl, Luke Johnson, and Elias Konstantinou. "Mental Health Outcomes Following a Large-Scale Potentially Traumatic Event Involving Police Officers and Civilian Staff of the Queensland Police Service." Journal of Police and Criminal Psychology 35, no. 1 (January 7, 2019): 64–74. http://dx.doi.org/10.1007/s11896-018-9310-0.
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Legrand, Tim, and Simon Bronitt. "Policing the G20 protests: ‘Too much order with too little law’ revisited." Queensland Review 22, no. 1 (May 7, 2015): 3–14. http://dx.doi.org/10.1017/qre.2015.2.
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In the months leading up to November's G20 summit in 2014, Brisbane's residents would have been forgiven for anticipating the outbreak of a local civil war. Media outlets were leading with headlines stating, among other sensational claims, that ‘G20 anarchists vow chaos and mayhem for Brisbane's streets’, ‘Black Bloc tactics aim for Brisbane G20 shock and awe’ and ‘Destructive protest plan for G20’. Meanwhile, some of the most severe restrictions on civil liberties seen in Australia in recent years were legislated by the Queensland parliament. The G20 Safety and Security Act 2013 (Qld) (the G20 Act) was passed with little demur by a chamber that was only divided over the question of whether the laws were severe enough, with Queensland opposition police spokesman Bill Byrne MP declaring himself ‘surprised’ at the leniency of some of the sentencing provisions and the ‘minimalist’ approach to restricted areas. Of course, in the event the much-anticipated violence did not occur, and the media's pre-summit hyperbole was exposed as just that. Rather more prosaically — and accurately — the post-event headlines dutifully reported ‘Passionate, but mostly peaceful protests’ and ‘G20 protest day wraps up peacefully’. Given that previous G20 summits in London and Toronto saw outbreaks of considerable disorder, we might succumb to the temptation of declaring the peaceful protests in Brisbane to be a vindication of the heavy powers granted by the Queensland parliament. But we believe that to do so would be egregious. Here we reflect on the historical and political motivations underpinning the G20 Act, and draw attention to the rather more measured policing strategy employed by the Queensland Police Service (QPS). We argue that the safety and security of G20 participants and protesters owed little to the restrictive powers granted by the G20 Act, but resulted from a policing strategy that successfully married traditional and modern precepts of policing large events.
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Wimshurst, Kerry. "Anticipating the Future: The Early Experiences and Career Expectations of Women Police Recruits in Post-Fitzgerald Queensland*." Australian & New Zealand Journal of Criminology 28, no. 3 (December 1995): 278–97. http://dx.doi.org/10.1177/000486589502800303.
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This study investigates the recent large-scale entry of women into policing in one Australian state following a period of supposed major organisational and philosophical reform in the Queensland Police Service It focuses upon the early experiences of women recruits and their thoughts about their futures The research literature shows that women have usually encountered considerable resistance when trying to establish themselves in police organisations both locally and overseas In view of this, an important aim of the study is to try to determine whether there are any signs of fundamental change for women entering policing in the 1990s The evidence suggests that while men and women entrants have much in common, there are some significant biographical and anticipatory differences The study concludes that continuity rather than change is likely to charactense the experiences of women entering policing, obstacles to full integration persist The situations of women recruits are discussed under five themes which encompass continuity of experiences, physicality, exclusion, ambivalence and coping strategies.
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Biron, Dean. "Where the action is …: … in this edition, the Queensland Police Service: Preventing shaking injuries in infants: A brief communication." Children Australia 29, no. 4 (2004): 34–35. http://dx.doi.org/10.1017/s1035077200006192.
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Fifty-two (52) cases of infant abusive head trauma (IAHT), investigated by the Queensland Police Service over a ten-year period, were examined for information on victim and offender demographics. The study revealed a mean age of 2.6 months for victims of assaults categorised as involving a shaking-type mechanism, indicating that the youngest infants are particularly susceptible to that form of injury. It was further demonstrated that abusive injuries are most likely to be caused by a primary caregiver, such as a biological or step-parent. It is thus hypothesised that to assist in prevention, some form of written caution on the dangers of infant shaking should be provided to all parents immediately prior to their child's departure from the maternity ward.
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Crilly, Julia, Cathy Lincoln, Paul Scuffham, Josh Byrnes, Jo Timms, Ken Becker, Nelle van Buuren, et al. "Effect of a 24/7 nursing presence in a police watch house on police presentations to the emergency department." Australian Health Review 44, no. 6 (2020): 924. http://dx.doi.org/10.1071/ah19294.
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ObjectivePeople detained in police custody are a vulnerable population with complex health needs, sometimes requiring emergency care. This study evaluated the effect of a 24/7 nursing presence in a police watch house on police presentations to the emergency department (ED). MethodsThis was a retrospective observational study conducted in a regional ED in Queensland. Equal time periods of 66 days before (T1), during (T2) and after (T3) the pilot service was trialled in 2013 were compared to determine changes in patient and service delivery outcomes. The time to see a doctor in the ED, ED length of stay, hospital admission rate, number of transfers from the watch house to the ED and associated costs were measured. The nature of health care delivered by nurses to detainees in the watch house during the pilot was also examined. ResultsFewer detainees were transferred from the police watch house to the ED during the pilot period (T1, n=40; T2, n=29; T3, n=34). Cost reductions associated with reduced police and ambulance attendance, as well as hospitalisations, outweighed the watch house nursing costs, with cost savings estimated at AUD7800 per week (60% benefiting police; 40% benefiting the health service). The most common health problems addressed during the 1313 healthcare delivery episodes provided to 351 detainees in the watch house during the pilot related to substance misuse, chronic disease and mental health problems. ConclusionFewer transfers from the police watch house to the ED were noted when there was a 24/7 nursing presence in the watch house. This model appears to be economically efficient, but further research is required. What is known about the topic?People detained in police custody are a vulnerable population with complex health needs, sometimes requiring emergency care. What does this paper add?Transfers from the police watch house to the ED were fewer when there was a 24/7 nursing presence in the police watch house (an economically efficient model). Nursing care provided to detainees in the watch house setting predominantly related to substance misuse, chronic disease and mental health problems. What are the implications for practitioners?With a 24/7 nursing presence in the police watch house, transfer to the ED was avoided for some detainees. Similar strategies that respond to coronial recommendations advocating for enhancements in police–health collaboration warrant evaluation.
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Drew, Jacqueline M., Emily Moir, and Michael Newman. "Financial crime investigation: an evaluation of an online training program for police." Policing: An International Journal 44, no. 3 (January 22, 2021): 525–39. http://dx.doi.org/10.1108/pijpsm-08-2020-0131.
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PurposeFinancial crime continues to represent a crime type that costs billions of dollars per year. It is likely more widespread than any other criminal offence. Despite this, it remains an area that is often ignored, or at best neglected by police. Police agencies typically fail to invest resources and training in upskilling police in financial crime investigation. The current study evaluates an agency-wide training initiative undertaken by the Queensland Police Service (QPS), Australia.Design/methodology/approachThe QPS mandated completion of an in-house online financial crime training program for all officers, up to and including the rank of senior sergeant. Matched pre- and post-training data of 1,403 officers were obtained.FindingsThe research found that police are under-trained in financial crime. The findings suggest that short online training programs can produce important improvements in knowledge and confidence in financial crime investigation. Critically, attitudes about this crime type which may be deterring officers from engaging in financial crime investigation can be improved.Originality/valueThe current research finds that police agencies need to more heavily invest in training officers to investigate financial crime and such investment will have positive outcomes. The first step involves improving knowledge, skills and attitudes towards this crime type. Further research is needed to understand why training, particularly related to attitudinal change, is more effective for different cohorts of police and how future training programs should be adapted to maximise success.
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Morton, Paul J., Kelsy Luengen, and Lorraine Mazerolle. "Hoteliers as crime control partners." Policing: An International Journal 42, no. 1 (February 11, 2019): 74–88. http://dx.doi.org/10.1108/pijpsm-08-2018-0126.
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Purpose The purpose of this paper is to present evaluation results of Operation Galley, an intelligence-led policing (ILP) intervention that sought to proactively address the problem of drug dealing from hotel rooms by engaging hoteliers as crime control partners with the Queensland Police Service. Design/methodology/approach Operation Galley, a randomized control field trial, rank ordered and matched 120 hotels on size, star rating, location and estimated degree of suspicious behaviour. Hotels were randomly assigned to one of three conditions: Operation Galley hotels who received a procedurally just letter, followed by a personal visit with detectives; the letter-only hotels who received the procedurally just letter; and the business as usual hotels. Findings Using repeated measures ANOVA and general linear models, results of the 12-month trial indicate that the Operation Galley condition led to an increase in police engagement with hoteliers, increasing the recognition, reporting and police enforcement of drug offenders. Practical implications The Operation Galley trial demonstrates that the ILP approach helped foster positive engagement between hoteliers and detectives. The approach cultivated hoteliers as crime control partners and thereby increased the flow of human source intelligence, helping police to better target and respond to drug dealing problems in hotel rooms. Originality/value Results of the Operation Galley trial demonstrate that hoteliers can be leveraged as crime control partners, providing important human source intelligence about drug dealing and facilitating the capacity of police to better respond to drug problems in hotels.
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Alpert, Geoffrey P., and Kyle McLean. "The more things change, the more they stay the same: the Queensland Police Service as a model for sustainable policing reform." International Journal of Comparative and Applied Criminal Justice 45, no. 3 (March 10, 2021): 345–55. http://dx.doi.org/10.1080/01924036.2021.1899004.
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Nepal, Kypri, Attia, Evans, Chikritzhs, and Miller. "Effects of a Risk-Based Licensing Scheme on the Incidence of Alcohol-Related Assault in Queensland, Australia: A Quasi-Experimental Evaluation." International Journal of Environmental Research and Public Health 16, no. 23 (November 21, 2019): 4637. http://dx.doi.org/10.3390/ijerph16234637.
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: Amid concerns about increasing alcohol-related violence in licensed premises, Queensland introduced a system of risk-based licensing (RBL) in 2009, the first of five Australian jurisdictions to do so. Under RBL, annual license fees are supposed to reflect the risk of harm associated with the outlet’s trading hours and record of compliance with liquor laws. The objective is to improve service and management practices thereby reducing patron intoxication and related problems. Using police data, we defined cases as assaults that occurred during so-called ‘high-alcohol hours’, and compared a pre-intervention period of 2004–2008 with the post-intervention period 2009–2014. We employed segmented linear regression, adjusting for year and time of assault (high vs. low alcohol hours), to model the incidence of (1) all assaults and (2) a subset that police indicated were related to drinking in licensed premises. We found a small decrease in all assaults (β = −5 per 100,000 persons/year; 95% CI: 2, 9) but no significant change in the incidence of assault attributed to drinking in licensed premises (β = −8; 95% CI: −18, 2). Accordingly, we concluded that the results do not support a hypothesis that RBL is effective in the prevention of harm from licensed premises. There may be value in trialing regulatory schemes with meaningful contingencies for non-compliance, and, in the meantime, implementing demonstrably effective strategies, such as trading hour restrictions, if the aim is to reduce alcohol-related violence.
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Beere, Diana. "Evaluation Capacity-building: A Tale of Value-adding." Evaluation Journal of Australasia 5, no. 2 (September 2005): 41–47. http://dx.doi.org/10.1177/1035719x0500500207.
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Evaluation capacity-building entails not only developing the expertise needed to undertake robust and useful evaluations; it also involves creating and sustaining a market for that expertise by promoting an organisational culture in which evaluation is a routine part of ‘the way we do things around here’. A challenge for evaluators is to contribute to evaluation capacity-building while also fulfilling their key responsibilities to undertake evaluations. A key strategy is to focus on both discerning value and adding value for clients/commissioners of evaluations. This paper takes as examples two related internal evaluation projects conducted for the Queensland Police Service that have added value for the client and, in doing so, have helped to promote and sustain an evaluation culture within the organisation. It describes key elements of these evaluations that contributed to evaluation capacity-building. The paper highlights the key role that evaluators themselves, especially internal evaluators, can take in evaluation capacity-building, and proposes that internal evaluators can, and should, integrate evaluation capacity-building into their routine program evaluation work.
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Randall, Christine, Nicholas Buys, and Elizabeth Kendall. "Developing an Occupational Rehabilitation System for Workplace Stress." International Journal of Disability Management 1, no. 1 (May 1, 2006): 64–73. http://dx.doi.org/10.1375/jdmr.1.1.64.
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AbstractThe costs of occupational stress are rising and employers increasingly need to address occupational stress, prevention and rehabilitation issues. However, there is a relative lack of understanding about implementing strategies within specific organisational contexts. Extant literature indicates a need for integrated prevention and rehabilitation strategies that address specific organisational climates that contribute to stress. The Queensland Police Service (QPS) is one policing organisation facing significant occupational stress issues requiring organisational solutions. This article describes a Participatory Action Research case study, the aim of which is to develop an occupational rehabilitation system within the QPS to address identified stress issues. A combination of background information, interview and focus group data is being used to determine stress issues and provide potential solutions to specifically address the needs of the QPS. The findings of this study emphasise the importance of participant involvement in identifying issues and generating solutions, as well as demonstrating the value of taking a systemic approach. The findings suggest that the use of the Participatory Action Research approach is invaluable in promoting the long-term success of the QPS change process.
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Wilkinson, Shelley A., Leyanne Duncan, Catherine Barrett, Robin Turnbull, and Sally McCray. "Mapping of allied health service capacity for maternity and neonatal services in the southern Queensland health service district." Australian Health Review 37, no. 5 (2013): 614. http://dx.doi.org/10.1071/ah13047.
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Objective Allied health professionals (AHPs) in maternity and neonatology services are essential for quality care and outcomes, reflected in the minimum service delivery requirements in the Queensland Health clinical services capability framework (CSCF). However, allied health (AH) capacity across the Southern Queensland Health Service Districts (SQHSD) is not known. The aim of this project was to redress this knowledge gap to inform ongoing service planning and delivery. Methods Maternity and neonatal AH clinicians in all birthing facilities in SQHSD were surveyed between October and December 2011 to investigate AHP staffing, practices and models of care. The professions surveyed included dietitians, occupational therapists, physiotherapists, psychologists, social workers and speech pathologists. Results were grouped per question, with stratification by CSCF and/or profession. Results Fifty-five valid surveys from the 16 facilities were received. All professions were represented. Gaps in maternity AH services were identified. Awareness and use of evidence-based practices were more likely to be reported where higher full-time equivalents (FTE) were allocated. Conclusion Very low staffing levels have been recorded in all Maternity and Neonatology Services AHPs in the SQHSD. Gaps exist between actual and recommended CSCF staffing standards across all levels and professions. The results indicate that profession-specific support networks for AHPs have positive effects in the spreading of information, and continued promotion, support and involvement in these profession-specific networks is suggested for all facilities. What is known about the topic? Maternity and neonatology service allied health (AH) professionals provide essential services for quality maternal and infant care and outcomes, reflected in their inclusion in several Queensland Health maternity and neonatal clinical guidelines. Queensland Health has also released a clinical services capability framework, which outlines minimum requirements for the provision of health services in Queensland public facilities, including minimum service and workforce structure. These include AH staff in the provision of key elements of care. What does the paper add? Staffing levels and description of models of care for AH professionals across the (former) Southern Queensland Health Service District is not known. This paper describes the outcome of a mapping process that provides a clear picture of AH staffing levels and service gaps, models of care in use, and models of care or resources that may be shared within the network for the professions of nutrition and dietetics, occupational therapy, physiotherapy, psychology, social work and speech pathology. What are the implications for practitioners? This profile of AH practitioners across the district provides a baseline reference that may prove useful for future planning of maternity and neonatology services in Queensland Health. Very low levels of staffing were identified and the staffing requirements outlined in the clinical services capability framework was not met at some sites. The results indicate that profession-specific support networks for AH practitioners have positive effects in the spreading of information; in addition, the continued promotion, support and involvement in these profession-specific networks are suggested for all facilities.
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Tippett, Vivienne C., Ghasem (Sam) Toloo, David Eeles, Joseph Y. S. Ting, Peter J. Aitken, and Gerard J. FitzGerald. "Universal access to ambulance does not increase overall demand for ambulance services in Queensland, Australia." Australian Health Review 37, no. 1 (2013): 121. http://dx.doi.org/10.1071/ah12141.
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Objective. To determine the impact of the introduction of universal access to ambulance services via the implementation of the Community Ambulance Cover (CAC) program in Queensland in 2003–04. Method. The study involved a 10-year (2000–01 to 2009–10) retrospective analysis of routinely collected data reported by the Queensland Ambulance Service (QAS) and by the Council of Ambulance Authorities. The data were analysed for the impact of policy changes that resulted in universal access to ambulance services in Queensland. Results. QAS is a statewide, publically funded ambulance service. In Queensland, ambulance utilisation rate (AUR) per 1000 persons grew by 41% over the decade or 3.9% per annum (10-year mean = 149.8, 95% CI: 137.3–162.3). The AUR mean after CAC was significantly higher for urgent incidents than for non-urgent ones. However projection modelling demonstrates that URs after the introduction of CAC were significantly lower than the projected utilisation for the same period. Conclusions. The introduction of universal access under the Community Ambulance Cover program in Queensland has not had any significant independent long-term impact on demand overall. There has been a reduction in the long-term growth rate, which may have been contributed to by an ‘appropriate use’ public awareness program. What is known about the topic? It is generally well accepted that the demand for emergency health services is increasing however the drivers for demand are poorly understood. In Queensland in particular, growth in demand for services exceeds that seen in other states and territories. Some commentators have pointed at service funding policy and costs to end users as potential reasons for excess demand for services. What does this paper add? The assumption that forced subsidisation creates a perception of entitlement amongst consumers is challenged in this paper. We are able to demonstrate that demand for emergency health services did not increase beyond what would have been expected under a mandatory subscription system known as Community Ambulance Cover (CAC). This paper contributes to the developing body of knowledge about drivers for emergency health service demand. What are the implications for practitioners? There is a need to continue analysis of the system to determine drivers for demand and develop an evidence base on which to formulate emergency health policy, including funding models, for the future. Purely economic drivers for service demand seem unlikely to hold up and policy makers need to understand the complex relationships between service systems; end user perceptions and health literacy; and the costs of services in order to effect policy reform.
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Tilbury, Clare. "Child protection services in Queensland post-Forde Inquiry." Children Australia 30, no. 3 (2005): 10–16. http://dx.doi.org/10.1017/s1035077200010774.
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There have been major developments in child protection services in Queensland since the 1999 Inquiry into Abuse of Children in Queensland Institutions (the ‘Forde Inquiry’). This article discusses the nature of the changes that have occurred against the backdrop of a major debate in contemporary child protection research and practice – balancing forensic/legalistic and family support approaches to protecting children. Based upon an analysis of departmental annual reports, budget documents, policy statements and child protection administrative data, the article examines developments in policy directions, service provision, client trends and performance during the period. It shows that significant investment has increased the quantity of services available, but policy and program developments are yet to show an impact upon service quality and outcome indicators for children and families.
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O'Connor, Ian, and Mary Callahan. "Social crisis and social policy in Queensland: patterns of control." Australian & New Zealand Journal of Criminology 22, no. 2 (June 1989): 109–23. http://dx.doi.org/10.1177/000486588902200204.
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This article seeks to locate within its political economy the forms and patterns of care and control that developed in Queensland. It is argued that the State government sought to manage the social tensions that resulted from economic transition of the 70s and 80s through coercive methods and most notably through the criminal justice system. This argument is developed through an analysis of Queensland's use of the legal system, its pattern of social services and its law and order expenditures in comparison to other States. The changing patterns in Queensland's summary courts are consistent with the drift to coercion which identified in the analysis of the State's response to its social and economic difficulties.
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Crossland, Lisa, and Craig Veitch. "After-hours service models in Queensland Australia: A framework for sustainability." Australian Journal of Primary Health 11, no. 2 (2005): 9. http://dx.doi.org/10.1071/py05016.
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This paper outlines the key features of after-hours primary medical care service sustainability in Queensland. It describes the development of these into a practical framework designed to assist either those in the early stages of service development or the evaluation of existing service models. A representative sample was drawn from over 120 separate formal after-hours services identified across Queensland. Semi-structured interviews were held with staff and key informants from 16 services and other local service providers in Queensland. Reviews of documents relating to operating and management procedures and protocols were also completed. Data were assembled and thematically analysed using the QSR NUD.IST qualitative data analysis package. Five key factors related to sustainability commonly featured in the after-hours primary medical care services studied: business management and promotion; collaborative service arrangements; effective protocols and guidelines; recruitment and retention strategies; and remuneration. These issues can be summarised in a table format that demonstrates the interaction between the identified key factors of sustainability and the various model types. The purpose of the diagram is to illustrate the interplay of factors which impact on the development and sustainability of after-hours primary medical care services currently extant in Queensland. It is the complex interaction of all these factors that ultimately determines the sustainability of an after-hours service model.
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Wilkins, Julia. "The Royal Flying Doctor Service Flies to New Heights: The Journey of Health Information Management." Health Information Management Journal 38, no. 3 (October 2009): 51–55. http://dx.doi.org/10.1177/183335830903800308.
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The Royal Flying Doctor Service (RFDS) of Australia was founded in 1928 by the Reverend John Flynn to deliver health services to the people of the Australian Outback. In this unique environment the RFDS Queensland Section provides both Primary Health Care and Aeromedical services to rural and remote communities throughout Queensland. It provides health services from a hub and spoke model and its clinicians work very closely with other health service providers, such as Queensland Heath, within the communities it visits. Currently, the RFDS' health records are both paper and electronic and clinicians duplicate much of patient information and data between RFDS and non-RFDS health records. Introduction of an off-the-shelf electronic medical record (EMR) would not meet the RFDS' clinical and organisational needs because of complexity, the multidisciplinary nature of the teams and the lack of communication technology in the communities the RFDS visits. This article defines the vision for a health information system designed to meet the requirements of the RFDS, and describes its implementation throughout RFDS Queensland using the PRINCE2 project management methodology.
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Kromberg, JGR, J. Parkes, and S. Taylor. "Genetic Counselling as a Developing Healthcare Profession: A Case Study in the Queensland Context." Australian Journal of Primary Health 12, no. 1 (2006): 33. http://dx.doi.org/10.1071/py06006.
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Given a dearth of empirical and baseline data regarding genetic counselling in Australia, this study examined genetic counselling services in Queensland from January 1998 to December 1999. Secondary analysis was conducted with data from the Queensland Clinical Genetics Service (QCGS). During the study period, 8007 clients were seen in 4817 counselling sessions in urban and regional settings, with general practitioners (GPs) constituting the second largest referral source of clients. Genetic counsellors contributed to 80% of clinical genetic sessions as sole and co-counsellors, and counselled across 79 different disorders. Prenatal diagnosis counselling constituted the greatest workload with demands for cancer counselling increasing. Counsellors also provided educational and information services to individuals, families, general practitioners, health professionals and the community. The ratio of counsellors per head of population was less than national recommendations. Thus, although the existing model of genetic service delivery in Queensland demonstrates accessibility, the service in general is underutilised. As developments in genetic technology continue, this profession is expected to grow further and has the potential to contribute to service delivery at the primary health care level.
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Shepherd, Nicole, Thomas J. Meehan, Fiona Davidson, and Terry Stedman. "An evaluation of a benchmarking initiative in extended treatment mental health services." Australian Health Review 34, no. 3 (2010): 328. http://dx.doi.org/10.1071/ah09698.
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Aim.To evaluate the effectiveness of a benchmarking initiative in facilitating quality improvement and reform in extended care mental health services. Method.Individual interviews and focus group discussions were conducted with 84 staff in 22 extended care mental health services that had previously participated in a State-wide benchmarking exercise in Queensland, Australia. Results.Staff reported positive outcomes from participation in the benchmarking exercise. Information derived from benchmarking provided a different perspective on the strengths and weaknesses of individual services and an opportunity to learn from peer services. Staff in 86% of the services identified issues that needed to be addressed and 64% of services had implemented one or more service improvement projects in response to shortcomings identified through the benchmarking exercise. Conclusions.The collection and reporting of performance data through a process of benchmarking was successful in facilitating service improvement in most of the participating facilities. Engaging services in all stages of the process was considered useful in converting benchmarking data into knowledge that was able to be applied at the local service level. What is known about the topic?Implementing and maintaining service improvement initiatives in mental health services can be difficult, due to ongoing resource limitations in the sector. Although there is currently a drive to promote benchmarking for mental health services, to date, there has been limited evidence that it leads to sustained service improvements. What does this paper add?This paper reports on an evaluation of a benchmarking initiative in extended treatment mental health services in Queensland, Australia. Six months after implementation, staff reported positive outcomes from participation in the project, and 64% of services had implemented one or more service improvement projects. Engagement of service staff in the process of benchmarking is important to ensure success. What are the implications for practitioners?Benchmarking initiatives can lead to service improvement. It is important to involve staff in the process of benchmarking, from choosing performance indicators and collection of data, to interpretation of the results. Organising events where staff can present findings from the project to their peers provides the opportunity to reflect on the direction of their service and learn from others. In this way, information provided through benchmarking can be converted into knowledge that is applied at the service level.
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Surrao, Suzanne, Geri Taylor, Anne Turner, and Ken Donald. "Hospital funding and services in Queensland." Australian Health Review 25, no. 1 (2002): 99. http://dx.doi.org/10.1071/ah020099.
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The Queensland health sector has been characterised as unique. The population has traditionally relied on the public sector to provide necessary hospital and other health services across the vast distances that make up the state, although there is a strong non-government sector also. More recently, and over the last 5-6 years stability and drive at themanagement level in the public sector has supported reform and progress, consistent with the national agenda. The Queensland reputation of cost efficiency and effectiveness in service delivery and outputs to meet national standards continues as this Chapter demonstrates.
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Lloyd, Chris, Helen Kanowski, and Pam Samra. "Developing Occupational Therapy Services within an Integrated Mental Health Service." British Journal of Occupational Therapy 61, no. 5 (May 1998): 214–18. http://dx.doi.org/10.1177/030802269806100509.
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Health care reform has been taking place in a number of countries around the world. Changes have been occurring in Australian government mental health policies regarding service delivery for people with a mental illness. The National Mental Health Policy and Plan 1992 and the Queensland Mental Health Plan 1994 have set the directions for the reform of mental health services. As a result, occupational therapists have been required to examine and develop their role in service delivery within integrated mental health services. Occupational therapists within one integrated mental health service have responded by developing their practice across service components with a focus on the consumer and with service development links.
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Scott, Russ, and Tom Meehan. "Inter-agency collaboration between mental health services and police in Queensland." Australasian Psychiatry 25, no. 4 (May 2, 2017): 399–402. http://dx.doi.org/10.1177/1039856217706823.
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Objective: The objective of this study was to consider the collaboration between mental health services and police in Queensland. Conclusion: Queensland has developed a number of initiatives for intervention and response to incidents involving police and persons with mental illness. Future research should focus on identifying interventions that promote effective resolution of incidents involving police.
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Partanen, Riitta L., Maxine L. O'Brien, and Diann S. Eley. "Necessity breeds innovation: GPs help prevent an emergency department closure." Australian Health Review 33, no. 3 (2009): 467. http://dx.doi.org/10.1071/ah090467.
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In January 2006 the Maryborough Base Hospital in Queensland faced imminent closure of its emergency department (ED) due to a shortage of senior medical staff. At the same time patient confidence in Queensland Health was low. During consultation forums, the community had made it clear that their priority was to maintain emergency services in Maryborough. In search of a solution, the Fraser Coast District Health Service asked Maryborough general practitioners to work in the Maryborough Hospital ED and/or in the internal medicine ward as Visiting Medical Officers. While this represented a solution to the problem, there was much to be considered before such a plan could be put into place.
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Lalloo, Ratilal, and Jeroen Kroon. "Analysis of public dental service waiting lists in Queensland." Australian Journal of Primary Health 21, no. 1 (2015): 27. http://dx.doi.org/10.1071/py13048.
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Information on public dental service waiting lists is available as part of the Queensland Government open data policy. Data were summarised across the care categories and health districts to present the total number and percentage of people waiting for care and who have waited beyond the desirable period. As of 31 December 2012 there were 130 546 people on the dental waiting list; of these 85.8%, 8.5% and 2.2% were waiting for general care desirable within 24, 12 and 3 months, respectively. Across all care categories, almost 56% of those on the waiting list were beyond the desirable waiting period. The average number of people on the waiting list and the average number waiting beyond the desirable time differ substantially per clinic by district. Ongoing analysis of the Queensland public dental service waiting list database will determine the impact on patient waiting times of Federal Government initiatives announced in 2012 to treat an estimated 400 000 patients on waiting lists nationwide over the next 3 years and to expand services to assist low-income adults to receive dental services.
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Turton, David. "A ‘Super Bureaucrat’ to the Rescue? Push and Pull Factors in the Creation of the Queensland Ombudsman, 1963–74." Queensland Review 19, no. 2 (December 2012): 247–60. http://dx.doi.org/10.1017/qre.2012.26.
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Reflecting on the first nine months of his role as Queensland's first State Ombudsman (then titled Parliamentary Commissioner for Administrative Investigations), David Longland noted that support for this independent watchdog of local and state government administration had not always been forthcoming: When the question of the appointment of a Queensland Ombudsman was first raised, there was consistently an opinion that the services of an Ombudsman were not necessary, but with the growth of administrative action commensurate with the wider field of legislation born of a variety of governments, negative argument was reduced and eventually became positive argument. So effluxion of time brought the adoption of policy for the appointment of an Ombudsman by the Queensland Government. Such an explanation belies the variety of factors that both aided and hampered the Queensland Ombudsman's creation throughout much of the 1960s and early 1970s. Premier Joh Bjelke-Petersen made official announcement of Longland's appointment on 12 August 1974 through the provisions of the Parliamentary Commissioner Act 1974 that had entered into force on 1 July 1974. Longland's appointment ended more than a decade of lobbying in Queensland, providing the community with an important means of addressing complaints of administrative error in an apolitical and non-adversarial manner. Most scholarship on this topic has assessed election promises, lobbying efforts from academics, internal political negotiations and the opposition of Joh Bjelke-Petersen to the Ombudsman concept. While each is an essential component of the Ombudsman's foundation in Queensland, there has been no effort to understand how the political debate was influenced by other policy actors, particularly high-ranking public servants.
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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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Rudd, Cobie. "Primary Health Care in Queensland." Australian Journal of Primary Health 1, no. 1 (1995): 17. http://dx.doi.org/10.1071/py95004.
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In 1993, the Queensland government responded to the challenges facing the Queensland health system when it released the Queensland Primary Health Care Policy. In the Policy, the public sector involvement in health system reform is outlined, and the vital role played by the non-government and private sectors are supported. The direction for the future delivery of health services clearly entails meeting the needs of local populations through an emphasis on community participation and development, intersectoral collaboration and co-ordination of health services. The Policy supports an improved balance between tertiary, high cost institutional care and community-based primary health care. The development and extension of community health services is recognised in the Plan as an important strategy in achieving a more balanced health system.
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Dredge, Dianne. "Tourism Reform, Policy and Development in Queensland, 1989–2011." Queensland Review 18, no. 2 (2011): 152–74. http://dx.doi.org/10.1375/qr.18.2.152.
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Tourism has been a major driver of economic and social development in Queensland since the end of World War II. In 2011, tourism's direct contribution to the economy was estimated to be $7.8 billion, and it generated direct employment of an estimated 118,000 full-time equivalent jobs (Queensland Tourism 2011). The multiplier effects of tourism account for another $9.2 billion, making it the most important component of the state's service sector. These figures suggest that the approach adopted by the Labor government over the last two decades to manage and develop Queensland tourism has generally been positive. However, a closer examination of recent trends and criticisms reveals that visitor demand has flat-lined: the industry is struggling under the weight of global and local pressures, investment has slowed, and there are issues of stagnating demand, competitiveness, service quality, industry capacity and innovation. Moreover, Queensland is losing international market share compared with New South Wales and Victoria (Tourism Research Australia 2011). Given that governments have a key role to play in creating and maintaining policy conditions that contribute to both a healthy economy and social well-being, what have been the Queensland Labor government's contributions to tourism, and what are the key challenges into the future?
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Barnes, Margaret I., Jan Pratt, Kathleen Finlayson, Barbara Pitt, and Cheryl Knight. "The First Steps Program: a case study of a new model of community child health service." Australian Health Review 34, no. 4 (2010): 386. http://dx.doi.org/10.1071/ah09762.
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Community Child Health Nursing Services provide support for new mothers; however, the focus has often been on individual consultations, complemented by a series of group sessions soon after birth. We describe a new model of community care for first-time mothers that centres on group sessions throughout the whole contact period. The model was developed by practicing child health nurses for a large health service district in south-east Queensland, which offers a comprehensive community child health service. Issues identified by clinicians working within existing services, feedback from clients and the need for more resource-efficient methods of service provision underpinned the development of the model. The pilot program was implemented in two community child health centres in Brisbane. An early individual consultation to engage the family with the service was added in response to feedback from clinicians and clients. The modified model has since been implemented service-wide as the ‘First Steps Program’. The introduction of this model has ensured that the service has been able to retain a comprehensive service for first-time parents from a universal population, while responding to the challenges of population growth and the increasing number of complex clients placing demands on resources.
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McGrath, Pam. "Overcoming the distance barrier in relation to treatment for haematology patients: Queensland findings." Australian Health Review 39, no. 3 (2015): 344. http://dx.doi.org/10.1071/ah14147.
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Objective The aim of the present study was to document the financial and psychosocial impact of relocation for specialist haematology treatment in Queensland. Methods This study was a qualitative exploratory study comprising 45 in-depth interviews with haematology patients supported by the Leukaemia Foundation of Queensland. Results The findings indicate that decentralisation of treatment is assisting haematology patients to overcome the profound difficulties associated with travelling to the metropolitan area for treatment. Conclusion Fostering specialist outreach and building capacity in regional cancer centres are service delivery strategies that are greatly appreciated by regional, rural and remote haematology patients who are stressed by the many challenges associated with leaving home to travel distances for specialist treatment. It is the hope and expectation that these findings will make a contribution to informing future health policy and service delivery planning. What is known about the topic? Internationally, there is evidence of the benefits of visiting specialists and the development of local specialist services for cancer patients in regional and rural areas, but there is limited research on the topic in Australia. What does this paper add? The findings herein make a contribution to this area of research through an up-to-date, in-depth consumer perspective on non-metropolitan oncology hospital services for haematology patients in Queensland. The evidence indicates that the opportunity to avoid travel to the metropolitan treating hospitals for regional, rural and remote haematology patients is increasingly an option in Queensland and greatly appreciated by many of those who have this option. What are the implications for practitioners? The findings applaud the work of the health professionals providing the opportunity for regional specialist care for haematology patients. With regard to service delivery and health policy decision making, it is important to note that for patients positive about access to local treatment, psychosocial concerns (e.g. remaining at home, connection with family, avoidance of financial hardship) predominate in their reasoning about benefit. Thus, it is important that regional, rural and remote patients are offered greater choice in treatment options and have more involvement in decision making about specialist care.
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Soong, Barbara, Fung Yee Chan, Sue Bloomfield, Mark Smith, and David Watson. "The Fetal Tele-Ultrasound Project in Queensland." Australian Health Review 25, no. 3 (2002): 67. http://dx.doi.org/10.1071/ah020067.
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The need for access to tertiary centre experts for those living in rural and remote areas of Queensland is well recognised. With an estimated population of 3.3 million people of whom 55% live outside the capital city, Queensland is ideally suited to telemedicine, as it provides a potential opportunity to improve access to specialist care. Congenital fetal abnormalities are the major causes of perinatal morbidity and mortality. With only two Maternal Fetal Medicine Specialists in Queensland located in a major teaching hospital in Brisbane, the opportunity to use videoconferencing technology to develop a tertiary level tele-ultrasound service presented a challenge - that is, to find a technical and clinical solution to enable such a service. We report on some of our practical experiences and difficulties in establishing such a service.
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Dwyer, Angela, Christine E. W. Bond, Matthew Ball, Murray Lee, and Thomas Crofts. "Support Provided by LGBTI Police Liaison Services: An Analysis of a Survey of LGBTIQ People in Australia." Police Quarterly 25, no. 1 (December 12, 2021): 33–58. http://dx.doi.org/10.1177/10986111211038048.
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Lesbian, gay, bisexual, transgender, and intersex (LGBTI) police liaison programs were established around Australia from the late 1980s onwards to ameliorate discriminatory relationships between LGBTIQ people and police. With specialized training to better understand LGBTIQ issues, police liaison officers can provide support to LGBTIQ people as victims, offenders, or witnesses. Interestingly, very few LGBTIQ people seek support from these officers, even though many know they exist. This paper reports the results of a survey of a sample of LGBTIQ community members across two Australian states (Queensland and New South Wales) that explored why LGBTIQ people seek support from LGBTI police liaison officers. An online questionnaire asked LGBTIQ people about their perceptions of, and experiences with, police generally, and LGBTI police liaison officers specifically. Similar to past research, our analysis primarily found high levels of awareness of liaison officers, but very few participants accessed them. Further, and concerningly, the participants were generally reluctant to seek them out for support. Key implications of our findings for policy and practice development in police and LGBTIQ community services are discussed.
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Fox, Haylee, Emily Callander, Daniel Lindsay, and Stephanie M. Topp. "Is there unwarranted variation in obstetric practice in Australia? Obstetric intervention trends in Queensland hospitals." Australian Health Review 45, no. 2 (2021): 157. http://dx.doi.org/10.1071/ah20014.
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ObjectiveThe aim of this study was to report on the rates of obstetric interventions within each hospital jurisdiction in the state of Queensland, Australia. MethodsThis project used a whole-of-population linked dataset that included the health and cost data of all mothers who gave birth in Queensland, Australia, between 2012 and 2015 (n=186789), plus their babies (n=189909). Adjusted and unadjusted rates of obstetric interventions and non-instrumental vaginal delivery were reported within each hospital jurisdiction in Queensland. ResultsHigh rates of obstetric intervention exist in both the private and public sectors, with higher rates demonstrated in the private than public sector. Within the public sector, there is substantial variation in rates of intervention between hospital and health service jurisdictions after adjusting for confounding variables that influence the need for obstetric intervention. ConclusionsDue to the high rates of obstetric interventions statewide, a deeper understanding is needed of what factors may be driving these high rates at the health service level, with a focus on the clinical necessity of the provision of Caesarean sections. What is known about the topic?Variation in clinical practice exists in many health disciplines, including obstetric care. Variation in obstetric practice exists between subpopulation groups and between states and territories in Australia. What does this paper add?What we know from this microlevel analysis of obstetric intervention provision within the Australian population is that the provision of obstetric intervention varies substantially between public sector hospital and health services and that this variation is not wholly attributable to clinical or demographic factors of mothers. What are the implications for practitioners?Individual health service providers need to examine the factors that may be driving high rates of Caesarean sections within their institution, with a focus on the clinical necessity of Caesarean section.
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Nagle, Gabrielle. "Progress in Queensland: from Service Centres to Centres of Service." Australian Journal of Primary Health 1, no. 1 (1995): 109. http://dx.doi.org/10.1071/py95018.
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Planning the development of new community facilities is a challenge. The knowledge required to provide a framework in which to establish a functional structure go beyond that of architecture, construction, health service provision, and facility management. What is required is an ability to create a centre, not only based on its internal and external appearance, but also on whether it is responsive and flexible enough to incorporate future needs and services beyond immediate planning.
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Avent, Minyon L., Lisa Hall, Louise Davis, Michelle Allen, Jason A. Roberts, Sean Unwin, Kylie A. McIntosh, Karin Thursky, Kirsty Buising, and David L. Paterson. "Antimicrobial stewardship activities: a survey of Queensland hospitals." Australian Health Review 38, no. 5 (2014): 557. http://dx.doi.org/10.1071/ah13137.
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Objective In 2011, the Australian Commission on Safety and Quality in Health Care (ACSQHC) recommended that all hospitals in Australia must have an Antimicrobial Stewardship (AMS) program by 2013. Nevertheless, little is known about current AMS activities. This study aimed to determine the AMS activities currently undertaken, and to identify gaps, barriers to implementation and opportunities for improvement in Queensland hospitals. Methods The AMS activities of 26 facilities from 15 hospital and health services in Queensland were surveyed during June 2012 to address strategies for effective AMS: implementing clinical guidelines, formulary restriction, reviewing antimicrobial prescribing, auditing antimicrobial use and selective reporting of susceptibility results. Results The response rate was 62%. Nineteen percent had an AMS team (a dedicated multidisciplinary team consisting of a medically trained staff member and a pharmacist). All facilities had access to an electronic version of Therapeutic Guidelines: Antibiotic, with a further 50% developing local guidelines for antimicrobials. One-third of facilities had additional restrictions. Eighty-eight percent had advice for restricted antimicrobials from in-house infectious disease physicians or clinical microbiologists. Antimicrobials were monitored with feedback given to prescribers at point of care by 76% of facilities. Deficiencies reported as barriers to establishing AMS programs included: pharmacy resources, financial support by hospital management, and training and education in antimicrobial use. Conclusions Several areas for improvement were identified: reviewing antimicrobial prescribing with feedback to the prescriber, auditing, and training and education in antimicrobial use. There also appears to be a lack of resources to support AMS programs in some facilities. What is known about the topic? The ACSQHC has recommended that all hospitals implement an AMS program by 2013 as a requirement of Standard 3 (Preventing and Controlling Healthcare-Associated Infections) of the National Safety and Quality Health Service Standards. The intent of AMS is to ensure appropriate prescribing of antimicrobials as part of the broader systems within a health service organisation to prevent and manage healthcare-associated infections, and improve patient safety and quality of care. This criterion also aligns closely with Standard 4: Medication Safety. Despite this recommendation, little is known about what AMS activities are undertaken in these facilities and what additional resources would be required in order to meet these national standards. What does the paper add? This is the first survey that has been conducted of public hospital and health services in Queensland, a large decentralised state in Australia. This paper describes what AMS activities are currently being undertaken, identifies practice gaps, barriers to implementation and opportunities for improvement in Queensland hospitals. What are the implications for practitioners? Several areas for improvement such as reviewing antimicrobial prescribing with feedback to the prescriber, auditing, and training and education in antimicrobial use have been identified. In addition, there appears to be a lack of resources to support AMS programs in some facilities.
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Hortz, Owen. "Measuring Efficiency and Effectiveness in Policing: A Queensland Perspective." Queensland Review 4, no. 2 (October 1997): 27–35. http://dx.doi.org/10.1017/s1321816600001513.
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The interest in the evaluation of police work has been growing rapidly over the last eight years. The economic growth of the early 1980s has been replaced with the economic stringency of the 1990s. There has been an adoption of the private sector approach to evaluating public services. Value for money has never been more important, and all public services have been called to demonstrate efficiency in operation. Performance indicators have been developed for the police to aid in demonstrating this.
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Greenup, E. P., D. Best, M. Page, and B. Potts. "No observed reduction of non-attendance rate in telehealth models of care." Australian Health Review 44, no. 5 (2020): 657. http://dx.doi.org/10.1071/ah19127.
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Objective This study investigated the provision of public specialist out-patient services in Queensland delivered in traditional hospital settings (in person) or through a two-way synchronous videoconferencing session (telehealth). Rates of attendance between these delivery methods were compared to detect any difference in rates of non-attendance among patients. Methods An extract of all specialist out-patient appointments reported in Queensland Health’s corporate patient administration systems between 1 July 2017 and 30 June 2018 was obtained (n = 2921702). Variables including how the service was delivered and whether the patient attended were captured for each event. Results No reduction in non-attendance was observed in the telehealth patient group (9.1%) compared with in-person service delivery (9.1% vs 7.9% respectively; = 113.56, P < 0.001, relative risk = 1.15). Discussion The study found no evidence that telehealth is effective at reducing rates of non-attendance in a specialist out-patient setting. This supports existing findings that most non-attendance is the result of forgetfulness or confusion with appointment details, to which telehealth appointments are also vulnerable. What is known about the topic? Non-attendance of out-patient appointments remains a persistent and costly problem for public and private providers of health services. Forgetting or being confused about appointment details are the most commonly reported reasons for patient non-attendance. What does this paper add? Telehealth models of care are increasingly being offered by health service providers, reducing travel requirements to all patients, particularly those in regional and remote settings. However, telehealth models of care do not address the most common reasons for patient non-attendance and telehealth patients are not less likely to miss their appointments. What are the implications for practitioners? Suggestions that telehealth models of care can reduce rates of non-attendance should be treated with caution by health service administrators and clinicians. More timely appointment reminders and easier processes to cancel or reschedule appointments remain the most effective techniques for reducing non-attendance.
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O'Grady, Kerry-Ann F., Amber Revell, Graeme P. Maguire, Renate Millonig, Michael A. Newman, David W. Reid, Deborah C. Hill, and Anne B. Chang. "Lung health care for Aboriginal and Torres Strait Islander Queenslanders: breathing easy is not so easy." Australian Health Review 35, no. 4 (2011): 512. http://dx.doi.org/10.1071/ah10973.
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Objectives. In Aboriginal and Torres Strait Islander peoples in Queensland, to (a) determine the disease burden of common chronic lung diseases and (b) identify areas of need with respect to lung health services. Methods. Literature reviews and analyses of hospitalisation and mortality data were used to describe disease epidemiology and available programs and services. Key stakeholder interviews and an online survey of health professionals were used to evaluate lung health services across the state and to identify services, needs and gaps. Results. Morbidity and mortality from respiratory diseases in the Indigenous population is substantially higher than the non-Indigenous population across all age groups and regions. There are inadequate clinical services and resources to address disease prevention, detection, intervention and management in an evidence-based and culturally acceptable fashion. There is a lack of culturally appropriate educational resources and management programs, insufficient access to appropriately engaged Indigenous health professionals, a lack of multi-disciplinary specialist outreach teams, fragmented information systems and inadequate coordination of care. Conclusions. Major initiatives are required at all levels of the healthcare system to adequately address service provision for Indigenous Queenslanders with lung diseases, including high quality research to investigate the causes for poor lung health, which are likely to be multifactorial. What is known about the topic? Chronic diseases, including lung disease contribute to, and influence outcomes of, the well-known health and socioeconomic disadvantage among Aboriginal and Torres Strait Islander Australians. Nationwide, the most common reason for hospitalisation of Indigenous Australians is for lung diseases (after renal dialysis). What does this paper add? There is currently no state- or nation-wide comprehensive review of chronic lung disease burden and the health services available to prevent, treat and manage lung disease. This review fills this gap in Queensland and has found that chronic lung disease burden is not homogenous. There are substantial gaps in, and barriers to, the provision of high quality, evidence based services and a paucity of well-designed research to inform policy and health service delivery. What are the implications for practitioners? Evidence-based strategies are needed at the primary, secondary and tertiary levels of the healthcare system. Fourteen recommendations relevant to practitioners and policy makers were formulated.
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Moretto, Nicole, Michelle Stute, Sonia Sam, Marita Bhagwat, Maree Raymer, Peter Buttrum, Merrilyn Banks, and Tracy A. Comans. "A uniform data set for determining outcomes in allied health primary contact services in Australia." Australian Journal of Primary Health 26, no. 1 (2020): 58. http://dx.doi.org/10.1071/py18104.
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The project aim was to develop and implement a set of metrics to capture and demonstrate the performance of newly established allied health primary contact services. Selection of the metrics and performance indicators was guided by an existing state-wide data collection system and from a review of the published literature. The metrics were refined after consultation with a working group of health service managers and clinicians. The data collection and reporting framework were developed for use in allied health primary contact services and implemented at public health facilities in Queensland, Australia. The set of metrics consists of 18 process and outcome measures. Patient-reported metrics include the global rating of change scale and patient satisfaction. Service metrics include wait times; referral source; triage category; diagnosis; occasions of service; referrals and investigations initiated; effects; care duration; discharge status; waitlist reinstatement reasons; treatment non-completion reasons; and expedited care. Safety, patient demographics and service improvement metrics were included. The metrics will enable analysis of the effectiveness of allied health primary contact services and will facilitate reporting, advocacy, service improvement, service continuity and research. The metrics are suitable for use by all providers of allied health primary contact services in hospital and primary care settings.
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Santhanam, Radhika, Ernest Hunter, Yvonne Wilkinson, Harvey Whiteford, and Alexandra McEwan. "Care, Community Capacity: Rethinking Mental Health Services in Remote Indigenous Settings." Australian Journal of Primary Health 12, no. 2 (2006): 51. http://dx.doi.org/10.1071/py06022.
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In 2002 a project was initiated to evaluate and restructure the Child and Youth Mental Health (CYMH) services in three health Service Districts: Cape York, the Torres Strait and Northern Peninsula Area and remote Cairns. The objective was to develop, establish and evaluate models of best practice for remote area CYMH services for Indigenous families living in far north Queensland. For the purposes of the project, an action research framework was adopted to guide the project design, methodology, implementation and evaluation. The first phase involved mapping of needs, the second phase focused on service restructure and outcomes were measured in the third phase. The planning/implementation/planning cycle was an ongoing part of the project and raised five significant themes: service equity, service quality, service sufficiency, Indigenous workforce, and service structure/ infrastructure. The principal project outcome was the establishment of a defined model of service delivery that incorporates the identified themes and sits within a community development framework. Other significant outcomes include the implementation of regular supervision and professional development activities and improvements in service data collection. This paper is a descriptive account of the process of service restructure and discusses the key project outcomes.
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IP, DAVID, CHI WAI LUI, and WING HONG CHUI. "Veiled entrapment: a study of social isolation of older Chinese migrants in Brisbane, Queensland." Ageing and Society 27, no. 5 (August 29, 2007): 719–38. http://dx.doi.org/10.1017/s0144686x07006083.
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ABSTRACTThis paper presents the findings of a study of the support and service needs of older Chinese people in Brisbane, the capital city of Queensland, Australia. There were two specific objectives: to ascertain the problems encountered by older Chinese-Australians in their daily lives and social activities; and to develop policy and service development recommendations, with a view to mitigating their problems, meeting their unmet needs, improving their quality of life, and enhancing their participation in Australian society. The study used multiple methods, including a literature review, focus group meetings, and a community survey. The findings indicate that older Chinese people, and particularly women, experience significant restrictions in their activity patterns, social isolation and loneliness. Their lack of proficiency in the English language, and the difficulties they have in accessing language-support and interpretation services, limit their autonomous mobility and make them heavily dependent on their adult children, not least for transport. Their physical and psychological wellbeing is affected further by strained relations with their adult children, and these are compounded by financial concerns. The implications of the findings for welfare policy and practice are discussed at the end of the paper.