Journal articles on the topic 'South Australian Public Service'
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1
Radbone, Ian. "DECENTRALISATION IN THE SOUTH AUSTRALIAN PUBLIC SERVICE: A PROGRESS REPORT." Australian Journal of Public Administration 50, no. 4 (December 1991): 432–43. http://dx.doi.org/10.1111/j.1467-8500.1991.tb02310.x.
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Cosh, Suzanne, Lauren Maksimovic, Kerry Ettridge, David Copley, and Jacqueline A. Bowden. "Aboriginal and Torres Strait Islander utilisation of the Quitline service for smoking cessation in South Australia." Australian Journal of Primary Health 19, no. 2 (2013): 113. http://dx.doi.org/10.1071/py11152.
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Smoking prevalence among Indigenous Australians far exceeds that of non-Indigenous Australians and is considered the greatest contributor to burden of disease for Indigenous Australians. The Quitline is a primary intervention for facilitating smoking cessation and, given the health implications of tobacco use, maximising its effectiveness for Indigenous Australians is imperative. However, the utilisation and effectiveness of this service within the Indigenous Australian population has not been examined. This study explores the utilisation of the South Australian Quitline by smokers identifying as Indigenous Australian. Quitline counsellors collected data regarding demographic characteristics, and smoking and quitting behaviour from Quitline callers in 2010. Results indicated that the proportion of Indigenous and non-Indigenous smokers who registered for the service was comparable. Demographic variables and smoking addiction at time of registration with the Quitline were similar for Indigenous and non-Indigenous callers. However, results indicated that Indigenous callers received significantly fewer callbacks than non-Indigenous callers and were significantly less likely to set a quit date. Significantly fewer Indigenous callers reported that they were still successfully quit at 3 months. Thus, Indigenous Australian callers may be less engaged with the Quitline and further research is required exploring whether the service could be tailored to make it more engaging for Indigenous Australians who smoke.
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Martin, Louise, Bonita Lloyd, Paul Cammell, and Frank Yeomans. "Transference-Focused Psychotherapy in Australian psychiatric training and practice." Australasian Psychiatry 25, no. 3 (September 27, 2016): 233–35. http://dx.doi.org/10.1177/1039856216671661.
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Objective: This article discusses Transference-Focused Psychotherapy, a contemporary evidence-based and manualised form of psychoanalytic psychotherapy for borderline personality disorder. Transference focused psychotherapy has evolved from decades of research in the object-relations approach developed by Professor Otto Kernberg and his collaborators. It is being adopted increasingly throughout North and South America and Europe, and this article explores the role its adoption might play in psychiatric training as well as public and private service provision contexts in Australia. Conclusions: Transference focused psychotherapy is readily applicable in a range of training, research and public and private service provision contexts in Australia. A numbers of aspects of current Australian psychiatric training and practice, such as the Royal Australian and New Zealand College of Psychiatrists advanced training certificate, and the Australian medicare schedule, make it especially relevant for this purpose.
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Delfabbro, Paul, Mignon Borgas, Robyn Vast, and Alexandra Osborn. "The effectiveness of public foster carer recruitment campaigns: The South Australian experience." Children Australia 33, no. 3 (2008): 29–36. http://dx.doi.org/10.1017/s1035077200000298.
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Between 2004 and 2006, the State Government of South Australia funded a foster carer recruitment service to increase the number of foster carers within the State. Based on a combination of public advertising, community consultation, and a step-by-step process of assessment, the service was successful in attracting considerable public interest in foster care. However, only limited success was achieved in recruiting new foster carers. To investigate this, a retrospective survey of 347 people who made contact with the recruitment service was conducted. The survey examined several factors that might have acted as barriers to becoming a foster carer, including: perceptions of the quality of the service, the nature of the assessment process, concerns about foster care, and personal characteristics and circumstances. The results showed that concerns about the nature of foster care (e.g. nature of the children, their families and fear of being falsely accused of abuse) discouraged around 30% of respondents, but that the majority declined to continue because of inopportune personal circumstances or a fear of failure. The findings highlight the importance of providing greater community information regarding foster care prior to large-scale campaigns, as well as undertaking more specifically targeted recruitment strategies.
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Almado, Haidar, Estie Kruger, and Marc Tennant. "Application of spatial analysis technology to the planning of access to oral health care for at-risk populations in Australian capital cities." Australian Journal of Primary Health 21, no. 2 (2015): 221. http://dx.doi.org/10.1071/py13141.
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Australians are one of the healthiest populations in the world but there is strong evidence that health inequalities exist. Australia has 23.1 million people spread very unevenly over ~20 million square kilometres. This study aimed to apply spatial analysis tools to measure the spatial distribution of fixed adult public dental clinics in the eight metropolitan capital cities of Australia. All population data for metropolitan areas of the eight capital cities were integrated with socioeconomic data and health-service locations, using Geographic Information Systems, and then analysed. The adult population was divided into three subgroups according to age, consisting of 15-year-olds and over (n = 7.2 million), retirees 65 years and over (n = 1.2 million), and the elderly, who were 85 years and over (n = 0.15 million). It was evident that the States fell into two groups; Tasmania, Northern Territory, Australian Capital Territory and Western Australia in one cluster, and Victoria, New South Wales, Queensland and South Australia in the other. In the first group, the average proportion of the population of low socioeconomic status living in metropolitan areas within 2.5 km of a government dental clinic is 13%, while for the other cluster, it is 42%. The clustering remains true at 5 km from the clinics. The first cluster finds that almost half (46%) of the poorest 30% of the population live within 5 km of a government dental clinic. The other cluster of States finds nearly double that proportion (86%). The results from this study indicated that access distances to government dental services differ substantially in metropolitan areas of the major Australian capital cities.
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Emden, Carolyn, Inge Kowanko, Charlotte de Crespigny, and Helen Murray. "Better medication management for Indigenous Australians: findings from the field." Australian Journal of Primary Health 11, no. 1 (2005): 80. http://dx.doi.org/10.1071/py05011.
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This paper reports findings from interviews and focus groups conducted within a multi-dimensional action research project concerning medication management among Indigenous Australians. Participants were Aboriginal people with mental health problems, carers and family members, and health and social service workers from different regions in South Australia. A meta-analysis of findings from each regional project component was conducted, and major themes conceptualised and developed into a coherent summary. The findings revealed problems of a magnitude not previously realised - mental health problems (including alcohol and drug problems) and medication management among Aboriginal people clearly are major issues requiring immediate and sustained attention if the health and welfare of the Australian Indigenous population are to be improved. Findings concerned eight major areas: social and emotional wellbeing issues; stressors on Aboriginal health services and providers; training for the Aboriginal health workforce; mainstream health services for Aboriginal people; trust and confidentiality within Aboriginal health services; English language literacy and numeracy skills of Aboriginal clients; remote living arrangements for many Aboriginal people; problems with alcohol use; and institutionalised and individual racism in the community at large.
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Hordacre, Ann-Louise, Anne Taylor, Christy Pirone, and Robert J. Adams. "Assessing patient satisfaction: implications for South Australian public hospitals." Australian Health Review 29, no. 4 (2005): 439. http://dx.doi.org/10.1071/ah050439.
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This paper reports on the results from 2620 South Australians who participated in the 2003 Patient Evaluation of Hospital Services. Patients were found to be generally satisfied with the care, services and amenities provided, with a statewide overall score of 86.3. Satisfaction was lowest in the patients? assessment of their involvement in their own care and treatment. Three demographic factors (younger age, female sex or tertiary education) predicted lower levels of satisfaction in the multivariate analysis, whereas living with others, non-emergency admission or admission to smaller hospitals were found to predict higher satisfaction. Despite administrative and organisational difficulties, and limited current evidence of increased quality or satisfaction, it is considered important to continue satisfaction research with the goal of encouraging the development of action plans for improvement of care, services and amenities.
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Luzzi, L., and AJ Spencer. "Public dental service utilization among adults in South Australia." Australian Dental Journal 54, no. 2 (June 2009): 154–60. http://dx.doi.org/10.1111/j.1834-7819.2009.01109.x.
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Krichauff, Skye, Joanne Hedges, and Lisa Jamieson. "‘There’s a Wall There—And That Wall Is Higher from Our Side’: Drawing on Qualitative Interviews to Improve Indigenous Australians’ Experiences of Dental Health Services." International Journal of Environmental Research and Public Health 17, no. 18 (September 7, 2020): 6496. http://dx.doi.org/10.3390/ijerph17186496.
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Indigenous Australians experience high levels of untreated dental disease compared to non-Indigenous Australians. We sought to gain insight into barriers that prevent Indigenous Australians from seeking timely and preventive dental care. A qualitative study design was implemented, using face-to-face interviews conducted December 2019 to February 2020. Participants were 20 Indigenous Australians (10 women and 10 men) representing six South Australian Indigenous groups; Ngarrindjeri, Narungga, Kaurna, Ngadjuri, Wiramu, and Adnyamathanha. Age range was middle-aged to elderly. The setting was participants’ homes or workplaces. The main outcome measures were barriers and enablers to accessing timely and appropriate dental care. The findings were broadly grouped into eight domains: (1) fear of dentists; (2) confusion regarding availability of dental services; (3) difficulties making dental appointments; (4) waiting times; (5) attitudes and empathy of dental health service staff; (6) cultural friendliness of dental health service space; (7) availability of public transport and parking costs; and (8) ease of access to dental clinic. The findings indicate that many of the barriers to Indigenous people accessing timely and appropriate dental care may be easily remedied. Cultural competency training enables barriers to timely access and provision of dental care to Indigenous Australians to be addressed. The findings provide important context to better enable health providers and policy makers to put in place appropriate measures to improve Indigenous people’s oral health, and the Indigenous oral health workforce in Australia.
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Kohlborn, Thomas, Axel Korthaus, Christoph Peters, and Erwin Fielt. "A Comparative Study of Governmental One-Stop Portals for Public Service Delivery." International Journal of Intelligent Information Technologies 9, no. 3 (July 2013): 1–19. http://dx.doi.org/10.4018/jiit.2013070101.
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The continuing need for governments to radically improve the delivery of public services has led to a new, holistic government reform strategy labeled “Transformational Government” that strongly emphasizes customer-centricity. Attention has turned to online portals as a cost effective front-end to deliver services and engage customers as well as to the corresponding organizational approaches for the back-end to decouple the service interface from the departmental structures. The research presented in this paper makes three contributions: Firstly, a systematic literature review of approaches to the evaluation of online portal models in the public sector is presented. Secondly, the findings of a usability study comparing the online presences of the Queensland Government, the UK Government and the South Australian Government are reported and the relative strengths and weaknesses of the different approaches are discussed. And thirdly, the limitations of the usability study in the context of a broader “Transformational Government” approach are identified and service bundling is suggested as an innovative solution to further improve online service delivery.
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O’Dea, Bridianne, Catherine King, Melinda R. Achilles, Alison L. Calear, and Mirjana Subotic-Kerry. "Delivering A Digital Mental Health Service in Australian Secondary Schools: Understanding School Counsellors’ and Parents’ Experiences." Health Services Insights 14 (January 2021): 117863292110176. http://dx.doi.org/10.1177/11786329211017689.
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This study examined school counsellors’ and parents’ experiences of a school-based digital mental health service (Smooth Sailing) that screened students’ mental health and provided automated psychological care. The Smooth Sailing service was offered to 4 secondary schools in New South Wales, Australia, for a 6-week trial period with 59 students taking part. The participating school counsellors (n = 4) completed a semi-structured interview to explore their experiences. Parents of students who had consented to being contacted (n = 37/59) were invited to complete an anonymous online survey about their child’s participation. Six parents completed the survey. The school counsellors expressed overall support for the service and cited the ease of service use, its ability to identify students at-risk, and the provision of psychoeducation to students as clear benefits. They identified some barriers to the service, such as parental consent and suggested strategies to improve uptake and engagement, such as incentives, more frequent screening and use with older students. Parents also reported positive experiences with the service, expressing appreciation for mental health screening in schools and a new system to connect them and their child to school counselling services. Taken together, these findings provide initial support for delivering the Smooth Sailing service in secondary schools. Trial registration: This trial was registered with the Australian and New Zealand Clinical Trial Registry (ACTRN12617000977370).
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Treadwell, Jane, Jerome Maguire, and Anne Howe. "BENCHMARKING CORPORATE SERVICES: A SOUTH AUSTRALIAN PUBLIC SECTOR CASE STUDY." Australian Journal of Public Administration 54, no. 3 (September 1995): 408–13. http://dx.doi.org/10.1111/j.1467-8500.1995.tb01152.x.
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Chandra, Meena, Anthea Duri, and Mitchell Smith. "Prevalence of chronic disease risk factors in 35- to 44-year-old humanitarian arrivals to New South Wales (NSW), Australia." Australian Journal of Primary Health 25, no. 1 (2019): 19. http://dx.doi.org/10.1071/py18042.
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The aim of this study is to compare the prevalence of chronic disease risk factors in humanitarian arrivals to Sydney, New South Wales (NSW) with the Australian Indigenous and non-Indigenous populations aged 35–44 years. Data on risk factors collected from 237 refugees presenting to the NSW Refugee Health Service (RHS) from January 2015 to August 2016 were retrospectively analysed and compared with data from the Australian Health Surveys, 2011–13 for the Indigenous and non-Indigenous Australian populations. This study found significantly higher levels of triglycerides (z=3; 95% CI, 0.16–0.26); hypertension (z=3.2; 95% CI, 0.17–0.29); and smoking (z=3.5; 95% CI, 0.27–0.33) in refugees compared with the general Australian population. The Indigenous population had significantly higher levels of triglycerides (z=4; 95% CI, 0.16–0.26); body mass indexes (BMIs) (z=3.3; 95% CI 0.58–0.72); and smoking (z=5.4; 95 CI 0.27–0.33) compared with refugees. Based on the study findings, screening for chronic disease risk factors from age 35 years may be warranted in all humanitarian arrivals to Australia, along with dietary and lifestyle advice.
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Thompson, Walter R., Garry D. Phillips, and Michael J. Cousins. "Anaesthesia underpins acute patient care in hospitals." Australian Health Review 31, no. 5 (2007): 116. http://dx.doi.org/10.1071/ah07s116.
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The Australian and New Zealand College of Anaesthetists (ANZCA) carried out a review of the roles of anaesthetists in providing acute care services in both public and private hospitals in Europe, North America and South-East Asia. As a result, ANZCA revised its education and training program and its processes relating to overseastrained specialists. The new training program, introduced in 2004, formed the basis for submissions to the Australian Medical Council, and the Australian Competition and Consumer Commission/ Australian Health Workforce Officials? Committee review of medical colleges. A revised continuing professional development program will be in place in 2007. Anaesthetists in Australia and New Zealand play a pivotal role in providing services in both public and private hospitals, as well as supporting intensive care medicine, pain medicine and hyperbaric medicine. Anaesthesia allows surgery, obstetrics, procedural medicine and interventional medical imaging to function optimally, by ensuring that the patient journey is safe and has high quality care. Specialist anaesthetists in Australia now exceed Australian Medical Workforce Advisory Committee recommendations
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Price, Kay. "Understanding Life Transitions." Australian Journal of Primary Health 12, no. 2 (2006): 9. http://dx.doi.org/10.1071/py06017.
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I wanted to share with readers the outcomes of a research project I have been involved with. It was funded by a three-year nationally competitive discovery grant (2003-2005) from the Australian Research Council (ARC [DP 0346092]). This was a collaborative project between the Research Unit, Royal District Nursing Services, South Australia and University of South Australia, School of Nursing and Midwifery.
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Guy, Rebecca, James S. Ward, Kirsty S. Smith, Jiunn-Yih Su, Rae-Lin Huang, Annie Tangey, Steven Skov, et al. "The impact of sexually transmissible infection programs in remote Aboriginal communities in Australia: a systematic review." Sexual Health 9, no. 3 (2012): 205. http://dx.doi.org/10.1071/sh11074.
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Objective To systematically review evaluations of the impact of sexually transmissible infection (STI) programs delivered by primary health care services in remote Aboriginal communities. Methods: PubMed, Google Scholar, InfoNet, Cochrane Controlled Trials Register, Australian New Zealand Clinical Trial Registry, conference proceedings and bulletins were searched to April 2011 using variations of the terms ‘Aboriginal’, ‘programs’ and ‘STI’. The primary outcome of interest in the review was the change in bacterial STI infection prevalence in the target age group assessed through cross-sectional screening studies over a 5-year period or more. The characteristics of the primary health care service, STI programs and other clinical service outcomes were also described. Results: Twelve reports described four distinct STI programs in remote communities and their impact on STI prevalence. In the Anangu Pitjantjatjara Yankunytjatjara (APY) lands of northern South Australia, there was a reduction in the age-adjusted chlamydia and gonorrhoea prevalence by 58% and 67%, respectively (1996–2003). In the Tiwi Islands of Northern Territory (NT), chlamydia and gonorrhoea positivity decreased by 94% and 34%, respectively (2002–2005). In the Ngaanyatjarra Lands of Western Australia, crude chlamydia and gonorrhoea prevalence decreased by 36% and 48%, respectively (2001–2005), and in the central Australian region of NT, there was no sustained decline in crude prevalence (2001–2005). Conclusion: In three of the four programs, there was some evidence that clinical best practice and well coordinated sexual health programs can reduce STI prevalence in remote Aboriginal communities.
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Jordan, Julie, Lola Bishop, and Robynne Hunt. "The Family and Baby Program: Becoming More Accountable." Australian Journal of Primary Health 6, no. 4 (2000): 126. http://dx.doi.org/10.1071/py00045.
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The aim of this paper is to discuss briefly Child and Youth Health's (CYH) Family and Baby Program (FAB). CYH is a statewide community health service for young South Australians funded by the State Government. The organisation has a primary health care focus and works in partnership with individuals, families and communities to enhance the health status of children and young people in South Australia, focusing on the promotion of health and the prevention of ill health. CYH has two divisions, the Child and Family Health Service (which offers health services to families of children aged 0 to 12 years) and The Second Story (which serves the health needs of young people aged 12 to 25 years). It also has a Parent Helpline, a statewide telephone information and support service for parents of both children and young people.
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Cheng, I.-Hao, Jacquie McBride, Miriam Decker, Therese Watson, Hannah Jakubenko, and Alana Russo. "The Asylum Seeker Integrated Healthcare Pathway: a collaborative approach to improving access to primary health care in South Eastern Melbourne, Victoria, Australia." Australian Journal of Primary Health 25, no. 1 (2019): 6. http://dx.doi.org/10.1071/py18028.
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It is important to address the health needs of asylum seekers within the early stages of their arrival in Australia, as this impacts all aspects of their resettlement. However, asylum seekers face a range of barriers to accessing timely and appropriate health care in the community. In 2012, the increasing number of asylum seekers in Australia placed additional demand on health and social services in high-settlement regions. Health providers experienced a substantial increase in Medicare ineligible clients and avoidable presentations to Emergency Departments, and the health needs of new asylum seeker arrivals were not being fully addressed. In response, South Eastern Melbourne Medicare Local, Monash Health, the Australian Red Cross and local settlement support agencies collaborated to develop an integrated healthcare pathway in South Eastern Melbourne to facilitate healthcare access for asylum seekers released from detention. From September 2012 to December 2014, a total of 951 asylum seekers transitioned through the pathway. Seventy-eight percent required primary healthcare assistance, and were provided with a service appointment within 3 weeks of their arrival in Melbourne. This initiative has demonstrated the value of partnership and collaboration when responding to emergent asylum seeker health needs.
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Mbecke, Paulin. "Corporate municipal governance for effective and efficient public service delivery in South Africa." Journal of Governance and Regulation 3, no. 4 (2014): 98–106. http://dx.doi.org/10.22495/jgr_v3_i4_c1_p2.
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This research acknowledges the current service delivery chaos manifested through numerous protests justifying the weakness of the “Batho Pele” good governance principles to facilitate, improve and sustain service delivery by local governments. The success of corporate governance in corporate companies and state owned enterprises is recognised prompting suggestions that local governments should too adopt corporate governance principles or King III to be effective. The research reviews the King III and literature to ascertain the lack of research on corporate governance in local governments in South Africa. Considering the particular set-up of local governments, the research doubts the successful application of King III in local governments. Through critical research theory, the current service delivery crisis in local governments in South Africa is described. The success of corporate governance systems in the United Kingdom and Australian local governments justify the need for a separate corporate municipal governance system as a solution to the crisis. A specific change of legislation and corporate governance guidelines is necessary to address the uniqueness of local governments. Hence, corporate municipal governance should be compulsory and based on ten standardised good governance principles via a code of corporate governance and a corporate governance framework responding to specific prerequisites for success
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Subedi, Rajan, Sabitra Kaphle, Manju Adhikari, Yamuna Dhakal, Mukesh Khadka, Sabina Duwadi, Sunil Tamang, and Sonu Shakya. "First call, home: perception and practice around health among South Asian migrants in Melbourne, Australia." Australian Journal of Primary Health 28, no. 1 (January 11, 2022): 40–48. http://dx.doi.org/10.1071/py21036.
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The socio-cultural context of populations has a significant effect on health outcomes across every stage of life. In Australia, South Asian migrants have a comparatively higher incidence of chronic disease and less use of health services. Often overlooked are community views of health, cultural traits and belief systems. This study aimed to explore the factors that influence health perception and practice of South Asian migrants. The study used a mixed method approach with both a survey and interviews. A total of 62 participants between the age of 18 and 64 years were surveyed and 14 participants completed interviews. Data were analysed descriptively and thematically. South Asians share a common perception and practice around health and illness. This paper highlights two key findings. First, these groups take a broad view of health encompassing physical, mental, emotional, social and economic aspects of life. Second, these cultural groups do not seek medical help as their first choice, but have a high level of trust in family for providing health advice and share a belief in the effectiveness of home remedies for managing health conditions. Participants shared their expectation that the Australian health system should consider their socio-cultural construct to make services culturally safe and engaging to enhance service utilisation.
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Bolsewicz, Katarzyna, Susan Thomas, Donna Moore, Colleen Gately, Andrew Dixon, Paul Cook, and Peter Lewis. "Using the Tailoring Immunization Programmes guide to improve child immunisation in Umina, New South Wales: we could still do better." Australian Journal of Primary Health 26, no. 4 (2020): 325. http://dx.doi.org/10.1071/py19247.
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In the Central Coast Local Health District of New South Wales, Australia, childhood immunisation (CI) rates are around 95%, but pockets of underimmunisation exist. Using the World Health Organization’s Tailoring Immunization Programmes, we identified areas of potential low vaccine coverage using Australian Immunisation Register (AIR) data (2016–18) and investigated factors that influence CI. Individual and group interviews with carers, community members and service providers (n=52 participants) were conducted. Data were analysed thematically and the themes presented to stakeholders for feedback before finalisation. During 2018, Umina had 218 children at least 1 month overdue for at least one vaccination. Five themes emerged: (1) broader socioeconomic factors may apply pressures that influence CI; (2) parents largely supported immunisation and knew of its benefits to their children and the community; (3) immunisation service providers are committed, experienced and collaborate with community partners; (4) there is potential to increase access to free immunisation services in Umina; and (5) AIR data and reminder systems could be better used to inform service delivery and prompt parents before immunisations are due. This study identified opportunities to improve CI coverage in Umina and new information useful in developing a tailored immunisation strategy. Awareness of the pressures socioeconomic factors may have on families could help plan and deliver supportive primary health care that includes equitable access to immunisation.
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Mirza, Yaser. "Challenges for Public Sector Organisations in Cloud Adoption: A Case Study of South Australian Public Sector Agency." International Journal of Managing Public Sector Information and Communication Technologies 12, no. 3 (September 30, 2021): 1–21. http://dx.doi.org/10.5121/ijmpict.2021.12301.
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This research explores critical aspects of procurement of ICT cloud services for South Australian public sector organisations with the case of South Australia Police (SAPOL) for evaluation. SAPOL as one of the state government agencies at the time is initiating this transition to the cloud environment. This exploratory research takes place when this public sector agency is doing its due diligence to ensure a successful implementation. In this study the researcher started off with surfacing the challenges in this journey for a public sector organisation before the actual journey commenced. SAPOL being a public sector organisation operates differently from private enterprises and has certain constraints and limitations that pose additional challenges for the organisation to transition towards the cloud. Interview with the CIO of the organisation responsible for the cloud migration initiative was organised. After detailed literature review, an interview questionnaire was prepared in accordance with the subject of interest. The information gathered in the interviews was recorded for detailed analysis. This paper contains a detailed report on the information analysed highlighting fourteen important challenges faced by the organisation in this cloud migration journey.
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Eckert, Kerena A., Anne W. Taylor, and David Wilkinson. "Does health service utilisation vary by remoteness? South Australian population data and the Accessibility and Remoteness Index of Australia." Australian and New Zealand Journal of Public Health 28, no. 5 (October 2004): 426–32. http://dx.doi.org/10.1111/j.1467-842x.2004.tb00024.x.
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Harris, Paul, Asiyeh Salehi, Elizabeth Kendall, Jennifer Whitty, Andrew Wilson, and Paul Scuffham. "“She’ll be right, mate!”: do Australians take their health for granted?" Journal of Primary Health Care 12, no. 3 (2020): 277. http://dx.doi.org/10.1071/hc20025.
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ABSTRACT INTRODUCTIONHealth consciousness highlights the readiness of individuals to undertake health actions and take responsibility for their health and the health of others. AIMTo examine the health consciousness of Australians and its association with health status, health-care utilisation and sociodemographic factors. METHODSThis quantitative cross-sectional study was a part of a larger project aiming to engage the general public in health-care decision-making. Adults from Queensland and South Australia (n=1529) were recruited to participate by a panel company. The questionnaire included the Health Consciousness Scale (HCS), health status, health-care utilisation, sociodemographic and socioeconomic variables. RESULTSThe health consciousness of Australians was relatively low (mean score=21), compared to other international administrations of the HCS, and further investigations revealed that more health-conscious people tended to live in South Australia, be female and single, experience poorer physical and mental health and were more frequent users of health-care services. DISCUSSIONThe general approach to health in this sample of the Australian public may reflect ‘here and now’ concerns. It appears that an attitude of ‘she’ll be right, mate’ prevails until a change in an individual’s health status or their exposure to the health system demands otherwise. These findings need to be investigated further to see if they are confirmed by others and to clarify the implications for primary health programmes in Australia in redressing the public’s apparent apathy.
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Borotkanics, Robert, Cassandra Rowe, Andrew Georgiou, Heather Douglas, Meredith Makeham, and Johanna Westbrook. "Changes in the profile of Australians in 77 residential aged care facilities across New South Wales and the Australian Capital Territory." Australian Health Review 41, no. 6 (2017): 613. http://dx.doi.org/10.1071/ah16125.
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Objective Government expenditure on and the number of aged care facilities in Australia have increased consistently since 1995. As a result, a range of aged care policy changes have been implemented. Data on demographics and utilisation are important in determining the effects of policy on residential aged care services. Yet, there are surprisingly few statistical summaries in the peer-reviewed literature on the profile of Australian aged care residents or trends in service utilisation. Therefore, the aim of the present study was to characterise the demographic profile and utilisation of a large cohort of residential aged care residents, including trends over a 3-year period. Methods We collected 3 years of data (2011–14) from 77 residential aged care facilities and assessed trends and differences across five demographic and three service utilisation variables. Results The median age at admission over the 3-year period remained constant at 86 years. There were statistically significant decreases in separations to home (z = 2.62, P = 0.009) and a 1.35% increase in low care admissions. Widowed females made up the majority (44.75%) of permanent residents, were the oldest and had the longest lengths of stay. One-third of permanent residents had resided in aged care for 3 years or longer. Approximately 30% of residents were not born in Australia. Aboriginal residents made up less than 1% of the studied population, were younger and had shorter stays than non-Aboriginal residents. Conclusion The analyses revealed a clear demographic profile and consistent pattern of utilisation of aged care facilities. There have been several changes in aged care policy over the decades. The analyses outlined herein illustrate how community, health services and public health data can be used to inform policy, monitor progress and assess whether intended policy has had the desired effects on aged care services. What is known about the topic? Characterisation of permanent residents and their utilisation of residential aged care facilities is poorly described in the peer-reviewed literature. Further, publicly available government reports are incomplete or characterised using incomplete methods. What does this paper add? The analyses in the present study revealed a clear demographic profile and consistent pattern of utilisation of aged care facilities. The most significant finding of the study is that one-third of permanent residents had resided in an aged care facility for ≥3 years. These findings add to the overall picture of residential aged care utilisation in Australia. What are the implications for practitioners? The analyses outlined herein illustrate how community, health services and public health data can be utilised to inform policy, monitor progress and assess whether or not intended policy has had the desired effects on aged care services.
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Kent, Suzanne, and Peter Yellowlees. "The Relationship between Social Factors and Frequent Use of Psychiatric Services." Australian & New Zealand Journal of Psychiatry 29, no. 3 (September 1995): 403–8. http://dx.doi.org/10.3109/00048679509064947.
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The purpose of the study was to develop a comprehensive demographic, diagnostic and social profile of patients who are heavy service users of hospital and community based services within the South Australian Mental Health Services (SAMHS). This paper concentrates on the relationship of social issues to heavy service use. The 50 heaviest users of public adult acute psychiatric services in a defined catchment area of Adelaide were identified. Data were obtained retrospectively from the case notes over a 3 year study period. All patients' primary therapists were interviewed, as were 35 of the patients. These structured interviews included a variety of psychosocial rating scales investigating disability and social networks. The 50 patients studied were found to be seriously disabled by chronic psychiatric illness, with substance abuse often complicating their management and their ability to live successfully in the community. The study confirms the emergence in the literature of a valid global profile of the heavy service user patient, and indicates that social factors are strongly related to heavy service use.
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Hartwell, John. "2009 Release of offshore petroleum exploration acreage." APPEA Journal 49, no. 1 (2009): 463. http://dx.doi.org/10.1071/aj08030.
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John Hartwell is Head of the Resources Division in the Department of Resources, Energy and Tourism, Canberra Australia. The Resources Division provides advice to the Australian Government on policy issues, legislative changes and administrative matters related to the petroleum industry, upstream and downstream and the coal and minerals industries. In addition to his divisional responsibilities, he is the Australian Commissioner for the Australia/East Timor Joint Petroleum Development Area and Chairman of the National Oil and Gas Safety Advisory Committee. He also chairs two of the taskforces, Clean Fossil Energy and Aluminium, under the Asia Pacific Partnership for Clean Development and Climate (AP6). He serves on two industry and government leadership groups delivering reports to the Australian Government, strategies for the oil and gas industry and framework for the uranium industry. More recently he led a team charged with responsibility for taking forward the Australian Government’s proposal to establish a global carbon capture and storage institute. He is involved in the implementation of a range of resource related initiatives under the Government’s Industry Action Agenda process, including mining and technology services, minerals exploration and light metals. Previously he served as Deputy Chairman of the Snowy Mountains Council and the Commonwealth representative to the Natural Gas Pipelines Advisory Committee. He has occupied a wide range of positions in the Australian Government dealing with trade, commodity, and energy and resource issues. He has worked in Treasury, the Department of Trade, Department of Foreign Affairs and Trade and the Department of Primary Industries and Energy before the Department of Industry, Science and Resources. From 1992–96 he was a Minister Counsellor in the Australian Embassy, Washington, with responsibility for agriculture and resource issues and also served in the Australian High Commission, London (1981–84) as the Counsellor/senior trade relations officer. He holds a MComm in economics, and Honours in economics from the University of New South Wales, Australia. Prior to joining the Australian Government, worked as a bank economist. He was awarded a public service medal in 2005 for his work on resources issues for the Australian Government.
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Ronnau, Peggy, Arthur Papakotsias, and Glen Tobias. ""Not for" sector in community mental health care defines itself and strives for quality." Australian Journal of Primary Health 14, no. 2 (2008): 68. http://dx.doi.org/10.1071/py08025.
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This paper briefly describes the history and service context of the Psychiatric Disability Rehabilitation and Support sector (PDRSS) in Victoria, and, to a lesser extent, in New South Wales, South Australia and Western Australia. In describing the sector we will call upon the experience of a particular PDRSS - Neami - in operating and developing services, and the challenges it faced in establishing a culture of quality that directly improves consumer outcomes. Elements of this experience may serve as a guide in the development of mental health service policy at state and federal level.
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Fauk, Nelsensius Klau, Anna Ziersch, Hailay Gesesew, Paul Ward, Erin Green, Enaam Oudih, Roheena Tahir, and Lillian Mwanri. "Migrants and Service Providers’ Perspectives of Barriers to Accessing Mental Health Services in South Australia: A Case of African Migrants with a Refugee Background in South Australia." International Journal of Environmental Research and Public Health 18, no. 17 (August 24, 2021): 8906. http://dx.doi.org/10.3390/ijerph18178906.
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International mobility has increased steadily in recent times, bringing along a myriad of health, social and health system challenges to migrants themselves and the host nations. Mental health issues have been identified as a significant problem among migrants, with poor accessibility and underutilisation of the available mental health services (MHSs) repeatedly reported, including in Australia. Using a qualitative inquiry and one-on-one in-depth interviews, this study explored perspectives of African migrants and service providers on barriers to accessing MHSs among African migrants in South Australia. The data collection took place during the COVID-19 pandemic with lockdown and other measures to combat the pandemic restricting face to face meetings with potential participants. Online platforms including Zoom and/or WhatsApp video calls were used to interview 20 African migrants and 10 service providers. Participants were recruited from community groups and/or associations, and organisations providing services for migrants and/or refugees in South Australia using the snowball sampling technique. Thematic framework analysis was used to guide the data analysis. Key themes centred on personal factors (health literacy including knowledge and the understanding of the health system, and poor financial condition), structural factors related to difficulties in navigating the complexity of the health system and a lack of culturally aware service provision, sociocultural and religious factors, mental health stigma and discrimination. The findings provide an insight into the experiences of African migrants of service provision to them and offer suggestions on how to improve these migrants’ mental health outcomes in Australia. Overcoming barriers to accessing mental health services would need a wide range of strategies including education on mental health, recognising variations in cultures for effective service provision, and addressing mental health stigma and discrimination which strongly deter service access by these migrants. These strategies will facilitate help-seeking behaviours as well as effective provision of culturally safe MHSs and improvement in access to MHSs among African migrants.
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Leach, Matthew J. "Determinants of Complementary Medicine Service Utilization in a Regional South Australian Population: A Cross‐Sectional Study." Journal of Rural Health 37, no. 1 (March 9, 2020): 69–80. http://dx.doi.org/10.1111/jrh.12421.
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Bull, Michael A., Sheila Clark, and Katherine Duszynski. "Lessons from a Community's Response to the Death of Diana, Princess of Wales." OMEGA - Journal of Death and Dying 46, no. 1 (February 2003): 35–49. http://dx.doi.org/10.2190/u1ba-gy78-9q06-ntq0.
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The death of Diana, Princess of Wales, resulted in an international phenomenon of grief rarely seen. In South Australia, research was undertaken on one aspect of public grief that has received little study—the impact of such an event on the utilization of grief support and counseling services. A survey of 65 community service organizations revealed a pattern of increased service requests in the three weeks following Diana's death, particularly among grief-related organizations. The study identified persons who appeared more vulnerable to this public loss event, how community members tried to cope with their grief, strategies used by community organizations to assist, the impact on helpers, and suggestions for improved responses to future public loss events. The findings of this study are seen as important in helping service providers and community leaders to prepare for reactions to other public loss events.
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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.
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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.
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Nestor, Paul, and Cherrie Galletly. "The Employment of Consumers in Mental Health Services: Politically Correct Tokenism or Genuinely Useful?" Australasian Psychiatry 16, no. 5 (January 1, 2008): 344–47. http://dx.doi.org/10.1080/10398560802196016.
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Objective: The aim of this paper is to examine the role of consumers as service providers and to describe the successful employment of peer support workers in a public mental health service. Conclusions: The Peer Support Worker program in Adelaide, South Australia is consistent with evidence obtained from previous research in demonstrating the successful training and employment of consumers as peer workers in a public mental health service.
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Rissel, Chris. "A Communitarian Correction for Health Outcomes in New South Wales?" Australian Journal of Primary Health 2, no. 2 (1996): 36. http://dx.doi.org/10.1071/py96027.
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For over a decade, there has been a growing focus on health outcomes in the Australian health care system at a national and state level. Designed to improve population health, health outcomes programs are an attempt to re-orient health services. In Australia, New South Wales (NSW) is probably the most advanced state in implementing a health outcomes approach. What is the role of communities in the model of health outcomes proposed by the NSW Health Department? A theoretical perspective of 'community' is presented, which is then used to analyse major policy documents and publications from the NSW Department of Health that advance a health outcomes approach. The interface between health services and communities is particularly important from the perspective of NSW Health Areas and Districts which must implement programs to improve the health outcomes of the communities in their catchment areas. The contribution to improved health outcomes that is possible by working with communities should not be lost in any re-orientation of health services.
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Du Plessis, Izelle. "Double Taxation Treaty Interpretation: Lessons from a Case Down Under." Potchefstroom Electronic Law Journal 23 (December 8, 2020): 1–22. http://dx.doi.org/10.17159/1727-3781/2020/v23i0a6840.
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In the Australian case of Bywater Investments Ltd v Commissioner of Taxation; Hua Wang Bank Berhad v Commissioner of Taxation (the Bywater case) the Australian High Court dealt with the question of whether certain companies were resident in Australia for income tax purposes. The majority answered this question by applying Australian domestic law. In a separate but concurring judgement, Gordon J also discussed the interpretation and application of the relevant double taxation treaty. This contribution analyses Gordon J's judgment to extract guidance from it for the South African courts on their interpretation of double taxation treaties.
It is submitted that South African courts should also follow the "first step" proposed by Gordon J when interpreting double taxation treaties. South African courts may find Gordon J's judgment "instructive" when dealing with the interpretation of the "place of effective management" concept in both domestic law and double taxation treaties. In his judgment Gordon J favours the goal of common interpretation and it is argued that South African courts should follow this example and explicitly support this notion in applicable cases. From Gordon J's judgment and the judgement in Krok v Commissioner, South African Revenue Service, it is deduced that the positions in South Africa and Australia are similar in that the courts in both countries will be bound by the principles of Articles 31 and 32 of the Vienna Convention on the Law of Treaties when interpreting double taxation treaties. Moreover, Gordon J's judgment indicates that the domestic principles of interpretation should not be used in the interpretation of double taxation treaties. Recent South African cases have suggested that there are no differences between the South African domestic principles of interpretation and those contained in Articles 31 and 32 of the Vienna Convention on the Law of Treaties. This contribution submits that there are many similarities between the two, but that the rules are not exactly the same. South African courts should be aware of these differences and rather apply the rules of public international law, including those contained in the Vienna Convention on the Law of Treaties, when they interpret double taxation treaties. Gordon J specifically identifies the category of the Vienna Convention on the Law of Treaties in which he places the Commentary on the OECD Model Tax Convention, to rely on it for his interpretation of the relevant double taxation treaty. South African courts may well learn from this approach, to create more certainty in the process of interpreting a double taxation treaty.
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Sanchez, Luis, Tracey Johnson, Suzanne Williams, Geoffrey Spurling, and Joanne Durham. "Identifying inequities in an urban Latin American population: a cross-sectional study in Australian primary health care." Australian Journal of Primary Health 26, no. 2 (2020): 140. http://dx.doi.org/10.1071/py19049.
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In Australia, people from culturally and linguistically diverse backgrounds often face inequitable health outcomes and access to health care. An important, but under-researched, population is people of Latin American descent. A cross-sectional study obtained clinical data on Latin American Spanish-speaking patients from Brisbane’s south-west. Extracted data included demographic characteristics, risk factors, chronic disease and service use. A total of 382 people (60.5% female, 39.5% male), mainly from El Salvador and Chile and predominantly older people (70% over 50 years), were identified. Compared with the general Australian population, the proportion of people with dyslipidaemia, diabetes, arthritis and musculoskeletal, mental health disorders and being obese or overweight was high. There was also a higher use of the 20–40min general medicine consultation than in the general population. The proportion of patients receiving health promotion and chronic disease management activities was higher than in other reports. However, there were gaps in the provision of these services. The study shows an ageing population group with significant risk factors and an important burden of chronic disease and comorbidity. Addressing inequalities in health for culturally and linguistically diverse populations demands improvements in healthcare delivery and targeted actions based on a solid understanding of their complex health needs and their health, social and cultural circumstances.
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Mullan, Leanne, Karen Wynter, Andrea Driscoll, and Bodil Rasmussen. "Barriers and enablers to providing preventative and early intervention diabetes-related foot care: a qualitative study of primary care healthcare professionals' perceptions." Australian Journal of Primary Health 27, no. 4 (2021): 319. http://dx.doi.org/10.1071/py20235.
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This study explored the perceived healthcare system and process barriers and enablers experienced by GPs and Credentialled Diabetes Educators (CDEs) in Australian primary care, in the delivery of preventative and early intervention foot care to people with diabetes. A qualitative design with inductive analysis approach was utilised and reported according to the Consolidated Criteria for Reporting Qualitative Studies (COREQ). Semi-structured interviews were conducted with two GPs and 14 CDEs from rural, urban and metropolitan areas of Australia. Participants were from New South Wales, South Australia, Victoria, Western Australia, the Northern Territory and Queensland. Barriers to providing foot care constituted five broad themes: (1) lack of access to footcare specialists and services; (2) education and training insufficiencies; (3) human and physical resource limitations related to funding inadequacies; (4) poor care integration such as inadequate communication and feedback across services and disciplines, and ineffectual multidisciplinary care; and (5) deficient footcare processes and guidelines including ambiguous referral pathways. Enablers to foot care were found at opposing ends of the same spectra as the identified barriers or were related to engaging in mentorship programs and utilising standardised assessment tools. This is the first Australian study to obtain information from GPs and CDEs about the perceived barriers and enablers influencing preventative and early intervention diabetes-related foot care. Findings offer an opportunity for the development and translation of effective intervention strategies across health systems, policy, funding, curriculum and clinical practice, in order to improve outcomes for people with diabetes.
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Osborn, Eloise, Marida Ritha, Rona Macniven, Tim Agius, Vita Christie, Heather Finlayson, Josephine Gwynn, et al. "“No One Manages It; We Just Sign Them Up and Do It”: A Whole System Analysis of Access to Healthcare in One Remote Australian Community." International Journal of Environmental Research and Public Health 19, no. 5 (March 3, 2022): 2939. http://dx.doi.org/10.3390/ijerph19052939.
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Objective: To assess the accessibility, availability and utilisation of a comprehensive range of community-based healthcare services for Aboriginal people and describe contributing factors to providing effective healthcare services from the provider perspective. Setting: A remote community in New South Wales, Australia. Participants: Aboriginal and non-Aboriginal health and education professionals performing various roles in healthcare provision in the community. Design: Case study. Methodology: The study was co-designed with the community. A mixed-methods methodology was utilised. Data were gathered through structured interviews. Descriptive statistics were used to analyse the availability of 40 health services in the community, whilst quotations from the qualitative research were used to provide context for the quantitative findings. Results: Service availability was mapped for 40 primary, specialised, and allied health services. Three key themes emerged from the analysis: (1) there are instances of both underservicing and overservicing which give insight into systemic barriers to interagency cooperation; (2) nurses, community health workers, Aboriginal health workers, teachers, and administration staff have an invaluable role in healthcare and improving patient access to health services and could be better supported through further funding and opportunities for specialised training; and (3) visiting and telehealth services are critical components of the system that must be linked to existing community-led primary care services. Conclusion: The study identified factors influencing service availability, accessibility and interagency cooperation in remote healthcare services and systems that can be used to guide future service and system planning and resourcing.
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Agarwal, Renu, Roy Green, Neeru Agarwal, and Krithika Randhawa. "Benchmarking management practices in Australian public healthcare." Journal of Health Organization and Management 30, no. 1 (March 21, 2016): 31–56. http://dx.doi.org/10.1108/jhom-07-2013-0143.
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Purpose – The purpose of this paper is to investigate the quality of management practices of public hospitals in the Australian healthcare system, specifically those in the state-managed health systems of Queensland and New South Wales (NSW). Further, the authors assess the management practices of Queensland and NSW public hospitals jointly and globally benchmark against those in the health systems of seven other countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Design/methodology/approach – In this study, the authors adapt the unique and globally deployed Bloom et al. (2009) survey instrument that uses a “double blind, double scored” methodology and an interview-based scoring grid to measure and internationally benchmark the management practices in Queensland and NSW public hospitals based on 21 management dimensions across four broad areas of management – operations, performance monitoring, targets and people management. Findings – The findings reveal the areas of strength and potential areas of improvement in the Queensland and NSW Health hospital management practices when compared with public hospitals in seven countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Together, Queensland and NSW Health hospitals perform best in operations management followed by performance monitoring. While target management presents scope for improvement, people management is the sphere where these Australian hospitals lag the most. Practical implications – This paper is of interest to both hospital administrators and health care policy-makers aiming to lift management quality at the hospital level as well as at the institutional level, as a vehicle to consistently deliver sustainable high-quality health services. Originality/value – This study provides the first internationally comparable robust measure of management capability in Australian public hospitals, where hospitals are run independently by the state-run healthcare systems. Additionally, this research study contributes to the empirical evidence base on the quality of management practices in the Australian public healthcare systems of Queensland and NSW.
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Choi, Hanna, and Soo-Kyoung Lee. "A Prospective Analysis of Health Information Portals in Four Years." International Journal of Environmental Research and Public Health 17, no. 13 (July 2, 2020): 4761. http://dx.doi.org/10.3390/ijerph17134761.
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Objectives: We examined 17 health information portals to determine the status of web-based health information services in the United States (USA), South Korea, the United Kingdom (UK), and Australia. Methods: We analyzed longitudinal trends in 35 items of online health information over four years among representative health information portals (eight based in the USA, seven in South Korea, one in the UK, and one in Australia), focusing on external portal structure, content scope, service characteristic, and service function with four stakeholder groups of six stakeholders. Results: The most notable change was in the service items, and overall, in 44.1% of total items: 17.6% in service characteristic, 41.2% in external portal structure, 58.8% in service function, and 58.8% in content scope change. More specifically, these changes included increases in the “mobile application utility” (service function), “use of personal health records” on public health portals (content scope change), “Charts and videos” (service characteristic), and “renewal date” (external portal structure). Conclusions: This review of existing health portals will be a footnote for enabling health care providers to confirm whether the needs of consumers are reflected on their website with high reliability. Furthermore, these findings will help to enhance the quality of portals by delivering relevant information to stakeholders and to the consumers of online health information.
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Mwanri, Lillian, Nelsensius Klau Fauk, Anna Ziersch, Hailay Abrha Gesesew, Gregorius Abanit Asa, and Paul Russell Ward. "Post-Migration Stressors and Mental Health for African Migrants in South Australia: A Qualitative Study." International Journal of Environmental Research and Public Health 19, no. 13 (June 28, 2022): 7914. http://dx.doi.org/10.3390/ijerph19137914.
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We conducted a qualitative study involving African migrants (n = 20) and service providers (n = 10) in South Australia to explore mental health stressors, access to mental health services and how to improve mental health services for African migrant populations. This paper presents the views and experiences of African migrants about the post-migration stressors they faced in resettlement that pose mental health challenges. The participants were recruited using the snowball sampling technique. To align with the COVID-19 pandemic protocol, the data collection was conducted using one-on-one online interviews through Zoom or WhatsApp video calls. Data analysis was guided by the framework analysis. The post-migration stressors, including separation from family members and significant others, especially spouses, imposed significant difficulties on care provision and in managing children’s attitudes and behavior-related troubles at school. African cultural practices involving the community, especially elders in care provision and disciplining children, were not consistent with Australian norms, compounding the mental health stressors for all involved. The African cultural norms, that do not allow young unmarried people to live together, also contributed to child–parent conflicts, enhancing parental mental stressors. Additionally, poor economic conditions and employment-related difficulties were post-migration stressors that the participants faced. The findings indicate the need for policy and intervention programs that address the above challenges. The provision of interventions, including social support such as subsidized or free childcare services, could help leverage their time and scheduled paid employment, creating time for effective parenting and improving their mental health and wellbeing. Future studies exploring what needs to be achieved by government and non-governmental institutions to support enhanced access to social and employment opportunities for the African migrant population are also recommended.
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Reppermund, Simone, Theresa Heintze, Preeyaporn Srasuebkul, Rebecca Reeve, Kimberlie Dean, Melinda Smith, Eric Emerson, et al. "Health and wellbeing of people with intellectual disability in New South Wales, Australia: a data linkage cohort." BMJ Open 9, no. 9 (September 2019): e031624. http://dx.doi.org/10.1136/bmjopen-2019-031624.
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PurposePeople with intellectual disability (ID) experience high rates of physical and mental health problems, while access to appropriate healthcare is often poor. This cohort was established to develop an epidemiological profile related to the health, health service use, disability services, mortality and corrective services records of people with ID.ParticipantsThe cohort contains 92 542 people with ID (40% females) with a median age of 23 years (IQR: 12–43 years) and 2 004 475 people with a neuropsychiatric or developmental disorder diagnosis (50% females) with a median age of 51 years (IQR: 29–73 years) from New South Wales, Australia. The whole sample contains records for 2 097 017 individuals with most data sets spanning financial years 1 July 2001 to 30 June 2016. A wide range of data from linked population data sets are included in the areas of disability, health, corrective services and targeted specialist support services in public schools, Public Guardian and Ombudsman services.Findings to dateThis study includes one of the largest cohorts of people with ID internationally. Our data have shown that the presence of ID is significantly associated with emergency department presentations and psychiatric readmissions after the first psychiatric admission based on a subcohort of people with a psychiatric admission. Adults with ID experience premature mortality and over-representation of potentially avoidable deaths compared with the general population.Future plansWithin the health service system, we will examine different components, that is, inpatient, emergency adult services, children and younger people services and costs associated with healthcare as well as mortality, cause and predictors of death. The neuropsychiatric and developmental disorders comparison cohort allows comparisons of the physical health, mental health and service use profiles of people with ID and those with other neuropsychiatric disorders.
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Adelson, Pamela, Greg R. Sharplin, David M. Roder, and Marion Eckert. "Keratinocyte cancers in South Australia: incidence, geographical variability and service trends." Australian and New Zealand Journal of Public Health 42, no. 4 (July 4, 2018): 329–33. http://dx.doi.org/10.1111/1753-6405.12806.
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Edmiston, Natalie, Erin Passmore, David J. Smith, and Kathy Petoumenos. "Multimorbidity among people with HIV in regional New South Wales, Australia." Sexual Health 12, no. 5 (2015): 425. http://dx.doi.org/10.1071/sh14070.
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Background Multimorbidity is the co-occurrence of more than one chronic health condition in addition to HIV. Higher multimorbidity increases mortality, complexity of care and healthcare costs while decreasing quality of life. The prevalence of and factors associated with multimorbidity among HIV positive patients attending a regional sexual health service are described. Methods: A record review of all HIV positive patients attending the service between 1 July 2011 and 30 June 2012 was conducted. Two medical officers reviewed records for chronic health conditions and to rate multimorbidity using the Cumulative Illness Rating Scale (CIRS). Univariate and multivariate linear regression analyses were used to determine factors associated with a higher CIRS score. Results: One hundred and eighty-nine individuals were included in the study; the mean age was 51.8 years and 92.6% were men. One-quarter (25.4%) had ever been diagnosed with AIDS. Multimorbidity was extremely common, with 54.5% of individuals having two or more chronic health conditions in addition to HIV; the most common being a mental health diagnosis, followed by vascular disease. In multivariate analysis, older age, having ever been diagnosed with AIDS and being on an antiretroviral regimen other than two nucleosides and a non-nucleoside reverse transcriptase inhibitor or protease inhibitor were associated with a higher CIRS score. Conclusion: To the best of our knowledge, this is the first study looking at associations with multimorbidity in the Australian setting. Care models for HIV positive patients should include assessing and managing multimorbidity, particularly in older people and those that have ever been diagnosed with AIDS.
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Fullen, Michael A. "Soil erosion and conservation in northern Europe." Progress in Physical Geography: Earth and Environment 27, no. 3 (September 2003): 331–58. http://dx.doi.org/10.1191/0309133303pp385ra.
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Soil conservation policies are suggested at national, regional and local levels, including adoption and modification of several Australian, European and North American policies. The Australian Landcare system and programmes of the US Natural Resources Conservation Service (NRCS) are particularly informative. Several European initiatives are promising models, including the strategies of the Danish Land Development Service (Hedeselskabet) and the Icelandic Soil Conservation Service (Landsgraedsla Rikisins). The Erosienormeringsprojekt of South Limburg (The Netherlands) is a coordinated and integrated soil conservation project and seems a particularly useful model for future soil conservation in northern Europe. Several best management practices for soil conservation are identified. These include the promotion of soil conservation by a properly funded and relatively well known soil conservation service and full mapping, monitoring and costing of erosion risk by national soil survey organizations. A participatory approach to soil conservation should be adopted, involving farmers and interested members of the public, and there should be a ‘cost share’ partnership between government and farmers in funding conservation work on farms. Rational land-use policies need to be developed, such as the promotion of ‘set-aside’ on erodible soils, grass strips on arable slopes and buffer strips in riparian zones. Education programmes are necessary to actively inform the public on the importance of soil as a resource. These schemes should particularly encourage ‘land literacy’ among participants. It is imperative that the broader societal benefits of effective soil conservation are recognized, such as its potential contribution to habitat creation, biodiversity and carbon sequestration.
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Proctor, R., K. Roberts, and B. J. Ward. "A data delivery system for IMOS, the Australian Integrated Marine Observing System." Advances in Geosciences 28 (September 27, 2010): 11–16. http://dx.doi.org/10.5194/adgeo-28-11-2010.
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Abstract. The Integrated Marine Observing System (IMOS, www.imos.org.au), an AUD $150 m 7-year project (2007–2013), is a distributed set of equipment and data-information services which, among many applications, collectively contribute to meeting the needs of marine climate research in Australia. The observing system provides data in the open oceans around Australia out to a few thousand kilometres as well as the coastal oceans through 11 facilities which effectively observe and measure the 4-dimensional ocean variability, and the physical and biological response of coastal and shelf seas around Australia. Through a national science rationale IMOS is organized as five regional nodes (Western Australia – WAIMOS, South Australian – SAIMOS, Tasmania – TASIMOS, New SouthWales – NSWIMOS and Queensland – QIMOS) surrounded by an oceanic node (Blue Water and Climate). Operationally IMOS is organized as 11 facilities (Argo Australia, Ships of Opportunity, Southern Ocean Automated Time Series Observations, Australian National Facility for Ocean Gliders, Autonomous Underwater Vehicle Facility, Australian National Mooring Network, Australian Coastal Ocean Radar Network, Australian Acoustic Tagging and Monitoring System, Facility for Automated Intelligent Monitoring of Marine Systems, eMarine Information Infrastructure and Satellite Remote Sensing) delivering data. IMOS data is freely available to the public. The data, a combination of near real-time and delayed mode, are made available to researchers through the electronic Marine Information Infrastructure (eMII). eMII utilises the Australian Academic Research Network (AARNET) to support a distributed database on OPeNDAP/THREDDS servers hosted by regional computing centres. IMOS instruments are described through the OGC Specification SensorML and where-ever possible data is in CF compliant netCDF format. Metadata, conforming to standard ISO 19115, is automatically harvested from the netCDF files and the metadata records catalogued in the OGC GeoNetwork Metadata Entry and Search Tool (MEST). Data discovery, access and download occur via web services through the IMOS Ocean Portal (http://imos.aodn.org.au) and tools for the display and integration of near real-time data are in development.
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Conquest, Jennifer Hanthorn, John Skinner, Estie Kruger, and Marc Tennant. "A Comparison of Three Payment Systems for Public Paediatric Dental Services." Asia Pacific Journal of Health Management 13, no. 1 (May 30, 2018): i21. http://dx.doi.org/10.24083/apjhm.v13i1.35.
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Objective: This study investigated the delivery of paediatric (0-17 years) government dental services in New South Wales (NSW), Australia through public dental clinics and the commissioned payments models of Fee-for-Service and Capped-Fee.
Method: De-identified patient data from government provided dental care and the commissioned services was sourced from NSW Oral Health Data Warehouse for evaluation and interpretation using descriptive analysis during the period 1 January 2012 to 31 December 2013.
Result: The breakdown of dental care provided the associated cost analysis for the study’s cohort that resulted in both years, more than 50 percent dental services offered to paediatric patients were preventive care in all payment systems. The most common preventive items offered were fluoride treatment, dietary advice, oral health education and fissure sealants.
Conclusion: There was little difference in the mix of dental care provided between study years and age groups through the three payment systems in NSW. The difference between the government services and those provided via the Fee-for-Service and Capitation payment systems was negligible.
This has important implications for the delivery of dental care to public dental care, particularly when patients may not live close to a public dental clinic and also with the interest nationally in giving patients greater choice.
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Hawke, Melanie, and Joe Byrne. "Community-based Early Childhood Assessment and Intervention in Rural Settings: Transdisciplinary Case Management of Developmental Delay in Children." Australian Journal of Primary Health 6, no. 4 (2000): 130. http://dx.doi.org/10.1071/py00046.
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This paper reports on an assessment of the need for early intervention services for children aged 0-8 years in the Southern Fleurieu sub-region of South Australia and an evaluation of the efficacy of utilising a generic community health service to provide the therapeutic and case management services to appropriately address those needs. Previous studies in regional South Australia estimated the incidence of developmental delay in children to be 5% of the total population aged 0-8 years (Barossa Valley, 1997). This estimate indicated a client group of over 130 in the Southern Fleurieu sub-region. The project team adopted a transdisciplinary model for early identification and intervention, with over half the children on the program aged less than five years, indicating that the program addressed needs of children at an early age. Outcomes have demonstrated the appropriateness of using a transdisciplinary approach in a regional setting and the community health service as the auspice has shown an increase in the capacity for therapists to provide the wide variety of programs that are essential in addressing early childhood delay.
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Mitton, Craig, and Sarah Prout. "Setting priorities in the south west of Western Australia: where are we now?" Australian Health Review 28, no. 3 (2004): 301. http://dx.doi.org/10.1071/ah040301.
Full textAbstract:
Due to resource scarcity, health care decision makers must make choices about what services to fund. In exploring the potential for developing a formal approach to priority setting in the South West Area Health Service (SWAHS) in Western Australia, we carried out a qualitative survey of senior decision makers. Respondents indicated that resources were primarily allocated on the basis of historical patterns. Suggested improvements for priority setting include development of a transparent approach to priority setting, better intra-organisational communication, public input in the form of identifying social determinants of health, and having an organisational ?credible commitment? in planning processes.
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Sved Williams, Anne, and Jill Poulton. "Supporting Mental Health in the Community: New Systems for General Practice." Australian Journal of Primary Health 12, no. 2 (2006): 105. http://dx.doi.org/10.1071/py06029.
Full textAbstract:
General practitioners (GPs) manage nearly one-third of Australians seeking help for mental health problems, and frequently express their need for consultant psychiatric support in this work. The introduction of new Medical Benefits Schedule Item Numbers 291 and 293 to provide "one-off" psychiatric assessments on referral from GPs offered the potential for providing this support, and a single point-of-entry scheme was organised to provide ease of access to appointments. The aims were to establish a single point of entry for psychiatrist assessment using Item 291, to evaluate the take-up rates of Item 291 in South Australia (SA) through this service and to evaluate the acceptability to GPs and psychiatrists of a psychiatric primary care consultation-liaison (c-l) model. Results were: 26 psychiatrists joined the project; 64 GPs referred 78 patients for assessment, providing 24% of the Australian take-up rate for Item 291, for 8% of the population; evaluation showed high approval ratings from GPs who particularly appreciated the single contact point; and positive evaluation by psychiatrists of the primary care c-l model. The conclusions were that a single contact point provided ease of access to psychiatrists for GPs; GP and psychiatrist groups evaluated Item 291 very positively; and consumer and carer evaluation are essential for further primary care c-l development.