Статті в журналах: "Care of Australia"

1

Keleher, Helen, and Virginia Hagger. "Health Literacy in Primary Health Care." Australian Journal of Primary Health 13, no. 2 (2007): 24. http://dx.doi.org/10.1071/py07020.

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Health literacy is fundamental if people are to successfully manage their own health. This requires a range of skills and knowledge about health and health care, including finding, understanding, interpreting and communicating health information, seeking of appropriate care and making critical health decisions. A primary health system that is appropriate and universally accessible requires an active agenda based on research of approaches to address low health literacy, while health care providers should be alert to the widespread problems of health literacy which span all age levels. This article reviews the progress made in Australia on health literacy in primary health care since health literacy was included in Australia's health goals and targets in the mid-1990s. A database search of published literature was conducted to identify existing examples of health literacy programs in Australia. Considerable work has been done on mental health literacy, and research into chronic disease self-management with CALD communities, which includes health literacy, is under way. However, the lack of breadth in research has led to a knowledge base that is patchy. The few Australian studies located on health literacy research together with the data about general literacy in Australia suggests the need for much more work to be done to increase our knowledge base about health literacy, in order to develop appropriate resources and tools to manage low health literacy in primary health settings.

2

Spence, Nigel. "Kinship care in Australia." Child Abuse Review 13, no. 4 (July 2004): 263–76. http://dx.doi.org/10.1002/car.854.

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3

Glasgow, Nicholas, and Lucio Naccarella. "Guest Editorial: Getting Evidence into Policy - Stimulating Debate and Building the Evidence Base." Australian Journal of Primary Health 13, no. 2 (2007): 7. http://dx.doi.org/10.1071/py07016.

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In this special edition of the Journal, we have brought together papers with the aim of contributing to primary health care reform in Australia. The papers will stimulate further debate and increase the evidence base through which policies can be informed. Does primary health care in Australia need reform? Are there fundamental problems with the health system demanding a reform response? The challenges confronting Australia's health care system over the next decade are real and well documented (Productivity Commission, 2005; Australian Medical Workforce Advisory Committee [AMWAC], 2005). They include the ageing population and longer life expectancies, the increasing prevalence of chronic illness and co-morbidity, heightened consumer expectations, advances in health technologies and shortages in the health workforce.

4

Ohr, Se Ok, Vicki Parker, Sarah Jeong, and Terry Joyce. "Migration of nurses in Australia: where and why?" Australian Journal of Primary Health 16, no. 1 (2010): 17. http://dx.doi.org/10.1071/py09051.

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The Australian health care workforce has benefited from an increasing migration of nurses over the past decades. The nursing profession is the largest single health profession, making up over half of the Australian health care workforce. Migration of nurses into the Australian nursing workforce impacts significantly on the size of the workforce and the capacity to provide health care to the Australian multicultural community. Migration of nurses plays an important role in providing a solution to the ongoing challenges of workforce attraction and retention, hence an understanding of the factors contributing to nurse migration is important. This paper will critically analyse factors reported to impact on migration of nurses to Australia, in particular in relation to: (1) globalisation; (2) Australian society and nursing workforce; and (3) personal reasons. The current and potential implications of nurse migration are not limited to the Australian health care workforce, but also extend to political, socioeconomic and other aspects in Australia.

5

Redman, S. "Multidisciplinary care in Australia." European Journal of Cancer 38, no. 11 (March 2002): S154. http://dx.doi.org/10.1016/s0959-8049(02)80519-6.

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6

McGill, Margaret. "Diabetes care in Australia." Diabetes Research and Clinical Practice 120 (October 2016): S3. http://dx.doi.org/10.1016/s0168-8227(16)30879-8.

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7

Harris, Ross. "Terminal Care in Australia." Hospice Journal, The 3, no. 1 (April 15, 1987): 77–90. http://dx.doi.org/10.1300/j011v03n01_07.

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8

Pollard, Brian. "Palliative Care in Australia." Anaesthesia and Intensive Care 21, no. 1 (February 1993): 97–100. http://dx.doi.org/10.1177/0310057x9302100123.

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9

McCracken, Ann, Catherine Heal, and Bruce Taylor. "Dementia care in Australia." American Journal of Alzheimer's Disease 13, no. 1 (January 1998): 40–45. http://dx.doi.org/10.1177/153331759801300107.

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10

Cleland, Heather. "BURN CARE IN AUSTRALIA." ANZ Journal of Surgery 76, no. 9 (September 2006): 768. http://dx.doi.org/10.1111/j.1445-2197.2006.03911.x.

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11

Lowthian, Judy. "Emergency Care In Australia." Health Affairs 32, no. 10 (October 2013): 1856–57. http://dx.doi.org/10.1377/hlthaff.2013.0802.

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12

Andersen, N. A. "Primary Care in Australia." International Journal of Health Services 16, no. 2 (April 1986): 199–212. http://dx.doi.org/10.2190/3l1k-c30d-j5af-2ajn.

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The Australian health care delivery system is reviewed in this article, with special comment on the implications of the financial components of the system and government concerns regarding costs and over-servicing. General practitioners' perception of their role is not significantly different from the expectation of patients, yet the reality may not match the idealized view. There are problems related to availability and there are developments which seem to pose some threat to the continuing care of patients. New developments have occurred in the way in which practice is organized which give an emphasis to continual availability over 24 hour periods, and these developments pose a challenge to the way in which doctors have organized their practices. Population features-Aborigines, migrants, and the elderly-present significant problems that are not always well met, and the concept of total patient care thereby suffers. The general practitioner's apparent failure to fill the expected role in co-ordination of services is discussed, as is the need for general practitioners to become more actively involved in health education and promotion. The hope for the future lies in the Family Medicine Programme of The Royal Australian College of General Practitioners, which represents a major attempt to provide appropriate vocational training for general practice.

13

Harris, Ross D., and Lyn M. Finlay-Jones. "Terminal Care in Australia." Hospice Journal 3, no. 1 (March 1987): 77–90. http://dx.doi.org/10.1080/0742-969x.1987.11882583.

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14

Keleher, Helen. "Community Care in Australia." Home Health Care Management & Practice 15, no. 5 (August 2003): 367–74. http://dx.doi.org/10.1177/1084822303252394.

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15

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

16

Karim, Shakir, and Ergun Gide. "The use of interactive mobile technology to improve the quality of health care services in private and public hospitals in Australia." Global Journal of Information Technology: Emerging Technologies 8, no. 3 (December 29, 2018): 134–45. http://dx.doi.org/10.18844/gjit.v8i3.4054.

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The research questions, ‘As an Australian, can we expect fully mobile technology integrated health care services in Australia? Is it possible everywhere in Australia’? A healthcare system whether private or public should provide comprehensive health care services all over in Australia, including countryside and CBD. The term ‘Mobile Technology integrated health care’ refers to a healthcare system designed for electronic and smart devices which can be used anytime and anywhere in the world. This research paper examines ‘how patients can access GPs, specialists, private and public hospitals in Australia’, which provide interactive mobile technology-based health services. The research has mainly used secondary research data analysis and methods to provide a broad investigation of the issues relevant to interactive mobile technology and health care system in Australia, the problems, problem factors, benefits and opportunities in the health care industry. Finally, the mobile technology integrated health care system will ensure that the framework is user and environmentally friendly. Keywords: Interactive mobile technology, quality, health care, services, hospitals, Australia.

17

Hansen, Patricia, and Frank Ainsworth. "Adoption in Australia: Review and reflection." Children Australia 31, no. 4 (2006): 22–28. http://dx.doi.org/10.1017/s1035077200011317.

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In Australia the rate of local or ‘known’ child adoptions is very low. Figures from the US and the UK (England only) are presented to highlight this issue. Adoptions from State ‘care’ are especially low compared with these other countries. This article explores public and professional commentary that may have contributed to the decline in the use of adoptions in Australia. Given that adoption offers the most permanent alternative care arrangement, suggestions are then made as to how adoption might become a more frequently used route out of State care for some Australian children.

18

McBrien, Hayley, and Anna Bower. "Child Care and the Role of Employer Sponsorship." Australasian Journal of Early Childhood 25, no. 3 (September 2000): 13–18. http://dx.doi.org/10.1177/183693910002500304.

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This paper examines current issues and availability of employer-sponsored child care in Australia and compares two international perspectives on the issue of child care and responsibility with the present Australian perspective. The historical emergence of employer-sponsored child care in Australia is traced over the past two decades and is supported by three examples of companies having successfully used such arrangements. Implications for early childhood professionals and the changing roles practitioners face in terms of ensuring quality and equity in services for young children and their families are discussed. The authors propose employer-sponsored child care as a viable option for Australian families, and argue for the establishment of a central body responsible for supporting and monitoring quality, with equity being an essential component.

19

Blewett, Neal. "Financing Medical Care in Australia." Australian Quarterly 57, no. 3 (1985): 262. http://dx.doi.org/10.2307/20635332.

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20

Callaghan, Kerrie, and Glenda Colburn. "PA02.05 Access to Care: Australia." Journal of Thoracic Oncology 12, no. 1 (January 2017): S215—S216. http://dx.doi.org/10.1016/j.jtho.2016.11.193.

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21

The Lancet. "Rethinking dementia care in Australia." Lancet 379, no. 9825 (April 2012): 1462. http://dx.doi.org/10.1016/s0140-6736(12)60615-1.

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22

Cavenagh, JD, and FW Gunz. "Palliative hospice care in Australia." Palliative Medicine 2, no. 1 (January 1988): 51–57. http://dx.doi.org/10.1177/026921638800200108.

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23

Walpole, Euan, Mark Smithers, Danica Cossio, Hazel Harden, David Thiele, and Monika Janda. "Multidisciplinary cancer care in Australia." Asia-Pacific Journal of Clinical Oncology 15, no. 4 (July 11, 2019): 197–98. http://dx.doi.org/10.1111/ajco.13164.

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24

Croser, John L. "Trauma care systems in Australia." Injury 34, no. 9 (September 2003): 649–51. http://dx.doi.org/10.1016/s0020-1383(03)00157-8.

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25

Harrigan, Peter, and Clåudio Csillag. "Specialist domiciliary care in Australia." Lancet 344, no. 8933 (November 1994): 1354. http://dx.doi.org/10.1016/s0140-6736(94)90704-8.

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26

Smyth, Dion. "Politics and palliative care: Australia." International Journal of Palliative Nursing 17, no. 3 (March 2011): 153. http://dx.doi.org/10.12968/ijpn.2011.17.3.153.

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27

Wright, Graham. "Private Health Care In Australia." Health Affairs 21, no. 1 (January 2002): 277–78. http://dx.doi.org/10.1377/hlthaff.21.1.277.

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28

McMillan, M., and D. Armitage. "Community Palliative Care in Australia." Nursing and Health Sciences 4, no. 3 (September 2002): A7. http://dx.doi.org/10.1046/j.1442-2018.2002.01140_16.x.

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29

Hailey, David. "Health care technology in Australia." Health Policy 30, no. 1-3 (October 1994): 23–72. http://dx.doi.org/10.1016/0168-8510(94)00684-7.

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30

Coghlan, Jennifer. "Critical care nursing in Australia." Intensive Care Nursing 2, no. 1 (January 1986): 3–7. http://dx.doi.org/10.1016/0266-612x(86)90068-4.

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31

Colman, Colette. "Aged care in rural Australia." Australian Journal of Rural Health 29, no. 3 (June 2021): 483–84. http://dx.doi.org/10.1111/ajr.12770.

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32

McMillan, Margaret. "Health Care Reforms in Aged Care in Australia." Nursing & Health Sciences 2, no. 2 (June 2000): A7. http://dx.doi.org/10.1046/j.1442-2018.2000.41.15.x.

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33

Ainsworth, Frank. "Foster care research in the US and Australia: An update." Children Australia 22, no. 2 (1997): 9–16. http://dx.doi.org/10.1017/s1035077200008130.

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This article reviews recent reform, research and trends in foster care (family foster care, kinship care and group care) in the US. In presenting this data attention is drawn to the lack of comparable Australian materials. Practitioners are also cautioned against embracing US initiatives too eagerly as the time lag in the transfer of information means that these developments may have been modified by research findings by the time they come to notice in Australia.

34

Cheng, I.-Hao, Sayed Wahidi, Shiva Vasi, and Sophia Samuel. "Importance of community engagement in primary health care: the case of Afghan refugees." Australian Journal of Primary Health 21, no. 3 (2015): 262. http://dx.doi.org/10.1071/py13137.

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Refugees can experience problems accessing and utilising Australian primary health care services, resulting in suboptimal health outcomes. Little is known about the impact of their pre-migration health care experiences. This paper demonstrates how the Afghan pre-migration experiences of primary health care can affect engagement with Australian primary care services. It considers the implications for Australian primary health care policy, planning and delivery. This paper is based on the international experiences, insights and expert opinions of the authors, and is underpinned by literature on Afghan health-seeking behaviour. Importantly, Afghanistan and Australia have different primary health care strategies. In Afghanistan, health care is predominantly provided through a community-based outreach approach, namely through community health workers residing in the local community. In contrast, the Australian health care system requires client attendance at formal health service facilities. This difference contributes to service access and utilisation problems. Community engagement is essential to bridge the gap between the Afghan community and Australian primary health care services. This can be achieved through the health sector working to strengthen partnerships between Afghan individuals, communities and health services. Enhanced community engagement has the potential to improve the delivery of primary health care to the Afghan community in Australia.

35

Baker, A. B. "Genesis of the College of Intensive Care Medicine of Australia and New Zealand." Anaesthesia and Intensive Care 46, no. 1_suppl (July 2018): 35–51. http://dx.doi.org/10.1177/0310057x180460s106.

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In 2009 the College of Intensive Care Medicine (CICM) of Australia and New Zealand was inaugurated in Melbourne, Australia. This College now regulates the education, training and accreditation for specialist intensivists for Australia and New Zealand. CICM origins started in 1975 with the formation of the Section of Intensive Care of the Faculty of Anaesthetists, Royal Australasian College of Surgeons (RACS), which moved through intermediary stages as the Faculty of Intensive Care, Australian and New Zealand College of Anaesthetists (ANZCA) when that College was formed from the former Faculty of Anaesthetists RACS, and then the Joint Faculty of Intensive Care Medicine (ANZCA and the Royal Australasian College of Physicians [RACP]), until becoming completely independent as CICM in 2010. There was a period of about 40–50 years evolution from the first formations of intensive care units in Australia and New Zealand, and discussions by the personnel staffing those units amongst themselves and with Members of the Board of the Faculty of Anaesthetists RACS, to the formation of the Section of Intensive Care, then through two intermediary Faculties of Intensive Care Medicine, to the final independent formation of the College of Intensive Care Medicine of Australia and New Zealand in 2010.

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Lavoie, Josée G., and Judith Dwyer. "Implementing Indigenous community control in health care: lessons from Canada." Australian Health Review 40, no. 4 (2016): 453. http://dx.doi.org/10.1071/ah14101.

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Objective Over past decades, Australian and Canadian Indigenous primary healthcare policies have focused on supporting community controlled Indigenous health organisations. After more than 20 years of sustained effort, over 89% of eligible communities in Canada are currently engaged in the planning, management and provision of community controlled health services. In Australia, policy commitment to community control has also been in place for more than 25 years, but implementation has been complicated by unrealistic timelines, underdeveloped change management processes, inflexible funding agreements and distrust. This paper discusses the lessons from the Canadian experience to inform the continuing efforts to achieve the implementation of community control in Australia. Methods We reviewed Canadian policy and evaluation grey literature documents, and assessed lessons and recommendations for relevance to the Australian context. Results Our analysis yielded three broad lessons. First, implementing community control takes time. It took Canada 20 years to achieve 89% implementation. To succeed, Australia will need to make a firm long term commitment to this objective. Second, implementing community control is complex. Communities require adequate resources to support change management. And third, accountability frameworks must be tailored to the Indigenous primary health care context to be meaningful. Conclusions We conclude that although the Canadian experience is based on a different context, the processes and tools created to implement community control in Canada can help inform the Australian context. What is known about the topic? Although Australia has promoted Indigenous control over primary healthcare (PHC) services, implementation remains incomplete. Enduring barriers to the transfer of PHC services to community control have not been addressed in the largely sporadic attention to this challenge to date, despite significant recent efforts in some jurisdictions. What does this paper add? The Canadian experience indicates that transferring PHC from government to community ownership requires sustained commitment, adequate resourcing of the change process and the development of a meaningful accountability framework tailored to the sector. What are the implications for practitioners? Policy makers in Australia will need to attend to reform in contractual arrangements (towards pooled or bundled funding), adopt a long-term vision for transfer and find ways to harmonise the roles of federal and state governments. The arrangements achieved in some communities in the Australian Coordinated Care Trials (and still in place) provide a model.

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Bomba, David, Kurt Svardsudd, and Per Kristiansson. "A comparison of patient attitudes towards the use of computerised medical records and unique identifiers in Australia and Sweden." Australian Journal of Primary Health 10, no. 2 (2004): 36. http://dx.doi.org/10.1071/py04024.

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This article compares the attitudes of Australian and Swedish patients towards the use of computerised medical records and unique identifiers in medical practices in Australia and Sweden. A Swedish translation of an Australian survey was conducted and results were compared. Surveys were distributed to patients at a medical practice in Sweden in 2003 and compared to the results of an Australian study by Bomba and Land (2003). Results: Based on the survey samples (Australia N=271 and Sweden N=55), 91% of Swedish respondents and 78% of Australian respondents gave a positive appraisal of the use of computers in health care. Of the Swedish respondents, 93% agreed that the computer-based patient record is an essential technology for health care in the future, while 86% of the Australian respondents agreed. Overwhelmingly, 95% of Swedish respondents and 91% of Australian respondents stated that the use of computers did not interfere with the doctor-patient consultation. Both groups preferred biometric identification as the method for uniquely identifying patients but differed in their preferred method to store medical information - a combination of central database and smart card for Australian respondents and central database for Swedish respondents. This analysis indicates that patient attitudes towards the use of computerised medical records and unique identifiers in Australia and Sweden are positive; however, there are concerns over information privacy and security. These concerns need to be taken into account in any future development of a national computer health network.

38

Spencer, Les. "The Expanding Role of Clinical Sociology in Australia." Journal of Applied Social Science 3, no. 2 (September 2009): 56–62. http://dx.doi.org/10.1177/193672440900300205.

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This paper introduces clinical sociology as a humanistic, multidisciplinary specialty seeking to improve the quality of people's lives. It traces the emergence of clinical sociology in the United States in 1931, and in Australia in the late 1950s in the context of the pioneering clinical sociology research into social transformation at Australian society's margins by Neville Yeomans. A contemporary illustration is given demonstrating how a biopyschosocial model of health is now being implemented as world best-evidence-based practice within the Australian health care delivery system. Further arguments, citing national and international evidence based on sociotherapeutic models of intervention, support a proposal for the Australian Sociology Association to engage in dialogues with health care agencies with the view of establishing clinical sociologists as an integral part of the Australian health-care delivery system.

39

Mann, Jennifer, Sue Devine, and Robyn McDermott. "Integrated care for community dwelling older Australians." Journal of Integrated Care 27, no. 2 (April 15, 2019): 173–87. http://dx.doi.org/10.1108/jica-10-2018-0063.

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PurposeIntegrated care is gaining popularity in Australian public policy as an acceptable means to address the needs of the unwell aged. The purpose of this paper is to investigate contemporary models of integrated care for community dwelling older persons in Australia and discuss how public policy has been interpreted at the service delivery level to improve the quality of care for the older person.Design/methodology/approachA scoping review was conducted for peer-reviewed and grey literature on integrated care for the older person in Australia. Publications from 2007 to present that described community-based enablement models were included.FindingsCare co-ordination is popular in assisting the older person to bridge the gap between existing, disparate health and social care services. The role of primary care is respected but communication with the general practitioner and introduction of new roles into an existing system is challenging. Older persons value the role of the care co-ordinator and while robust model evaluation is rare, there is evidence of integrated care reducing emergency department presentations and stabilising quality of life of participants. Technology is an underutilised facilitator of integration in Australia. Innovative funding solutions and a long-term commitment to health system redesign is required for integrated care to extend beyond care co-ordination.Originality/valueThis scoping review summarises the contemporary evidence base for integrated care for the community dwelling older person in Australia and proposes the barriers and enablers for consideration of implementation of any such model within this health system.

40

Robertson, A. G., M. G. Leclercq, and S. Poke. "(A235) Australian Medical Assistance Teams in Australia." Prehospital and Disaster Medicine 26, S1 (May 2011): s64. http://dx.doi.org/10.1017/s1049023x11002214.

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Western Australia (WA) was one of the first states in Australia to deploy medical team members to the tsunami-stricken regions of the Maldives and Banda Aceh in 2004. This early experience led the WA Department of Health to develop and pilot these teams locally and to progress a national model for their future development, which could be implemented further by other Australian jurisdictions. Further experience with these teams in Yogyakarta after the 2006 Java earthquake, Karratha after Tropical Cyclone George in 2007, Ashmore Reef after the 2009 boat explosion, Samoa after the 2009 tsunami, and during the Pakistan floods in 2010 have signaled both the utility of the Australian Medical Assistance Teams (AUSMATs) and the commitment by the Australian Commonwealth and State Governments to utilize these teams in both domestic and international settings. This presentation will examine the implementation of the AUSMAT model in Australia over the last five years, the modifications to the original model to suit the unique geographical and resource challenges faced by Australian teams, both within and outside Australia, and the lessons learned from recent team deployments. The challenges of delivering health care over vast, sparsely populated distances, and the inherent and increasing natural and industrial disaster threats in the Asia-Pacific region, have contributed to the modification of the model to ensure that the AUSMATs are flexible, modular, and capable of responding to a variety of major incidents. The national model continues to evolve to ensure that well prepared, equipped and trained civilian AUSMATS remain able to effectively deploy to a mass casualty situation in Australia's area of interest.

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Modra, Lucy, David Pilcher, Michael Bailey, and Rinaldo Bellomo. "Sex differences in intensive care unit admissions in Australia and New Zealand." Critical Care and Resuscitation 23, no. 1 (March 1, 2021): 86–93. http://dx.doi.org/10.51893/2021.1.oa8.

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Introduction: Fewer women than men are admitted to intensive care units (ICUs) worldwide. Objectives: To quantify the relative contribution of each major diagnostic category to the overall sex balance in ICU admissions in Australia and New Zealand, and to describe changes in the sex balance over time and with patient age. Methods: Retrospective cross-sectional study of Australian and New Zealand ICU admissions recorded in the Australian and New Zealand Intensive Care Society Adult Patient Database between 2005 and 2018. Multivariate logistic regression for the likelihood of female admission considered key explanatory variables: diagnostic category, patient age, admission year, geographic region, hospital type, and planned versus unplanned ICU admission. Results: Overall, 42.3% of 1 616 856 Australian and New Zealand ICU patients were women (99% CI, 42.2–42.4%). 247 988 more men than women were admitted to an ICU during the 14-year study period. There was a sex imbalance in most diagnostic categories: less than 48% women in 15 of 23 diagnostic categories, and greater than 52% women in four diagnostic categories (P < 0.001). Admissions following cardiovascular surgery accounted for over half of the total sex imbalance. The percentage of ICU patients who are women increased linearly from 40.8% in 2005 to 43.6% in 2018 (R2 = 93.1%; P < 0.001). Compared with admission in 2005, the adjusted odds ratio for female admission in 2018 was 1.03 (99% CI, 1.01–1.06). Conclusion: There is a significant sex imbalance in ICU admissions in Australia and New Zealand, widespread across the diagnostic categories. Cardiovascular admissions contribute most to the observed preponderance of men. The proportion of female ICU patients is steadily increasing.

42

Choy Flannigan, Alison, and Prue Power. "Health Care Governance: Introduction." Australian Health Review 32, no. 1 (2008): 7. http://dx.doi.org/10.1071/ah080007.

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IN RECOGNITION OF the importance and the complexity of governance within the Australian health care sector, the Australian Healthcare and Hospitals Association has established a regular governance section in Australian Health Review. The aim of this new section is to provide relevant and up-to-date information on governance to assist those working at senior leadership and management levels in the industry. We plan to include perspectives on governance of interest to government Ministers and senior executives, chief executives, members of boards and advisory bodies, senior managers and senior clinicians. This section is produced with the assistance of Ebsworth & Ebsworth lawyers, who are pleased to team with the Australian Healthcare and Hospitals Association in this important area. We expect that further articles in this section will cover topics such as: � Principles of good corporate governance � Corporate governance structures in the public health sector in Australia � Legal responsibilities of public health managers � Governance and occupational health and safety � Financial governance and probity. We would be pleased to hear your suggestions for future governance topics.

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Davis, Jenny, Amee Morgans, and Stephen Burgess. "Information management in the Australian aged care setting." Health Information Management Journal 46, no. 1 (July 26, 2016): 3–14. http://dx.doi.org/10.1177/1833358316639434.

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Background: Information management systems and processes have an impact on quality and safety of care in any setting and particularly in the complex care setting of aged care. Few studies have comprehensively examined information management in the Australian aged care setting. Objective: To (i) critically analyse and synthesize evidence related to information management in aged care, (ii) identify aged care data collection frameworks and (iii) identify factors impacting information management. Methods: An integrative review of Australian literature published between March 2008 and August 2014 and data collection frameworks concerning information management in aged care were carried out. Results: There is limited research investigating the information-rich setting of aged care in Australia. Electronic systems featured strongly in the review. Existing research focuses on residential settings with community aged care largely absent. Information systems and processes in the setting of aged care in Australia are underdeveloped and poorly integrated. Conclusions: Data quality and access are more problematic within community aged care than residential care settings. The results of this review represent an argument for a national approach to information management in aged care to address multiple stakeholder information needs and more effectively support client care.

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Wilton, Paula, and Richard D. Smith. "Budget-holding: The answer to Australian primary care reform?" Australian Health Review 22, no. 3 (1999): 78. http://dx.doi.org/10.1071/ah990078.

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In common with other Organisation for Economic Cooperation and Development (OECD)countries, Australia is experiencing growth in expenditure on health care. However, while many other nations continue to pursue some variation of managed competition to address these problems, Australia has chosen a more incremental reform path, with initiatives such as the General Practice Strategy, restrictions in doctor supply and coordinated care trials. This article reviews the likely effectiveness of such initiatives in the light of experience and evidence of budget-holding in achieving similar objectives overseas. It concludes that budget-holding offers a more effective strategy than current 'piecemeal' reforms to contain costs and increase efficiency within Australian health care.

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Baum, Fran, and Paul Butler. "Health and the New World Order: An International Conference in South Africa and its Implications for Australia." Australian Journal of Primary Health 3, no. 3 (1997): 7. http://dx.doi.org/10.1071/py97016.

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In January 1997, 400 delegates from more than 20 countries gathered in Cape Town at an International Conference focusing on the impact of the new world economic order on health and health care. The themes of the conference were: (i) challenges facing Primary Health Care (ii) Health for All - innovative local programs and global strategies (iii) The Global Crisis - economic structural adjustment programs and environmental destruction, and (iv) the World Bank - 'Investing in Health' or prescription for under-development? In this paper some of the proceedings and outcomes from the Conference are described and some of the implications for Australia discussed. The issues include wealth and racism as major public health issues in Australia; Australian Aid funding; how to maintain the principles of primary health care; and the importance of global progressive networks in an era of multi-national companies.

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Swerissen, Hal. "Editorial: Strengthening clinical governance in primary health and community care." Australian Journal of Primary Health 11, no. 1 (2005): 2. http://dx.doi.org/10.1071/py05001.

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Large numbers of people die each year in hospitals as a result of preventable errors. High profile cases like the Royal Bristol Infirmary in the UK or the King Edward Memorial Hospital in Western Australia highlight the problem in the popular media, putting pressure on governments, providers and the professions to improve safety and quality in hospitals. In Australia, the Quality in Australian Health Care study reviewed the medical records of 14,179 admissions to 28 hospitals and found that an adverse event occurred in 16.6% of cases, with 51% considered to have been preventable (Wilson et al., 1995).

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Clark, Shannon, Rhian Parker, Brenton Prosser, and Rachel Davey. "Aged care nurse practitioners in Australia: evidence for the development of their role." Australian Health Review 37, no. 5 (2013): 594. http://dx.doi.org/10.1071/ah13052.

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Aim To consider evidence surrounding the emerging role of nurse practitioners in Australia with a particular focus on the provision of healthcare to older people. Methods Methods used included keyword, electronic database and bibliographic searches of international literature, as well as review of prominent policy reports in relation to aged care and advanced nursing roles. Results This paper reports on evidence from systematic reviews and international studies that show that nurse practitioners improve healthcare outcomes, particularly for hard to service populations. It also maps out the limited Australian evidence on the impact of nurse practitioners’ care in aged care settings. Conclusions If Australia is to meet the health needs of its ageing population, more evidence on the effectiveness, economic viability and sustainability of models of care, including those utilising nurse practitioners, is required. What is known about the topic? Australia, like many industrialised countries, faces unprecedented challenges in the provision of health services to an ageing population. Attempts to respond to these challenges have resulted in changing models of healthcare and shifting professional boundaries, including the development of advance practice roles for nurses. One such role is that of the nurse practitioner. There is international evidence that nurse practitioners provide high-quality healthcare. Despite being established in the United States for nearly 50 years, nurse practitioners are a relatively recent addition to the Australian health workforce. What does this paper add? This paper positions a current Australian evaluation of nurse practitioners in aged care against the background of the development of the role of nurse practitioners internationally, evidence for the effectiveness of the role, and evidence for nurse practitioners in aged care. Recent legislative changes in Australia now mean that private nurse practitioner roles can be fully implemented and hence evaluated. In the face of the increasing demands of an ageing population, the paper highlights limitations in current Australian evidence for nurse practitioners in aged care and identifies the importance of a national evaluation to begin to address these limitations. What are the implications for practitioners? The success of future healthcare planning and policy depends on implementing effective initiatives to address the needs of older Australians. Mapping the terrain of contemporary evidence for nurse practitioners highlights the need for more research into nurse practitioner roles and their effectiveness across Australia. Understanding the boundaries and limitations to current evidence is relevant for all involved with health service planning and delivery.

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Mclean, A. S., and E. J. Egan. "Australian Intensive Care Educational Links with Asian Countries." Anaesthesia and Intensive Care 23, no. 6 (December 1995): 718–20. http://dx.doi.org/10.1177/0310057x9502300612.

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A survey examining the level of Australian Intensive Care Unit involvement in the education of Asian critical care doctors and nurses was performed. Of the 49 hospitals surveyed, 34% have ongoing links. An analysis of countries involved, proportion of medical and nursing numbers, and whether the teaching was performed in Australia or the Asian country was undertaken. The survey revealed that a high proportion of Australian Intensive Care Units are actively involved, or would consider future participation, in educational links with Asian units.

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Gibson, Diane. "Reforming Aged Care in Australia: Change and Consequence." Journal of Social Policy 25, no. 2 (April 1996): 157–79. http://dx.doi.org/10.1017/s0047279400000295.

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ABSTRACTFor the last ten years, the Australian system of services for frail elderly people has been undergoing significant reforms. Prior to that time, a series of government reviews and inquiries had repeatedly identified the same problems, including the dominance of institutional care, the inadequate supply of home and community based services, the lack of co-ordination, the inefficiency, and the unequal distribution of services by geographical area. Changes since the implementation of the Aged Care Reform Strategy in 1985 have been considerable, particularly with regard to the residential care sector. This article is concerned with the policy responses which emerged under the Strategy, and their impact on aged care service delivery in Australia.

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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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