Статті в журналах: "Transcultural medical care Australia"

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Bartlett, Carolyn. "Transcultural Health Care: A Culturally Competent Approach." AORN Journal 68, no. 3 (September 1998): 479–80. http://dx.doi.org/10.1016/s0001-2092(06)62424-1.

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Alsop-Shields, Linda. "Perioperative Care of Children in a Transcultural Context." AORN Journal 71, no. 5 (May 2000): 1004–20. http://dx.doi.org/10.1016/s0001-2092(06)61550-0.

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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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Omeri, Akram. "Culture Care of Iranian Immigrants in New South Wales, Australia: Sharing Transcultural Nursing Knowledge." Journal of Transcultural Nursing 8, no. 2 (January 1997): 5–16. http://dx.doi.org/10.1177/104365969700800202.

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Alvarez Garcia, C., and A. Gomez Martín. "Equality in healthcare: transcultural psychiatry." European Psychiatry 65, S1 (June 2022): S634. http://dx.doi.org/10.1192/j.eurpsy.2022.1626.

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Introduction Migratory flows are increasing more and more, especially regarding the refugee crisis during the last years. There are around 86,7 million migrants in Europe. Migrants share similar experiences that may affect their physical and mental health, such as loss of a social network, lack of economical support or high levels of stress and discrimination. Objectives To analyze the obstacles that migrants must face to obtain a mental health assistance and the importance of an intercultural approach. Methods A narrative review of the existing literature on the subject. Results Although there exists evidence that shows that migrants tend to have more health needs, they usually seek less medical advice and receive a poor-quality attention, fulfilling the inverse-care law. This is due to several reasons. Many migrants are excluded of the health care system due to bureaucratic impediments. Also, the language has a determining role, since a higher quality of communication could lead to a better understanding of the symptoms, reducing the risk of erroneous evaluations. Besides, different background and culture between the patient and the doctor can result in lack of communication, mistrust, mistreatment, poor adherence, and worse prognosis. Conclusions Despite the exponential growth of migration in the last decade and the continue progression, migrants still face many barriers to receive healthcare. It is necessary to do more research on the mental health of migrants and ethnic minorities to ensure quality care to different cultures. Disclosure No significant relationships.

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Berhanu, Robera Demissie, Abebe Abera Tesema, Mesfin Beharu Deme, and Shuma Gosha Kanfe. "Perceived transcultural self-efficacy and its associated factors among nurses in Ethiopia: A cross-sectional study." PLOS ONE 16, no. 7 (July 22, 2021): e0254643. http://dx.doi.org/10.1371/journal.pone.0254643.

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Background Transcultural self-efficacy is a nurse’s perception of his or her own ability to accomplish activities effectively for culturally diverse clients. This self-efficacy may be affected by different factors, either positively or negatively. Quality care can be improved significantly when nurses provide patient-centered care that considers cultural background of the patients. Thus, this study aimed to assess perceived transcultural self-efficacy and its associated factors among nurses working at Jimma Medical Center. Methods Facility-based cross-sectional study with both quantitative and qualitative methods of data collection was conducted among 244 nurses and 10 key informants from 20 May to 20 June 2020. Bivariate and multivariable linear regression analyses were used to identify factors associated with transcultural self-efficacy. Qualitative data were coded and analyzed thematically. Quantitative results were integrated with qualitative results. Results A total of 236 nurses participated in the study making the response rate 96.7%. The mean transcultural self-efficacy score was 2.89 ± 0.59. Sex, work experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation were significantly associated with transcultural self-efficacy. Ten in-depth interviews were conducted and the findings of qualitative data yielded four major themes. Conclusion The level of perceived transcultural self-efficacy was moderate among nurses. Transcultural self-efficacy of nurses varies with several factors including sex, experience, intercultural communication, cultural sensitivity, interpersonal communication, and cultural motivation. This calls for the need to offer transcultural nursing training for nurses.

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FitzGerald, Gerry. "An emergency medical system for Australia." Emergency Medicine 6, no. 3 (August 26, 2009): 171–72. http://dx.doi.org/10.1111/j.1442-2026.1994.tb00160.x.

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LIAW, S. TENG. "Information Management in Primary Medical Care in South Australia." Family Practice 11, no. 1 (1994): 44–50. http://dx.doi.org/10.1093/fampra/11.1.44.

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Gross, Paul F. "Technology Assessment in Health Care in Australia." International Journal of Technology Assessment in Health Care 5, no. 1 (January 1989): 137–44. http://dx.doi.org/10.1017/s0266462300006024.

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In 1977, in the middle of a protracted debate on the costs and methods of paying for health care, the federal minister for health established a Committee on Applications and Costs of Modern Technology in Medical Practice. In 1978, the committee produced its report, which reviewed a number of cost containment strategies, including the reduction or regulation of fees paid to medical practitioners for specific procedures. It recommended that a national panel be established to collect information on medical technology and advise on its introduction in Australia.In 1982, the National Health Technology Advisory Panel (NHTAP) was created to identify and examine existing and emerging medical technology, to determine methods and priorities for assessment, and to make recommendations to the minister for health with respect to assessment and funding of new technology.

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Benrimoj, Shalom I., and Alison S. Roberts. "Providing Patient Care in Community Pharmacies in Australia." Annals of Pharmacotherapy 39, no. 11 (November 2005): 1911–17. http://dx.doi.org/10.1345/aph.1g165.

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OBJECTIVE To describe Australia's community pharmacy network in the context of the health system and outline the provision of services. DATA SYNTHESIS The 5000 community pharmacies form a key component of the healthcare system for Australians, for whom health expenditures represent 9% of the Gross Domestic Product. A typical community pharmacy dispenses 880 prescriptions per week. Pharmacists are key partners in the Government's National Medicines Policy and contribute to its objectives through the provision of cognitive pharmaceutical services (CPS). The Third Community Pharmacy Agreement included funding for CPS including medication review and the provision of written drug information. Funding is also provided for a quality assurance platform with which the majority of pharmacies are accredited. Fifteen million dollars (Australian) have been allocated to research in community pharmacy, which has focused on achieving quality use of medicines (QUM), as well as developing new CPS and facilitating change. Elements of the Agreements have taken into account QUM principles and are now significant drivers of practice change. Although accounting for 10% of remuneration for community pharmacy, the provision of CPS represents a significant shift in focus to view pharmacy as a service provider. Delivery of CPS through the community pharmacy network provides sustainability for primary health care due to improvement in quality presumably associated with a reduction in healthcare costs. CONCLUSIONS Australian pharmacy practice is moving strongly in the direction of CPS provision; however, change does not occur easily. The development of a change management strategy is underway to improve the uptake of professional and business opportunities in community pharmacy.

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Cowan, David T. "The Impact of Culture on Anaesthetic Practice." British Journal of Anaesthetic and Recovery Nursing 5, no. 3 (August 2004): 47–51. http://dx.doi.org/10.1017/s1742645600001303.

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IN debating the issue of whether or not nursing care should be perceived within a framework of cultural competence, this paper briefly describes the background of this approach to nursing, and as an exemplar, discusses how culture can impact on the practice of anaesthetics and peri–anaesthetic care. This is illustrated through drawing on my own transcultural experiences while employed for nearly five years as a non–physician anaesthetist in Saudi Arabia and may therefore be of interest to those practitioners involved in the delivery of anaesthetics and peri–anaesthetic care.

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Macdonald, John. "Primary Health Care or Primary Medical Care: In Reality." Australian Journal of Primary Health 13, no. 2 (2007): 18. http://dx.doi.org/10.1071/py07019.

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Despite considerable rhetoric, comprehensive primary health care remains largely a matter of a paper exercise. The theory promotes horizontal and vertical integration and the active participation of people in planning. Experience in Australia and elsewhere indicates that what is in place in health services is often primary medical care: the management of the needs of presenting individuals. The arguments for upstream interventions remain valid, bolstered by research on the social determinants of health. Two examples are given of primary health care that attempt to work upstream, before clinical interventions become necessary and illustrate the need for both horizontal and vertical integration. Consequences for policy and training are drawn.

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Yogesan, K., C. Henderson, C. J. Barry, and I. J. Constable. "Online eye care in prisons in Western Australia." Journal of Telemedicine and Telecare 7, no. 2_suppl (December 2001): 63–64. http://dx.doi.org/10.1258/1357633011937173.

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In prisons, prison medical officers provide general medical care. However, if specialist care is needed then the prisoner is transported to a specialist medical centre. This is a costly procedure and prison escapes occur during transportation. We have tested our Internet-based eye care system in prisons in Western Australia. Medical and ophthalmic history, visual acuity and intraocular pressure were stored in a browser-based multimedia database. Digital images of the retina and the external eye were recorded and transmitted to a central server. Based on the medical data and the digital images, the specialist ophthalmologist could provide a diagnosis within 24 h. Eleven patients (mean age 48, range 30–82 years) were reviewed during two separate visits to a maximum-security prison in Western Australia. Our main aim was to train prison medical officers and nurses to operate the portable ophthalmic imaging instruments and to use the Internet-based eye care system. The outcome of the pilot study indicated that considerable savings could be made in transport costs and the security risk could be reduced. The Ministry of Justice in Western Australia has decided to implement telemedicine services to provide regular ophthalmic consultation to its prisons.

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O’Loughlin, Mary, Caryn West, and Jane Mills. "Medical homes and chronic care: consumer lessons for regional Australia." Australian Journal of Primary Health 28, no. 2 (February 1, 2022): 97–103. http://dx.doi.org/10.1071/py21020.

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Medical home models of care, including Australia’s Health Care Homes, have the potential to improve health service delivery. This qualitative study explored the primary healthcare experience of people living with chronic conditions in a regional community. The study aim was to use consumer perspectives to inform the further development of a medical home-type model for regional Australia. Participants were recruited from the emergency department of a north Queensland hospital. Twenty-one adults (aged ≥18 years) participated in interviews, using a semi-structured schedule. Inductive, deductive and abductive analyses were guided by grounded theory methods. Participants were committed to an individual GP, rather than a practice organisation. This finding has implications for medical homes, as individuals may choose not to access team-based practice care. Most participants perceived they currently received high-quality GP care, although challenges were identified. These challenges included disconnected after-hours care and uncertainty around the cost of care. Those living with complex, uncommon, chronic conditions felt the most disenfranchised from existing care models, and could benefit from increased engagement with a medical home-type model. Strengthening the continuity of care between GPs both within and outside the practice may enhance service delivery. Involving consumers in the design of care models supports health services that are fit-for-purpose.

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Westbury, J. L., S. Jackson, and G. M. Peterson. "Psycholeptic use in aged care homes in Tasmania, Australia." Journal of Clinical Pharmacy and Therapeutics 35, no. 2 (October 11, 2009): 189–93. http://dx.doi.org/10.1111/j.1365-2710.2009.01079.x.

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Neilly, Chia-Hui, Anne Rader, Sara Zielinski, Hiba Wehbe-Alamah, and Margaret Murray-Wright. "Using Transcultural Nursing Education to Increase Cultural Sensitivity and Cultural Assessment Documentation by Staff in an In-Home Chronic Disease Self-Management Program." Journal of Doctoral Nursing Practice 12, no. 1 (April 1, 2019): 16–23. http://dx.doi.org/10.1891/2380-9418.12.1.16.

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BackgroundDespite literature indicating that culturally sensitive care promotes a positive patient environment and may help improve outcomes, limited data exist on the documentation of patients' cultural concerns in electronic medical records (EMR).ObjectiveThe project's objective was to use an educational intervention to increase clinic staff's cultural sensitivity and cultural assessment documentation.MethodsResearchers conducted this 3-month project at a Midwestern clinic's in-home, self-care chronic disease management program. The voluntary sample of clinical staff (n= 8) received an educational intervention on transcultural nursing practices. Researchers administered the Transcultural Self-Efficacy Tool for the Multidisciplinary Healthcare Provider (TSET-MHP) to participants before and after the intervention. A pre- and postintervention EMR audit was completed on 128 charts to evaluate cultural assessment documentation.ResultsTSET-MHP cognitive and practical subscales scores increased postintervention. Affective subscales scores decreased slightly. Electronic cultural assessment documentation increased by 10%. An assessment questionnaire showed an increase in participants' cultural self-awareness and comfort with cultural assessment.ConclusionsAn educational intervention demonstrated an increase in providers' cultural awareness and cultural assessment documentation.Implications for NursingTranscultural nursing education may help increase providers' perceived cultural self-efficacy, which may improve cultural assessments and culturally competent care.

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Richardson, Jeffrey. "Medical Technology and its Diffusion in Australia." International Journal of Technology Assessment in Health Care 4, no. 3 (July 1988): 407–31. http://dx.doi.org/10.1017/s0266462300000362.

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AbstractThe author examines the Australian health care system by surveying the financing techniques, physical organization, and government activity. He explains the impact of the public and private sectors and comments on the effectiveness of current evaluation procedures. While the author believes that the system is relatively healthy and cost effective, he recognizes a need for more comprehensive and scientific oversight. Using regression analysis and focusing on the installation of medical technology in hospitals, the author attempts to determine the specific factors that influence technology diffusion. He concludes by stressing that further studies analyzing the actual use of specific technologies are vital.

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Krzyżaniak, Natalia, Iga Pawłowska, and Beata Bajorek. "Pharmacist perspectives towards pharmaceutical care services in neonatal intensive care units in Australia and Poland." Drugs & Therapy Perspectives 34, no. 12 (September 18, 2018): 573–82. http://dx.doi.org/10.1007/s40267-018-0556-5.

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Spurgeon, Peter, Paul Long, John Clark, and Frank Daly. "Do we need medical leadership or medical engagement?" Leadership in Health Services 28, no. 3 (July 6, 2015): 173–84. http://dx.doi.org/10.1108/lhs-03-2014-0029.

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Purpose – The purpose of this paper is to address issues of medical leadership within health systems and to clarify the associated conceptual issues, for example, leadership versus management and medical versus clinical leadership. However, its principle contribution is to raise the issue of the purpose or outcome of medical leadership, and, in this respect, it argues that it is to promote medical engagement. Design/methodology/approach – The approach is to provide evidence, both from the literature and empirically, to suggest that enhanced medical engagement leads to improved organisational performance and, in doing so, to review the associated concepts. Findings – Building on current evidence from the UK and Australia, the authors strengthen previous findings that effective medical leadership underpins the effective organisational performance. Research limitations/implications – There is a current imbalance between the size of the databases on medical engagement between the UK (very large) and Australia (small but developing). Practical implications – The authors aim to equip medical leaders with the appropriate skill set to promote and enhance greater medical engagement. The focus of leaders in organisations should be in creating a culture that fosters and supports medical engagement. Social implications – This paper provides empowerment of medical professionals to have greater influence in the running of the organisation in which they deliver care. Originality/value – The paper contains, for the first time, linked performance data from the Care Quality Commission in the UK and from Australia with the new set of medical engagement findings.

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Amiri, Rana, Abbas Heidari, Nahid Dehghan-Nayeri, Abou Ali Vedadhir, and Hosein Kareshki. "Challenges of Transcultural Caring Among Health Workers in Mashhad-Iran: A Qualitative Study." Global Journal of Health Science 8, no. 7 (December 18, 2015): 203. http://dx.doi.org/10.5539/gjhs.v8n7p203.

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BACKGROUND: One of the consequences of migration is cultural diversity in various communities. This has created challenges for healthcare systems.OBJECTIVES: The aim of this study is to explore the health care staffs’ experience of caring for Immigrants in Mashhad- Iran.SETTING: This study is done in Tollab area (wherein most immigrants live) of Mashhad. Clinics and hospitals that immigrants had more referral were selected.PARTICIPANTS: Data were collected through in-depth interviews with medical and nursing staffs. 15 participants (7 Doctors and 8 Nurses) who worked in the more referred immigrants’ clinics and hospitals were entered to the study. DESIGN: This is a qualitative study with content analysis approach. Sampling method was purposive. The accuracy and consistency of data were confirmed. Interviews were conducted until no new data were emerged. Data were analyzed by using latent qualitative content analysis.RESULTS: The data analysis consisted of four main categories; (1) communication barrier, (2) irregular follow- up, (3) lack of trust, (4) cultural- personal trait.CONCLUSION: Result revealed that health workers are confronting with some trans- cultural issues in caring of immigrants. Some of these issues are related to immigration status and some related to cultural difference between health workers and immigrants. These issues indicate that there is transcultural care challenges in care of immigrants among health workers. Due to the fact that Iran is the context of various cultures, it is necessary to consider the transcultural care in medical staffs. The study indicates that training and development in the area of cultural competence is necessary.

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Adams, Diana, and Gavin Marx. "Daily Life As an Australian Medical Oncologist." Journal of Oncology Practice 6, no. 3 (May 2010): 146–48. http://dx.doi.org/10.1200/jop.878901.

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Gray, Gwen. "Access to Medical Care under Strain: New Pressures in Canada and Australia." Journal of Health Politics, Policy and Law 23, no. 6 (January 1, 1998): 905–47. http://dx.doi.org/10.1215/03616878-23-6-905.

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P Sturmberg, Joachim, and Geoff M McDonnell. "How Modelling could Contribute to Reforming Primary Care—Tweaking “the Ecology of Medical Care” in Australia." AIMS Medical Science 3, no. 3 (2016): 298–311. http://dx.doi.org/10.3934/medsci.2016.3.298.

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Albsoul, Rania Ali, Gerard FitzGerald, and Muhammad Ahmed Alshyyab. "Missed nursing care: a snapshot case study in a medical ward in Australia." British Journal of Nursing 31, no. 13 (July 7, 2022): 710–16. http://dx.doi.org/10.12968/bjon.2022.31.13.710.

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Background: Missed nursing care is a global issue in acute healthcare settings. It is a complex phenomenon that refers to nursing care that is required by patients but left undone or significantly delayed. Aim: To investigate the nature of missed nursing care and influencing factors in a general medical ward in an acute care hospital in Brisbane, Australia. Method: This is a descriptive case study. The study was carried out in a 29-bed inpatient general medical/cardiology/telemetry ward in an acute care tertiary hospital. Results: The study ward has been identified as a high complexity unit. The survey data found that the most frequent nursing care elements missed, as reported by the patients, were oral care, response to machine beep, and response to call light. The most frequent nurse-reported missed care items were ambulation, monitoring fluid intake/output and attendance at interdisciplinary conferences. Conclusion: Despite mandating nurse-to-patient ratios in the study ward, inadequate staffing was still perceived as being problematic and one of the most frequent reasons leading to missed nursing care. This possible disconnect between mandated staffing ratios and the persistence of perceived missed care suggests a more complex relationship than can be managed by macro (large-scale) resourcing formulas alone.

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Shephard, Mark. "Abnormal laboratory results: Point-of-care testing comes of age in Australia." Australian Prescriber 33, no. 1 (February 1, 2010): 6–9. http://dx.doi.org/10.18773/austprescr.2010.003.

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Roughead, Elizabeth E., Susan J. Semple, and Andrew L. Gilbert. "Quality Use of Medicines in Aged-Care Facilities in Australia." Drugs & Aging 20, no. 9 (2003): 643–53. http://dx.doi.org/10.2165/00002512-200320090-00002.

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Loucks, Vernon R. "Home Health Care." International Journal of Technology Assessment in Health Care 1, no. 2 (April 1985): 301–4. http://dx.doi.org/10.1017/s0266462300000076.

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Throughout the industrialized world—from the United States to Japan, from Scandinavia to Australia—the theme of cost containment dominates the discourse on health care. This issue is the offspring of successful past efforts to ensure all patients effective medical care. While many countries have groups with special health disadvantages, the great majority of people in the industrialized nations have access to modern medical care and make ready use of it. The problem now is its cost, as aging populations, increasing in number as the result of advanced techniques that are more effective in prolonging life, place considerable strains on health care budgets.

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Tran, David Minh, and Malcolm P. Forbes. "Addressing cost of unwarranted medical care in the medical curriculum." Australian Health Review 41, no. 2 (2017): 151. http://dx.doi.org/10.1071/ah15172.

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Within the past decade, there has been a significant increase in Australia’s health expenditure, with a concurrent rise in overdiagnosis. Australia has introduced the Choosing Wisely campaign in a bid to identify and reduce commonly used investigations, treatments and procedures that add little benefit to patient care. By catalysing a discussion regarding evidence-based use of medications and medical testing, the Choosing Wisely campaign can minimise risk of harm to patients, as well as reduce expenditure. Internationally, several institutions are considering introducing training regarding cost-effective medical investigations into medical school curricula. The American College of Radiology has found positive results when conducting small-group teaching sessions with medical students regarding appropriate imaging modalities. These results are reflected in a US study that used an educational intervention to improve students’ understanding of investigation costs. In addition, the Academy of Clinical Laboratory Physicians and Scientists has developed a proposed curriculum to further medical students’ training in appropriate ordering of laboratory investigations. Australian medical educators must consider whether introducing evidence-based testing into Australian medical curricula should be part of a wider strategy to prevent unnecessary testing and health expenditure now and into the future.

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Cho, Jun Yeun, Jinwoo Lee, Sang-Min Lee, Ju-Hee Park, Junghyun Kim, Youlim Kim, Sang Hoon Lee, et al. "Transcultural Adaptation and Validation of Quality of Dying and Death Questionnaire in Medical Intensive Care Units in South Korea." Acute and Critical Care 33, no. 2 (May 31, 2018): 95–101. http://dx.doi.org/10.4266/acc.2017.00612.

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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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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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England, Kaye, and Julian F. Bion. "Introduction of medical emergency teams in Australia and New Zealand: a multicentre study." Critical Care 12, no. 3 (2008): 151. http://dx.doi.org/10.1186/cc6902.

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Gadzhanova, Svetla, and Richard Reed. "Medical services provided by general practitioners in residential aged‐care facilities in Australia." Medical Journal of Australia 187, no. 2 (July 2007): 92–94. http://dx.doi.org/10.5694/j.1326-5377.2007.tb01148.x.

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Grohmann, G., R. I. Glass, J. Gold, M. James, P. Edwards, T. Borg, S. E. Stine, C. Goldsmith, and S. S. Monroe. "Outbreak of human calicivirus gastroenteritis in a day-care center in Sydney, Australia." Journal of Clinical Microbiology 29, no. 3 (1991): 544–50. http://dx.doi.org/10.1128/jcm.29.3.544-550.1991.

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He, Wen-Qiang, Martyn D. Kirk, John Hall, and Bette Liu. "Prescribing Antimicrobial Drugs for Acute Gastroenteritis, Primary Care, Australia, 2013–2018." Emerging Infectious Diseases 27, no. 5 (May 2021): 1462–67. http://dx.doi.org/10.3201/eid2705.203692.

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Boyle, Malcolm J., M. ClinEpi, Erin C. Smith, and Frank L. Archer. "Trauma Incidents Attended by Emergency Medical Services in Victoria, Australia." Prehospital and Disaster Medicine 23, no. 1 (February 2008): 20–28. http://dx.doi.org/10.1017/s1049023x00005501.

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AbstractIntroduction:International literature describing the profile of trauma patients attended by a statewide emergency medical services (EMS) system is lacking. Most literature is limited to descriptions of trauma responses for a single emergency medical service, or to patients transported to a specific Level-1 trauma hospital. There is no Victorian or Australian literature describing the type of trauma patients transported by a state emergency medical service.Purpose:The purpose of this study was to define a profile of all trauma incidents attended by statewide EMS.Methods:A retrospective cohort study of all patient care records (PCR) for trauma responses attended by Victorian Ambulance Services for 2002 was conducted. Criteria for trauma categories were defined previously, and data were extracted from the PCRs and entered into a secure data repository for descriptive analysis to determine the trauma profile. Ethics committee approval was obtained.Results:There were 53,039 trauma incidents attended by emergency ambulances during the 12-month period. Of these, 1,566 patients were in physiological distress, 11,086 had a significant pattern of injury, and a further 8,931 had an identifiable mechanism of injury. The profile includes minor trauma (n = 9,342), standing falls (n = 20,511), no patient transported (n = 3,687), and deceased patients (n = 459).Conclusions:This is a unique analysis of prehospital trauma. It provides a baseline dataset that may be utilized in future studies of prehospital trauma care. Additionally, this dataset identifies a ten-fold difference in major trauma between the prehospital and the hospital assessments.

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Kruger, Estie, Irosha Perera, and Marc Tennant. "Primary oral health service provision in Aboriginal Medical Services-based dental clinics in Western Australia." Australian Journal of Primary Health 16, no. 4 (2010): 291. http://dx.doi.org/10.1071/py10028.

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Australians living in rural and remote areas have poorer access to dental care. This situation is attributed to workforce shortages, limited facilities and large distances to care centres. Against this backdrop, rural and remote Indigenous (Aboriginal) communities in Western Australia seem to be more disadvantaged because evidence suggests they have poorer oral health than non-Indigenous people. Hence, provision of dental care for Aboriginal populations in culturally appropriate settings in rural and remote Western Australia is an important public health issue. The aim of this research was to compare services between the Aboriginal Medical Services (AMS)-based clinics and a typical rural community clinic. A retrospective analysis of patient demographics and clinical treatment data was undertaken among patients who attended the dental clinics over a period of 6 years from 1999 to 2004. The majority of patients who received dental care at AMS dental clinics were Aboriginal (95.3%), compared with 8% at the non-AMS clinic. The rate of emergency at the non-AMS clinic was 33.5%, compared with 79.2% at the AMS clinics. The present study confirmed that more Indigenous patients were treated in AMS dental clinics and the mix of dental care provided was dominated by emergency care and oral surgery. This indicated a higher burden of oral disease and late utilisation of dental care services (more focus on tooth extraction) among rural and remote Indigenous people in Western Australia.

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Walter, Garry, Ken Kffikby, Isaac Marks, Harvey Whtteford, Gavin Andrews, and Richard Swinson. "Outcome Measurement: Sharing Experiences in Australia." Australasian Psychiatry 4, no. 6 (December 1996): 316–18. http://dx.doi.org/10.3109/10398569609082075.

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There is growing attention to evidence-based medicine both in informing medical education and in guiding clinical practice. The result is increasing emphasis on evaluating treatment efficacy, the structure of health care delivery, the allocation of the health dollar and the application of information technology to these tasks. Implications are emerging for psychiatric care in Australia from everyday clinical practices to the political level. Collective experience in this area, as discussed at a conference forum in Sydney [1], is summarized in this paper. This information is presented to stimulate thought, foster comparisons and encourage a synthesis of clinical, administrative and political directions in this field.

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Karapetis, Christos S. "Medical oncology group of Australia: taking a leading role in medical oncology education, patient care & research." Annals of Oncology 29 (October 2018): vii5. http://dx.doi.org/10.1093/annonc/mdy364.002.

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Jones, Daryl, Carol George, Graeme K. Hart, Rinaldo Bellomo, and Jacqueline Martin. "Introduction of Medical Emergency Teams in Australia and New Zealand: a multi-centre study." Critical Care 12, no. 2 (2008): R46. http://dx.doi.org/10.1186/cc6857.

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Silvester, William, Rachael S. Fullam, Ruth A. Parslow, Virginia J. Lewis, Rebekah Sjanta, Lynne Jackson, Vanessa White, and Jane Gilchrist. "Quality of advance care planning policy and practice in residential aged care facilities in Australia." BMJ Supportive & Palliative Care 3, no. 3 (November 14, 2012): 349–57. http://dx.doi.org/10.1136/bmjspcare-2012-000262.

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Slater, Penelope J., and Anthony R. Herbert. "Education and Mentoring of Specialist Pediatric Palliative Care Medical and Nursing Trainees: The Quality of Care Collaborative Australia." Advances in Medical Education and Practice Volume 14 (January 2023): 43–60. http://dx.doi.org/10.2147/amep.s393051.

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Duckett, Stephen. "The new market in health care:Prospects for managed care in Australia." Australian Health Review 19, no. 2 (1996): 7. http://dx.doi.org/10.1071/ah960007.

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Most developed countries are experimenting, or moving at full speed, to implementnew forms of health delivery based in part on capitation arrangements and strongeraccountability of health service providers. Proposals for introduction of capitation ormanaged care have been advanced in Australia but have attracted strong oppositionfrom the medical profession. This paper reviews the policy issues surrounding theintroduction of managed care, including how Australia?s current institutional formsmay evolve into managed care provision.

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Marquess, John, Wenbiao Hu, Graeme R. Nimmo, and Archie C. A. Clements. "Spatial Analysis of Community-OnsetStaphylococcus aureusBacteremia in Queensland, Australia." Infection Control & Hospital Epidemiology 34, no. 3 (March 2013): 291–98. http://dx.doi.org/10.1086/669522.

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Objectives.TO investigate and describe the relationship between indigenous Australian populations, residential aged care services, and community-onsetStaphylococcus aureusbacteremia (SAB) among patients admitted to public hospitals in Queensland, Australia.Design.Ecological study.Methods.We used administrative healthcare data linked to microbiology results from patients with SAB admitted to Queensland public hospitals from 2005 through 2010 to identify community-onset infections. Data about indigenous Australian population and residential aged care services at the local government area level were obtained from the Queensland Office of Economic and Statistical Research. Associations between community-onset SAB and indigenous Australian population and residential aged care services were calculated using Poisson regression models in a Bayesian framework. Choropleth maps were used to describe the spatial patterns of SAB risk.Results.We observed a 21% increase in relative risk (RR) of bacteremia with methicillin-susceptibleS. aureus(MSSA; RR, 1.21 [95% credible interval, 1.15–1.26]) and a 24% increase in RR with nonmultiresistant methicillin-resistantS. aureus(nmMRSA; RR, 1.24 [95% credible interval, 1.13–1.34]) with a 10% increase in the indigenous Australian population proportion. There was no significant association between RR of SAB and the number of residential aged care services. Areas with the highest RR for nmMRSA and MSSA bacteremia were identified in the northern and western regions of Queensland.Conclusions.The RR of community-onset SAB varied spatially across Queensland. There was increased RR of community-onset SAB with nmMRSA and MSSA in areas of Queensland with increased indigenous population proportions. Additional research should be undertaken to understand other factors that increase the risk of infection due to this organism.

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Bateman, R. M. "Critical Care Retrieval Revisited." Journal of The Royal Naval Medical Service 91, no. 3 (December 2005): 167–69. http://dx.doi.org/10.1136/jrnms-91-167.

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AbstractIn 2000, the Journal of the Royal Naval Medical Service published an account of critical care retrieval experience written by Adrian Mellor and based on his time spent with CareFlight in Sydney, Australia. Having recently completed a term with the same organisation. I wanted to reiterate the usefulness of such an attachment.The purpose of this article is therefore to compare my experiences with those of Surgeon Commander Mellor and to provide an update on the work involved in critical care retrieval within New South Wales.

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Kurti, Linda, Susan Rudland, Rebecca Wilkinson, Dawn DeWitt, and Catherine Zhang. "Physician's assistants: a workforce solution for Australia?" Australian Journal of Primary Health 17, no. 1 (2011): 23. http://dx.doi.org/10.1071/py10055.

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Significant medical workforce shortages, particularly in rural and remote locations, have prompted a range of responses in Australia at both state and Commonwealth levels. One such response was a pilot project to test the suitability of the Physician Assistant (PA) role in the Australian context. Five US-trained and accredited PAs were employed by Queensland Health and deployed in urban, rural and remote settings across Queensland. A concurrent mixed-method evaluation was conducted by Urbis, an independent research firm. The evaluation found that the PAs provided quality, safe clinical care under the supervision of local medical officers. The majority of nurses and doctors who worked with the PAs believed that the PAs made a positive contribution to the health care team by increasing capacity to meet patient needs; reducing on-call requirements for doctors; liaising with other clinical team members; streamlining procedures for efficient patient throughput; and providing continuity during periods of doctor changeover. The Pilot demonstrated that a delegated PA role can provide safe, quality health care by augmenting an established healthcare team. The PA role has the potential to benefit the community by increasing the capacity of the health care system, and to improve recruitment and retention by providing an additional professional pathway. The small size of the Pilot limits the ability to generalise regarding the future efficacy of the PA role in Australia. Further research is required to test training and deployment of PAs in a wider range of Australian clinical settings, including general practice and rural health clinics.

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Benoit, Cecilia, Maria Zadoroznyj, Helga Hallgrimsdottir, Adrienne Treloar, and Kara Taylor. "Medical dominance and neoliberalisation in maternal care provision: The evidence from Canada and Australia." Social Science & Medicine 71, no. 3 (August 2010): 475–81. http://dx.doi.org/10.1016/j.socscimed.2010.04.005.

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Simon, Arne, Kirsten Traynor, Kai Santos, Gisela Blaser, Udo Bode, and Peter Molan. "Medical Honey for Wound Care—Still the ‘Latest Resort’?" Evidence-Based Complementary and Alternative Medicine 6, no. 2 (2009): 165–73. http://dx.doi.org/10.1093/ecam/nem175.

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While the ancient Egyptians and Greeks used honey for wound care, and a broad spectrum of wounds are treated all over the world with natural unprocessed honeys from different sources, Medihoney™ has been one of the first medically certified honeys licensed as a medical product for professional wound care in Europe and Australia. Our experience with medical honey in wound care refers only to this product. In this review, we put our clinical experience into a broader perspective to comment on the use of medical honey in wound care. More prospective randomized studies on a wider range of types of wounds are needed to confirm the safety and efficacy of medical honey in wound care. Nonetheless, the current evidence confirming the antibacterial properties and additional beneficial effects of medical honey on wound healing should encourage other wound care professionals to use CE-certified honey dressings with standardized antibacterial activity, such as Medihoney™ products, as an alternative treatment approach in wounds of different natures.

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Schyvens, M. "The legal status of guardians in advance care planning in Australia." BMJ Supportive & Palliative Care 1, no. 1 (June 1, 2011): 82. http://dx.doi.org/10.1136/bmjspcare-2011-000053.55.

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Kirk, Martyn D., Kathleen E. Fullerton, Gillian V. Hall, Joy Gregory, Russell Stafford, Mark G. Veitch, and Niels Becker. "Surveillance for Outbreaks of Gastroenteritis in Long‐Term Care Facilities, Australia, 2002–2008." Clinical Infectious Diseases 51, no. 8 (October 15, 2010): 907–14. http://dx.doi.org/10.1086/656406.

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