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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
Australian Health Review

Australian Health Review

Volume 46 Number 2 2022


The 2022 federal election is critical for the health and aged care sectors. Both parties need to address the COVID care deficit, oral health care, and commit to fix the aged care mess. The ongoing tragedy of First Nations health should also remain a priority. And a bipartisan acceptance of the need to address climate change is also required.


What is known about the topic? Bevacizumab is known to be a far cheaper off-label alternative for the treatment of retinal vascular diseases such as age related macular disease, diabetic maculopathy and venous occlusive disease. Cost, litigation pressures and supply issues continue to limit its use in Australia. What does this paper add? This paper discusses the approaches taken by other health jurisdictions and authorities around the world, enabling easier access to this drug and thus making massive cost savings to their respective health budgets. What are the implications for practitioners? Potentially enormous cost savings could be achieved by enabling easier access to bevacizumab.

AH21100Cost and economic determinants of paediatric tonsillectomy

Aimy H. L. Tran 0000-0002-7240-3867, Danny Liew, Rosemary S. C. Horne, Joanne Rimmer and Gillian M. Nixon
pp. 153-162

What this known about the topic? Tonsillectomy is one of the most common surgeries in childhood and the most frequent reason for paediatric unplanned hospital readmissions. There is growing interest in cost containment and a value-based model of funding. What does this paper add? This is the first study to investigate the economic effect of paediatric tonsillectomy at a national level worldwide. The estimated national annual cost of tonsillectomy was A$126 705 989 and rising. What are the implications for practitioners? These findings will inform healthcare reform that aims to contain costs while optimising patient outcomes.

AH21323Overtime claiming among Australian doctors-in-training

Andrew Coulshed 0000-0002-1316-2768, Brian Fernandes 0000-0002-4275-819X and Sanjay Hettige
pp. 163-169

What is known about the topic? Among Australian doctors-in-training, there appears to be a significant discrepancy between contracted working hours, actual expectations for working hours, and remuneration for hours worked. What does this paper add? This paper outlines and analyses patterns of overtime claiming among Australian doctors‐in‐training. Notably, doctors‐in‐training worked significant quantities of unrostered overtime, demonstrating a discrepancy between formal expectations set out by rosters, and the reality of workplace demands. What are the implications for practitioners? These findings have significant implications for healthcare economics, workforce planning and improving junior doctor wellbeing.

AH21335Integrating virtual models of care through infrastructure innovation in healthcare facility design

Reema Harrison 0000-0002-8609-9827, Robyn Clay-Williams 0000-0002-6107-7445 and Alexander Cardenas
pp. 185-187

What is known about the topic? Widespread uptake of digital solutions has afforded the Australian health system wide-ranging benefits beyond enabling safe contact between health professionals, patients and carers to prevent disease transmission during the COVID-19 pandemic. What does this paper add? Current approaches to health facility generation or redevelopment do not support optimal use of virtual models of care demonstrates the lost opportunities for care quality and efficiency. Realising the benefits of virtual care is contingent upon its effective integration into healthcare systems, from planning to delivery. What are the implications for practitioners? Successful adoption and sustainment of best-practice virtual care necessitate support for behavioural change. Adoption and sustainment may be best achieved by using co-design approaches to determine optimal models for virtual care. Measures to establish the safety and quality of care using virtual modes and between different modes of care, settings and populations are also essential for system-wide evaluation.


What is known about the topic? The NSQHS Standards are used for assessment of hospital quality and safety in Australia. The Comprehensive Care Standard aims to ensure patients receive care that meets their needs, improves outcomes and reduces harm. What does this paper add? The Comprehensive Care Standard early implementation data in Australian hospitals is presented. What are the implications for practitioners? Health service organisations are required to meet the actions in the Comprehensive Care Standard.

AH21156How patient centric is health policy development? The case of the Parliamentary Inquiry into Sleep Health Awareness in Australia

Aaron Schokman 0000-0003-0419-9347, Nick Glozier 0000-0002-0476-9146, Melissa Aji 0000-0003-4497-888X, Yu Sun Bin 0000-0002-4954-2658, Kristina Kairaitis 0000-0002-8808-3183 and Janet M. Y. Cheung 0000-0001-6341-5594
pp. 233-243

What is known about the topic? Parliamentary inquiries are rare instances where patients and their families/carers can contribute to high-level health policy development. What does this paper add? While healthcare and health policy development have become increasingly patient-centric, stakeholder engagement is often driven by other, more powerful stakeholder groups (e.g doctors, non-government organisations etc.). A parliamentary inquiry represents a unique approach towards engaging stakeholders, allowing for direct contribution and empowerment of everyday Australians. This is the first study that explores the translation of patient and family/carer concerns by the parliamentary inquiry process and the extent these concerns are addressed by policy reform. What are the implications for practitioners? Parliamentary inquiries have the potential to develop and reform high-level healthcare policy, yet lack transparency and processes for balancing stakeholder perspectives. This may lead to misaligned stakeholder priorities and inefficient healthcare policy, programs and services that do not adequately meet the needs of patients or family/carers.

Committee on Publication Ethics

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