Australian Health Review
Volume 46 Number 2 2022
AH22054Election 2022 should address unfinished business in health and aged care
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.
AH21045 Abstract | AH21045 Full Text | AH21045PDF (323 KB) | AH21045Corrigendum (323 KB) | AH21045Supplementary Material (332 KB) Open Access Article
AH20208Application of an economic evaluation approach to making regulatory decisions regarding access to medicines: advantages, challenges and recommendations
AH20208 Abstract | AH20208 Full Text | AH20208PDF (122 KB) | AH20208Supplementary Material (227 KB) Open Access Article
AH21379Bevacizumab for blinding eye disease – is it time for the PBS to list for off-label use?
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.
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.
AH21100 Abstract | AH21100 Full Text | AH21100PDF (761 KB) | AH21100Supplementary Material (488 KB) Open Access Article
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.
AH21323 Abstract | AH21323 Full Text | AH21323PDF (699 KB) | AH21323Supplementary Material (547 KB) Open Access Article
AH21335Integrating virtual models of care through infrastructure innovation in healthcare facility design
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.
AH21118Nurses’ and midwives’ experiences of the first phase of the implementation of an electronic medical records system
AH21036Survey of paediatric telehealth benefits from the caregiver perspective
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.
AH21299 Abstract | AH21299 Full Text | AH21299PDF (843 KB) Open Access Article
AH21006Association between Western Australian children’s unplanned dental presentations and the socioeconomic status of their residential area
AH21129Characteristics of patients aged 50–74 years with a request for an immunochemical faecal occult blood test in the Australian general practice setting
AH21156How patient centric is health policy development? The case of the Parliamentary Inquiry into Sleep Health Awareness in Australia
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.
AH20286Cognitive impairment in older hospital inpatients: prevalence, care needs and carer perceptions
AH21324Healthcare worker infections with the SARS-CoV-2 virus following the inception of an adult COVID-19 intensive care unit
AH21324 Full Text | AH21324PDF (640 KB) Open Access Article
AH21045_COCorrigendum to: What has driven acute public hospital expenditure growth in South Australia? An analysis of the relative importance of major expenditure drivers between 2006–07 and 2017–18
AH21045_CO Abstract | AH21045_COCorrigendum (323 KB) Open Access Article