Latest
These articles are the latest published in the journal. Australian Health Review is published under a continuous publication model. More information is available on our Continuous Publication page.
AH24321Impacts of eHealth on hospitals: an updated narrative review of systematic reviews



What is known about the topic? Implementation of eHealth has been unfolding in hospitals for over the past decade, and impact evaluations are needed to provide insights into justifying expenditure. What does this paper add? This paper extends two consecutive narrative reviews of systematic reviews and provides a meta-review of the impacts of eHealth technologies published between 2010 and 2021. We observed largely mixed findings for CPOE, EMR, and ePrescribing, and largely positive findings for CDSS. What are the implications for practitioners? eHealth has the potential to improve a breadth of outcomes, but there is no guarantee and effortful work is needed.
AH25005Accuracy of medication allergy documentation in My Health Record after severe adverse drug reactions
What is known about the topic? Accurate documentation of severe medication allergies is essential to prevent morbidity and mortality from inadvertent re-exposure. My Health Record is a national patient-controlled electronic health record. The accuracy of allergy information in My Health Record has not been previously evaluated. What does this paper add? Inaccurate documentation of confirmed serious medication-related allergies was prevalent, contributed by several system level barriers. What are the implications for practitioners? Accurate allergy documentation in My Health Record and medication safety can be improved through streamlining pathways for hospital clinicians and specialists to enter important information.
AH25063A ‘True North Statement for Care’: charting the course to better care for all Australians

What is known about the topic? In the face of escalating demands, our existing care systems are not delivering efficient, safe, high-quality and complex care that meets the diverse needs of individuals and communities. What does this paper add? Our series of co-design activities generated a True North Statement that can serve as a shared action-focused vision to transform health and social care in Australia over the next decade. What are the implications for practitioners? Our True North Statement is a starting point to guide individual, organisation and system redesign. The statements are sequential and require action at individual consumer, workforce and system levels.
AH25060Advance care planning: empowering older frail people to document their end of life wishes
What is known? Advance care directives are important so that individuals can plan for the medical treatment they want to receive when they are unable to medically or cognitively make those decisions. Unfortunately for many reasons uptake is low. What does this paper add? Increase in uptake can occur if a health professional individualises support at the right time in the right place and targets the right people. What are the implications for practitioners? Dedicated staff are required to provide time, education and empathy to support people to empower themselves to make decisions about their future medical care.
AH25060 Abstract | AH25060 Full Text | AH25060PDF (432 KB) Open Access Article
AH24327Sociodemographic and clinical factors affecting advance care planning: results from a large community cohort in New South Wales, Australia
What is known about the topic? The ageing population and increasing incidence of chronic illness pose significant end-of-life healthcare challenges. advance care planning (ACP) completion rates are low across Australia, varying by location and healthcare setting. What does the paper add? This study identifies predictors for ACP and advance care directive completion, including having a will, advancing age, being female, having private health insurance, not working, and having one or more medical conditions. What are the implications for practitioners? These findings could inform interventions to improve ACP uptake, guide healthcare professionals to identify groups that engage less in ACP and inform future research.
AH24327 Abstract | AH24327 Full Text | AH24327PDF (356 KB) | AH24327Supplementary Material (286 KB) Open Access Article
AH24294Monitoring cross-setting care and outcomes among older people in aged care: a national framework is needed

What is known about the topic? There is a need to advance quality measurement efforts within Australia’s aged care sector, particularly in the midst of current national aged care and healthcare reforms. What does this paper add? This paper discusses why a national cross-setting evidence-based framework to monitor and evaluate quality and safety of care for older people is critical and proposes a strategy for framework development. What are the implications for practitioners? A national framework will produce the evidence required to inform cross-setting quality monitoring efforts and create the infrastructure required to examine quality and safety outcomes longitudinally.
AH25011The trend of once-off versus follow-up Medicare-reimbursed psychiatric consultations and increased telehealth availability: an interrupted time series analysis
What is known about the topic? Following the Medicare Benefits Schedule telehealth expansion in 2020 and consolidation in 2022, video-telepsychiatry usage increased but varied across demographic groups. What does this paper add? We studied the trends of once-off assessments and follow-up sessions for psychiatric consultations. We showed that the growth of video once-off assessments far outpaced their face-to-face counterparts since telehealth policy changes and was more sustained in younger age groups. What are the implications for practitioners? The rapid increase in the utilisation of once-off telepsychiatry assessments may affect care quality and healthcare costs and influence consumer health behaviours.
AH24279Value-based health care definition and characteristics: an evidence-based approach
What is known about the topic? Value-based health care (VBHC) is a widely-cited concept aimed at improving patient outcomes relative to the cost of care while maintaining a focus on quality and patient-centred practices. What does this paper add? This paper contributes a simplified, data-driven definition of VBHC using word frequency analysis to identify key themes, making the concept accessible for practitioners, stakeholders, and non-experts. What are the implications for practitioners? The derived definition serves as a practical entry point for integrating value-based care principles into everyday healthcare delivery, ultimately supporting better patient outcomes and more efficient use of resources.
AH24343Rheumatic heart disease 2025 – current status and future challenges
What is known about the topic? Rheumatic heart disease is a disease of poverty, much commoner in Indigenous than in other communities. What does this paper add? This paper briefly reviews the problems and reflects in potential solutions, known and emerging. What are the implications for practitioners? Practitioners may be interested to see where ther might be hope for a better future, for rheumatic heart disease prevention.
AH24231Exploring the unique value of clinician scientist roles to the health services in which they are employed: a scoping review
What is known about the topic? The value of contemporary clinician scientist roles is almost exclusively described in terms of the benefits to universities by way of academic metrics such as publications and grants. What does this paper add? This paper explores the unique value of these roles to the health services in which they work, outside of academic metrics and the career benefits to individual researchers. What are the implications for practitioners? Implications for practitioners and health service managers include better describing the value of clinician scientist roles and informing important future research.
AH25034Cardiac arrest in Australia: a call to action

What is known about the topic? Sudden cardiac arrest (SCA) represents a major cause of premature mortality globally, with an enormous effect on victims, families, and communities. SCA prevention should be considered a health priority in Australia. What does this paper add? This paper provides key strategies and points of implementation in a framework to improve cardiac arrest outcomes. What are the implications for practitioners? A multi-faceted strategy will include community awareness, improved fundamental mechanistic understanding, preventive strategies, implementation of best-practice resuscitation strategies, secondary risk assessment of family members, and development of (near) real-time registries to inform areas of need and assess the effectiveness of interventions. Challenges of patient access to specialised care and equity within the Australian and New Zealand healthcare system should also be recognised.
AH24296Environmental, Social and Governance principles in Australian publicly funded healthcare: an extension of value-based care

What is known about the topic? Climate-related disclosures will be mandated for Australian Securities Exchange listed companies from January 2025; however this does not include all publicly funded healthcare service providers. What does this paper add? This paper proposes integrating Environmental, Social and Governance principles into health care as a natural extension of the traditional value-based care focus. What are the implications for practitioners? Healthcare practitioners may need to broaden their focus beyond direct health outcomes to include environmental impact, social responsibility and ethical governance in their decision-making and practices.
AH24341Health research governance of data access: a black-box challenge

What is known about the topic? Governance barriers in health organisations hinder research progress, with prior studies focusing on regulatory and ethical hurdles affecting data access and utilisation. What does this paper add? This paper highlights the specific challenges of securing data access in Local Hospital Networks for health systems research, including institutional reputation concerns, despite alignment with strategic priorities and ethics compliance. What are the implications for practitioners? Practitioners must advocate for transparent, consistent governance and institutional accountability to facilitate research that improves equity in research opportunity and outcomes within health systems.
Just Accepted
These articles have been peer reviewed and accepted for publication. They are still in production and have not been edited, so may differ from the final published form.
Private car travel is the dominant form of transport to work for healthcare workers across Greater Western X: A short report on a large travel survey
Where to for digital health? The Australian Council for Senior Academic Leaders in Digital Health action plan


Behind the Scan: Addressing the Silent Strain on Medical Radiation Professionals' Mental Health
The Hospital Harmony Program Improves Interdisciplinary Healthcare Team Functioning and Communication


Assessing the unmet need for diabetic eye screening in regional Queensland
The role of Medicare policy in fertility treatment decisions: perceptions of Australians considering, undertaking or who have undertaken medically assisted reproduction treatment
Utilising Artificial Intelligence to generate Emergency Department discharge summaries

Impacts of eHealth on hospitals: An updated narrative review of systematic reviews



Most Read
The Most Read ranking is based on the number of downloads in the last 60 days from papers published on the CSIRO PUBLISHING website within the last 12 months. Usage statistics are updated daily.
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Trends in retention and attrition in nine regulated health professions in Australia
Australian Health Review 49 (2)Jade Tan, Rechu Divakar, Lee Barclay, Sunita Bayyavarapu Bapuji, Sarah Anderson, Eva Saar -
The current state of sustainable healthcare in Australia
Australian Health Review 48 (5) -
Clinical care ratios for allied health practitioners: an update and implications for workforce planning
Australian Health Review 48 (5) -
Voluntary assisted dying: impacts on health professionals
Australian Health Review 48 (6)Geetanjali (Tanji) Lamba, Camille LaBrooy, Sophie Lewis, Ian Olver, Alexander Holmes, Cameron Stewart, Paul Komesaroff -
Lived Experience Advisor Program initiative: harnessing consumer leadership for best care
Australian Health Review 49 (1)Rebecca Barbara, Jodie Lydeker, Alex Potter, Debra Kerr -
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Value-based health care for Aboriginal peoples with chronic conditions in the Northern Territory: a cohort study
Australian Health Review 49 (1)Maya Cherian, Yuejen Zhao, Antonio Ahumada-Canale, Peter Nihill, Maja VanBruggen, Deborah Butler, Paul Burgess -
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Consumer involvement in health service research: a cross-sectional survey of staff in an Australian public hospital and health service
Australian Health Review 49 (1)Laura Ryan, Laetitia Hattingh, Joan Carlini, Kelly A. Weir, Margaret Shapiro, Noela Baglot, Magnolia Cardona, Georgia Tobiano, Rachel Muir, Shelley Roberts, Sally Sargeant, Rachel Wenke -
Models of care for voluntary assisted dying: a qualitative study of Queensland’s approach in its first year of operation
Australian Health Review 48 (6)Ben P. White, Amanda Ward, Rachel Feeney, Laura Ley Greaves, Lindy Willmott -
Advance care planning: empowering older frail people to document their end of life wishes
Australian Health Review 49 (3) -
Using emergency department data to define a ‘mental health presentation’ – implications of different definitions on estimates of emergency department mental health workload
Australian Health Review 48 (4)Nikita Goyal, Edmund Proper, Phyllis Lin, Usman Ahmad, Marietta John-White, Gerard M. O’Reilly, Simon S. Craig -
Exploring equity of care for Aboriginal and Torres Strait Islander peoples within the state-wide Musculoskeletal Physiotherapy Screening Clinic and Multi-disciplinary Service in Queensland Health
Australian Health Review 49 (1)Alistair McDougall, Maree Raymer, Peter Window, Michelle Cottrell, Curtley Nelson, Carl Francia, Eliza Watson, Shaun O’Leary -
Leading innovation in transdisciplinary care
Australian Health Review 48 (6)Martin Chadwick, Jennifer R. Hemler, Benjamin F. Crabtree -
Oral health services provided for Aboriginal and Torres Strait Islander peoples in Australia: a scoping review
Australian Health Review 49 (1)Lisa Hai My Do, Yvonne Dimitropoulos, John Skinner, Woosung Sohn -
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The incidence of cardiac surgery in adults with treated kidney failure in Australia: a retrospective cohort study
Australian Health Review 49 (1)Dominic Keuskamp, Christopher E. Davies, Robert A. Baker, Kevan R. Polkinghorne, Christopher M. Reid, Julian A. Smith, Lavinia Tran, Jenni Williams-Spence, Rory Wolfe, Stephen P. Mcdonald -
Improving equitable access to publicly funded bariatric surgery in Queensland, Australia
Australian Health Review 49 (1) -
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A digitally enabled health workforce for Australia
Australian Health Review 48 (6)Anna Janssen, Melissa Baysari, Christina Igasto, Kate Quirke, Petra Milnes, Tim Shaw, Adam Dunn
Collections
Collections are a curation of articles relevant to a topical research area
Empowering First Nations communities and committing to long-term political action are essential to addressing the systemic health disparities they face. True change requires giving them control over their healthcare and sustained efforts to tackle the root causes of inequity for lasting justice and healing.
The papers in this collection are free to read for two months, from 11 March 2025.
Last Updated: 11 Mar 2025
Australia needs a mental health system the community can rely on and long-term strategic and systemic reformation of mental health care is critical. The featured papers in this Special Focus comment on the Oakden Report and the agenda for change and organisational reform, the use of stepped care approaches to enable effective mental health care, the vital role of family carers and their partnerships with mental health providers, eMental health care as a treatment option for young people, the need to facilitate ongoing development of ‘lived experience’ roles, the scarcity of quality guidelines to address the physical health of people with severe mental illness, and the largely unrecognised and valuable skill set of the mental health nurse.
Last Updated: 02 Dec 2020
In October 2020, the Royal Commission into Aged Care Quality and Safety published its report, setting out some of the devastating effects the COVID-19 pandemic has had on the sector. The aged care sector has long been in need of reform, it continues to struggle to meet the needs of its population, and the pandemic has made the issue more visible than ever before. The featured papers in this Special Focus comment on the changing trends in residential aged care use, the longstanding (and global) issue of an increasing older and more clinically complex population, the work of case managers in community aged care, and the value of advance care planning among residential aged care facility residents.
Last Updated: 02 Dec 2020
Hospitals globally are in the midst of a digital transformation. The featured papers in this Special Focus comment on the challenges and considerations of health services undergoing this rapid digital transformation and discuss decision-making processes for new technologies, what can be done to maximise the benefits of digital change, and the complex challenges of implementing and examining the effects of technology.
Last Updated: 30 Sep 2020
Every year has a few defining moments, but the paradigm shifts around the world in 2020 have been phenomenal with healthcare and the economy bearing the brunt of the crisis – one where there is no end in sight. In the midst of the inequities highlighted by COVID, June 30 marked Derek Feeley’s last day as the Institute for Healthcare Improvement’s President and CEO, the legacy he leaves is a greater questioning of the equity of healthcare improvement initiatives and ‘Who gets left behind?’ at a time of the rise of the global Black Lives Matter campaigns; a topic further explored by Dr Chris Bourke and colleagues looking at support for Indigenous health leaders.
Last Updated: 05 Aug 2020
The paradigm shifts around the world in 2020 have been phenomenal with healthcare and the economy bearing the brunt of the crisis. In the midst of the inequities highlighted by COVID, June 30 marked Derek Feeley’s last day as the Institute for Healthcare Improvement’s President and CEO, the legacy he leaves is a greater questioning of the equity of healthcare improvement initiatives and ‘Who gets left behind?’ at a time of the rise of the global Black Lives Matter campaigns; a topic further explored by Dr Chris Bourke and colleagues looking at support for Indigenous health leaders.
Last Updated: 05 Aug 2020
Dr Bronwyn Evans, CEO of Engineers Australia, was one of a select group, led by the Defence Department, who met in 2019 to ask the ‘What if…?’ and test Australia’s vulnerabilities. In Policy Reflection, she looks for the positives surfacing through the COVID-19 crisis and how we may build on these for a stronger Australia moving forward.
Last Updated: 05 Aug 2020
The strength of nations and their governments are under the spotlight with SARS-CoV-2 – some have risen to the challenges; others have faltered with dire consequences. Ian Burgess, CEO, Medical Technology Association of Australia and Professor Stephen Duckett reflect on Australian leadership through the crisis and some of the lessons for future political and governance reform. Keeping healthcare affordable is a major focus in this issue. The economic onslaught of the pandemic will leave millions in financial dire straits adding to the numbers already struggling with the burden of healthcare costs. A heartfelt thank you to all those at the frontlines and behind the scenes who have cared for us and fellow global citizens.
Last Updated: 03 Jun 2020
There has never been a better time to acknowledge the great role of our nurses and midwives than as we tackle COVID-19. To celebrate this International Year of the Nurse and the Midwife in 2020, we feature two Policy Reflections by esteemed nurse leaders and four articles that delve into issues facing policy and practice.
Last Updated: 03 Apr 2020
19 March 2020 was Close the Gap Day. The four articles in this Special Focus highlight the continuing and urgent need to reduce health inequities and that Australians value health equity and outcomes for all.
Last Updated: 03 Apr 2020
This Research Front focuses on the allied health workforce. It features a selection of articles that contribute to the evidence base to inform decision-making regarding allied health workforce policy, practices and research.
Last Updated: 15 Jun 2015