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Journal of the Australian Healthcare & Hospitals Association
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Australian Health Review

Australian Health Review

Volume 49 Number 2 2025

AH24249Optimal lung cancer care pathways: a Tasmanian perspective

Chui Lyn Leong 0000-0002-8602-5924, Ingrid Cox 0000-0001-5130-4088, Renae Grundy, Nick Harkness, Andrew J. Palmer, Barbara de Graaff and Emma Ball

What is known about the topic? This is the first retrospective study assessing the optimal care pathways for lung cancer in Tasmania. What does this paper add? This paper provides insight into the timelines and delays involving the optimal care pathways for lung cancer prior to the introduction of lung cancer screening and compares the quality of delivery of health care against national quality indicators and standards. What are the implications for practitioners? The implications are that practitioners will need to consider reallocating resource utilisation especially with the upcoming national lung cancer screening program, to improve optimal care pathways to achieve national benchmarks and minimise variables between interstate health services to improve overall outcomes.

AH24338State- and territory-based differences that impede the establishment of a harmonised national registry

Larissa K. Lloyd, Calum Nicholson, Geoff Strange and David S. Celermajer

What is known about the topic? National clinical registries provide a rich resource for researchers, clinicians, policy makers and other stakeholders to perform investigations and make informed decisions. What does this paper add? This paper describes the state- and territory-based differences that preclude the establishment of a harmonised national registry in Australia. What are the implications for practitioners? Without overcoming these differences, national registries cannot be truly harmonised, compromising the accuracy, as well as potential utility, of such resources.

What is known about the topic? There are widespread and longstanding issues with burnout and workplace issues for junior doctors. What does this paper add? This case study showcases the experience of a West Australian health service in improving junior doctors’ wellbeing, access to entitlements, and workplace culture to reduce burnout and recruit and retain a junior doctor workforce. What are the implications for practitioners? Addressing these issues with strong leadership, engagement, and innovative strategies can lead to significant improvements in junior doctor wellbeing and organisational outcomes.

What is known about the topic? Inefficient cancer care is a leading factor in poorer outcomes for patients, as well as affecting sustainability of our healthcare system. What does this paper add? This paper aims to explore the evidence that using patient-centric strategies when diagnosing and treating breast cancer improves care efficiency. What are the implications for practitioners? Ensuring we use, and measure the use of, patient-centric strategies in cancer care will improve efficiency; positively impacting patient satisfaction and economic outcomes.

AH24268Trends in retention and attrition in nine regulated health professions in Australia

Jade Tan, Rechu Divakar, Lee Barclay, Sunita Bayyavarapu Bapuji, Sarah Anderson and Eva Saar

What is known about the topic? The Australian health workforce is growing, but national shortages persist due to various factors. What does this paper add? Among surveyed practitioners, 78.9% intended to stay in their profession, while 6.8% were unsure of their future. Additionally, 5.3% intended to leave their profession, citing mental burnout, retirement, feeling undervalued and lack of professional satisfaction. Key predictors of practitioner intentions included age, gender, self-employment and weekly hours worked. What are the implications for practitioners? Interventions that may improve retention rates are likely to be workplace related, including reducing mental burnout, increasing work satisfaction, and employee recognition.

What is known about the topic? While digitally delivered health care offers promising outcomes for chronic condition management, inadequate funding arrangements currently limit its application in Australia. What does this paper add? This paper outlines potential funding models for digital health, suggesting some practical approaches to overcome existing barriers and to better engage stakeholders, thereby strengthening the healthcare system’s ability to integrate digital health solutions. What are the implications for practitioners? A major contributor to the success of digital health services for chronic conditions is funding reform which supports broader access, improves patient activation, and ensures sustainable service delivery. Practitioners must advocate for and adapt to evolving payment models to enhance patient outcomes in a digital healthcare landscape.

AH24234Comprehensive day-to-day care and support needs of older Australians requiring government-funded home-based aged care: a scoping review

Rachel McKittrick 0000-0002-2208-1716, Elizabeth Manias 0000-0002-3747-0087, Martin Hensher, James Meroiti and Alison M. Hutchinson

What is known about the topic? The needs of Australians requiring home-based aged care have been examined from various perspectives. However, more information is required about their comprehensive day-to-day needs at the population level. What does this paper add? Only two relevant studies were located, indicating a gap in Australian research on this topic. What are the implications for practitioners? This knowledge gap could impact effective and efficient home-based aged care service-delivery design and workforce planning, since without direct measurement of the day-to-day care and support needs of individuals requiring home-based aged care, the requirements for optimally addressing these needs are not overtly apparent.

AH24235Mandatory and statutory compliance screening for undergraduate nursing students in Australia: a review of compliance requirements

Alycia Jacob 0000-0003-2458-6715, Paula Ince 0009-0006-2197-675X, Carolyn Ross, Susan Hua, Bill Swannie, Lara Demetrios and Darren Falconer

What is known about the topic? Statutory compliance checking in relation to clinical placements is a significant burden for nursing students, academic faculty, and placement services. What does this paper add? An overview is provided of how statutory compliance regulations in Australian states and territories differ. Findings show that there is significant variation in process between Australian jurisdictions. What are the implications for practitioners? To streamline compliance checking nationally, there is a need to simplify the process and adopt a nationally standardised compliance checking approach.

Committee on Publication Ethics

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