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

Australian Health Review

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AH23141Evaluation of a novel sub-acute Hospital in the Home model for providing inpatient geriatric and rehabilitation services

Anya Suzuki, Greg Kyle 0000-0003-4943-2077, Clare Webb 0009-0008-7011-7593, Ruth Cox 0000-0002-5037-5375, Laurelie Wishart 0000-0002-9474-9121, Melissa McCusker, Alex McConnell, Sally Courtice, Elizabeth C. Ward 0000-0002-2680-8978 and Leo Ross

What is known about the topic? Geriatric Evaluation and Management, Rehabilitation Hospital in the Home (GEMRHITH) is a poorly studied area of sub-acute healthcare practice. What does this paper add? The multidisciplinary GEMRHITH service supported a broader cohort of patients than traditional HITH models across medical and surgical conditions. What are the implications for practitioners? The GEMRHITH service was safe with low re-admission rates and improvements in patient functional outcome scores.

What is known about the topic? Health professional students need to develop their knowledge and skills in working with Aboriginal and Torres Strait Islander peoples to be culturally responsive and meet their health needs effectively. What does this paper add? This study is the first to describe the responses of occupational therapy students to a module on Aboriginal and Torres Strait Islander health and wellbeing. Students were challenged about any biases that could affect their capacity to be culturally responsive. What are the implications for practitioners? Both practitioners and students need to be culturally responsive to provide culturally safe services to Aboriginal and Torres Strait Islander peoples.

What is known about the topic? Aboriginal and Torres Strait Islander peoples continue to experience disadvantage in accessing care for musculoskeletal conditions. What does this paper add? This study explores equity of care for Aboriginal and Torres Strait Islander peoples within a Queensland-wide musculoskeletal public health service, exploring Aboriginal and Torres Strait Islander representation, and comparing patient and service-related characteristics and outcomes between Aboriginal and Torres Strait Islander patients and non-Indigenous patients. What are the implications for practitioners? Findings will inform practitioners consulting with Aboriginal and Torres Strait Islander communities to ensure the provision of equitable access to this and other similar musculoskeletal health services.

What is known on this topic? Previous studies investigated trends in medical device implants on either a particular medical procedure or total procedures conducted on particular anatomical sites. What this study adds? Unlike previous studies, this study investigates a general population-level trend analysis of all major device implants using the most recent national-level database, covering all hospitals in Australia. What are the implications for practitioners? Findings from this study are useful for future healthcare planning and allocation of resources for the healthcare delivery of necessary healthcare to patients in Australia. In addition, the results can be used to inform efforts to improve post-marked surveillance of medical devices by providing estimates of the volume and standardised rates of procedures for type of devices.

What is known about the topic? Multiparametric magnetic resonance imaging (mpMRI) is increasingly used in the diagnosis of prostate cancer. In 2018, it was included in the Medicare Benefits Schedule with the expectation that the number of prostate biopsies performed would decrease. What does this paper add? By 2022, biopsies increased nearly 12% with over a 50% increase in the 80–89 age group – those least likely to benefit from curative treatment. What are the implications for practitioners? The criteria for funding mpMRI and the performance of prostate biopsies should be altered to enable better use of resources.

What is known about the topic? Due to the increasing demand for palliative care services, this care is increasingly delivered by general non-specialist clinicians such as allied health professionals. What does this paper add? This study provides evidence for how often a surveyed population of allied health professionals in rural and regional Australia are providing care to people with a terminal illness, as well as their confidence, competence and learning needs. What are the implications for practitioners? High-quality care is needed at end-of-life, therefore rural and regional health services need to support allied health professionals to increase confidence and competence in providing palliative care.

What is known about this topic? It is unknown whether the Australian Institute of Health and Welfare (AIHW) definition of an emergency department (ED) mental health presentation definition accurately reflects ED mental health workload. What does this paper add? The AIHW definition appears to underestimate the clinical workload related to ED mental health presentations. There is moderate agreement between the AIHW definition and mental health presentations classified according to complaint recorded at triage, or whether the patient is reviewed by psychiatry services. What are the implications for practitioners? Accurate measurement of emergency psychiatry workload should not rely on the AIHW definition alone.

AH23265_COCorrigendum to: A survey of Australian public opinion on using comorbidity to triage intensive care patients in a pandemic

Winston Cheung, Vasi Naganathan, John Myburgh, Manoj K. Saxena, Fiona Blyth, Ian Seppelt, Michael Parr, Claire Hooker, Ian Kerridge, Nhi Nguyen, Sean Kelly, George Skowronski, Naomi Hammond, Antony Attokaran, Debbie Chalmers, Kalpesh Gandhi, Mark Kol, Shay McGuinness, Priya Nair, Vineet Nayyar, Neil Orford, Rachael Parke, Asim Shah and Atul Wagh

What is known about the topic? Workforce development needs related to the management of people recovering from coronavirus disease 2019 (COVID-19) are relatively unknown, due to the novelty of the virus and sustained pressure on the healthcare system due to the pandemic. What does this paper add? The paper identifies resource gaps and potential improvements from the clinician perspective. It also emphasises the urgent need for tailored, multidisciplinary resources and workforce capacity building. What are the implications for practitioners? Access to accessible updated resources and continuing professional development is critical for allied health clinicians in the evolving field of COVID-19 rehabilitation.

AH23183Adapting to change: exploring perceptions and demands of the coronavirus (COVID-19) workforce changes – an Australian multi-institutional radiation oncology survey

Honor Magon, Justin Smith 0000-0002-8870-3282, Jacqueline Besson, Eric Hau, Suzanne Taylor, Jeremy Ruben, Diana Jones, Kira Mabb, Jamie Feldman, Leily Gholam Rezaei and Yoo Young Lee 0000-0003-4325-349X

What is known about the topic? During the coronavirus disease 2019 (COVID-19) pandemic there were significant adaptations required to the delivery of clinical care. What does this paper add? There is a strong preference for ongoing work from home arrangements, especially for administrative and non-clinical work. Most radiation oncologists feel more confident using telehealth and favour its ongoing use post-pandemic. Burnout and stress remain prevalent within the workforce. What are the implications for practitioners? There is a high demand among the radiation oncology workforce for adoption of technological advances to improve work satisfaction including remote access to enable flexible work arrangements.

AH24110Aboriginal and Torres Strait Islander peoples' perspectives on community pharmacists prescribing: a co-designed study protocol

Cara Cross, Vita Christie 0000-0003-3887-8305, Leanne Holt, Boe Rambaldini, Katrina Ward, John Skinner, Connie Henson 0000-0002-7920-9821, Debbie McCowen, Shalom (Charlie) Benrimoj, Sarah Dineen-Griffin and Kylie Gwynne

What is known about the topic? There is no current evidence pertaining to what Aboriginal and Torres Strait Islander peoples think of direct prescriptions from the pharmacist for six conditions: low-risk oral contraceptives, antibiotics for urinary tract infections, and four minor skin ailments. What does this paper add? This paper provides a protocol to ensure that Aboriginal and Torres Strait Islander peoples’ perspectives are captured and amplified for policy makers. What are the implications for practitioners? Practitioners are made aware of the perspective of the Aboriginal and Torres Strait Islander peoples regarding pharmacists prescribing certain medications.

AH24111A preference-based value framework to assess healthcare provision in an oil and gas industry

Anton Pak, Thomas Pols, Srinivas Kondalsamy-Chennakesavan, Matthew McGrail, Tiana Gurney, Jordan L. Fox and Haitham Tuffaha

What is known about the topic? It has been challenging for oil and gas companies to deliver and evaluate value-based healthcare services to improve workers’ wellbeing, supplementing essential emergency services and occupational health. What does this paper add? The Remote Health Value Framework (RHVF), developed and tested in this work, offers a blueprint for designing and evaluating models of care considering the companies’ and workers’ priorities. What are the implications for practitioners? The RHVF’s application has the potential to improve industry standards, enabling a data-driven approach to healthcare investments that closely align with both corporate objectives and employee wellbeing.

What is known about the topic? Young-onset dementia refers to a dementia with onset at less than 65 years of age. People with young-onset dementia may contact mental health services for support but the reasons for contact are unknown. What does this paper add? The reasons for contacting one Victorian mental health service included behaviour changes such as agitation or aggression and psychotic symptoms (74%) and general advice, including about dementia pathways (14%). General practitioners made up one-third of referral sources. What are the implications for practitioners? Victorian mental health services are generally overloaded and complex. There is a need to promote alternative dementia support organisations in order to provide an alternative contact for people affected by young-onset dementia.

AH24041Improving the pre-medical emergency team: the case for a behavioural theoretical lens

Judy Currey 0000-0002-0574-0054, Stephanie K. Sprogis 0000-0003-4259-6976, Daryl Jones 0000-0002-6446-3595 and Julie Considine AO 0000-0003-3801-2456

What is known about the topic? The pre-medical emergency team (pre-MET) was implemented to enhance hospital patient safety; however, there is evidence that it is underused by health professionals. What does this paper add? We argue that health professionals’ behaviours within the pre-MET be understood differently by using the 'Behaviour Change Wheel’, where behaviour is driven by capability, opportunity, and motivation. What are the implications for practitioners? To improve patient safety and assist in formulating theory-based solutions, hospital leaders and health services researchers are called upon to examine the pre-MET using behaviour change theory.

What is known about the topic? Young-onset dementia refers to a dementia with onset at an age less than 65 years. Accessing age-appropriate services for these people is difficult as they fall through the gaps of adult and aged services due to their age. What does this paper add? Due to the behavioural and psychiatric manifestations related to young-onset dementia, data is provided about mental health service involvement for these people. What are the implications for practitioners? There is a need to upskill mental health clinicians, especially in rural areas, as younger people with dementia are accessing these services.

AH23265A survey of Australian public opinion on using comorbidity to triage intensive care patients in a pandemic

Winston Cheung, Vasi Naganathan, John Myburgh, Manoj K. Saxena, Blyth Fiona, Ian Seppelt, Michael Parr, Claire Hooker, Ian Kerridge, Nhi Nguyen, Sean Kelly, George Skowronski, Naomi Hammond, Antony Attokaran, Debbie Chalmers, Kalpesh Gandhi, Mark Kol, Shay McGuinness, Priya Nair, Vineet Nayyar, Neil Orford, Rachael Parke, Asim Shah and Atul Wagh

What is known about the topic? Triage systems can be used to prioritise the order in which patients are treated in a pandemic, but the views of the general public on using chronic comorbidity as intensive care unit (ICU) triage criteria are unknown. What does this paper add? This Australian survey, conducted during the coronavirus disease 2019 pandemic, demonstrated that the majority of respondents perceived ICU triage methods based on comorbidity to be fair, but significant ethical issues exist. What are the implications for practitioners? It may be possible to develop an ICU triage protocol for future pandemics in Australia, but further research is required.

AH23229Maintaining the health of people with and without COVID-19 during isolation: a case study

Caoimhe Scales 0009-0001-8711-4072, Ling-Ling Tsai 0000-0002-4617-7667, Sarah Whitney 0009-0007-4988-4432, Miranda Shaw 0000-0002-9358-8258, Lil Vrklevski 0000-0003-0200-9714, Sharon Carey 0000-0003-4155-5240, Owen Hutchings, Lissa Spencer 0000-0002-2358-0736 and Jennifer Alison 0000-0002-2011-4756

What is known about the topic? Quarantine during the COVID-19 pandemic could negatively impact physical and mental health. What does this paper add? A health package of light intensity exercise, advice on anxiety management and nutritional information demonstrated maintenance of physical and mental health and reduced fatigue in people with and without mild COVID-19 in hotel quarantine. What are the implications for practitioners? Practitioners should consider providing a health package of exercise, anxiety management and nutritional information to help people in quarantine to cope with the physical and mental isolation. Adequate staffing is required to enable implementation.

AH24081Variation in direct healthcare costs to the health system by residents living in long-term care facilities: a Registry of Senior Australians study

Jyoti Khadka 0000-0003-1012-2119, Julie Ratcliffe, Gillian Caughey, Tracy Air, Steve Wesselingh, Megan Corlis, Keith Evans and Maria Inacio

What is known about the topic? Residents living in long-term care facilities have high health and care needs, but little research exists on how downstream healthcare costs vary based on facility and individual characteristics. What does this paper add? Using linked national aged care and healthcare data, this study determined that the average annual healthcare cost per resident was $9233 (95% CI $9150–$9295), with hospitalisation accounting for nearly half of these costs. Furthermore, healthcare costs varied based on facility ownership and size, as well as whether individuals had dementia. What are the implications for practitioners? Understanding sectoral variation and learning from long-term care facilities with lower hospitalisation rates could be a strategic approach to reducing healthcare costs for long-term care residents.

What is known about the topic? A socio-economic status (SES) gradient is well established for cardiovascular disease (CVD). Research has generally applied two approaches to classifying SES: at an individual level using income, education or occupation data, and at an area level using a range of existing socio-economic information, including the Australian Bureau of Statistics (ABS) Socio-Economic Indexes for Areas (SEIFA). What does this paper add? This review examined how SEIFA has been applied to measure SES in Australian peer-reviewed CVD research and to identify any variations in research practice. What are the implications for practitioners? It is recommended that researchers provide a clear explanation in the methods section of research papers as to which SEIFA version and index was applied, how it was applied, at what spatial unit, and whether the spatial unit was an ABS or non-ABS unit.

AH24080Improving equitable access to publicly funded bariatric surgery in Queensland, Australia

Megan Cross 0000-0001-7512-7223, Jody Paxton, Katie Wykes, Viral Chikani, George Hopkins, Srinivas Teppala 0000-0002-2818-840X, Paul Scuffham 0000-0001-5931-642X and

What is known about the topic? Bariatric surgery is an effective intervention to treat severe obesity. Access to this service in Queensland public hospitals was limited. Access was gained only in exceptional cases; this created unmet need and inequities. What does this paper add? This paper demonstrates that a state-wide central referral hub is an effective approach to provide equitable access to bariatric surgery according to ability to benefit regardless of location or ethnicity. What are the implications for practitioners? This provides a sustainable and equitable framework for bariatric surgery services that can be extended to other specialty services and jurisdictions.

Committee on Publication Ethics

Announcement

An English Language Editing Service is available for authors submitting to Australian Health Review.

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