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Showing posts with label Public Health. Show all posts
Showing posts with label Public Health. Show all posts

Wednesday, 28 May 2014

Exploring Healthcare Variation in Australia: Analyses Resulting from an OECD Study

Exploring Healthcare Variation in Australia: Analyses Resulting from an OECD Study

In 2012 the Organisation for Economic Cooperation and Development (OECD) undertook an international study of healthcare variation involving a number of countries. The Australian Commission on Safety and Quality in Health Care (the Commission), coordinated Australia's participation in this study, with support from all states, territories and the Commonwealth, and technical input by the Australian Institute of Health and Welfare(AIHW. This paper presents a more detailed picture of the Australian results and includes some additional analyses.

Media release

Wednesday, 14 May 2014

Critical Appraisal of Qualitative Studies (New learning module)

A free, interactive and self-paced module 'Critical Appraisal of Qualitative Studies' from the National Collaborating Centre for Methods and Tools (NCCMT Learning Centre) will help you develop and practice critical appraisal skills you need to assess qualitative studies relevant to public health. With this knowledge, you will know whether the findings of the qualitative study can be applied to your public health decisions.

After completing this module you will be able to answer: Is this study well done? Can you trust the conclusions? Can the findings be applied to your own population? How do the different kinds of qualitative research designs compare? Check out the Critical Appraisal of Qualitative Studies now!

Sunday, 6 April 2014

Activity Based Funding

The Centre for Health Service Development at the University of Wollongong has produced a series of short papers on Activity Based Funding. Subjects covered to date include :
What is ABF? ; Rural & regional hospitals ; ABF in USA ; the cost of public hospitals (the states compared) ; Counting inpatient care ; Research and Training; Subacute care ; and Mental health.

Wednesday, 17 July 2013

Perrformance audit: managing operating theatre efficiency for elective surgery

This report by the Audit Office of New South Wales finds that NSW public hospitals are treating patients within national clinical timeframes, however increased operations will be required as targets increase and demand grows.

Elective or planned surgery is defined as any form of surgery that a patient's doctor believes to be necessary and can be delayed by at least 24 hours. Examples are hip replacement, cataract extraction and breast surgery. In 2011-12, approximately 210,000 patients had elective surgery in over 270 public hospital operating theatres in New South Wales. The cost of elective surgery within hospitals is estimated to be $1.3 billion each year or about 17% of NSW Health's inpatient hospital services budget. Across the NSW public hospital system, 45% of all admissions to operating theatres are for elective surgery, 27% for emergency procedures and 28% for non-surgical procedures such as endoscopies. This balance in individual hospitals varies, as does the range and complexity of the surgical procedures undertaken.

Over the last 3 financial years elective surgery numbers have grown by 6%. Public hospitals are now treating patients from waiting lists substantially within national clinical timeframes. However, NSW Health is not meeting its 3 key elective surgery efficiency targets for theatre utilisation, cancellations on the day of surgery and first case starting on time. There is also wide variation against these efficiency targets between LHDs and hospitals of similar types across New South Wales.

Tuesday, 28 May 2013

Western NSW Health Needs Assessment 2013

The Western NSW Health Needs Assessment 2013 is a detailed analysis of the Western NSW Local Health District population health data, patient flow, service delivery models and projected health needs. Its the first stage of the development of the strategic health service plan.

Some key facts :

*Western NSW is the second most sparsely populated LHD in NSW - just over 1 person per sq km (271,000 people: 250,000 sq km)
*Population growth in the district has been minimal - 2.0% over the past 5 years, with areas closer to Sydney growing, those beyond Dubbo declining
*The largest growth in population is for the 65+ ages - 6,500 persons or 17% growth from 2006 to 2011
*There is low forecast population growth - < 1% from 2011 to 2016
*The proportion of the population that is Aboriginal rises from 4% in Bathurst to 11% in Dubbo and to 27% in 'Remote' (this compares with 2.5% for NSW). Overall 9.4% of the LHD's population identify as ATSI, and 16% of the children (0-14 years)

Some of the priority areas identified by the HNA where health care interventions are likely to give the greatest benefits to the District's population include:

*Smoking prevention and cessation
*Nutrition and physical activity interventions, including obesity prevention
*Diabetes prevention and management
*Well child care, particularly for Aboriginal children - the first 1000 days
*Mental health - continuing and strengthening the current community services

Feedback on the HNA from communities, groups and individuals across Western NSW is being encouraged and can be sent to: ce@gwahs.health.nsw.gov.au .

Report outlines key issues (Western Advocate)

Friday, 19 April 2013

Australian hospital statistics 2011-12 & Australia's hospitals 2011-2012 : At a glance (AIHW)

Australian hospital statistics 2011-12 presents a detailed overview of Australia's public and private hospitals. In 2011-12, there were about 9.3 million separations from hospitals, including: 5.5 million same-day acute separations; 3.7 million overnight acute separations; about 423,000 sub-acute and non-acute separations.

There were also 7.8 million non-admitted patient emergency services and more than 45 million outpatient services provided by public hospitals.

Australia's hospitals 2011-12: at a glance report [Summary report with key figures]

Media release

Thursday, 4 April 2013

Diseases have no borders - Report on the inquiry into health issues across international borders

A House of Representatives, Standing Committee on Health and Ageing report entitled Diseases Have No Borders has been released with a number of recommendations, including border security, systems for migrant health, advice for Australians travelling overseas, pandemic planning, further research and addressing a shortage of skilled public health workers.

Thursday, 7 February 2013

Make Research Matter (Research toolkit website)

Make Research Matter (MRM) is an online toolkit that assists developers of public health and health services research interventions to increase the dissemination and implementation (D&I) potential of their interventions.

The MRM website consists of four main tools:

> Planning Tool - an interactive survey which provides a tailored report that aids researchers with their dissemination plan;

> Resource Library - a searchable database consisting of a compilation of D&I related articles from multiple sources which is updated monthly;

> Narrative Library - a freely accessible online library containing video vignettes and transcripts with junior and senior D&I experts of "how-to" knowledge to D&I problems;

> Glossary-containing over 100 definitions of terminology used in D&I health research. Additionally, users of the MRM website can learn more about current publications and presentations, and current news related to D&I.

Thursday, 31 January 2013

Report on Government Services 2013

The Report on Government Services 2013 is produced by a Steering Committee of senior officials from Australian, State and Territory governments for the Council of Australian Governments (COAG). The Report promotes awareness about the performance of the full range of government services and helps drive improvements in design and delivery.

Health chapters include :

Health sector overview

Chapter 10 Public hospitals

Chapter 11 Primary and community health

Chapter 12 Mental health management

Also released with the report are attachment tables and data quality information (DQI's) as well as a number of fact sheets on topics including Ambulance events, Maternity services, Public hospitals, Primary and community health services, Mental health management , Aged care services and Services for people with disability.

Tuesday, 18 December 2012

Healthcare in Focus 2012 : Health of NSW on par at home and internationally

Health Minister Jillian Skinner said a new report released by the Bureau of Health Information demonstrates that the NSW health care system compares well in Australia and internationally.

The Healthcare in Focus 2012 report compares NSW with states across Australia as well as 10 other countries.

"It is heartening to see that the hard-work of our state's doctors, nurses, allied health professionals and hospital staff is paying off and ensuring our health care system is on par and in some cases better than those across the globe," Mrs Skinner said. "Another encouraging element of the report shows that the majority of NSW patients rate their experience in the health system positively."

Other highlights of the report include: · Fewer years of life were lost to heart disease than almost all other comparative countries; · NSW has one of the lowest rates of potential years of life lost to cancer; · Rates of sepsis infection in NSW are about 40% lower than the average across the country; · Fewer years of life were lost to stroke in NSW than in almost all other comparative countries.

Monday, 3 December 2012

International profiles of health care systems

International Profiles of Health Care Systems: Australia, Canada, Denmark, England, France, Germany, Japan, Iceland, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States has been published by the Commonwealth Fund.

Each overview covers health insurance, public and private financing, health system organisation, quality of care, health disparities, efficiency and integration, care coordination, use of health information technology, use of evidence-based practice, cost containment, and recent reforms and innovations. Summary tables compare overall results on such factors as health care spending, hospital utilisation, patient safety, disease prevention and public views.

In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views.

Thursday, 29 November 2012

People with dementia in hospitals in New South Wales 2006-07 (AIHW)

People with dementia in hospitals in New South Wales 2006-07 examines the experiences of the 252,700 people aged 50 and over who stayed for at least one night in a New South Wales public hospital in 2006-07. Slightly more than 8% of patients (20,800 people) were identified as having dementia. Even allowing for age and sex differences, people with dementia had much higher hospitalisation rates than those without dementia: 26% compared with 12%. They also tended to stay longer in hospital and were more likely to enter or return to residential care on discharge from hospital, or to die in hospital.

The main report is accompanied by a technical paper: Deriving key patient variables: a technical paper for the Hospital Dementia Services Project

Media release

Thursday, 22 November 2012

PDQ Evidence : new search engine for evidence about health systems

PDQ ("pretty darn quick")-Evidence facilitates rapid access to the best available evidence for decisions about health systems. It includes systematic reviews, overviews of reviews (including evidence-based policy briefs), primary studies included in systematic reviews and structured summaries of that evidence.

In addition, it includes translations of the titles and abstracts of included records to facilitate searching in different languages and it is continually updated by searching multiple sources of systematic reviews and overviews of reviews, including the Cochrane database of systematic reviews (CDSR), the Health Technology Assessment Database, the EPPI-Centre Evidence Library, the European Observatory on Health Systems and Policies, NICE public health guidelines and systematic reviews and several others.

Monday, 12 November 2012

Free virtual issues on vaccination and infection control

Two virtual issues on infection control topics. Read the full articles for free.


Clinical Microbiology and Infection
New virtual supplement
The impact of vaccines on public health [16 articles]



New Virtual Issue from International Nursing Review
The prevention of infectious diseases and their consequences: still a policy priority for nurses. [8 articles]

Thursday, 27 September 2012

Health expenditure Australia 2010-11 (AIHW)

Health expenditure Australia 2010-11

Expenditure on health in Australia was estimated to be $130.3 billion in 2010-11, up from $77.5 billion in 2000-01. This expenditure was 9.3% of gross domestic product in 2010-11, down from 9.4% in 2009-10 but up from 8.2% in 2000-01. The estimated recurrent expenditure on health was $5,796 per person, and 69.1% was funded by governments, up from 67.7% in 2000-01. The two largest components of the increase in health expenditure were public hospital services, which grew by $2.2 billion in real terms, followed by medications ($2.1 billion).

Media release

Thursday, 13 September 2012

Australia's medical indemnity claims 2010-11 (AIHW)

Australia's medical indemnity claims 2010-11 looks at the number, nature and costs of public sector (excluding W.A.) and private sector medical indemnity claims. In 2010-11, there were more new claims in the public than the private sector (1,500 and 1,300 respectively) and similar numbers closed across the sectors (1,400 in the public sector and 1,450 in the private sector). About half of closed claims (53%) were for less than $10,000, compared with 41% settled for between $10,000 and $500,000, and 6% settled for $500,000 or more.

Media release

Wednesday, 12 September 2012

Risk factor trends: age patterns in key health risk factors over time (AIHW)

This report presents comparisons over time for different age groups for key health risk factors, including overweight and obesity, physical inactivity, poor diet, smoking and excessive alcohol consumption.

The good news is that smoking rates have declined, particularly among younger people. However, overweight/obesity rates have increased for virtually all age groups, especially females aged 12 to 44.

Media release

Thursday, 23 August 2012

National Health Services Directory

The National Health Services Directory (NHSD) is a convenient and accessible new resource. The NHSD covers the nation, provides access to reliable information, and will assist you to choose and connect with the most appropriate health services for your current needs. The NHSD will be freely available and will include both public and private health sector providers from all Australian states and territories.

Service information for GPs, Pharmacies, Hospitals and Emergency Departments is currently available

Future enhancements include :

* Late 2012 : Increased secure and detailed information on services and practitioners for primary care, mental health and local hospital network services.
* 2013 Extensions to allied health and human services.

Overview brochure.

Tuesday, 14 August 2012

Our Uncashed Dividend: The Health Benefits of Climate Action

Actions that cut carbon pollution can improve Australians' health and could save billions of dollars and thousands of lives each year, a new report finds.

Our Uncashed Dividend: The Health Benefits of Climate Action is jointly produced by the Climate and Health Alliance (CAHA), a national coalition of health groups, and The Climate Institute. The report is supported by the AMA and the AHHA. The report draws together a large and growing body of evidence from health and medical research showing substantial health benefits linked to measures to cut emissions.

"Evidence from around the world suggests we're missing out if we don't cash in on the big health dividend that cutting emissions can deliver," report author and CAHA Convenor Fiona Armstrong said.

"Cleaner energy, cycling and walking, protecting bushland, energy efficient buildings and low-carbon food choices all contribute to less chronic illnesses, including heart and lung disease, certain cancers, obesity, diabetes, and depression. One recent global study, for instance, found that for every tonne of carbon dioxide they avoid countries could save an average of $46 in health costs - around twice Australia's starting price for carbon."

AMA welcomes new report on climate change and health

Wednesday, 18 July 2012

Healthcare 2010-11: Comparing performance across Australia

Healthcare 2010-11: Comparing performance across Australia is the third report from the COAG Reform Council assessing progress under their National Healthcare Agreement. One of the key findings is that while there has been progress in improving hospital care, it is not consistent across Australia. For example, elective surgery waiting times have improved in a number of areas, but some of the states with larger populations are lagging. The report also finds that health outcomes are still not equal for all Australians, with more people delaying seeing a GP due to cost, and a quarter of people reporting financial barriers to seeing a dentist.