NSW Farmers’ Association Rural Affairs Committee Chair Sarah Thompson says farmers facing difficult times are under a great deal of stress and need ongoing support. “Drought and isolation are two realities for farmers in NSW, and are two contributing factors to mental health and wellbeing,” Ms Thompson said.
A Healthier Future For All Australians - Final Report of the National Health and Hospitals Reform Commission - June2009
* Tackling major access and equity issues that affect health outcomes for people now;
* Redesigning our health system so that it is better positioned to respond to emerging challenges; and
* Creating an agile and self-improving health system for long-term sustainability.
The report focuses on five priorities for improving access and equity, as follows:
1. Improving health outcomes of Aboriginal and Torres Strait Islander people, including the establishment of a new National Aboriginal and Torres Strait Islander Health Authority (NATSIHA).
2. Improved care for people with serious mental illness, including an expansion of sub-acute services in the community and propose that all acute mental health services have a "rapid response outreach team", available 24 hours a day, which can provide intensive community
treatment and support, as an alternative to hospital-based treatment.
3. Support for people living in remote and rural areas, including a proposal to give under-served remote and rural communities top-up funding to an equivalent amount of funding on a per capita basis as communities with better access to medical, pharmaceutical and other primary health care services.
4. Improved access to dental health care, including establishing 'Denticare Australia' to give everyone access to basic dental services.
5. Timely access to quality care in public hospitals, including recommending that public hospitals with major emergency departments be funded to ensure beds are available at all times for people needing to be admitted from the emergency department.
This report looks at the implications severe obesity for workplace health and safety and workers' compensation. "Morbidly obese patients are over represented in the use of healthcare. Further, there is a high mortality rate for these patients because of the patients' delay in accessing treatment. It is possible that this delay may be in part due to there being limited capacity within institutions to manage care." Four case studies are documented for the ambulance, fire, hospital and funeral occupations, where specific issues and possible solutions are examined.
A former President and only Australian President of the WHO, former Director-General of Army Medical Services , former Director General of the Commonwealth Dept. of Health, former chair of the NHMRC and father of a NSW Minister for Health.
and delivering improved patient-centered care. It also can foster scholarship in the clinical setting, provide a method of communicating practice knowledge and help novices integrate the use of theory in their practice.
The Hon. Mark Butler, Parliamentary Secretary for Health has launched the "Snapshot of Australian primary health care research 2009". Snapshot highlights research produced by some of Australia's leading primary health care researchers, and demonstrates the potential for this field of research to improve the health of Australians.
Design Guide for the Built Environment of Behavioral Health Facilities, National Association of Psychiatric Health Systems, 3rd ed., Spring 2009
The aim of this paper by Cynthia Ganesharajah of the Native Title Research Unit, Australian Institute for Aboriginal and Torres Strait Islander Studies, is to provide an overview of relevant material. The central argument is that Indigenous health strategies should take into consideration the importance of connection to country to maximise their effectiveness.
The most recent drought has been one of the most severe on record with large parts of southern and eastern Australia experiencing dry conditions since 1996. There have been few large studies that examine the impact of drought upon the mental health and alcohol use of people living in regional and rural areas of Australia or other developed countries.
This study uses the Rural and Regional Families study, a cross-sectional study of 8,000 people from rural and regional areas of Australia that interviewed people in areas that were in severe drought, drought, below average and above average rainfall. Working age people who were in drought (as defined by rainfall and also self report) were compared to those that were not in drought. Regression models are used to adjust for demographics that would not be expected to be affected by drought to estimate the impact of drought on the mental health problems, mental health, anti-depressant use for stress and alcohol use.
One of the primary mechanisms by which mental health and alcohol abuse problems arise during and after a drought is through the financial impact associated with decreased agricultural productivity in rural areas. While the drought of 2002-2007 had significant negative economic impact on the Australian economy it had particularly large effects on financial hardship in regions affected - especially among farmers (Edwards et al. 2009). The findings of the impact of drought on mental health and alcohol use in this context and the possible policy implications are discussed.
The number of Commonwealth supported commencing places in medical courses in universities across Australia rose from 1403 in 2003 to an estimated 2544 in 2008. Jolly says that this change in policy direction will take a number of years to address current shortages due to the complexities of medical training. Her aim in this paper is to explain these complexities and why previous policies have often had a negative outcome. "Understanding better how the transformation from student to "specialist" medical practitioner works and the roles of those institutions which contribute to, and influence that transformation may help to lessen the possibility that these types of negative outcomes unnecessarily beleaguer the health system."
This booklet outlines a range of practical strategies to assist general practices to appropriately minimise risks of violence, including means to:
* create a safe physical environment
* flag the files of patients with a history of violent behaviour within a practice
* assertively clinically manage patients at risk of violent behaviour
* work with other services to reduce the future risk of violence, and
* support the general practice team after experiences of violence.
Practice posters and a comprehensive background report are also available.
* Australasian best practice approach to health facility planning
* standard spatial components
* a highly flexible planning tool responsive to the dynamic changes in Health.
Capabilities for Supporting Prevention and Chronic Condition Self-Management: A Resource for Educators of Primary Health Care Professionals.
* Agreed definitions of chronic condition self-management (CCSM) related terms
* A framework for delivery of self-management education to the future health professional workforce
* Self-management support skills in the context of the Chronic Care Model (Wagner, et al., 2001); and
* Identification and definition of the knowledge, attitudes and skills required by the PHC workforce for prevention and CCSM support across the continuum of care from wellness, early detection and chronic condition management.
The document is intended to provide a resource for educators in universities and PHC service delivery settings, as well as regulatory and professional bodies. It will help guide the standards required by undergraduate and graduate programs for providing education and training in CCSM support to the existing and future PHC workforce.
Click on the link to view the media release
- Expansion of the Rural Health Locum program.
- Expansion of the Training for Rural & Remote Procedural General Practitioners program
- Maintaining the existing funding for University Departments of Rural Health and the Dental Training Expanded Placements program.
- Additional funding for the Mental Health Services in Rural & Remote Areas program.
- Extension of the Mental Health Support for Drought Affected Communities program.
The analysis uses infants' time use data from the first wave (2004) of Growing Up in Australia: The Longitudinal Study of Australian Children (LSAC), derived from diaries completed by the parents of almost 3,000 Australian infants aged 3-14 months. It explores how much time infants spend in activities such as being held or cuddled, read or talked to, or crying, using data on whether or not infants were still breastfeeding, and taking into account other child and family characteristics. It also compares time spent in different social contexts. Finally, the paper uses the time use data to analyse which infants were still breastfeeding, and what factors are associated with differences in time spent breastfeeding.
The results show that breastfed infants spend more time being held or cuddled and being read or talked to, and less time sleeping, or eating, drinking or being fed other foods. They also cried slightly more, and watched television slightly less than infants who were not being breastfed. Those who breastfed spent more time with their parents, and in particular, almost one additional hour a day alone with their mother compared to non-breastfeeding infants.
These findings have important implications for how children grow, and show the value of time use data in exploring pathways to development for infants and young children. The possibility that cognitive advantages for breastfed children may arise from their distinct patterns of time use and social contexts during the breastfeeding phase is an important area for future research using survey data such as from LSAC.
Jennifer Baxter and Julie Smith Australian Institute of Family Studies, June 2009, Research paper no. 43
Young Women Talk was initiated by S4W a national network of non-profit organisations primarily concerned with improving the lifelong economic wellbeing of Australian women and undertaken by Kim Lawler on behalf of S4W over a four month period.
The comprehensive report examines a wide range of areas including early child development, education, health, home environment, community safety and governance.
NIOSHTIC-2 (Free version) A free bibliographic database of occupational safety and health publications, documents, grant reports, and other communication products supported in whole or in part by the National Institute for Occupational Safety and Health part of the CDC.
CISDOC (Free version) CISDOC is the fruit of 30 years of screening the occupational safety and health literature of the world (in many languages) for interesting and useful books, articles and audiovisual materials that occupational safety and health specialists can use in their fight against workplace accidents and diseases. It already guides users to over 62,000 publications, and 2000 more references are added every year.
Reposted from NCAHS Library Clippings
Also available : Overcoming indigenous disadvantage : key indicators 2007 which gives statistics on indigenous health and social indicators.
The 2009 report includes four feature chapters. The first feature is titled "Turning our public hospitals around" and provides information about hospital reform directions agreed between the Commonwealth and all State and Territory Governments. The second, titled "Our maternity services", provides information on the number and type of maternity services provided by hospitals and their associated costs. The third feature titled "Indigenous Australians in hospital" describes Indigenous hospital use compared to that of other Australians. The final feature is titled "State and territory public hospital performance reporting" and includes details of state and territory online hospital reporting.
Developing a NHMRC Strategic Plan - a national strategy for medical research and public health research
In preparation for the next Strategic Plan, which will cover the period January 2010- December 2012, NHMRC has prepared a Consultation Paper setting out a draft strategy for medical research and public health research.