The purpose of this package is to help support the inclusion of people with chronic disease in community activities in a local area. It contains information and resources to help plan, deliver and evaluate educational activities within a local community. The first section details the aim, rationale and background for the development of this package. The overall aim of this package is to educate community group leaders about chronic disease issues. Community leaders equipped with such knowledge will be better able to support people with chronic disease to manage their conditions while encouraging their participation in community group activities.
Life is health is life: Taking action to close the gap: Victorian Aboriginal evidence-based health promotion resource
It brings together stories of promising health promotion practice from across Victoria and a review of the scientific literature. It provides the evidence for effective interventions that can be used in health promotion planning.
This resource is designed for people who work in community and women's health services, Aboriginal community controlled health services and local government. It will also be useful to others who are working to close the gap.
Chief Health Officer Dr Tarun Weeramanthri said the resource was developed after independent research identified a clear need among WA parents for support and advice on how to discuss sexuality with their children from a young age through adolescence. It also offers support for parents in helping their children understand the public nature of digitally transferred information such as Facebook, sex and the law, preventing child sexual abuse, and how to discuss their beliefs about pornography.
|ABC Local; Margaret Burin|
This report, the sixth in the series, again shows that Indigenous Australians are more likely than non-Indigenous Australians to rely on public hospital services. In 2008-09, per person expenditure on public hospital services for Indigenous Australians was more than double that for non-Indigenous Australians - an expenditure ratio of 2.25.
The 45 and Up Study is the largest study of healthy ageing ever undertaken in the Southern Hemisphere. Over 265,000 men and women aged 45 and over across NSW have been recruited (about 10% of this age group) and will have their health followed over the coming decades.
Information collected through the 45 and Up Study will be used by policy agencies and by researchers to help gain a better understanding of how to prevent and provide the best possible health care for common health conditions such as cancer, cardiovascular disease, arthritis, depression, Alzheimer's disease and diabetes.
This is one of three reviews subsequently commissioned to inform the program. It reviews peer-review and grey literature evaluations of the effectiveness of Australian Indigenous initiatives published 1995-2010 to answer the following questions with specific terms of reference provided:
What are the most effective strategies/projects/programs that have been implemented for the prevention of injury amongst Aboriginal populations?
What types and causes of injury have successfully been addressed by these strategies?
What types and causes of injury have not been successfully addressed (or addressed at all) by these strategies?
What are elements that contribute to success or failure in such strategies?
* working with (rather than working "on") Indigenous communities;
* ensuring your service is culturally competent;
* focusing on attracting and retaining the right staff;
* cultivating networks and relationships;
*adopting an action research approach.
Many Indigenous families and communities in contemporary Australia face immense challenges. Their strength and resilience is compromised by multiple complex problems, including historical and ongoing dispossession, marginalisation, and racism, as well as the legacy of past policies of forced removal and cultural assimilation (Human Rights and Equal Opportunity Commission, 1997). These issues contribute to the high levels of poverty, unemployment, violence, and substance abuse seen in many Indigenous communities. They also impact negatively on Indigenous children, who demonstrate poor health, educational, and social outcomes when compared to non-Indigenous children (Australian Institute of Health and Welfare, 2009).
• Measures of efficiency relevant to health funding and price benchmarking decisions include cost efficiency, input-oriented technical efficiency and cost-allocative efficiency.
• There are two main efficiency modelling techniques to estimate the production technology: stochastic frontier analysis and data envelopment analysis.
• There were more than 100 applications of stochastic frontier analysis and data envelopment analysis modelling techniques to hospital data. The most comprehensive and relevant applications were conducted by the Productivity Commission in 2009 and 2010. The Commission found that, on average, Australian hospitals can potentially reduce inputs by 10% and still produce the same quantities and types of outputs.
• The Commission identified a number of data problems that will limit the use of efficiency modelling techniques (and any other technique) in informing hospital funding and price benchmarking decisions. These include: a lack of consistent data on capital costs (especially for public hospitals); the medical costs of doctors exercising their rights of practice in public hospitals; staffed beds in public and private hospitals; and measures of quality (including rates of hospital-acquired infections).
The Chronic Disease Guidelines 3rd edition 2010 have been developed to guide health practitioners in providing best practice prevention, early detection and management of chronic disease with a standardised set of tools and information. This 3rd edition is a synthesis of contemporary evidence-based principles and practices and has been developed collaboratively with input from a range of clinical experts and clinical networks from Queensland Health, the Royal Flying Doctor Service and Apunipima-Cape York Health Council.
The publisher describes the resources on their website as: Australian,Based on evidence,Easy to access and understand,Empowering to you, Speaks to people personally – not lecturing or authoritarian. The information on the website is divided into the following sections: Conditions, Symptoms Checker, Healthy Living and Recipes.
Part 1: Introduction and Key Issues in the Current Landscape: a guide to current practice and future promise, by The Change Foundation, Canada captures the first phase of a project, in which the Innovation Cell undertook a series of systematic scans of the social media environment to understand how it intersects with healthcare, particularly in Canada. As a result of these scans, they are able to describe current leading practices, challenges, lessons, opportunities and limitations related to the use of social media in healthcare. Here they introduce the idea that healthcare organisations can use social media as a tool for quality improvement by tapping into the growing presence and power of online conversations. Through numerous examples from across North America – and by presenting the first open and user-editable Canadian directory of healthcare organisations using social media – Part 1 of the guide (like the forthcoming eToolkit) provides a snapshot of where we are now in this fast-changing world. It also explores important ethical issues, particularly around privacy and data control, that healthcare organisations must understand as they begin to navigate this new territory.
Dr Julie-Anne Carroll undertook research into this topic and co-published a paper called Geekdom for Grrrls Health: Australian Undergraduate Experiences Developing and Promoting Women's Health in Cyberspace. Dr Carroll said
Dr Carroll saidthere is an increasing reliance on the internet for health information across all ages. One of the main findings of her research was the fact that women prefer government and semi-government sources above all others. They don't like flashy websites, and while they participate in websites with discussion forums, many women use those forums to find support rather than obtain core health information. They also discovered online is not a threat to traditional primary healthcare.
The report provides the best available evidence about what works to overcome barriers to health care, rehabilitation, education, employment, and support services, and to create the environments which will enable people with disabilities to flourish. The report ends with a concrete set of recommended actions for governments and their partners.
This pioneering World report on disability will make a significant contribution to implementation of the Convention on the Rights of Persons with Disabilities. At the intersection of public health, human rights and development, the report is set to become a "must have" resource for policy-makers, service providers, professionals, and advocates for people with disabilities and their families.
It provides the latest available information on how Australia's young people are faring according to a set of national indicators of health and wellbeing. Death rates have fallen considerably among young people, mainly due to declines in injury deaths. Most young people are achieving national minimum standards for reading, writing and numeracy, are fully engaged in study or work, and have strong support networks. There are some favourable trends in risk and protective factors, such as declines in smoking and illicit substance use.
But it is not all good news. There is a high rate of mental disorders among young people, and road transport accidents, although continuing to decline, are still a major cause of death among young males. Too many young people are overweight or obese, are not doing sufficient physical activity or eating enough fruit and vegetables, and are drinking alcohol at risky levels. Aboriginal and Torres Strait Islander young people are far more likely to be disadvantaged across a broad range of indicators.
If you want to to know more about what the National Health Reform promises, go to the Department of Health and Ageing website where there is a detailed description.
Reposted from http://ncahslibraries.blogspot.com/ Library Clippings
* Antidepressant use
* Mental health risk assessment : a guide for GPs
* Anxiety disorders
* Assessment and management in general practice
* Managing borderline personality disorder and substance use : an integrated approach
* Anxiety and depression : online resources and management tools
* Patient initiated aggression
Please contact your library if you have problems downloading any journal articles.
The digital divide: a profound public health issue that needs work is a recent article in the Croakey health issues blog. Don Perlgut, CEO of the Rural Health Education Foundation, is concerned that with the introduction of the National Broadband Network, over 3 million Australians will be disadvantaged by their lack of information technology skills in regards to public health. "If you are poor, Indigenous, old or disabled and live in outer regional/remote areas of Australia, your chances of being 'online ready' are pretty low. And who are the people who will most need the chronic disease monitoring systems the Government is starting to put in place? The poor, the elderly, the disabled and the residents of outer regional and remote Australia."
The Croakey blog is a forum for debate and discussion about health issues and policy. It is moderated by journalist Melissa Sweet, with regular contributions from a panel of medical experts. It is related to the online social commentary publication, crikey.com .
The general reluctance in our society to discuss end-of-life issues translates into a failure by many to prepare properly for the end of life. This includes not making wills, expressing wishes about funeral arrangements, considering the need to make powers of attorney or give directions for care through advance directives.
The consequence is that the failure to think in advance about end-of-life issues will impact not only on the quality of life of the individual in their final years and months, but also on those around them. End-of-life issues are, by their nature, complex, personal and sensitive, but they are made all the harder if the wishes of the person concerned are not properly understood or set out.
The first part of this publication , which was released on 4 April 2011, explained the legal options that people can exercise now in respect of planning for the end of life. These include advance care planning, preferred place to die, refusal of treatment and withdrawal of treatment.
This second publication considers what additional options might become available in the future that people with dementia could access towards the end of their lives. These could include euthanasia and assisted suicide.
The booklet includes personal stories and suggestions from parents who have experienced emergencies across Australia, as well as tips from leading child trauma psychologists on how to manage and respond to the reactions.
2010-11 AMA Indigenous Health Report Card - "Best Practice in Primary Health Care for Aboriginal Peoples and Torres Strait Islanders"
Chair of the AMA Indigenous Health Taskforce, Dr Steve Hambleton, said that more needs to be done in a practical way to build on the momentum of significant Government investment of more than $1.6 billion to Close the Gap in Indigenous Health. He said the gap in life expectancy would not close unless all Aboriginal and Torres Strait Islander peoples have full access to high quality primary health care. The AMA Report Card identifies some of the more successful primary health care models that reduce barriers to access and promote high quality health and clinical outcomes for Indigenous patients.
Contribution of chronic disease to the gap in mortality between Aboriginal and Torres Strait Islander people and other Australians
Semi-structured telephone interviews were conducted with the majority (14 out of 15) of past recipients of the awards in the three countries of interest.
Experts "reached this classification based on review of the human evidence coming from epidemiological studies", pointing to an increased incidence of glioma, a malignant type of brain cancer, Jonathan Samet, president of the work group said. Two studies in particular, the largest conducted over the last decade, showed a higher risk "in those that had the most intensive use of such phones", he said in a telephone news conference.
'Health' is a very broad notion, affected by a wide range of individual characteristics, behaviours and contextual factors. Those contextual factors that fall within social, economic and environmental domains are usually referred to as 'the social determinants of health'
The National Rural Health Alliance fact sheets provide an overview of health issues in rural Australia. Other recent fact sheets in the series include : The extent of the rural health deficit ; Rural maternity services, and Medicare locals in rural Australia.