This is not a "best treatments guide" to the effects of individual therapies. Rather,it highlight issues that are fundamental to ensuring that research is soundly based, properly done, able to distinguish harmful from helpful treatments, and designed to answer questions that matter to patients, the public, and health professionals.
There is expanded coverage of the benefits and harms of screening in a separate chapter (Chapter 4) entitled 'Earlier is not necessarily better.' and in 'Regulating tests of treatments: help or hindrance?' (Chapter 9) the authors describe how research can become over-policed to the detriment of patients. In an important chapter (Chapter 12) it is asked: "So what makes for better healthcare?" and shows how the lines of evidence can be drawn together in ways that can make a real difference to all of us. The last chapter gives a blueprint for a better future and an action plan (Chapter 13)
This project is one of the largest and most complex scientific research studies undertaken in the area of driver education in the world. The research will focus on current behaviour, decision making and risk-taking that will help reduce the number of crashes and fatalities involving young, inexperienced drivers and promote their safe driving behaviour.
The NSW trial will be held in four regions including Western Sydney, Tamworth/Armidale, Dubbo/Forbes and Lismore/Tweed Heads. The project involves assessment, education and driver training sessions.
For more information visit pdriversproject.com.au or phone 1800 019 806.
For participant information and to sign up, visit mylivetribe.com.au or call 1800 454 133
Aboriginal and Torres Strait Islander health services report 2009-10: OATSIH Services Reporting - key results (AIHW)
In 2009-10, Aboriginal and Torres Strait Islander:
* primary health care services provided 2.4 million episodes of health care to about 456,000 clients, a 14% increase in episodes of care : a 22% increase in the number of clients reported compared with 2008-09.
* substance use services provided treatment and assistance to about 26,300 clients, an increase of 14% compared with 2008-09.
* Bringing Them Home and Link Up services provided counselling to about 10,700 clients, an increase of about 27% compared with 2008-09.
About 86% were in the community while 14% were being held in detention. Indigenous Australians make up just 5% cent of young people, but comprise 38% of juveniles under supervision.
The Australian Bureau of Statistics report Caring in the community, Australia shows that the longer the caring role occupies each day, the more emotionally taxing it becomes, with 40 per cent of carers doing 40 or more hours a week saying they are frequently worried or depressed compared with 27 per cent for those who put in 20 hours or less.
But the snapshot of life for carers isn't all depressing news. One in three primary carers reports that the caring role had brought them closer to the person for whom they are caring.
Data cubes and other data are also available from the links page.
ACHS Chief Executive, Brian Johnston, said the analysis of each indicator set for the last 8 years means the data is statistically more relevant than ever before, due to the increasing input from healthcare organisations (HCOs) nationwide. "With a wide range of HCOs contributing to the Report, we are receiving a wealth of rich data that point to key trends across the 22 clinical indicator sets, ranging from Adverse Drug Reactions to Surgery," he said.
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"Brough to life"
This site is not only a valuable resource for teachers and student working on the history of medicine, and related subjects, in schools and universities, but it also engages people of all ages and interests in the story of medicine.
Trends in palliative care in Australian hospitals and Identifying palliative care separations in admitted patient data: technical paper (AIHW)
This technical paper explores the most appropriate method of identifying those separations that occurred in Australian hospitals for which palliative care was a substantial component of the care provided. Coding and collection rules are considered, as well as national admitted patient data for 1999-00 to 2008-09.
The aims of the project are to improve patient safety and outcomes through the implementation of a NSW state-wide framework that focuses on the essentials of clinical care, and to enhance the experiences of patients, families and carers as well as staff involved in the delivery of care. You can watch the introductory video on EOC or read about the structure or facilitation of the program.
You can also visit the NSW Health EOC site.
Senate Inquiry : The factors affecting the supply of health services and medical professionals in rural areas
The terms of reference of the Inquiry are quite wide-ranging, encompassing all health professionals and alternative methods of incentive programs. They are as follows :
* to determine the factors limiting the supply of health services and medical, nursing and allied health professionals to small regional communities as compared with major regional and metropolitan centres.
* to enquire into the role and effectiveness of the current incentive programs for recruitment and retention of doctors, particularly in smaller rural communities,
* the appropriateness of the delivery model for the incentive programs,
* whether the current Australian Standard Geographical Classification Remoteness Areas classification scheme ensures appropriate distribution of funds and delivers intended outcomes, and
* other related matters
Submissions are currently being accepted, but a closing date for submissions has not yet been announced.
Minister for Health and Ageing Nicola Roxon this week invited applications for grants under the Government's 6th round of its National Rural and Remote Health Infrastructure Program(NRRHIP), which will remain open for almost 10 weeks. Over the past 3 years NRRHIP has funded 217 local projects valued at more than $43 million. The funding is available in three streams : for capital works or refurbishments worth up to $500,000; for equipment worth up to $250,000; and for strategic service planning for small rural private hospitals, worth up to $50,000.
Information about eligibility requirements and application material can be found at http://www.health.gov.au/internet/main/publishing.nsf/Content/Listing+of+Tenders+and+Grants-1
The South Australian Safe Infant Sleeping Standards were developed by a core group of experts from Government and non-Government sectors in South Australia under the direction of the South Australian Safe Sleeping Advisory Committee.
Mental Health Services data is available in four broad subject areas (Background; Services; Resources; and Additional topics), and reported in sixteen specific topic areas as per the previous hard copy reports.
With special guest Professor Patrick McGorry the program will feature leading experts in the mental health field, including beyondblue Deputy CEO Dr Nicole Highet and Lifeline's Director Chris Wagner, to discuss depression, anxiety and suicide.
Dr Insel, who heads the National Institute of Mental Health in the US, said scientific breakthroughs connecting brain activity with illnesses such as depression were transforming thinking about how to treat such disorders.
According to a recent report ‘A Climate of suffering’ released by the Climate Institute, people living in rural Australia will feel the effects of climate change more than their city counterparts.
People living in rural communities are particularly exposed in a deteriorating climate with severe weather events, which will add to the chronic difficulties and inequities already experienced by many rural communities.
According to the Murrumbidgee and Southern NSW co-ordinator of mental health promotion and prevention Brad Moore, climate change affects whole communities and there is evidence of an increased risk of suicide in rural areas compared to metropolitan areas.
The Alliance will throw its weight behind moves to improve oral health services in rural areas. It is proposing a pathway to help students from rural areas to access and complete health professional training, and expects the new body responsible for leading on rural health, Rural Health Australia, to report to the public on progress towards better access and greater equity. High- speed broadband access, realistic aged care funding, and mental health services in areas where specialist staff are in short supply also feature.
A team from Curtin University's Institute for Multi-Sensor Processing and Content Analysis has developed the Toby Playpad software, which could also be used as an early stage learning tool for any child under 10.
The longitudinal study surveyed 1500 Victorian women about their smoking and drinking habits on two occasions. The first time was between 2004 and 2006, when women were asked about smoking and drinking at the time of their breast cancer diagnosis. The participants were surveyed again two years later. Findings showed that two out of three women who were smokers when their breast cancer was diagnosed continued to smoke cigarettes. Alcohol consumption is a known risk factor for breast cancer and women already diagnosed with breast cancer are at risk of both recurrence and development of another primary breast cancer. However, one in 12 study participants continued to drink more than four drinks per occasion, at least once a week.
The results of the study, published in Sexual wellbeing and breast cancer in Australia: experiences of people with breast cancer and health professionals, indicate that, following breast cancer 73% of the surveyed women felt less desirable; 51% felt unattractive; 44% felt uncomfortable exposing their body; and 38% experienced a loss of self-confidence. The women also experienced a number of physical effects including tiredness (in 71% of the respondents), vaginal dryness (63%) and hot flushes (51%).
Professor Jane Ussher, the lead researcher from the UWS School of Psychology, says it was these physical changes - followed by body image and physical attractiveness - that the women considered to be the most important personal issues in their post-cancer lives.
The Emergency Communication Project was conceived in response to the increasing realisation of the central role of communication in effective healthcare delivery, particularly in high stress contexts such as emergency departments. Over the last decade, as critical incidents have increased, growing attention has been paid to the relationship between communication (in particular, communication breakdowns) and patient safety. The research presents a detailed picture of the critical importance of communication in the delivery of effective and patient-centred care, and provides a detailed analysis of the way in which communication occurs and, at times, fails.
The site, the Clinical Ethics Resource, was developed by the University and is funded by NSW Health. With over 500 links to resources this comprehensive website provides an extensive range of material addressing the ethical and legal issues experienced by the thousands of people working in clinical environments in the NSW health system. The site includes guidelines, tools, legislation, policy, reports, articles, books and examples of legal cases. The 19 categories covered on the Clinical Ethics Resource include genetics, health care management, ethics committees, Indigenous Australians, mental illness, end of life, organ and tissue donation, consent, reproductive health, confidentiality, research, negligence and standards of care and communication.
It is the sister-site to the highly successful Ethics and Health Law News Service developed by the same two University of Sydney centres and launched in 2009.
Compared with people without disability, people aged 15-64 years with severe or profound disability were:
* 10 times more likely to have check-ups with general practitioners (GPs)
at least once a month (29% versus 3%)
* 3.5 times more likely to consult specialist doctors in the 12 months before the survey period 2007-08 (56% versus 16%)
* 5 times more likely to consult both specialist doctors and other health professionals in the 12 months before the survey period 2007-08 (41% versus 8%).
The high use of health professional services was particularly related to services provided by specialist doctors, occupational therapists, and social workers or welfare workers.