Some of the key trends which emerged in Nurses in focus include:
* The percentage of registered nurses aged 55 and over increased from 15% in 2003 to 20% in 2009.
* Nursing continues to be a female dominated profession, with men accounting for only 10% of employed nurses.
* Most nurses work in hospitals, but there is an increasing emphasis on community care.
The publication is aimed at health workforce planners and is part of Australia's Health Workforce Series, which aims to increase understanding of the existing medical, nursing and allied health workforces.
The report makes 5 recommendations:
* the government adopt the WHO report and commit to addressing the social determinants of health relevant to the Australian context
* the government adopt administrative practices that ensure consideration of the social determinants of health in all relevant policy development activities, particularly in relation to education, employment, housing, family, and social security policy
* the government place responsibility for addressing social determinants of health within one agency, with a mandate to address issues across portfolios
* the National Health and Medical Research Council (NHMRC) give greater emphasis in its grant allocation priorities to research on public health and social determinants research
* annual progress reports to parliament be a key requirement of the body tasked with responsibility for addressing the social determinants of health.
In 2010-11, health expenditure for Aboriginal and Torres Strait Islander people was estimated at $4.6 billion, or 3.7% of Australia's total recurrent health expenditure. The Aboriginal and Torres Strait Islander population comprised 2.5% of the Australian population at this time. Expenditure equated to $7,995 per Indigenous person, which was 1.47 times greater than the $5,437 spent per non-Indigenous Australian in the same year. Governments funded 91.4% of health expenditure for Indigenous people, compared with 68.1% for non-Indigenous people.
Geographic distribution of asthma and chronic obstructive pulmonary disease hospitalisations in Australia: 2007-08 to 2009-10 (AIHW)
This report shows, for example, that death rates for avoidable causes and circulatory diseases have declined in NSW since 2001, but almost half of Aboriginal and Torres Strait Islander mothers smoke during pregnancy and unemployment rates continue to remain higher for Indigenous people than for non-Indigenous people.
Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: Queensland
This report provides the latest information on how Aboriginal and Torres Strait Islander people in Queensland are faring according to a range of indicators on health status, determinants of health and health system performance. Indicators are based on the Aboriginal and Torres Strait Islander Health Performance Framework. The report highlights the main areas of improvement and continuing concern. For example, while death rates for avoidable causes and circulatory diseases have declined since 2001, just over half of Aboriginal and Torres Strait Islander mothers smoke during pregnancy and there has been no improvement in incidence rates of treated end-stage renal disease in recent years.
Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: Victoria
This report shows, for example, that while health assessments in Victoria have increased significantly and immunisation coverage for Indigenous children is similar to non-Indigenous children by the age of 2, the incidence of treated end-stage renal disease is 4 times the rate for non-Indigenous Australians and unemployment rates continue to remain higher for Indigenous people than for non-Indigenous people.
Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: South Australia
This report shows, for example, that while death rates in South Australia for Indigenous infants and Indigenous people of all ages have declined since 1991, more than half of Aboriginal and Torres Strait Islander mothers smoke during pregnancy and unemployment rates continue to remain higher for Indigenous people than for non-Indigenous people.
Aboriginal and Torres Strait Islander Health Performance Framework 2012 report: Western Australia
This report shows, for example, that while death rates for avoidable causes and circulatory diseases have declined since 1997 in Western Australia, about half of Aboriginal and Torres Strait Islander mothers smoke during pregnancy and there has been no improvement in incidence rates of treated end-stage renal disease in recent years.
According to Faculty of Health Sciences researchers involved in the University of Sydney's 'Wobbly Hub and Double Spokes' research project therapy service delivery can be problematic for people with a disability living in rural areas. The survey, which is divided into 5 sections, is exploring the current access to therapy services including physiotherapy, occupational therapy, speech pathology and psychology and has so far attracted 125 respondents from western NSW.
The study may be taken here : http://www.surveymonkey.com/s/WHCarersSurvey
A study carried out on nearly 3,400 women in Tayside, Scotland, found that only half who had been given tamoxifen, or one of a class of newer antihormone drugs called aromatase inhibitors, after breast cancer treatment were still taking the pills at the end of 5 years. Some had stopped; others reduced the dose. Those who had given up after three years were 3 times more likely to die of breast cancer, during the follow-up period of the study, than those who took the pills for 80% of the time for all 5 years.
After analyzing 41 patient safety practices, an international panel of patient safety experts identified 22 strategies that are ready for adoption. Enough evidence exists that health systems and institutions can move forward in implementing these strategies to improve the safety and quality of health care.
A special supplement to the Annals of Internal Medicine features 10 articles on selected patient safety strategies featured in Making Health Care Safer II, so this makes a good summary source. It includes articles on healthcare associated infection, falls prevention, medication safety and end of life care.
Access this issue via CIAP or contact your health library for access to the full text. Annals of Internal Medicine 5 March 2013 158(5 pt 2), "Making health care safer : a critical review of evidence supporting strategies to improve patient safety".
Republished from NCAHS Library Clippings
The Re-Engineered Discharge (RED)Toolkit, funded by the Agency for Healthcare Research and Quality, can help hospitals reduce readmission rates by replicating the discharge process that resulted in 30% fewer hospital readmissions and emergency room visits.
Developed by the Boston University Medical Center, the newly expanded toolkit provides guidance to implement the RED for all patients, including those with limited English proficiency and from diverse cultural backgrounds.
During Arthritis Awareness Week (17 - 23 March 2013) the almost 3 million Australians (8% of the population) living with osteoarthritis are being encouraged to register at www.MyJointPain.org.au and take an active role in the management of their condition.
MyJointPain.org.au was developed as a result of a unique collaboration between Arthritis Australia and the Bupa Health Foundation. The website and online tools are based on the combined knowledge of a committee of medical and scientific experts in key areas of surgical, scientific, allied health, medical and consumer advocacy to provide leading advice for osteoarthritis care.
It links users to actionable Web-based tools and presents case studies that illustrate how other organizations have addressed these questions. Users will be able to answer the four overarching questions the Guide poses:
*Does this innovation fit?
*Should we do it here?
*Can we do it here?
*How can we do it here?
On the AHRC Innovations Exchange there is also available "How To Think About Evidence When Deciding Whether To Adopt an Innovation".
There are currently two online courses:
*a twelve week Acute Care of the Older Person aimed at Registered Nurses, Enrolled Nurses and Allied Health staff
*a four-week Person Centred Care in the Community aimed at Assistants in Nursing and Personal Care attendants.
The courses are suitable for staff working in acute, community or residential aged care settings. Both courses are offered free to NSW Health staff. The program is applicable and accessible across all settings especially in rural remote areas.
Learners can access the program online 24 hours a day in their own time, at their own pace within the 4 or 12 week period, from home or work. The courses are made up of lessons, quizzes, forum posts and real time online chats.
If you would like more information about undertaking the courses or becoming a facilitator please contact the Dementia Care team on firstname.lastname@example.org or visit the DementiaCare Resource and Training Network Website.
The first of these virtual issues is on Gastroenterology, Malnutrition and Nutritional Support and features articles on cancers of the GI tract, inflammatory bowel disease and enteral feeding.
The site also features the British Dietetic Association evidence-based guidelines for the dietary management of irritable bowel syndrome in adults .
About 700 agencies provide treatment for alcohol and other drug issues in Australia, and three-quarters of these agencies are in New South Wales, Victoria and Queensland. Most of the closed episodes provided in 2010-11 were for clients receiving treatment for their own drug use, and alcohol was the most common principal drug of concern in most states and territories. Counselling was the most common main treatment type.
Mr Butler said Borderline Personality Disorder (BPD) was the most serious and common of the personality disorders, affecting adolescents and adults. The new guideline will complement the Government's record $2.2 billion investment in better mental health services, including through the Partners in Recovery initiative which is of particular relevance for those with a lived experience of BPD. Mr Butler said the new guide was designed to improve understanding and recognition of BPD in health services and in the broader community. It includes 63 recommendations on diagnosis, management, and treatment and information for carers and families.
"The Land's" mental health links
* Australia is "middle of the road" - ranked in the top third of OECD countries for only 12 out of 46 indicators.
* Australia is ranked relatively poorly when it comes to preventing childhood deaths from injuries - 22nd out of 34 OECD countries.
* Australia ranks 22nd on infant mortality and 29th for rates of some infant vaccinations to prevent disease.
* Teenage pregnancy rates are higher than the OECD average, with Australia ranked 22nd out of 34 OECD countries.
* Nearly 30% of young people aged 15-24 years are overweight or obese and more than half (57%) lead sedentary lifestyles.
* Most children do not eat the recommended levels of fruit and vegetables.
* Australia fares well when compared to other OECD nations on rates of youth smoking (7% smoke daily) but less favourably for use of illicit drugs (18% using illicit drugs).
* Rates of youth suicide are declining but we are still ranked only 20th of 33 OECD countries. More than one in 10 young people suffer high levels of psychological distress.
* Indigenous rates of psychological distress and suicide are close to 3 times the national average.
* School achievement is relatively positive for 15 year olds but below average for primary school reading, maths and science.
* Youth unemployment is increasing despite our strong economy. 1 in 6 young people are not in education or in employment.
* The gap between rich and poor is increasing as is the percentage of young children living in jobless families. Over 1 in 6 children lived at or below the poverty line in 2010.
According to leading authority on early childhood, June McLoughlin, the Report Card reinforces ARACY's position that policies aimed at young people need to be evidence-based, and more support for the early years is required. "It is incomprehensible we are in the bottom third for income inequality - which in the past the World Bank and the World Health Organisation have calculated as a key predictor of life expectancy; and that with preschool age children having access to early learning, we are 30th out of 34 OECD nations." "This is one of the key gaps revealed by the Report Card - we under-invest in the early years, which are proven to be critical in maximising the potential of our children and making them ready for school. There is abundant evidence that proven early learning programs track through to better school performance later on."
Links page for report and technical report
Unattractive side to new portrait of young people (Sydney Morning Herald)
The average cost of hospital care for people with dementia was generally higher than for people without dementia ($7,720 compared with $5,010 per episode). The total cost of hospital care for these patients was estimated to be $462.9 million, of which around $162.5 million may be associated with dementia.
For most measures, the results are broken down into the 61 geographic areas that are covered by the new network of Medicare Locals, which were set up in 2011 to improve responsiveness, co-ordination and integration of health services. Where possible, results are broken down by still smaller geographic areas. The report examines use, patient experiences and the perceived health of populations living in each Medicare Local area against a range of indicators, including:
* GP attendances
* Measures of patient experiences
* Wait times for GP services
* After-hours GP service utilisation.
NHPA: The methods are good, but the findings grim (NRHA)
The report, Facing the Health of Australians, paints a national picture of community opinions on health and major disease. It shows Australians are largely indifferent towards diabetes and major associated risk factor obesity. Less than 10% rate diabetes as a future health concern for themselves and their children (6.8% and 6.3% respectively), and even fewer cite obesity (5.6%) as an issue of concern for themselves, despite an alarming 42% admitting to leading sedentary lifestyles and those with children ranking lack of healthy diet among their greatest worries for their children, second only to accident or injury.
A new mobile phone app is aiming to give young people experiencing mental health issues some hope. The app is the creation of Headspace, a national youth mental health foundation, which specifically targets young people with mental health issues. Titled "The Fifth Army" the app is about engaging young people between the ages of 18 and 25. It focuses on three main issues of concern for that age group, bullying, homophobia and depression.
Headspace chief operating officer Chris Tanti says the mobile app is the ideal way to get young people engaged with the issues. Mr Tanti says with suicide being the leading cause of death among Australians under the age of 25, getting the message out about mental health is vital.
Mental health support goes mobile (ABC)
Renewing the national strategic framework for Aboriginal and Torres Strait Islander peoples' mental health and social emotional wellbeing
It is important that the renewed Framework reflects the ideas and thoughts of Aboriginal and Torres Strait Islander peoples and communities. As such, the Social Policy Research Centre and Nulungu Research Institute are seeking your feedback and comments on the renewed Framework. There are two ways you can have input into the development of the renewed Framework:
*read the linked Discussion paper and complete a submission
*attend a consultation in a location near you.
Information, submissions, consultations and contact details.
National rates have decreased for smoking in pregnancy, episiotomy among women having their first baby and giving birth vaginally and the proportion of babies born weighing less than 2,750 grams at or after 40 weeks. However for some indicators, including induction of labour, caesarean section and instrumental vaginal birth, rates have increased and point to areas for possible further attention.
Mrs Skinner said the program is an innovative, exciting initiative which will provide career pathways for new doctors to become rural General Practitioners (GPs) with additional advanced skills in at least one clinical discipline.
"Put simply what this program will deliver is more doctors for rural and regional areas. In 2013, these training positions at Tamworth, Maitland, Griffith, Wagga Wagga, Moruya, Nowra, Orange, Dubbo and Bathurst will help address shortages of general practitioners with advance procedural skills in rural areas," Mrs Skinner said.
NSW Rural Generalist Training Program : Applications and Information
Young rural doctors training program welcomed (Stuart Riley : FWLHD)
The Climate and Health Alliance, a coalition of public health, medical, nursing, allied health professionals, health research institutions and service providers, said the Commission's report highlighted how extraordinary weather extremes were putting more lives at risk, particularly the latest summer with the entire Southern Hemisphere experiencing the hottest December and January ever. Climate and Health Alliance Convenor Fiona Armstrong said the record breaking heatwave in which Australia recorded its first ever average maximum of 40.3C on 7 January 2013 posed the most serious threat to health, but lives were also lost in recent bushfires and flooding following extreme rainfall.
Some key findings are that the average birthweight of babies at Healthy for Life services increased from 3,015 to 3,131 grams between the reporting periods ending in June 2008 and June 2011. Over the same period, the proportion of clients who had health assessments increased from 11.7% to 15.2% for those aged 15-54 and from 14.7% to 20.7% for those aged 55 and over. For clients aged 0-14, the proportion who had health assessments decreased slightly from 15.9% to 13.8%.