The question that stimulated this critique was: how are healthcare stewards meant to restructure their corporate governance so that their healthcare services are more culturally safe and secure for Australia's First Peoples?
Australian Healthcare Governance and the Cultural Safety and Security of Australia’s First Peoples: an annual critique
The Framework identifies 5 priority action areas to reduce suicide in NSW:
- Building individual and community resilience and wellbeing
To help people cope with tough times
- Strengthening the community response to suicide and suicidal behaviour
To help people recognise those who are at risk of suicide, and take steps to support them
- Supporting excellence in clinical services and care
To ensure people have access to appropriate, high quality clinical services and care, including broader supports and services
- Promoting a collaborative, coordinated and integrated approach
To reduce duplication and gaps
- Innovating for a stronger evidence base
To know and use interventions that work to prevent suicide.
The findings across all of these sources of evidence are remarkably consistent. The research shows that, even when taking account of associated risk factors such as age and education, there is a greater risk of mental ill health amongst those workers operating under FIFO work arrangements. Indeed, one third of the 3000 FIFO workers surveyed experience high or very high levels of psychological distress, as measured on an extensively validated scale.
Crucially, poorer mental health and riskier alcohol and other drug use are risk factors for suicide, and both of these risk factors are present in the FIFO sample. In addition, FIFO workers have a demographic profile (gender, age, education, job role) in which suicide likelihood is greater, while also reporting feelings of loneliness, stigma, bullying and perceived lack of autonomy. Altogether, this pattern of findings suggests that FIFO workers are likely to be at greater risk of suicide.
At least one‐quarter of young people will experience an episode of depression before 19 years of age. By year 9, students who have experienced a mental disorder are on average two years behind in academic achievement compared to those without a mental disorder.
See more at: https://theconversation.com/how-physical-activity-in-australian-schools-can-help-prevent-depression-in-young-people-107889
In recent years, researchers have made advances in detecting the genetic links, raising hopes for treatment and prevention.
Professor Tracey Wade is Matthew Flinders Distinguished Professor at Flinders University and associate investigator of the Australian Anorexia Nervosa Genetics Initiative (ANGI).
Elise Thompson spent six years living with anorexia.
Click on link for audio at: https://www.abc.net.au/radionational/programs/lifematters/how-much-of-eating-disorders-is-in-our-dna-%E2%80%94-and-can-we-predict/10599966
This is the second of 3 reports by the Capital Markets Cooperative Research Centre on digital health in Australia.
- The prevalence of overweight and obesity among children in Australia and changes in these rates over time;
- The causes of the rise in overweight and obesity in Australia;
- The short and long-term harm to health associated with obesity, particularly in children in Australia;
- The short and long-term economic burden of obesity, particularly related to obesity in children in Australia;
- The effectiveness of existing policies and programs introduced by Australian governments to improve diets and prevent childhood obesity;
- Evidence-based measures and interventions to prevent and reverse childhood obesity, including experiences from overseas jurisdictions;
- The role of the food industry in contributing to poor diets and childhood obesity in Australia; and
- any other related matters.
This report is comprised of 10 chapters:
- Chapter 1 provides some background information around the prevalence of obesity, and defines some key terms;
- Chapter 2 discusses the importance of language and the high degree of stigma attached to the term 'obesity';
- Chapter 3 examines strategic policy directions which could help tackling obesity;
- Chapter 4 discusses the issue of food labelling;
- Chapter 5 focuses on the critical role of reformulation to improve the availability of healthier products;
- Chapter 6 examines the benefits of introducing a tax on sugary drinks;
- Chapter 7 focuses on the issues associated with the marketing and advertising of discretionary foods;
- Chapter 8 discusses the importance of education campaigns;
- Chapter 9 looks at the benefits of health care interventions; and
- Chapter 10 discusses promising multi-strategy prevention programs
Two new Australian hospital statistics reports: elective surgery and emergency department care [AIHW]
1. Elective surgery waiting times 2017-18: Australian hospital statistics Elective surgery waiting times 2017–18: Australian hospital statistics focuses on information about public hospital elective surgery waiting lists between 1 July 2017 and 30 June 2018. It presents information on overall activity, what elective surgery was provided and how long people waited for elective surgery.
2. Emergency department care 2017-18: Australian hospital statisticsEmergency department care 2017–18: Australian hospital statistics presents information on care provided in public hospital emergency departments between 1 July 2017 and 30 June 2018. It includes information on overall activity, nationally agreed performance indicators on waiting times for care, time spent in the ED, and other waiting times statistics. It also includes comparative information for the previous 4 reporting periods.
This series of fact sheets provides information about these diseases and their impact in Australia, including the number of cases reported, hospitalisations and deaths.
National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care: results for 2017
This group of people, referred to in this report as the ‘Stolen Generations aged 50 and over’, represent around 14%—or 1 in 7—of Aboriginal and Torres Strait Islander people aged 50 and over (estimated in 2014–15), and two-thirds of the total 20,900 estimated population of all survivors of the Stolen Generations.
This report focuses on the characteristics of, and outcomes for, the Stolen Generations aged 50 and over, given their expected special needs for health, disability and housing services.
Medical Specialist Access Framework – a guide to equitable access to Specialist Care for Aboriginal and Torres Strait Islander people
The Framework was developed by the RACP Aboriginal and Torres Strait Islander Health Committee. It aims to increase access by Aboriginal and Torres Strait Islander People across Australia to medical specialists. The Framework consist of principles, enablers of specialist access, tools and resources, as well as case studies showcasing successful models that are enabling greater access by Aboriginal and Torres Strait Islander people to medical specialists. The RACP welcomes the opportunity to discuss this further with interested stakeholders.
The Framework and associated documents can be found online at: https://www.racp.edu.au/msaf
Additional rural and urban case studies at : https://www.racp.edu.au/advocacy/policy-and-advocacy-priorities/medical-specialist-access-framework/medical-specialist-access-framework-case-studies
Defining the Indefinable: Descriptors of Aboriginal and Torres Strait Islander Peoples’ Cultures and their Links to Health and Wellbeing
We examined the Australian literature as well as publications from countries that have experienced similar colonisation events; primarily Aotearoa (New Zealand), Canada and the United States. Our main findings from this synthesis determined 6 main domains used to describe culture for Aboriginal and Torres Strait Islander peoples. These domains were: Connection to Country; Cultural Beliefs and Knowledge; Language; Family, Kinship and Community; Expression and Cultural Continuity; and Self-determination and Leadership.
This report explores the association between 8 selected chronic conditions and disability in Australia: coronary heart disease, stroke, diabetes, arthritis and related disorders, back pain and problems, osteoporosis, asthma and emphysema. These conditions are generally long term and persistent, and can lead to gradual deterioration of health, and disability. This report examines disability prevalence and severity; and the types of impairments, limitations and restrictions experienced by those with the selected conditions.
The Australian Psychological Society and Swinburne University have produced the Australian Loneliness Report, based on a national survey of adults. This examines the prevalence of loneliness and how it affects the physical and mental health of Australians. It is the most comprehensive study of loneliness completed in Australia.
• One in four Australian adults are lonely.
• One in two (50.5%) Australians feel lonely for at least one day in a week, while one in four (27.6%) feel lonely for three or more days.#8226; One in four Australians experience high levels of social interaction anxiety
• Lonely Australians have significantly worse health status (both physical and mental) than connected Australians.
• Lonely Australians are 15.2% more likely to be depressed and 13.1% more likely to be anxious about social interactions than those not lonely.
• Australians over 65 years are least lonely; other age groups experience similar levels of loneliness.
• Australians over 65 years also report better physical and mental health, lower levels of social interaction anxiety, fewer depression symptoms and greater social interaction than younger Australians.
• Younger adults report significantly more social interaction anxiety than older Australians.
They are high level, measureable indicators that identify the immediate environments as particularly important to children’s health, development and wellbeing. The CHI are presented from 2006 to 2016 and are grouped into 3 broad topic areas—Health, Early learning and care and Family and community.
The impacts of the drought go far beyond just stock, feed and dry paddocks and Lifeline chief executive officer Stephanie Robinson says a holistic toolkit is needed to help people cope.Currently, all of NSW has been declared in drought and with no significant rain in sight many farmers are doing it tough on the land and in the surrounding communities.
The consumption of alcohol, tobacco and other drugs is a major cause of preventable disease and illness in Australia. This report consolidates the most recently available information on alcohol, tobacco and other drug use in Australia, including key trends in the availability, consumption, harms and treatment for vulnerable populations.
Further information on a range of health, social and economic impacts of alcohol, tobacco and other drug use are also highlighted. It also includes some interactive data tables on tobacco, alcohol, illicit drugs and treatment services.
Aboriginal and Torres Strait Islander adolescent and youth health and wellbeing 2018—in brief [AIHW]
It brings together data for Indigenous people aged 10–24 on health and wellbeing outcomes, social and economic determinants of health, health risk factors, and health service use. Young Indigenous Australians report being in good health, but challenges remain.
Hip fracture incidence and hospitalisations in Australia 2015–16
The Palliative Care and End-of-Life portal is designed to assist health professionals who provide care for Aboriginal and Torres Strait Islander people, their families and communities.
Director of the Health InfoNet, Professor Neil Drew, said the portal will support both clinicians and policy-makers to access research and projects on palliative and end-of-life care for Aboriginal and Torres Strait Islander people.
"This collaboration between the HealthInfoNet and Palliative Care Australia will locate Aboriginal and Torres Strait Islander palliative and end-of-life care resources and make them available all together in the one place for health professionals.
"This will make the relevant information available to the workforce through a state of the art online portal to support decision-making and best-practice care.
"A yarning place will be established in early 2019 to facilitate information sharing and support among clinicians," said Professor Drew.
Dedicated sections of the site deal with Grief & Bereavement, Planning Ahead and Culturally Appropriate End -of-life Care. The site is underpinned by a large selection of publications, resources, policy information, organisation and program details.
- 42% of Aboriginal and Torres Strait Islander young people planned to go to university compared to 72% non-Indigenous young people.
- Over 50% of Aboriginal and Torres Strait Islander young people indicated that getting a job was highly important to them and they were more likely to be looking for employment compared to non-Indigenous young people.
- 27% Aboriginal and Torres Strait Islander young people reported that they had spent time away from home because they felt they couldn't go back.
- Aboriginal and Torres Strait Islander young people were more likely than non-Indigenous young people to be extremely/very concerned about drugs, bullying/emotional abuse, personal safety, discrimination and alcohol.
- The majority of young people indicated feeling positive overall about their lives, however, just under 1 in 10 Aboriginal and Torres Strait Islander young people indicated their happiness with life as a whole was a '0' out of 10 (compared to 1 in 50 non-Indigenous young people).
- The vast majority of Aboriginal and Torres Strait Islander young people (75%) rated family relationships as extremely or very important to them. Almost twice the proportion of Aboriginal and Torres Strait Islander young people rated their family's ability to get along as poor (13% compared with 7% of non-Indigenous young people).
Key policy recommendations:
- Aboriginal and Torres Strait Islander young people should be at the centre of policy and practice with solutions designed, developed and led by the young people and their representative community organisations. In order that Aboriginal and Torres Strait Islander young people are supported to thrive and reach their full potential there needs to be a focus on:
- Supporting educational engagement and addressing challenges to further study in culturally appropriate ways.
- Providing employment and training programs that are Indigenous-led, flexible and responsive.
- Identifying the deeper, structural causes of mental health difficulties and building on a strong sense of social, cultural and emotional wellbeing.
- Reducing the high rates of homelessness for Aboriginal and Torres Strait Islander young people as a national priority.
- Designing services that take into consideration the cultural connections of Aboriginal and Torres Strait Islander young people and communities.
- Taking a holistic approach to service design that works across the domains of education, employment, health, housing and social inclusion and combats intergenerational disadvantage
In this monograph you will learn about current methods in use, and how they are making a difference to healthcare practice. These include some lesser-known biographical and photographic methods. You will also learn about the way in which research results are being implemented to improve patient safety and the quality of care.
Reducing harms related to alcohol use in pregnancy: policy and practice recommendations (Deeble Institute)
Major barriers to the prevention of PAE and FASD include a lack of public awareness of the Alcohol Guidelines and the risks associated with PAE, as well as limitations in antenatal alcohol screening and data collection. With the NHMRC Guidelines currently under review and the National Alcohol Strategy and FASD Strategic Action Plan in development, it is timely to consider how health sector policy and practice can be effectively used to address antenatal alcohol use in Australia.
Major recommendations include:
The age-standardised rate of injury deaths decreased from 55.4 to 47.2 deaths per 100,000 between 1999–00 and 2004–05 and changed little after that. Rates for Aboriginal and Torres Strait Islander people were generally at least twice as high as rates for non-Indigenous Australians over the period from 2001–02 to 2014–15.
This year the theme is Let's Work Together and the centre is inviting members of the Orange community to participate in a joint activity showcasing how they work together with their communities to build good mental wellbeing.
RAMHP program manager Tessa Caton said that one of the key aims of the launch is to demonstrate collaboration and lift the community spirit during tough times.
"Community members will have the chance to share their ideas on a large banner about how they work together with their community to build good mental wellbeing," she said. "Following on from the launch, the banner will be displayed in the Orange City Library during Mental Health Month as a reminder to the community about the good things people are doing to support each other and how they intend to support each other in the future."
This year's Guide provides practical information and education including online therapies and information on mental well-being tools and apps, as well as tips and strategies on how to stay mentally healthy. Readers can also find relevant stories and information on topics relating to youth, workplaces and communities.Personal stories throughout the Guide touch on what it feels like to struggle with a mental illness and why seeking help is so important.
See more at : https://www.centralwesterndaily.com.au/story/5667531/aged-care-staff-cop-a-fair-share-of-abuse-too-says-nurse/?cs=9397
The drug lisdexamfetamine, also known as lisdex, is often used to treat Attention Deficit Hyperactivity Disorder (ADHD), but researchers believe it could help people reduce their dependence to the drug ice.
Trials are already underway in New South Wales and South Australia, and soon Victoria will join them with a trial of 25 people, after funding was provided by the Andrews Government.
See more at: http://www.abc.net.au/news/2018-09-25/ice-addicts-treated-with-adhd-drugs-in-victorian-trial/10302468
Part of the Government’s $12 million Suicide Prevention Research Fund (SPRF) administered by Suicide Prevention Australia, the Innovation Grants aim to invest up to $300,000 in total in new Australian research over one to two years.
“We’re looking for Australian researchers with bold ideas about how we can better protect people from suicide, and intervene to prevent suicide,” said Suicide Prevention Australia CEO, Nieves Murray.
Read more at: https://www.suicidepreventionaust.org/news/new-funding-innovation-suicide-prevention
Read more at: http://www.abc.net.au/news/2018-09-19/number-one-reason-why-people-see-their-gps-mental-health/10281134
AMSA President Alex Farrell believes student mental health has been ‘underfunded and under-talked-about for a long time’. I don’t know where to go, and I’m ashamed to be struggling at uni.’
These are the words of a student from a recent report produced by Orygen, the National Centre of Excellence in Youth Mental Health, to investigate the mental health of Australian university students.
Read more at: https://www.racgp.org.au/newsGP/Professional/Plan-to-improve-mental-health-support-for-Australi
The animated infographic provides an audio visual snapshot of key information found in the review, in an engaging format, while the eBook is an interactive, online version of the review with additional, enhanced features such as embedded videos and illustrations. The HealthInfoByte is part of a series which promotes HealthInfoNet reviews and provides short, 'byte' sized information.
Alistair Mitchell is one person who says drawing on his early childhood experiences of camping and getting back to nature helped his long road to recovery from mental illness.
For more details see: http://www.abc.net.au/news/2018-09-16/camping-for-mental-health/10238198
HealthInfoNet Director, Professor Neil Drew, said 'The review shows that cultural safety in service provision, increased participation in breast, bowel and cervical screening and reduction in risk factors will improve outcomes for cancer among Aboriginal and Torres Strait Islander people. Lung cancer is the most commonly diagnosed cancer among Aboriginal and Torres Strait Islander people, followed by breast cancer, bowel cancer and prostate cancer. Tobacco smoking is still seen as the greatest risk factor for cancer.'
On the other hand, costs for people living with more advanced MS are incredibly high, more than triple per person compared to those with milder disease (from $30,561 for people with no disability to $114,813 for people with severe disability). The quality of life impact for people living with severe disability is comparable to, or even lower than that reported for terminal metastatic cancer, chronic kidney disease and severe heart disease.
The Health Economic Impact of Multiple Sclerosis in Australia 2017 report, commissioned by MS Research Australia and prepared by the Menzies Institute for Medical Research, University of Tasmania, is the first in nearly eight years to provide a comprehensive landscape analysis of MS in Australia. It shows how many Australians are now living with MS, the costs of the disease from an individual and societal perspective, and the quality of life indices for individuals living with MS.
He is now recovering, but strongly believes his journey could have been different had there been post-discharge support available to him.
The Optimal Care Pathway for Aboriginal and Torres Strait Islander people with cancer provides health services and health professionals across all sectors in Australia with principles and guidance to ensure that care is responsive to the needs of Indigenous people.
Cancer Australia is calling on health professionals and health services involved in the delivery of cancer care at every level to read, use, adopt and embed the Optimal Care Pathway for Aboriginal and Torres Strait Islander people with cancer into their practice.
The Optimal Care Pathway is accompanied by consumer resources, which outline what patients should expect on the cancer pathway, and the care they should be offered, from tests and diagnosis, through to treatment and care after treatment, management of cancer that has spread, and end-of-life care.
Aboriginal and Torres Strait Islander Stolen Generations and descendants: numbers, demographic characteristics and selected outcomes [AIHW]
Aboriginal and Torres Strait Islander Stolen Generations and descendants: numbers, demographic characteristics and selected outcomes provides estimated numbers and demographic characteristics of the Stolen Generations and descendants using a series of ABS surveys.
It also presents a range of health and socioeconomic outcomes for the Stolen Generations and descendants, and differences with Indigenous and non-Indigenous comparison groups, to examine the effects of removal from families.
The findings in the report will be useful to assess the needs of the Stolen Generations and their families.
'The data shows poorer health and social outcomes among this group of Indigenous Australians compared to those who were not removed from their families,' said AIHW spokesperson Dr Fadwa Al-Yaman.'For example, Indigenous people who were removed from their families are more than 3 times as likely to have been incarcerated in the last 5 years, and 1.8 times as likely to rely on government payments as their main source of income and 1.7 times as likely to experience violence compared to those who were not removed.' They are also more likely to have experienced discrimination, be unemployed or not own a home, and less likely to report good general health.
AF is linked to 1 in 11 deaths in Australia and is the most common recurrent arrhythmia faced in clinical practice, but its incidence is underestimated because many people do not realise they have it. A major cause of stroke, AF is projected to double over the next 20 years in Australians aged 55 years and over, while deaths from AF have increased by 82% over the past 10 years.
Heart Foundation chief medical adviser, cardiologist Professor Garry Jennings, said the guidelines aim to have a significant impact on Australians living with AF through evidence-based recommendations on its screening, diagnosis and treatment. "More than half a million Australians currently live with atrial fibrillation, and the condition has a substantial effect on patients' well-being," Professor Jennings said. "But its incidence is underestimated because many patients don't have clinical symptoms. This means AF is often only discovered once it triggers serious consequences, such as stroke.
"The guidelines offer advice in a local context and are based on new and emerging evidence on issues such as the complexities of using newer anticoagulants to prevent stroke, and the patients in whom catheter ablation is recommended.
"The guidelines also advise on the need to prevent, detect and manage several risk factors that can cause AF and increase its complications, including hypertension, diabetes, heart failure, valvular heart disease, and alcohol excess."
From a public health perspective, AF imposes a growing burden on healthcare resources. AF hospitalisations are increasing at a far greater rate than hospitalisations for other cardiovascular conditions, with 10-30% of AF patients admitted to hospital each year.
Stroke Foundation Clinical Council Chair Associate Professor Bruce Campbell said patients with AF were up to five times more likely to have a stroke than the general community. "Patients with AF are not only more likely to have a stroke, but the strokes caused by AF are more commonly severe or fatal than other ischaemic stroke (caused by a clot) subgroups, so detecting and treating this dangerous condition is vital to a person's health," A/Prof Campbell said.
"This Australian-first guideline supports health professionals to better assess patient needs for stroke prevention strategies to significantly reduce the occurrence of stroke caused by AF."
Survey link: http://www.myonlinesurvey.co.uk/allcan_ENAU/
Ethical conduct in research with Aboriginal and Torres Strait Islander peoples and communities: guidelines for researchers and stakeholders
The health, wellbeing and experiences of Aboriginal and Torres Strait Islander Peoples continue to be the focus of much research to promote positive outcomes. Over the years, research has contributed to positive outcomes and benefits in, for example, health, medicine and education, and in preserving the languages, stories and songs of Aboriginal and Torres Strait Islander Peoples and communities in culturally appropriate ways.However, not all research has been of benefit for Aboriginal and Torres Strait Islander Peoples and communities. This absence of benefit can often be understood in the context of ethical considerations related to human research with Aboriginal and Torres Strait Islander people and communities. Ethical research with Aboriginal and Torres Strait Islander Peoples and communities should:
- improve the way all researchers work with Aboriginal and Torres Strait Islander people and their communities
- develop and/or strengthen research capabilities of Aboriginal and Torres Strait Islander people and their communities
- enhance the rights of Aboriginal and Torres Strait Islander Peoples as researchers, research partners, collaborators and participants in research
Endometriosis affects 1 in every 10 Australian women, with the average diagnosis taking between 7 to 10 years. The plan was developed with medical specialists, endometriosis advocacy groups, women with endometriosis and their families, clinicians, researchers and parliamentarians.In launching the action plan, Minister Hunt noted that while we were at the beginning of this journey, the plan — which outlines a comprehensive 5 year strategy — was a significant step forward for sufferers. National Action Plan for Endometriosis
The report emphasises the importance of services and programs being carried out in partnership with Aboriginal people, their communities, the Aboriginal Community Controlled Health Sector and across government. Services and programs that have helped to achieve improvements in Aboriginal child health are highlighted throughout the report.
The report is divided into 3 life stages: before birth, infant health and early childhood.
Assuring equity of access and quality outcomes for older Aboriginal and Torres Strait Islander peoples: what needs to be done?
The workshop aimed to address the inequities of access and outcomes for older Aboriginal and Torres Strait Islander peoples under the current aged care reform program, and suggest directions for the future.
Key issues identified at the workshop were:
- current barriers to equity of access and quality outcomes
- specialist targeted services for Aboriginal and Torres Strait Islander Elders
- delivery of appropriate care by mainstream aged care service providers
- an aged care workforce that improves access and quality care
- advocacy services
- appropriate aged care needs assessment
- an evidence-based approach.
A study led by Adams, published on Monday in the journal Sleep Medicine, found that 31% of survey respondents were suffering social jetlag. That is, the time of their sleep on work nights was more than an hour out of sync with sleeps on weekends or other days off.
Read more at: https://www.theguardian.com/australia-news/2018/jul/09/sleep-deprived-a-third-of-australians-suffering-social-jetlag
The top four drugs that led clients to seek treatment were alcohol (32% of all treatment episodes), amphetamines (26%), cannabis (22%) and heroin (5%). The proportion of closed treatment episodes where clients were receiving treatment for amphetamines has more than doubled over the last 10 years, from 11% of treatment episodes in 2007–08 to 27% in 2016–17.
Two-thirds (66%) of all clients receiving treatment in 2016–17 were male and the median age of clients remains at 33 years.
https://www.aihw.gov.au/reports-statistics/health-welfare-overview/australias-health/overview Australia's health 2018 is the AIHW's 16th biennial report on the health of Australians. It examines a wide range of contemporary topics in a series of analytical feature articles and short statistical snapshots. The report also summarises the performance of the health system against an agreed set of indicators.
Australia's health 2018: in brief is a companion report to Australia's health 2018.
The initial sections of this Overview provide information about the context of Aboriginal and Torres Strait Islander health, population, and various measures of population health status. Most of the subsequent sections about specific health conditions comprise an introduction about the condition and evidence of the current burden of the condition among Aboriginal and Torres Strait Islander people. Information is provided for state and territories and for demographics such as sex and age when it is available and appropriate.
While it provides a comprehensive review of key indicators across a range of health topics, it is beyond the scope of this Overview to provide detailed information on other aspects, such as the availability and use of services (including barriers to their use) and strategies and policies related to specific health topics.
Accompanying the Overview is a set of PowerPoint slides designed to help lecturers and others provide up-to-date information.
The Toolkit has been developed to provide practical information on key components of care for children and adolescents admitted with an eating disorder including:
• Triage in the Emergency Department;
• Identifying those in need of admission;
• Admitting the patient;
• Accessing specialist assistance;
• Treatment planning;
• Implementing treatment (primarily medical, nutritional and psychological aspects);
• Involving the family and other health professionals;
• Transition from inpatient care; and
• Accessing further information and support.
Impact of a remotely delivered, writing for publication program on publication outcomes of novice researchers
Publishing research findings in peer-reviewed journals is an important aspect of research knowledge exchange1. However, the motivators to publish vary between individuals and settings. In academic settings, the drive to publish health research findings can potentially be motivated by a need to maximise publication rates for academic advancement or promotion as much as the desire to share findings for the good of health consumers and providers2,3. Within health services, research and the publication of findings is increasingly being linked to translation of research into policy or practice change processes4 aimed at improving health service delivery or health outcomes for consumers.
See more at: https://www.rrh.org.au/journal/article/4468
Associate Professor Frances Kay-Lambkin and Professor David Lubans are part of the online Health4Life Initiative, launched today at UNSW Sydney.Led by UNSW’s Professor Maree Teesson AC, the project aims to help to help thousands of young Australian high school children reduce their chance of developing chronic diseases, including heart disease and mental health disorders, by preventing and modifying lifestyle risk behaviours that commonly emerge in adolescence.
See more at: https://www.newcastle.edu.au/newsroom/featured-news/ehealth-program-targets-young-peoples-big-six-behaviours-to-reduce-chronic-disease-risk
The report, Admitted patient care 2016–17: Australian hospital statistics, shows that of the 11 million admissions to hospitals in 2016–17, 6.6 million were in public hospitals and 4.4 million were in private hospitals.
'Admissions rose by 4.3% on average each year for public hospitals and 3.6% for private hospitals between 2012–13 and 2016–17, and these were greater than the average growth in population of 1.6% over the same period' said AIHW spokesperson Jenny Hargreaves.
In 2016–17, the majority of admissions to public hospitals (83% or 5.5 million) were for public patients—however, about 1 in 7 (14% or 912,000 admissions) were for patients who used private health insurance to fund all or part of their admission.
Public hospitals accounted for the majority of emergency admissions (92%), medical admissions (77%) and childbirth admissions (76%) in 2016-17. 'By contrast, 59% of admissions for surgery were in private hospitals,' Ms Hargreaves said.MyHospitals: Patient admissions in 2016–17
Deficit discourse and strengths-based approaches: Changing the narrative of Aboriginal and Torres Strait Islander health and wellbeing
There is evidence that deficit discourse has an impact on health itself — that it is a barrier to improving health outcomes. Accordingly, there are growing calls for alternative ways to think about and discuss Aboriginal and Torres Strait Islander health and wellbeing. This report builds on Deficit Discourse and Indigenous Health by reviewing and analysing a growing body of work from Australia and overseas that proposes ways to displace deficit discourse in health, or that provides examples of attempts to do so. The most widely accepted approaches to achieving this come under the umbrella term 'strengths-based', which seek to move away from the traditional problem-based paradigm and offer a different language and set of solutions to overcoming an issue.
The term draws attention to the circulation of ideas, the processes by which these ideas shape conceptual and material realities, and the power inequalities that contribute to and result from these processes. 'Deficit discourse' refers to discourse that represents people or groups in terms of deficiency – absence, lack or failure.
It particularly denotes discourse that narrowly situates responsibility for problems with the affected individuals or communities, overlooking the larger socio-economic structures in which they are embedded. Understanding how deficit discourses are produced and reproduced is essential to challenging them. Thus, this report examines various aspects of deficit discourse in policy, but in particular considers deficit metrics: the ways in which Aboriginal and Torres Strait Islander Australians are homogenised and statistically compared to non-Indigenous Australians.
Researchers at the Murdoch Childrens Research Institute reviewed all admissions to the mental health unit at Royal Children's Hospital in Melbourne between October 2013 and September 2014.
In total, there were 271 adolescents admitted during the period, with 212 (78 per cent) due to suicidal behaviours.
Further analysis of clinical reports and past medical history found overwhelmingly the kids who were admitted to hospital for suicidal behaviour came from traumatic backgrounds.Three-in-five had been bullied, more than half reported significant family trauma, such as as witnessing a parent have a drug overdose or being incarcerated, said lead researcher Dr Rohan Borschmann.
Read more at: https://www.centralwesterndaily.com.au/story/5417653/suicidal-teens-suffer-poor-sleep-bullying/?cs=7
On 14 May, Murray was announced as the new CEO of Suicide Prevention Australia, a peak body for the suicide prevention sector. Murray, who is a member of the Australian Institute of Company Directors and fellow of the Australian Institute of Managers and Leaders, was named one of Australia’s 100 Most Influential Women by the Australian Financial Review in 2013.
In this week’s Changemaker, Murray discusses the leadership approach she intends to take at SPA, explains her immediate priorities as CEO and reveals her new passion for playing the harp.
Read more at: https://probonoaustralia.com.au/news/2018/05/new-leadership-suicide-prevention/
How primary health care staff working in rural and remote areas access skill development and expertise to support health promotion practice
For primary healthcare staff working in rural and remote locations, access to professional development can be limited by what is locally available and prohibitive in terms of cost for travel and accommodation. This study provides insight into how staff at a large north Queensland Aboriginal community controlled health service access skill development and health promotion expertise to support their work.
See more at: https://www.rrh.org.au/journal/article/4413
Advance care planning in aged care: a guide to support implementation in community and residential settings
Engaging in advance care planning helps people to determine their healthcare priorities, and thereby to align their health and care preferences with the actual care they receive.
Advance care planning is not a single event but an ongoing process, which should be revisited regularly. This is especially important when a person's health or social situation changes.
Key components of advance care planning are:
- having a conversation about the person's values, beliefs and goals and how these influence preferences for care – this may include specific care and treatment preferences
- selecting and appointing a substitute decision-maker
- documenting a person's preferences in an Advance Care Directive or Advance Care Plan
- regularly reviewing and updating the plan or directive.
Eye injuries in Australia 2010-11 to 201415 This report shows 51,778 people were hospitalised as a result of an eye injury in the 5-year period, 1 July 2010 to 30 June 2015; two-thirds of these were males. Falls (35%) and assaults (23%) were the most common causes of eye injuries. The most common type of eye injury was an open wound of the eyelid and periocular area (27%). Some 86,602 presentations were made to an emergency department due to an eye injury in the 2-year period, 1 July 2013 to 30 June 2015; 1% of these presentations were admitted to hospital.
Trends in hospitalised injury, Australia 1999-00 to 2014-15 This report shows that the rate of hospitalised injury cases in Australia rose between 1999-00 and 2014-15 by an average of 1% per year. In 2014-15, case numbers and rates were higher for males than females for all age groups up to 60-64, and higher for females for those aged 65-69 and older.
Spinal cord injury, Australia 2014-15In 2014-15, 264 newly incident cases of traumatic spinal cord injury (SCI) due to external causes were reported to the Australian Spinal Cord Injury Register. Males accounted for 4 in 5 (80%) of traumatic SCI cases. Land transport crashes(42%) were the leading mechanism of injury for cases of traumatic SCI sustained in 2014-15, followed by falls (40%). Around one-third (35%) were sustained during sports or leisure activities.
Please click on the link below to download a free PDF copy of the reports
Around 55% of women in the target age group of 20-69 took part in the National Cervical Screening Program in 2015 and 2016, with more than 3.8 million women screening.Cervical cancer incidence and mortality have both decreased since the National Cervical Screening Program began in 1991-incidence from 17 to 10 new cases per 100,000 women aged 20-69 and mortality from 4 to 2 deaths per 100,000 women aged 20-69.
1. In 2015-2016, more than 3.8 million women participated in cervical screening. This was 55% of women aged 20-69
2. 10% of women with a negative screen in 2015 rescreened earlier than the recommended 2 years, continuing a downward trend
3. In 2016, for every 1,000 women screened, 7 women had a high-grade abnormality detected by histology
4. In 2015, 143 women aged 20-69 died from cervical cancer.
This report presents statistics on the National Bowel Cancer Screening Program using key performance indicators. Of those who were invited to participate in the program between 1 January 2015 and 31 December 2016, 41% were screened. Of those, 8% had a positive result warranting further assessment, and 1 in 26 participants who had a follow-up diagnostic assessment was diagnosed with a confirmed or suspected cancer.
1. Of the 3.2 million people invited between January 2015 and December 2016, 41% participated in the National Bowel Cancer Screening Program
2. The recurring participation rate in 2015-2016 for people who had taken part in an earlier invitation round and were receiving a subsequent screening invitation was 77%
3. Of participants assessed in 2016 after a positive screening test, 1 in 26 were diagnosed with a confirmed or suspected cancer
4. Since the program began in August 2006, about 4.4 million NBCSP screening tests have been completed
5. The median time from positive screening test result to diagnostic assessment was 54 days.
Download report: Cervical screening in Australia 2018
Download report: National Bowel Cancer Screening Program: monitoring report 2018
The Australian Institute of Health and Welfare has released a new web update:
Mental health services in Australia-Emergency department 2016-17:
- 276,954 presentations to Australian EDs in 2016-17 were mental health-related, which was 3.6% of all presentations.
- 79.2% of these mental health-related ED presentations were classified with a triage status of either Semi-urgent (patient should be seen within 60 minutes) or Urgent (seen within 30 minutes).
- 68.0% of mental health-related ED presentations were seen on time (based on triage status) compared with 73.0% of all ED presentations
- More than half (53.5%) of mental health-related ED presentations had a principal diagnosis of either Neurotic, stress-related and somatoform disorders or Mental and behavioural disorders due to psychoactive substance use.
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