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Full-Text Articles in Medicine and Health Sciences

The Epidemiology Of Hip Fractures Across Western Victoria, Australia [Accepted Manuscript], Kara L. Holloway, Muhammad A. Sajjad, Mohammadreza Mohebbi, Mark A. Kotowicz, Patricia M. Livingston, Mustafa Khasraw, Sharon Hakkennes, Trisha L. Dunning, Susan Brumby, Richard S. Page, Daryl Pedler, Alasdair Sutherland, Svetha Venkatesh, Sharon L. Brennan Mar 2018

The Epidemiology Of Hip Fractures Across Western Victoria, Australia [Accepted Manuscript], Kara L. Holloway, Muhammad A. Sajjad, Mohammadreza Mohebbi, Mark A. Kotowicz, Patricia M. Livingston, Mustafa Khasraw, Sharon Hakkennes, Trisha L. Dunning, Susan Brumby, Richard S. Page, Daryl Pedler, Alasdair Sutherland, Svetha Venkatesh, Sharon L. Brennan

Faculty of Health Sciences Publications

Background Hip fractures are associated with considerable morbidity and mortality. Hip fracture incidence varies across different levels of accessibility/remoteness and socioeconomic status (SES). As part of the Ageing, Chronic Disease and Injury Study, we aimed to map the pattern of hip fractures across the western region of the Australian state of Victoria, which contains a range of remoteness levels and SES. Methods Data on hip fractures resulting in hospital admission were extracted from the Victorian Admitted Episodes Dataset (VAED) for men and women aged 40 + years during 2010–2013 inclusive. An age-adjusted incidence rate (per 10,000 population/year ...


An Exploration Of Three New South Wales Nurse Practitioner Services In 2008, S Jane Allnutt Feb 2018

An Exploration Of Three New South Wales Nurse Practitioner Services In 2008, S Jane Allnutt

Theses

Background

To control increasing health costs, the Australian government initiated a range of health care reforms in the late 1990s. In 2000, the development of the Nurse Practitioner (NP) Service in New South Wales (NSW) was one strategy implemented to improve health care delivery. Supported by legislation, NPs extended their role beyond other nursing roles. The number of NPs in NSW doubled between 2004 and 2007, and NP Services flourished. With little published evidence, research was vital to justify the contribution of this new and rapidly evolving service model to existing health services and the acceptability of the new service ...


Direct Health And Residential Care Costs Of People Living With Dementia In Australian Residential Aged Care, Emmanuel S. Gnanamanickam, Suzanne M. Dyer, Rachel Milte, Stephanie L. Harrison, Enwu Liu, Tiffany Easton, Clare Bradley, Rebecca Bilton, Wendy Shulver, Julie Ratcliffe, Craig Whitehead, Maria Crotty Jan 2018

Direct Health And Residential Care Costs Of People Living With Dementia In Australian Residential Aged Care, Emmanuel S. Gnanamanickam, Suzanne M. Dyer, Rachel Milte, Stephanie L. Harrison, Enwu Liu, Tiffany Easton, Clare Bradley, Rebecca Bilton, Wendy Shulver, Julie Ratcliffe, Craig Whitehead, Maria Crotty

Faculty of Health Sciences Publications

Objectives: This analysis estimates the whole‐of‐system direct costs for people living with dementia in residential care by using a broad health and social care provision perspective and compares it to people without dementia living in residential care. Methods: Data were collected from 541 individuals living permanently in 17 care facilities across Australia. The annual cost of health and residential care was determined by using individual resource use data and reported by the dementia status of the individuals. Results: The average annual whole‐of‐system cost for people living with dementia in residential care was approximately AU$88 000 ...


Clustered Domestic Model Of Residential Care Is Associated With Better Consumer Rated Quality Of Care, Emmanuel S. Gnanamanickam, Suzanne M. Dyer, Rachel Milte, Enwu Liu, Julie Ratcliffe, Maria Crotty Jan 2018

Clustered Domestic Model Of Residential Care Is Associated With Better Consumer Rated Quality Of Care, Emmanuel S. Gnanamanickam, Suzanne M. Dyer, Rachel Milte, Enwu Liu, Julie Ratcliffe, Maria Crotty

Faculty of Health Sciences Publications

Objective: To compare consumer rated quality of care among individuals living long-term in homelike clustered domestic and standard models of residential care in Australia. Design: Cross-sectional study. Setting: Seventeen residential aged care facilities in four Australian states providing alternative models of care. Study participants: A sample of individuals with high prevalence of cognitive impairment living in residential care for 12 months or longer, not immediately in palliative care and having a proxy available to provide consent and assist with data collection. Of 901 eligible participants, 541 consented and participated in the study. Main outcome measure: Consumer rated quality of care ...


Knowing, Being, And Doing: Aboriginal And Non-Aboriginal Collaboration In Cancer Services, Joanna Zubrzycki, Rick Shipp, Victoria Jones Jan 2017

Knowing, Being, And Doing: Aboriginal And Non-Aboriginal Collaboration In Cancer Services, Joanna Zubrzycki, Rick Shipp, Victoria Jones

Faculty of Health Sciences Publications

This qualitative inquiry explored the processes and practices of collaboration as experienced by a group of Australian multidisciplinary Aboriginal and non-Aboriginal health workers. Each worker had participated, for a period of 2 to 5 years, in an Australian Government–funded project in which a range of health initiatives led to improved access to cancer services by Aboriginal communities in a rural region of South Eastern Australia. Initiatives which addressed high rates of mortality from cancer, poor access to cancer screening, and engagement with cancer treatment were developed through the formation of close working relationships between Aboriginal and non-Aboriginal health workers ...


Qualitative Process Evaluation Of An Australian Alcohol Media Literacy Study: Recommendations For Designing Culturally Responsive School-Based Programs, Chloe S. Gordon, Lisa Kervin, Sandra Jones, Steven J. Howard Jan 2017

Qualitative Process Evaluation Of An Australian Alcohol Media Literacy Study: Recommendations For Designing Culturally Responsive School-Based Programs, Chloe S. Gordon, Lisa Kervin, Sandra Jones, Steven J. Howard

Faculty of Health Sciences Publications

Background: Alcohol media literacy programs seek to mitigate the potentially harmful effects of alcohol advertising on children’s drinking intentions and behaviours through equipping them with skills to challenge media messages. In order for such programs to be effective, the teaching and learning experiences must be tailored to their specific cultural context. Media in the Spotlight is an alcohol media literacy program aimed at 9 to 12 year old Australian children. This study evaluates the process and implementation of the program, outlining the factors that facilitated and inhibited implementation. From this evaluation, a pedagogical framework has been developed for health ...


How Preferences For Volume-Based Promotions Differ Between At-Risk And Non-Problem Female Drinkers [Accepted Manuscript], Steven L. Trawley, Navjot Bhular, Sandra C. Jones Jan 2017

How Preferences For Volume-Based Promotions Differ Between At-Risk And Non-Problem Female Drinkers [Accepted Manuscript], Steven L. Trawley, Navjot Bhular, Sandra C. Jones

Faculty of Health Sciences Publications

Background Previous work has indicated that volume-based promotions encourage greater alcohol consumption. We report on a novel experimental approach that examined whether volume-based promotions, such as “Buy 1 Get 1 Free”, were selected more frequently than a simple 50% price discount among a sample of young adults who were differentiated by their levels of alcohol use. Methods 90 female university students took part in an online survey where they were asked to select either a volume- or price-based deal for alcohol or non-alcohol products. All participants were grouped as either non-problem drinkers or at-risk drinkers based on their response to ...


Few Geographic And Socioeconomic Variations Exist In Primary Total Shoulder Arthroplasty: A Multi-Level Study Of Australian Registry Data, Sharon L. Brennan-Olsen, Richard S. Page, Steven E. Lane, Michelle Lorimer, Rachelle Buchbinder, Richard H. Osborne, Julie A. Pasco, Anita E. Wluka, Kerrie M. Sanders, Peter R. Ebeling, Stephen E. Graves Jan 2016

Few Geographic And Socioeconomic Variations Exist In Primary Total Shoulder Arthroplasty: A Multi-Level Study Of Australian Registry Data, Sharon L. Brennan-Olsen, Richard S. Page, Steven E. Lane, Michelle Lorimer, Rachelle Buchbinder, Richard H. Osborne, Julie A. Pasco, Anita E. Wluka, Kerrie M. Sanders, Peter R. Ebeling, Stephen E. Graves

Faculty of Health Sciences Publications

Round: Associations between socioeconomic position ( SEP ) and the uptake of primary total shoulder arthroplasty ( TSA ) is not well understood in the Australian population, thus potentially limiting equitable allocation of healthcare resources. We used the Australian Orthopaedic Association National Joint Replacement Registry ( AOA NJRR ) to examine whether geographic or socioeconomic variations exist in TSA performed for a diagnosis of osteoarthritis 2007–11 for all Australians aged ≥40 years. Methods: Primary anatomical and reverse TSA data were extracted from the AOA NJRR which captures > 99 % of all TSA nationally. Residential addresses were cross-referenced to Australian Bureau of Statistics 2011 Census data to ...


The Public Stigma Of Problem Gambling: Its Nature And Relative Intensity Compared To Other Health Conditions, Nerilee Hing, Alex M. T. Russell, Sally M. Gainsbury, Elaine Nuske Jan 2016

The Public Stigma Of Problem Gambling: Its Nature And Relative Intensity Compared To Other Health Conditions, Nerilee Hing, Alex M. T. Russell, Sally M. Gainsbury, Elaine Nuske

Faculty of Health Sciences Publications

Problem gambling attracts considerable public stigma, with deleterious effects on mental health and use of healthcare services amongst those affected. However, no research has examined the extent of stigma towards problem gambling within the general population. This study aimed to examine the stigma-related dimensions of problem gambling as perceived by the general public compared to other health conditions, and determine whether the publicly perceived dimensions of problem gambling predict its stigmatisation. A sample of 2000 Australian adults was surveyed, weighted to be representative of the state population by gender, age and location. Based on vignettes, the online survey measured perceived ...


Ethnic Differences In Overweight And Obesity And The Influence Of Acculturation On Immigrant Bodyweight: Evidence From A National Sample Of Australian Adults, Karen Menigoz, Andrea G. Nathan, Gavin Turrell Jan 2016

Ethnic Differences In Overweight And Obesity And The Influence Of Acculturation On Immigrant Bodyweight: Evidence From A National Sample Of Australian Adults, Karen Menigoz, Andrea G. Nathan, Gavin Turrell

Faculty of Health Sciences Publications

Background Despite growing international migration and documented ethnic differences in overweight and obesity in developed countries, no research has described the epidemiology of immigrant overweight and obesity at a national level in Australia, a country where immigrants comprise 28.1 % of the population. The aim of this study was to examine ethnic differences in body mass index (BMI) and overweight/obesity in Australia and the influence of acculturation on bodyweight among Australian immigrants. Methods Data from the national Household Income and Labour Dynamics in Australia (HILDA) survey were used to examine mean BMI and odds of overweight/obesity comparing immigrants ...


Hospital Infection Control Units: Staffing, Costs, And Priorities [Accepted Manuscript], Brett G. Mitchell, Lisa Hall, Deborough Macbeth, Anne Gardner, Kate Halton Jan 2015

Hospital Infection Control Units: Staffing, Costs, And Priorities [Accepted Manuscript], Brett G. Mitchell, Lisa Hall, Deborough Macbeth, Anne Gardner, Kate Halton

Faculty of Health Sciences Publications

Background

This article describes infection prevention and control professionals' (ICPs') staffing levels, patient outcomes, and costs associated with the provision of infection prevention and control services in Australian hospitals. A secondary objective was to determine the priorities for infection control units.

Methods

A cross sectional study design was used. Infection control units in Australian public and private hospitals completed a web-based anonymous survey. Data collected included details about the respondent; hospital demographics; details and services of the infection control unit; and a description of infection prevention and control related outputs, patient outcomes and infection control priorities.

Results

Forty-nine surveys were ...


Supply Of Alcohol To Underage Drinkers: Misperceptions Of Community Norms [Accepted Manuscript], Sandra C. Jones, Kate L. Francis Jan 2015

Supply Of Alcohol To Underage Drinkers: Misperceptions Of Community Norms [Accepted Manuscript], Sandra C. Jones, Kate L. Francis

Faculty of Health Sciences Publications

Rationale: Adult approval and acceptance of alcohol use is highly correlated with underage drinking. Social norms influence young people's decisions to drink alcohol. While there is a dearth of studies to date, it is likely that social norms also influence adults' decisions to provide adolescents with alcohol.

Objective: The current study explored the (in)consistencies between own and perceptions of others' views of underage drinking and the provision of alcohol to underage drinkers.

Methods: Computer assisted telephone survey of 1160 adults in two communities in New South Wales, Australia.

Results: Parents and community members were generally opposed to underage ...


Adherence To Management Guidelines For Growth Faltering And Anaemia In Remote Dwelling Australian Aboriginal Infants And Barriers To Health Service Delivery, Sarah Bar-Zeev, Sue Kruske, Lesley Barclay, Naor Bar-Zeev, Sue Kildea Jan 2013

Adherence To Management Guidelines For Growth Faltering And Anaemia In Remote Dwelling Australian Aboriginal Infants And Barriers To Health Service Delivery, Sarah Bar-Zeev, Sue Kruske, Lesley Barclay, Naor Bar-Zeev, Sue Kildea

Faculty of Health Sciences Publications

Background

Remote dwelling Aboriginal infants from northern Australia have a high burden of disease and frequently use health services. Little is known about the quality of infant care provided by remote health services. This study describes the adherence to infant guidelines for anaemia and growth faltering by remote health staff and barriers to effective service delivery in remote settings.

Methods

A mixed method study drew data from 24 semi-structured interviews with clinicians working in two remote communities in northern Australia and a retrospective cohort study of Aboriginal infants from these communities, born 2004–2006 (n = 398). Medical records from remote ...


Cross-Sectional Analysis Of Association Between Socioeconomic Status And Utilization Of Primary Total Hip Joint Replacements 2006-7: Australian Orthopaedic Association National Joint Replacement Registry, Sharon L. Brennan, Tyman Stanford, Anita E. Wluka, Margaret J. Henry, Richard S. Page, Stephen E. Graves, Mark A. Kotowicz, Geoffrey Charles Nicholson, Julie A. Pasco Jan 2012

Cross-Sectional Analysis Of Association Between Socioeconomic Status And Utilization Of Primary Total Hip Joint Replacements 2006-7: Australian Orthopaedic Association National Joint Replacement Registry, Sharon L. Brennan, Tyman Stanford, Anita E. Wluka, Margaret J. Henry, Richard S. Page, Stephen E. Graves, Mark A. Kotowicz, Geoffrey Charles Nicholson, Julie A. Pasco

Faculty of Health Sciences Publications

Background: The utilization of total hip replacement (THR) surgery is rapidly increasing, however few data examine whether these procedures are associated with socioeconomic status (SES) within Australia. This study examined primary THR across SES for both genders for the Barwon Statistical Division (BSD) of Victoria, Australia. Methods: Using the Australian Orthopaedic Association National Joint Replacement Registry data for 2006–7, primary THR with a diagnosis of osteoarthritis (OA) among residents of the BSD was ascertained. The Index of Relative Socioeconomic Disadvantage was used to measure SES; determined by matching residential addresses with Australian Bureau of Statistics census data. The data ...


Eureka! Women And Birthing On The Ballarat Goldfields In The 1850s, Desley Beechey Jul 2003

Eureka! Women And Birthing On The Ballarat Goldfields In The 1850s, Desley Beechey

Theses

The Ballarat goldfields were a raucous, noisy, exhilarating place that was a tent home for thousands of men, women and children in the 1850s. The Ballarat goldrush and the Eureka Rebellion are among the most significant events in the history of Australia. They set the scene for this study titled Eureka! Women and birthing on the Ballarat goldfields in the 1850s. This qualitative study utilised and historical research method informed by a feminist perspective.
This account reveals the story of women’s lives and their birthing at this time as found in historical documents. These documents revealed that the women ...