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A Multi-Method Approach To Evaluate Health Information Systems, Ping Yu
A Multi-Method Approach To Evaluate Health Information Systems, Ping Yu
Faculty of Informatics - Papers (Archive)
Systematic evaluation of the introduction and impact of health information systems (HIS) is a challenging task. As the implementation is a dynamic process, with diverse issues emerge at various stages of system introduction, it is challenge to weigh the contribution of various factors and differentiate the critical ones. A conceptual framework will be helpful in guiding the evaluation effort; otherwise data collection may not be comprehensive and accurate. This may again lead to inadequate interpretation of the phenomena under study. Based on comprehensive literature research and own practice of evaluating health information systems, the author proposes a multimethod approach that …
Critical Factors For The Successful Introduction Of Information And Communication Technologies Into Health Care Organisations, Ping Yu, Hui Yu, Tracey Mcdonald
Critical Factors For The Successful Introduction Of Information And Communication Technologies Into Health Care Organisations, Ping Yu, Hui Yu, Tracey Mcdonald
Faculty of Informatics - Papers (Archive)
The paper discusses critical factors for the successful introduction of information and communication technologies (ICT) into health care organisations. The proven evidence around the world suggests that introducing health ICT is a mutual transformation process that actively involves people, organisation and technology. The key people factors include personal attributes of the change agent, user ownership and positive user attitudes. The organisational facilitators are adequate funding, strong leadership and project management, integration of IT with work practices, managing change and end user expectations, and end user training and support. User friendly and useful systems can be achieved by involving both management …
Design An Automatic Appointment System To Improve Patient Access To Primary Health Care, Hongxiang Hu, Ping Yu, Jun Yan
Design An Automatic Appointment System To Improve Patient Access To Primary Health Care, Hongxiang Hu, Ping Yu, Jun Yan
Faculty of Informatics - Papers (Archive)
Advanced Access model has been introduced in general practice in the United States to improve patient access to primary health care services for more than ten years. It has brought in the benefits of eliminating service provider’s waiting lists, improving patients’ timely access to services and reducing no-show rate. However, to implement this model, practices need to collect relevant information, develop contingency plans and set up practice strategies to balance the provision of care and patient’s demand. These tasks are not always easy to achieve. Understanding the requirements and constraints for effective management of patient booking is essential for developing …
Paving Pathways: Shaping The Public Health Workforce Through Tertiary Education, Catherine M. Bennett, Kathleen Lilley, Heather Yeatman, Elizabeth Parker, Elizabeth Geelhoed, Liz Hanna, Priscilla Robinson
Paving Pathways: Shaping The Public Health Workforce Through Tertiary Education, Catherine M. Bennett, Kathleen Lilley, Heather Yeatman, Elizabeth Parker, Elizabeth Geelhoed, Liz Hanna, Priscilla Robinson
Faculty of Health and Behavioural Sciences - Papers (Archive)
Public health educational pathways in Australia have traditionally been the province of Universities, with the Master of Public Health (MPH) recognised as the flagship professional entry program. Public health education also occurs within the fellowship training of the Faculty of Public Health Medicine, but this remains confined to medical graduates within Australia. In recent years, however, we have seen a proliferation of undergraduate degrees as well as an increasing public health presence in the Vocational Education and Training (VET) sector. Following the 2007 Australian Federal election, the new Labour government brought with it a refreshing commitment to a more inclusive …
Australian Mental Health Consumers' Contributions To The Evaluation And Improvement Of Recoveryoriented Service Provision, Sarah L. Marshall, Lindsay G. Oades, Trevor P. Crowe
Australian Mental Health Consumers' Contributions To The Evaluation And Improvement Of Recoveryoriented Service Provision, Sarah L. Marshall, Lindsay G. Oades, Trevor P. Crowe
Faculty of Health and Behavioural Sciences - Papers (Archive)
No abstract provided.
Hope And Improvements In Mental Health Service Providers' Recovery Attitudes Following Training, Janaka D. Salgado, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades
Hope And Improvements In Mental Health Service Providers' Recovery Attitudes Following Training, Janaka D. Salgado, Frank P. Deane, Trevor P. Crowe, Lindsay G. Oades
Faculty of Health and Behavioural Sciences - Papers (Archive)
No abstract provided.
Regression Tree Construction By Bootstrap: Model Search For Drg-Systems Applied To Austrian Health-Data, Thomas Grubinger, Conrad Kobel, Karl Peter Pfeiffer
Regression Tree Construction By Bootstrap: Model Search For Drg-Systems Applied To Austrian Health-Data, Thomas Grubinger, Conrad Kobel, Karl Peter Pfeiffer
Faculty of Business - Papers (Archive)
Background. DRG-systems are used to allocate resources fairly to hospitals based on their performance. Statistically, this allocation is based on simple rules that can be modeled with regression trees. However, the resulting models often have to be adjusted manually to be medically reasonable and ethical. Methods. Despite the possibility of manual, performance degenerating adaptations of the original model, alternative trees are systematically searched. The bootstrap-based method bumping is used to build diverse and accurate regression tree models for DRG-systems. A two-step model selection approach is proposed. First, a reasonable model complexity is chosen, based on statistical, medical and economical considerations. …
Sitting Time And Body Mass Index, In A Portuguese Sample Of Men: Results From The Azorean Physical Activity And Health Study (Apahs), Rute Santos, Luisa Soares-Miranda, Susana Vale, Carla Moreira, Ana I. Marques, Jorge Mota
Sitting Time And Body Mass Index, In A Portuguese Sample Of Men: Results From The Azorean Physical Activity And Health Study (Apahs), Rute Santos, Luisa Soares-Miranda, Susana Vale, Carla Moreira, Ana I. Marques, Jorge Mota
Faculty of Social Sciences - Papers (Archive)
The aim of this study was to verify the relation between body mass index (BMI) and sitting time in a sample of 4,091 Azorean men. BMI was calculated from self-reported weight and height. Total physical activity (PA) time and total sitting time were assessed with the IPAQ (short version). Linear Regression analysis showed that total sitting time (hours/day) was positively associated with BMI (B = 0.078; p < 0.001) after adjustments for age, meal frequency, alcohol and tobacco consumptions, island of residence, education level and total PA time. Although the cross sectional design precludes us from establishing causality, our findings emphasize the importance of reducing sedentary behavior to decrease the risk of obesity.
Development And Early Experience From An Intervention To Facilitate Teamwork Between General Practices And Allied Health Providers: The Team-Link Study, Mark Fort Harris, Bibiana Chan, Christopher Daniel, Qing Wan, Nicholas Zwar, Gawaine Powell Davies
Development And Early Experience From An Intervention To Facilitate Teamwork Between General Practices And Allied Health Providers: The Team-Link Study, Mark Fort Harris, Bibiana Chan, Christopher Daniel, Qing Wan, Nicholas Zwar, Gawaine Powell Davies
Faculty of Science, Medicine and Health - Papers: part A
Abstract. Background. This paper describes the development and implementation of an intervention to facilitate teamwork between general practice and outside allied and community health services and providers. Methods. A review of organizational theory and a qualitative study of 9 practices was used to design an intervention which was applied in four Divisions of General Practice and 26 urban practices. Clinical record review and qualitative interviews with participants were used to determine the key lessons from its implementation. Results. Facilitating teamwork across organizational boundaries was very challenging. The quality of the relationship between professionals was of key importance. This was enabled …
Do Health Beliefs And Behaviors Differ According To Severity Of Obesity? A Qualitative Study Of Australian Adults, Sophie Lewis, Samantha L. Thomas, R. Warwick Blood, Jim Hyde, David J. Castle, Paul A. Komesaroff
Do Health Beliefs And Behaviors Differ According To Severity Of Obesity? A Qualitative Study Of Australian Adults, Sophie Lewis, Samantha L. Thomas, R. Warwick Blood, Jim Hyde, David J. Castle, Paul A. Komesaroff
Faculty of Social Sciences - Papers (Archive)
Public responses to obesity have focused on providing standardized messages and supports to all obese individuals, but there is limited understanding of the impact of these messages on obese adults. This descriptive qualitative study using in-depth interviews and a thematic method of analysis, compares the health beliefs and behaviors of 141 Australian adults with mild to moderate (BMI 30−39.9) and severe (BMI ≥ 40) obesity. Mildly obese individuals felt little need to change their health behaviors or to lose weight for health reasons. Most believed they could “lose weight” if they needed to, distanced themselves from the word obesity, and …
Influence Of Racism And Context On Ethnic Differences In Adolescent Mental Health Trajectories: The Determinants Of Adolescent Social Well-Being And Health (Dash) Study, Thomas E. Astell-Burt, Maria J. Maynard, Erik Lenguerrand, Seeromanie Harding
Influence Of Racism And Context On Ethnic Differences In Adolescent Mental Health Trajectories: The Determinants Of Adolescent Social Well-Being And Health (Dash) Study, Thomas E. Astell-Burt, Maria J. Maynard, Erik Lenguerrand, Seeromanie Harding
Faculty of Social Sciences - Papers (Archive)
Abstract presented at the 5th Conference of Epidemiological Longitudinal Studies in Europe (CELSE 2010), 13-15 October 2010, Paphos, Cyprus
An Exploration Of Evidence-Based Policy In Ireland: Health And Social Inclusion, Patricia Kennedy, Tomas De Brun, Mary O'Reilly-De Brun, Anne Macfarlane
An Exploration Of Evidence-Based Policy In Ireland: Health And Social Inclusion, Patricia Kennedy, Tomas De Brun, Mary O'Reilly-De Brun, Anne Macfarlane
Faculty of Social Sciences - Papers (Archive)
Ireland is a small country with a history of a social partnership approach to policy making. This paper considers how the ambition of government to utilise an evidence-based approach to policy making plays out against this partnership agenda. Drawing on the authors' experiences and personal reflections, the paper considers how these issues operate within a number of health and social inclusion policy areas, and it explores the role of stakeholders' expectations and involvement in generating evidence for policy.
Evidence-Based Interventions For Adolescent Health And Wellbeing: Additions To The Vcams Catalogue (Bullying, Eating Disorders, Victims Of Crime, Sexual Initiation, Family Violence, Family Stress, And A Person For Advice), Nick Marosszeky, Pamela Grootemaat, David Fildes, Darcy Morris
Evidence-Based Interventions For Adolescent Health And Wellbeing: Additions To The Vcams Catalogue (Bullying, Eating Disorders, Victims Of Crime, Sexual Initiation, Family Violence, Family Stress, And A Person For Advice), Nick Marosszeky, Pamela Grootemaat, David Fildes, Darcy Morris
Australian Health Services Research Institute
No abstract provided.
Uptake Of Medicare Chronic Disease Items In Australia By General Practice Nurses And Aboriginal Health Workers, Elizabeth J. Halcomb, Patricia M. Davidson, Nicola Brown
Uptake Of Medicare Chronic Disease Items In Australia By General Practice Nurses And Aboriginal Health Workers, Elizabeth J. Halcomb, Patricia M. Davidson, Nicola Brown
Faculty of Science, Medicine and Health - Papers: part A
The Australian health care system is currently in a state of reform and there is increasing pressure to provide care in community settings. Rising costs, demands and population ageing underscore the importance of adopting models of health care delivery to address changing epidemiological patterns. Population ageing and the increase of chronic conditions challenge models based on acute care. Changes to the Medicare benefits schedule have facilitated the development of a range of expanded nursing services in the general practice setting. In particular, item number 10997 was introduced to reimburse practice nurses and Aboriginal health workers (AHWs) for providing monitoring and …
Misidentification Of Tansy, Tanacetum Macrophyllum, As Yarrow, Achillea Grandifolia: A Health Risk Or Benefit?, Niko Radulovic, Polina Blagojevic, Danielle Skropeta, Aleksandra Zarubica, Bojan Zlatkovic, Radosav Palic´
Misidentification Of Tansy, Tanacetum Macrophyllum, As Yarrow, Achillea Grandifolia: A Health Risk Or Benefit?, Niko Radulovic, Polina Blagojevic, Danielle Skropeta, Aleksandra Zarubica, Bojan Zlatkovic, Radosav Palic´
Faculty of Science - Papers (Archive)
Tansy, Tanacetum macrophyllum (Waldst. & Kit.) Sch. Bip., is often misidentified by herb collectors as yarrow, Achillea grand folia Friv. With the former, cases of poisoning induced by its ingestion are well documented, but the latter is widely used for ethnopharmacological purposes. The aim of this study was to estimate, based on the volatile metabolite profiles of the two species, the potential health risk connected with their misidentification. GC and GC-MS analysis of the essential oils hydrodistilled using a Clevenger-type apparatus from A. grandifolia, T macrophyllum, and two plant samples (reputedly of A. grandifolia, but in fact mixtures of A. …
A Psychometric Analysis Of The Mental Health Consumer Participation Questionnaire, Brenda Happell, Lorna Moxham, Chris Platania-Phung
A Psychometric Analysis Of The Mental Health Consumer Participation Questionnaire, Brenda Happell, Lorna Moxham, Chris Platania-Phung
Faculty of Health and Behavioural Sciences - Papers (Archive)
If consumer participation is to be translated from rhetoric into reality, the attitudes of health professionals need to be addressed. Educational strategies can play an important role, but measures of attitudes are needed to determine the effectiveness of these strategies. This paper seeks to establish the Mental Health Consumer Participation Questionnaire (MHCPQ) on psychometric grounds, and explore attitude levels. Overall, the 150 nursing students who participated saw consumer participation in a favourable light, although this varied with the nature and extent of involvement. Psychometric properties, attitude structure, and attitude differences are reported. The MHCPQ displays good face validity and can …
"I Don't Eat A Hamburger And Large Chips Every Day!" A Qualitative Study Of The Impact Of Public Health Messages About Obesity On Obese Adults, Sophie Lewis, Samantha L. Thomas, Jim Hyde, David Castle, R. Warwick Blood, Paul A. Komesaroff
"I Don't Eat A Hamburger And Large Chips Every Day!" A Qualitative Study Of The Impact Of Public Health Messages About Obesity On Obese Adults, Sophie Lewis, Samantha L. Thomas, Jim Hyde, David Castle, R. Warwick Blood, Paul A. Komesaroff
Faculty of Social Sciences - Papers (Archive)
Background We are a society that is fixated on the health consequences of 'being fat'. Public health agencies play an important role in 'alerting' people about the risks that obesity poses both to individuals and to the broader society. Quantitative studies suggest people comprehend the physical health risks involved but underestimate their own risk because they do not recognise that they are obese. Methods This qualitative study seeks to expand on existing research by exploring obese individuals' perceptions of public health messages about risk, how they apply these messages to themselves and how their personal and social contexts and experiences …
The Clinical Services Redesign Program In New South Wales : Perceptions Of Senior Health Managers, Malcolm R. Masso, Glenn Robert, Grace Mccarthy, Kathy Eagar
The Clinical Services Redesign Program In New South Wales : Perceptions Of Senior Health Managers, Malcolm R. Masso, Glenn Robert, Grace Mccarthy, Kathy Eagar
Australian Health Services Research Institute
OBJECTIVE: This study explores the views of senior managers regarding their experience of participating in the Clinical Services Redesign Program (CSRP) in New South Wales and the impact of that Program. METHODS: Semi-structured interviews were conducted in 2007 with 42 senior managers working in the NSW health system. RESULTS: Managers reported being increasingly oriented towards efficiency, achieving results and using data to support decision-making. The increased focus on managing performance was accompanied by concerns about the narrowness of the indicators being used to manage performance and how these are applied. The value placed by interviewees on the use of 'competition' …
Indigenous Health - Australia, Canada, Aotearoa New Zealand, And The United States - Laying Claim To A Future That Embraces Health For Us All: World Health Report (2010) Background Paper, No 33, Lisa Jackson Pulver, Melissa Haswell, Ian Ring, John Waldon, Wayne Clark, Valorie Whetung, Dianne Kinnon, Catherine Graham, Michelle Chino, Jonathon Lavalley, Ritu Sadana
Indigenous Health - Australia, Canada, Aotearoa New Zealand, And The United States - Laying Claim To A Future That Embraces Health For Us All: World Health Report (2010) Background Paper, No 33, Lisa Jackson Pulver, Melissa Haswell, Ian Ring, John Waldon, Wayne Clark, Valorie Whetung, Dianne Kinnon, Catherine Graham, Michelle Chino, Jonathon Lavalley, Ritu Sadana
Australian Health Services Research Institute
[extract] Improving the health of all peoples has been a call across the globe for many decades and unfortunately remains an elusive goal today as the large disparities in health status of peoples found around the world have not diminished, and have arguably increased. Rather than referring to absolute differences in health, or health inequalities, we use a different term throughout this paper. We use the term health inequities because mere differences in health (or "inequalities") can be common in societies and do not necessarily reflect unfair social policies or practices. Report reproduced with the permission of the publisher.
Selecting Tools For Acat Assessment: A Report For The Expert Clinical Reference Group, Aged Care Assessment Program, Department Of Health And Ageing: 1 September 2010, Janet Sansoni, Nick Marosszeky, Glenn Fleming, Emily Sansoni
Selecting Tools For Acat Assessment: A Report For The Expert Clinical Reference Group, Aged Care Assessment Program, Department Of Health And Ageing: 1 September 2010, Janet Sansoni, Nick Marosszeky, Glenn Fleming, Emily Sansoni
Australian Health Services Research Institute
The National ACAT Review (Communio, 2007) recommended that Aged Care Assessment Program (ACAP) Officials seek expert advice to identify a set of specific assessment tools that were valid for use by the ACAP and to develop criteria for their use by Aged Care Assessment Teams (ACATs).
The Health Service Bus: An Architecture And Case Study In Achieving Interoperability In Healthcare, Amanda Ryan, Peter W. Eklund
The Health Service Bus: An Architecture And Case Study In Achieving Interoperability In Healthcare, Amanda Ryan, Peter W. Eklund
Faculty of Commerce - Papers (Archive)
Interoperability in healthcare is a requirement for effective communication between entities, to ensure timely access to up to-date patient information and medical knowledge, and thus facilitate consistent patient care. An interoperability framework called the Health Service Bus (HSB), based on the Enterprise Service Bus (ESB) middleware software architecture is presented here as a solution to all three levels of interoperability as defined by the HL7 EHR Interoperability Work group in their definitive white paper “Coming to Terms”. A prototype HSB system was implemented based on the Mule Open-Source ESB and is outlined and discussed, followed by a clinically-based example.
A Subjective Evaluation Of Attitudes Towards E-Health, S. Banna, Helen Hasan, J. Meloche
A Subjective Evaluation Of Attitudes Towards E-Health, S. Banna, Helen Hasan, J. Meloche
Faculty of Commerce - Papers (Archive)
E-health, the provision of healthcare services via the Internet, has the potential to address the limited capacity of the healthcare system and thereby improve health outcomes. While there is considerable development of e-health services in practice, research in this important area often lags practice and takes a restricted view of user needs. The study presented in this paper undertakes a holistic evaluation of perceptions of e-health services and tools by addressing the activities of diverse stakeholders from healthcare practitioners to the general public. The research uses Q-methodology to explore the opportunities, challenges, barriers, and potential benefits of e-health to guide …