Health system

Exploring the factors impacting choice and quality of overnight private hospital stays and consumer perspectives on patient reported experience measures (PREMs) in Australia: a qualitative interview study – Krista Verlis et al.

2024-08-02T11:36:09+10:00Health professionals, Health system, Insurance, PROMS, Publications|

Patient reported experience measures (PREMs) are tools often utilised in hospitals to support quality improvements and to provide objective feedback on care experiences. Less commonly PREMs can be used to support consumers choices in their hospital care. Little is known about the experience and views [...]

The impact of telehealth care on escalation to emergency care: A systematic review and meta-analysis – Anna Mae Scott et al.

2024-08-02T11:26:28+10:00Ageing, Health system, Primary Care, Publications, Virtual Care/Telehealth|

We compared the impact of accessing healthcare (1) by telehealth (via telephone or video) vs face-to-face; and (2) by telephone vs video telehealth care, on escalation to emergency care. We searched Medline, Embase and Cochrane CENTRAL to 24 July 2023; and conducted a citation analysis [...]

New lab tackles pressing challenge of healthcare sustainability – Launch of the Healthcare Carbon Lab at The University of Melbourne

2024-07-29T14:53:54+10:00Health system, Low-value care, News, Sustainable health care|

The Healthcare Carbon Lab (HCL) confronts the pressing challenge of healthcare's environmental footprint. With healthcare responsible for a significant portion of Australia's carbon emissions and waste, the HCL aims to revolutionise sustainability within the sector. By measuring waste, carbon emissions, and energy usage in hospitals, [...]

Clinician and health service interventions to reduce the greenhouse gas emissions generated by healthcare: a systematic review – Kristen Pickles et al.

2024-06-05T13:40:38+10:00Carbon footprint, Carbon neutral, Climate change, Health system, Low-value care, Overtesting, Publications, Sustainable health care|

The delivery of modern healthcare is inadvertently exacerbating illness and injury to populations through its own pollution. The global healthcare sector—health services and its medical supply chain—is responsible for approximately 5% of global net greenhouse gas (GHG) emissions (>2 gigatons of carbon dioxide equivalent (CO2e)) [...]

Editorial: Navigating low-value care in regional, rural and remote Australia – Rae Thomas et al.

2024-06-05T13:27:43+10:00Health system, Imaging, Low-value care, Overuse, Publications, Virtual Care/Telehealth|

Occasions of low-value care (LVC) are those that confer little or no benefit to the patient or where harm (including lost treatment opportunity and financial cost) exceeds likely benefit. While it is easy to conceptualise health care as either low or high value, the reality [...]

How should artificial intelligence be used in Australian health care? Recommendations from a citizens’ jury – Stacy M Carter et al.

2024-06-03T14:44:00+10:00AI, Citizen's juries, Health system, Publications, Risk|

We convened a national citizens’ jury to discuss the question: “Under what circumstances, if any, should artificial intelligence be used in Australian health systems to detect or diagnose disease?”. The aim of deliberative democratic methods, developed in political science and government, is to enhance democracy [...]

Vigilance in infectious disease emergencies: Expanding the concept – Jane Williams et al.

2024-04-12T12:11:18+10:00COVID-19, Health system, Public comprehension, Publications, Risk|

Protecting the health of the public, during a crisis or otherwise, is almost always considered the responsibility of governments. Analyses of institutional responses to the COVID-19 pandemic illustrate that governments play a central role in the suppression and control of public infection through measures that [...]

Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis – Jason A Wallis et al.

2024-04-07T12:50:24+10:00Ageing, Emergency Department, Health professionals, Health system, Publications, Shared decision making, Virtual Care/Telehealth|

Worldwide there is an increasing demand for Hospital at Home as an alternative to hospital admission. Although there is a growing evidence base on the effectiveness and cost‐effectiveness of Hospital at Home, health service managers, health professionals and policy makers require evidence on how to [...]

Models for delivery and co‐ordination of primary or secondary health care (or both) to older adults living in aged care facilities – Polina Putrik et al.

2024-04-05T15:32:18+11:00Ageing, Clinical guidelines, Health system, Primary Care, Publications|

The number of older people is increasing worldwide and public expenditure on residential aged care facilities (ACFs) is expected to at least double, and possibly triple, by 2050. Co‐ordinated and timely care in residential ACFs that reduces unnecessary hospital transfers may improve residents' health outcomes [...]

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