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12.02 Thursday 03 December 2009 A Critical Essay on the Deployment of an ED Clinical Information System - Systemic Failure or Bad Luck?Professor Jon Patrick, Health Information Technology Research Laboratory, School of Information Technologies, University of Sydney, Australia 5.46pm Tuesday 01 December 2009 Building a 21st Century Primary Health Care SystemA Draft of Australia’s First National Primary Health Care Strategy Primary Health Care Reform in AustraliaReport to Support Australia’s First National Primary Health Care Strategy 4.54pm Tuesday 01 December 2009 - Published Sunday, 11th October, 2009 by Fiona Armstrong, Tim Woodruff, David Legge and Rod Wilson Putting Health in Local HandsAustralia's unique geography and federated system of governance has, over time, led to a health care system that is fragmented and duplicative, inequitable and less efficient than it might be. Shifting health care governance and funding to regional agencies that are more responsive to the needs of communities would improve both equity and effectiveness in Australian health care. Read more or download the whole article. We need hospital beds, not super clinicsJeremy Sammut - From: The Australian - November 26, 2009 12:00AM If you believe the hype, Australia stands on the cusp of a healthcare revolution that will keep more Australians well and cure the hospital crisis. The Bennett report, the National Health and Hospital Reform Commission's 300-page reform blueprint, recommends the Rudd government expand primary healthcare services such as physiotherapy and podiatry available under Medicare through a billion-dollar 300-strong national network of GP super clinics that would bring general practitioners, nurse practitioners, and other health professionals together in one-stop healthcare shops. This would amount to the biggest expansion in Medicare's 25-year history, and according to the NHHRC would fix the problems in public hospitals by developing a so-called person-centred health system. But will it remedy the long waits for emergency and elective treatment in Australian public hospitals that have too few beds to cope with rising demand from an ageing population? ••• Radical Surgery––The Only Way to Cure the NSW Hospital MessWolfgang Kasper Time to use a chainsaw on a critically ill patient says Wolfgang Kasper Our hospitals are not safe. More preventable deaths occur in hospitals than on our roads. Because of bed shortages, bed-ridden patients have to wait in corridors and storerooms of emergency departments. Babies are born in toilets. In non-metropolitan NSW, expecting mothers and elderly patients are driven hundreds of kilometres to where the family cannot visit, because the Health Department closed down local facilities. Australia-wide, the health bureaucracy has grown by a stunning 64 per cent over the past, prosperous decade, whereas the number of frontline clinical staff just kept pace with population growth. Some 27% of the NSW budget now goes on health spending, but not enough of it reaches the coalface. With NSW in recession, the deficit-ridden State government has received massive federal subsidies, but is nevertheless cutting services further. ••• Professor Kasper's paper forms a trilogy of policy papers published by the Sydney-based think tank, the Centre for Independent Studies, on how to reform the costly hospital mess, into which the elected politicians and the unelected health bureaucrats have taken NSW since the abolition of local hospital boards - first by forming district boards and then delegating management to eight Area Health Services. The Past is the Future for Public Hospitals: An Insider’s Perspective on Hospital AdministrationJohn R Graham A long-serving eminent doctor, Dr. John Graham of Sydney Hospital, offers an informative and well-written insider's view Why Public Hospitals Are Overcrowded: Ten Points for PolicymakersJeremy Sammut An outspoken health researcher, Dr. Jeremy Sammut, discusses the overcrowding of Public Hospitals and the perverse bureaucratic incentives now at work in the system, and offers ten concrete proposals how to put the broken system back on its feet. ••• The real safety issues in maternity care: a sneak previewLesley Barclay Maternity care provides a classic example of the pitfalls of a specialist-driven model of practice in health care. It results in more expensive and interventionist care, rather than a community-based approach which could also help ensure a more equitable distribution of services. It has led us to talk about obstetrics, which implies a focus on a particular professional group, rather than maternity care, which implies a broader focus on the woman’s and baby’s needs, both before and well after the birth. Professor Lesley Barclay, director of the Northern Rivers University Department of Rural Health in NSW, is a leading proponent of the need to reorient maternity care around the needs of women and babies, and has plenty of first-hand experience of why this is particularly necessary for women living outside the major cities, especially Indigenous women from remote communities. This coming Saturday, she will be speaking at the Australasian Medical Writers Association conference in Sydney. “When women talk about what matters to them when it comes to childbirth, the issue they repeatedly mention is safety. But their understanding of safety around childbirth is often quite different to how health systems and many professionals define it. |
