Australian health review : a publication of the Australian Hospital Association
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Hospital managers, clinicians or their colleges, and the government departments of health are interested in a variety of information for understanding the performance of the health care system and making informed decisions. Intelligent reporting aims to provide the most relevant and reliable information to major stakeholders to facilitate evidence-based practice. ⋯ The TIME (theatre information, management and efficiency) system developed at the North Queensland Clinical School and James Cook University aims to provide intelligible reports for better theatre management. It reflects an effective amalgamation of surgical expertise and systems management principles.
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While many studies investigated the higher morbidity and mortality levels of indigenous Australians in the high-density indigenous areas in the Northern Territory, Western Australia and South Australia, few examined the situation in New South Wales, where more than 28% of the indigenous population lives. Admissions to acute public and private hospitals in New South Wales for 1989-1995 are used in the study reported here to examine indigenous health and its differential patterns by disease categories. ⋯ Age-standardised estimates for the indigenous population are provided. Age composition of admissions for each disease category and admissions by residential area are also estimated.
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This study explores the association between selected socioeconomic characteristics of emergency patients with waiting times in emergency departments and walk-outs (those who did not wait for treatment) in South Western Sydney Area Health Service hospital emergency departments. Bivariate and multivariate analyses indicated that waiting times to see a doctor and walk-out rates varied by age, sex, country of birth, insurance status, socioeconomic status, severity of patient illness and day of arrival. Patients who were female, from a non-English-speaking background, self-referred, uninsured and those from lower socioeconomic status showed significantly longer waiting times than others. ⋯ This applied across socioeconomic categories. These findings indicate that prolonged waiting times for triage, which occur at the busiest periods, may be one of the main indicators for patients leaving emergency departments without treatment. The study also demonstrates variability in waiting times, which could possibly be partly addressed by more standardised triage policies, but may be influenced by other non-clinical factors, which require further investigation.
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Poverty may be defined narrowly as a lack of income, but is more usefully viewed as a multidimensional concept. I discuss some associations between poverty and health, identify groups with special needs, and describe some aspects of the government's health policy which are relevant to those needs. Finally, I note the importance of ensuring there is a more integrated approach in future.