Australian health review : a publication of the Australian Hospital Association
-
The Royal Melbourne Hospital established a mobile X-ray service (MXS) in 2013. The goal of the MXS is to address the radiology needs of frail, elderly or demented residents of residential aged care facilities (RACFs) who would otherwise require transportation to attend for X-ray. The present study describes the activity of the MXS, and the impact of the MXS on emergency department (ED) attendances by residents of RACFs. ⋯ The present study suggests a reduction in hospital ED attendances for high users of the MXS. This has benefits for hospitals, patients and nursing homes. It also allows the extension of other programs designed to treat patients in their RACFs. Special rebates for home-based radiology service provision should be considered.
-
The aim of the present study was to investigate non-clinical work conducted by Australian doctors. ⋯ Further work is required to better understand the full range of non-clinical activities doctors are involved in and how this may impact future workforce projections.
-
Multicenter Study
Multisite analysis of the timing and outcomes of unplanned transfers from subacute to acute care.
The aim of the present study was to examine the timing and outcomes of patients requiring an unplanned transfer from subacute to acute care. ⋯ There is a high rate of unplanned transfers to acute care within 24h of admission to subacute care. Unplanned transfers are associated with high hospital admission and in-hospital mortality rates.
-
This paper provides an overview of environmental sustainability in healthcare and highlights the need for a policy framework for action. Examples from overseas demonstrate what has effectively enabled mitigation of and adaptation to the threat of climate change. The need to overcome perceived limits and barriers to health professionals' engagement in sustainable practice is noted. The scientific evidence recommends immediate action.