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Journal of the Australian Healthcare & Hospitals Association
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Australian Health Review

Australian Health Review

Volume 49 Number 4 2025

AH25081Strategic optimisation of the allied health assistant workforce one step at a time: first step, workforce governance

Lucy Whelan, Catherine Wolters 0009-0002-3865-3886, Marcus Gardner 0000-0002-3853-0803, Hank Kim 0009-0003-2981-2408, Kylie Saccotelli 0009-0006-6243-8966 and Dimitri Diacogiorgis 0009-0003-5477-5645

What is known about the topic? With health care experiencing workforce shortages, allied health assistants are vital for supporting allied health professionals and contributing to workforce sustainability. What does this paper add? Strategic governance of allied health assistant workforces needs to be prioritised to ensure they are included in workforce planning. What are the implications for practitioners? There remains an absence of overarching governance frameworks for allied health assistants, whichneeds to be prioritised by all Australian states and territories, and by national strategies, to ensure we can sustain our allied health workforce into the future.

What is known about the topic? An action plan for endometriosis was launched in Australia in July 2018, in response to challenges, including delayed diagnosis, inadequate treatment and effect on quality of life. What does this paper add? The paper analyses the usage of selected medical treatments for endometriosis before and after the launch of the plan. What are the implications for practitioners? The plan may have facilitated access to the treatments, especially for severe cases, but the impact is modest. Targeted strategies to improve diagnosis and enhance treatment uptake, where appropriate, should be considered.

AH25055Voluntary assisted dying in Queensland: doctors’ perceptions of its first year of operation

Laura Ley Greaves 0000-0003-0261-1190, Rachel Feeney, Lindy Willmott and Ben P. White

What is known about the topic? Little is known about doctors’ perceptions of how voluntary assisted dying (VAD) is operating in Queensland. What does this paper add? This is the first paper to report on doctors’ perceptions of the first year of VAD in Queensland. Semi-structured interviews with 27 doctors highlight that VAD is generally accepted and delivered as a public medical service, however, system access issues remain. What are the implications for practitioners? The first year of VAD in Queensland has been generally positive, with good collaboration with palliative care, however, there is ongoing reliance on individual practitioners for VAD provision.

What is known about the topic? Australia’s data linkage infrastructure is evolving. Despite widespread data availability and recognition of the value of data linkage, it continues to be complex, timely, and costly. What does this paper add? This paper introduces data linkage basics for Australian researchers and discusses important considerations for those embarking on data linkage in health research. What are the implications for practitioners? Understanding the basic elements and challenges of data linkage is essential for the success of data linkage projects in delivering on national investments and improving the health and wellbeing of Australians.

What is known about the topic? Older adults have more complex health needs and could benefit from a palliative reablement approach that addresses evolving needs over time. Allied health clinicians are ideally positioned to deliver such services. What does this paper add? Clinicians feel underequipped to provide palliative care but identified what is needed to enhance confidence and practice. What are the implications for practitioners? A growing ageing population needs a capable and effective workforce. If systems within which allied health train and practice do not offer sufficient opportunity to develop skills and deliver services, quality of care will suffer.

AH24261Prevalence and characteristics of potentially avoidable unplanned readmissions: a retrospective cohort study

Yogesh Sharma, Arduino A. Mangoni, Sudhir Rao 0000-0003-2573-2577, Isuru Kariyawasam Batuwaththagamage, Billingsley Kaambwa, Richard Woodman, Chris Horwood and Campbell Thompson

What is known about the topic? Unplanned hospital readmissions are common indicators of healthcare quality, but limited data exist on potentially avoidable unplanned readmissions (PAURs). What does this paper add? This study found that 21% of readmissions were potentially avoidable, with key contributors including relapse of the initial condition, treatment complications, and poor follow-up. What are the implications for practitioners? Reducing PAURs may require a multifaceted approach, including better discharge summaries, assessment of patient readiness, coordinated follow-up, and use of patient education strategies such as teach-back methods.

What is known about the topic? Interprofessional collaborative practice (IPCP) is widely recognised as essential for the functioning of high-quality healthcare systems. However, there is limited understanding of whether attitudes, knowledge and beliefs about IPCP differ across various professional groups or clinical settings within these systems. What does this paper add? This cross-sectional study offers new insights into how attitudes, knowledge and beliefs about IPCP vary across different professional groups and clinical settings. It highlights an underexplored area of research, especially considering that much of the existing literature focuses on university students rather than practising healthcare professionals. What are the implications for practitioners? This research provides valuable information for key stakeholders in health policy, management and clinical practice. Understanding the diverse attitudes and beliefs toward IPCP across professional groups can inform workforce planning, enhance interprofessional training programs, and improve collaboration within healthcare teams. Additionally, these insights can support the development of tailored care delivery models that address the specific needs of different professional groups, fostering more effective and cohesive team-based care.

AH25079Should Australian laws regulating embryo research be reformed? A call for commonwealth review

Narcyz Ghinea 0000-0002-1457-7252, Christopher Rudge 0000-0001-6629-8485, Dianne Nicol 0000-0002-6553-2839 and Tamra Lysaght 0000-0002-7125-4206

What is known about the topic? Embryo science has advanced dramatically with the introduction of stem cell-based embryo models, bringing new opportunities to improve health and medicine. However, the legal regime is outdated. What does this paper add? The last major amendments to Australia’s legislative framework governing embryo research were made in 2006 and do not account for the latest scientific developments. We consider why this legislation should be reviewed and amended. What are the implications for practitioners? It is important that embryo researchers can plan and perform their work in an ethical manner, without legal uncertainty.

What is known about the topic? In general, migrants are healthier than the population of the destination country. What does this paper add? Although Eastern Mediterranean region (EMRO)-born migrants are less affected by certain long-term health conditions, they are equally or more affected by some other health conditions. A considerable proportion of EMRO-born migrants with long-term health conditions have low socioeconomic status and language proficiency. Those who lived more than a decade previously are more affected by the conditions that are more prevalent among the Australian-born population. What are the implications for practitioners? Chronic condition prevention and management strategies should be designed based on the characteristics and health needs of migrant groups.

What is known about the topic? Cancer-related malnutrition affects up to 80% of patients depending on the type and stage of cancer. Malnutrition adversely affects treatment outcomes, quality of life, hospital length of stay and mortality. Nutrition screening tools that facilitate identifying malnutrition are poorly utilised, negatively affecting patients. What does this paper add? This study demonstrated dietitian universal nutrition assessment was cost-effective in managing cancer-related malnutrition. What are the implications for practitioners? Dietitians and managers should be aware that identifying and managing malnutrition can result in a National Weighted Activity Unit uplift.

AH25073Corporatisation and ownership concentration in diagnostic imaging: an audit of Australian practices

Sean Docking 0000-0001-7051-7548, Jenn Lacy-Nichols, Martin Hensher and Rachelle Buchbinder

What is known about the topic? For-profit corporations view the diagnostic imaging market favourably. The level of corporate ownership and its impact on costs and care are unknown. What does this paper add? Eight public limited and investor-backed companies own 51% of all Australian diagnostic imaging clinics. Areas where a single company owned ≥30% of clinics were identified in four jurisdictions. What are the implications for practitioners? Large for-profit corporations dominate the Australian diagnostic imaging sector, with profits primarily generated through tax-payer funded Medicare benefits. Governments have a fiscal obligation to ensure that these providers deliver affordable, high-value care.

Committee on Publication Ethics

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