Kooperativer Bibliotheksverbund

Berlin Brandenburg

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  • 1
    In: Medical Journal of Australia, September 2013, Vol.199(5), pp.310-311
    Description: The dilemma that clinicians involved in the resuscitation of severely injured patients face with regards to the inclusion of tranexamic acid (TxA) in trauma management protocols is discussed. However, on the other hand, the need for more evidence to solve ongoing knowledge gaps has been emphasised, especially evidence of who benefits and whether anyone is harmed when TxA is administered to patients treated to modern civilian and military trauma standards.
    Keywords: Emergency Medicine
    ISSN: 0025-729X
    E-ISSN: 1326-5377
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  • 2
    In: Medical Journal of Australia, March 2014, Vol.200(5), pp.255-255
    Keywords: Emergency Medicine
    ISSN: 0025-729X
    E-ISSN: 1326-5377
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  • 3
    In: Medical Journal of Australia, July 2002, Vol.177(2), pp.111-115
    Description: To determine the effect of proximity of surgical specialists on general practitioners' (GPs') rates of referral of surgical problems to specialist care (ie, are surgical referral rates of GPs in rural or remote areas similar to those of GPs in urban centres?). A cross‐sectional survey of GP–patient encounters. The Bettering the Evaluation and Care of Health (BEACH) program, which involves all active registered GPs in Australia. A random sample of 3030 GPs, each providing details of 100 consecutive patient encounters. Proportion of surgical problems (including ophthalmological and obstetric and gynaecological) referred to surgical specialists (surgeons' rooms, hospital outpatient departments or hospital emergency departments). Absence of a local specialist did not significantly influence the proportion of surgical problems referred by GPs overall, but the proportion referred was significantly lower for obstetric (odds ratio [OR], 0.56; 95% CI, 0.44–0.70) and ophthalmological (OR, 0.60; 95% CI, 0.49–0.73) problems. Other factors independently associated with referral of a lower proportion of problems included male GPs, female and younger patients, holders of a Health Care Card, injury‐related and non‐cancer‐related problems, follow‐up presentations, and more than one problem managed at an encounter. Our findings confirm that rural and remote GPs undertake much of their patients' antenatal care, and are less likely to use specialists when managing ophthalmological problems. Absence of local specialists in other surgical specialties is not a barrier to referral of patients with surgical disorders.
    Keywords: General Medicine ; General Medicine ; Surgical Procedures ; Operative
    ISSN: 0025-729X
    E-ISSN: 1326-5377
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  • 4
    In: Medical Journal of Australia, September 2011, Vol.195(6), pp.340-344
    Description: To describe the frequency, characteristics, and outcomes of medicolegal disputes over informed consent. Retrospective review and analysis of negligence claims against doctors insured by Avant Mutual Group Limited and complaints lodged with the Office of the Health Services Commissioner of Victoria that alleged failures in the informed consent process and were adjudicated between 1 January 2002 and 31 December 2008. Case frequency (by medical specialty), type of allegation, type of treatment. A total of 481 cases alleged deficiencies in the informed consent process (218 of 1898 conciliated complaints [11.5%]; 263 of 7846 negligence claims [3.4%]). 57% of these cases were against surgeons. Plastic surgeons experienced dispute rates that were more than twice those of any other specialty or subspecialty group. 92% of cases (442/481) involved surgical procedures and 16% (77/481) involved cosmetic procedures. The primary allegation in 71% of cases was that the clinician failed to mention or properly explain risks of complications. Five treatment types — procedures on reproductive organs (12% of cases), procedures on facial features excluding eyes (12%), prescription medications (8%), eye surgery (7%) and breast surgery (7%) — accounted for 46% of all cases. The typical dispute over informed consent involves an operation, often cosmetic, and allegations that a particular complication was not properly disclosed. With Australian courts now looking to patient preferences in setting legal standards of care for risk disclosure, medicolegal disputes provide valuable insights for targeting both quality improvement efforts and risk management activities.
    Keywords: Ethics And Law ; Ethics And Law
    ISSN: 0025-729X
    E-ISSN: 1326-5377
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  • 5
    Language: English
    In: The Medical journal of Australia, 21 May 2001, Vol.174(10), pp.507-11
    Description: To identify barriers faced by Aboriginal people from remote communities in the Northern Territory (NT) when accessing hospital-based specialist medical services, and to evaluate the impact of the Specialist Outreach Service (SOS) on these barriers. Combined quantitative and qualitative study. Remote Aboriginal communities in the "Top End" of the NT, 1993-1999 (spanning the introduction of the SOS in 1997). 25 remote health practitioners, patients and SOS specialists. Numbers of consultations with specialists; average cost per consultation; perceived barriers to accessing hospital-based outpatient care; and perceived impact of specialist outreach on these barriers. Perceived barriers included geographic remoteness, poor doctor-patient communication, poverty, cultural differences, and the structure of the health service. Between 1993 and 1999, there were 5,184 SOS and non-SOS outreach consultations in surgical specialties. Intensive outreach practice (as in gynaecology and ophthalmology) increased total consultations by up to 441% and significantly reduced the number of transfers to hospital outpatient clinics (P〈 0.001). Average cost per consultation was $277 for SOS consultations, compared with $450 at Royal Darwin Hospital and $357 at the closest regional hospital. Outreach has reduced barriers relating to distance, communication and cultural differences, and potentially bolsters existing primary healthcare services. When compared with hospital-based outpatient services alone, outreach is a more accessible, appropriate and efficient method of providing specialist medical services to remote Aboriginal communities in the NT.
    Keywords: Community-Institutional Relations ; Health Services Accessibility ; Medicine ; Oceanic Ancestry Group ; Specialization
    ISSN: 0025-729X
    E-ISSN: 13265377
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  • 6
    In: Medical Journal of Australia, January 2006, Vol.184(1), pp.4-5
    Description: The Australian government is in partnership with the Cochrane Collaboration's Effective Practice and Organization of Care (EPOC) Group and the National Institute of Clinical Studies (NICS) to improve professional practice and the delivery of effective health services. Its main goal is to assist evidence-based policy-making through systematic reviews of interventions designed to improve health care practice and delivery of effective health services relevant to Australia.
    Keywords: Health Services Administration ; Statistics ; Epidemiology And Research Design
    ISSN: 0025-729X
    E-ISSN: 1326-5377
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  • 7
    Language: English
    In: The Medical journal of Australia, 16 June 2008, Vol.188(12), pp.684-5
    Description: Scientific evidence and the relationship between the medical profession, politics and the public are dynamic and inter-related. (editor abstract)
    Keywords: Health Personnel ; Patient Advocacy ; Politics ; Professional Role ; Social Medicine
    ISSN: 0025-729X
    E-ISSN: 13265377
    Source: MEDLINE/PubMed (U.S. National Library of Medicine)
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  • 8
    Article
    Article
    In: Medical Journal of Australia, January 2003, Vol.178(2), pp.94-94
    Keywords: General Medicine
    ISSN: 0025-729X
    E-ISSN: 1326-5377
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  • 9
    In: Medical Journal of Australia, June 2008, Vol.188(12), pp.684-685
    Keywords: Ethics And Law
    ISSN: 0025-729X
    E-ISSN: 1326-5377
    Source: John Wiley & Sons, Inc.
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  • 10
    In: Medical Journal of Australia, 16 May 2005, Vol.182(10), pp.538-540
    Description: It takes humility to walk along the path towards better Aboriginal health.
    Keywords: Indigenous Health ; Social Determinants Of Health
    ISSN: 0025-729X
    E-ISSN: 1326-5377
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