scholarly journals Medical role substitutions and delegations ù overcoming the fear

2007 ◽  
Vol 31 (5) ◽  
pp. 20 ◽  
Author(s):  
Brendan Murphy

This paper outlines the increasing need for new health care practitioners to work under delegation or as substitutes for medical practitioners to resolve the Australian health workforce crisis. The personal experience of the author and common issues for medical practitioners related to the introduction of these new roles are discussed.

2020 ◽  
pp. 088626052098113
Author(s):  
Simon Sawyer ◽  
Glenn Melvin ◽  
Angela Williams ◽  
Brett Williams

Partner abuse (PA) is associated with significant morbidity and mortality worldwide. Health care practitioners regularly encounter patients experiencing PA and require comprehensive education on how to respond. This study describes the creation and validation of a new measure of readiness to encounter patients experiencing PA for health care practitioners and students. Initial item development and content validation were informed by expert feedback. Psychometric properties were assessed using data collected from Australian health care students, using Principal Components Analysis (PCA) and Confirmatory Factor Analysis (CFA). Internal consistency, inter-scale correlations, and test–retest analysis were performed. An initial pool of 67 items was reduced to 48 following content validation by 5 experts as a measure of construct validity. A total of n = 926 responses were collected, which were randomly split into two groups to perform a PCA and CFA. The PCA resulted in a 31-item version, which was further reduced to a 27-item version following the CFA, containing four factors. Internal consistency and test–retest analyses demonstrated good reliability. The produced scale is a 27-item measure of readiness to encounter patients experiencing PA, which has demonstrated good psychometric properties with a sample of Australian health care students. Results indicate that self-efficacy and Emotional-readiness are a large component of readiness. The scale may be used to measure the readiness of a cohort, or as a pre and post-intervention measure, and results may provide insight into the educational needs of a cohort.


Author(s):  
Tomasz Komendziński ◽  
Emilia Mikołajewska ◽  
Dariusz Mikołajewski

This chapter describes how people are connected to each other through a common system of encoding and decoding messages. Opening the European gate has made intercultural communication omnipresent, and this includes health care. Internationally-based tasks need new, culture-aware medical practitioners. The challenges, barriers, and solutions in the aforementioned area based on the personal experiences of the authors. The chapter concludes that in spite of personal experience, intercultural tension continues to be a major hinderance to patient healthcare services.


Author(s):  
Tomasz Komendziński ◽  
Emilia Mikołajewska ◽  
Dariusz Mikołajewski

This chapter describes how people are connected to each other through a common system of encoding and decoding messages. Opening the European gate has made intercultural communication omnipresent, and this includes health care. Internationally-based tasks need new, culture-aware medical practitioners. The challenges, barriers, and solutions in the aforementioned area based on the personal experiences of the authors. The chapter concludes that in spite of personal experience, intercultural tension continues to be a major hinderance to patient healthcare services.


2008 ◽  
Vol 32 (2) ◽  
pp. 371
Author(s):  
Gary Day

THIS IS THE THIRD edition of one of the seminal local texts on the Australian health care system. Over the last seven years, this text has proved a basis for helping students, casual readers and health professionals understand Australia?s sometimes difficult to understand health care system. The text is divided into ten chapters that deal with key aspects of Australia?s health care system, namely: � Frameworks for analysis � The Australian population and its health � Financing health care � The health workforce � Departmental and intergovernmental structures � Hospitals � Public health � Primary and community care � Pharmaceuticals � Policy challenges for the Australian health care system. There are several key reasons why this text has been widely used in the past and will continue to be of value well into the future. The author has been able to accurately describe the complexities of the Australian health care system in an easily digestible way. This is a feat in itself and worthy of praise. There is an appropriate use of tables and figures to support the written content. Finally, the author provides excellent conclusions that bring together the salient points and issues in each chapter. The publisher promotes that this edition includes new material on health workforce, patient safety and medical and health insurance. The Australian health care system delivers on this claim, providing useful insights and a deeper understanding of the issues that confront the future direction and delivery of health services in this country. This text is a useful addition to any library as well as a staple for students needing to more clearly understand the complexities and challenges of the Australian health care system. My only suggestion is that the text could have been enhanced by the inclusion of revision or reflective questions at the end of each chapter. In summary, a must-have as part of a good health-related library.


AIDS ◽  
1995 ◽  
Vol 9 (12) ◽  
pp. 1385 ◽  
Author(s):  
C. J. Treloar ◽  
N. Higginbotham ◽  
J. A. Malcolm ◽  
D. C. Sutherland ◽  
S. Berenger

Author(s):  
Fiona Pacey ◽  
Stephanie Short

This chapter explicates the multi-profession scheme in Australia that incorporates medical practitioners, nurses and twelve other professional groups.  It considers the origins and establishment of the National Scheme for the Registration and Accreditation of the Health Professions introduced in Australia in 2010, within the context of wider regulatory and public policy reforms and initiatives. The key structural aspects of the Scheme’s model of accountability to ministers and parliaments are analysed. It emphasises the extent to which the Scheme has been influenced by Australia’s federal system and the respective responsibilities of each layer of government. The chapter explains how governments in Australia, as represented by their Health Ministers, through the Australian Health Workforce Ministerial Council, have taken on the appearance of the mythical hydra-headed monster, concurrently a unitary and disparate form purposely constructed to act in the public interest in a unique antipodean model of health workforce governance.


2009 ◽  
Author(s):  
Candice L. Schachter ◽  
Carol A. Stalker ◽  
Eli Teram ◽  
Gerri C. Lasiuk ◽  
Alanna Danilkewich

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