National registration scheme at 5 years: not what it promised

2016 ◽  
Vol 40 (6) ◽  
pp. 674
Author(s):  
Kerry J. Breen
Keyword(s):  
Health Professionals ◽  
National Register ◽  
Australian Health ◽  
Health Practitioners ◽  
Previous State ◽  
The Subject ◽  
Central Database ◽  
Reducing Costs ◽  
Registration Scheme

A national registration scheme for health professionals was introduced in Australia 5 years ago, replacing the long-standing state-based schemes. This review examines whether the scheme has delivered what it promised and makes recommendations for change. The available evidence indicates that the scheme’s design and its implementation were rushed and that the legislation has serious flaws. Two parliamentary inquiries and the experience of registrants confirm that the system is more expensive, remote and bureaucratic than the previous state-based systems. The scheme has delivered benefits only in relation to portability of registration and a single national register. In addition, with two large jurisdictions participating in a ‘co-regulated’ mode, it is not truly a national scheme. To restore the confidence that health professionals need to have in the regulator, it is recommended that all jurisdictions seek to be ‘co-regulated’ and that the Australian Health Practitioners Registration Authority be pared back to providing a central database for national portable registration. What is known about the topic? Although selected aspects of the national registration scheme have been the subject of comment, a global critique of the strengths and weaknesses of the national registration scheme has not been published previously. What does this paper add? This critique identifies several legislative flaws in a scheme that has not met the aims set for it and that is not truly national. What are the implications for practitioners? Recommended changes to the scheme have the potential to increase practitioner confidence in the scheme while reducing costs.

Corrigendum to: Approaches to management of complaints and notifications about health practitioners in Australia

2016 ◽  
Vol 40 (3) ◽  
pp. 353
Author(s):  
Claudette S. Satchell ◽  
Merrilyn Walton ◽  
Patrick J. Kelly ◽  
Elizabeth M. Chiarella ◽  
Suzanne M. Pierce ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Health Practitioner ◽  
Handling System ◽  
National Accreditation ◽  
Australian Health ◽  
Complaint Handling ◽  
Health Practitioners ◽  
Productivity Commission ◽  
Similarities And Differences

In 2005, the Australian Productivity Commission made a recommendation that a national health registration regimen and a consolidated national accreditation regimen be established. On 1 July 2010, the National Registration and Accreditation Scheme (NRAS) for health practitioners came into effect and the Australian Health Practitioner Regulation Agency (AHPRA) became the single national oversight agency for health professional regulation. It is governed by the Health Practitioner Regulation National Law Act (the National Law). While all states and territories joined NRAS for registration and accreditation, NSW did not join the scheme for the handling of complaints, but retained its existing co-regulatory complaint-handling system. All other states and territories joined the national notification (complaints) scheme prescribed in the National Law. Because the introduction of NRAS brings with it new processes and governance around the management of complaints that apply to all regulated health professionals in all states and territories except NSW, where complaints management remains largely unchanged, there is a need for comparative analysis of these differing national and NSW approaches to the management of complaints/notifications about health professionals, not only to allow transparency for consumers, but also to assess consistency of decision making around complaints/notifications across jurisdictions. This paper describes the similarities and differences for complaints/notifications handling between the NRAS and NSW schemes and briefly discusses subsequent and potential changes in other jurisdictions.

Approaches to management of complaints and notifications about health practitioners in Australia

2016 ◽  
Vol 40 (3) ◽  
pp. 311 ◽  
Author(s):  
Claudette S. Satchell ◽  
Merrilyn Walton ◽  
Patrick J. Kelly ◽  
Elizabeth M. Chiarella ◽  
Suzanne M. Pierce ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Health Practitioner ◽  
Handling System ◽  
National Accreditation ◽  
Australian Health ◽  
Complaint Handling ◽  
Health Practitioners ◽  
Productivity Commission ◽  
Similarities And Differences

In 2005, the Australian Productivity Commission made a recommendation that a national health registration regimen and a consolidated national accreditation regimen be established. On 1 July 2010, the National Registration and Accreditation Scheme (NRAS) for health practitioners came into effect and the Australian Health Practitioner Regulation Agency (AHPRA) became the single national oversight agency for health professional regulation. It is governed by the Health Practitioner Regulation National Law Act (the National Law). While all states and territories joined NRAS for registration and accreditation, NSW did not join the scheme for the handling of complaints, but retained its existing co-regulatory complaint-handling system. All other states and territories joined the national notification (complaints) scheme prescribed in the National Law. Because the introduction of NRAS brings with it new processes and governance around the management of complaints that apply to all regulated health professionals in all states and territories except NSW, where complaints management remains largely unchanged, there is a need for comparative analysis of these differing national and NSW approaches to the management of complaints/notifications about health professionals, not only to allow transparency for consumers, but also to assess consistency of decision making around complaints/notifications across jurisdictions. This paper describes the similarities and differences for complaints/notifications handling between the NRAS and NSW schemes and briefly discusses subsequent and potential changes in other jurisdictions.

The future role of the psychiatrist in Europe – a UEMS perspective

2014 ◽  
Vol 11 (01) ◽  
pp. 35-42
Author(s):  
M. Hermans
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
General Interest ◽  
Future Role ◽  
Personal Opinion ◽  
The Future ◽  
The Subject ◽  
The Many

SummaryThe author presents his personal opinion inviting to discussion on the possible future role of psychiatrists. His view is based upon the many contacts with psychiatrists all over Europe, academicians and everyday professionals, as well as the familiarity with the literature. The list of papers referred to is based upon (1) the general interest concerning the subject when representing ideas also worded elsewhere, (2) the accessibility to psychiatrists and mental health professionals in Germany, (3) being costless downloadable for non-subscribers and (4) for some geographic aspects (e.g. Belgium, Spain, Sweden) and the latest scientific issues, addressing some authors directly.

Surviving “Risk Factor Frenzy”: The Perils of Incorrectly Applying Epidemiological Research in Health Education and Promotion

2002 ◽  
Vol 21 (1) ◽  
pp. 83-100 ◽  
Author(s):  
Jonathan I. Robison ◽  
Gregory Kline
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Health Education ◽  
Health Professionals ◽  
Lifestyle Change ◽  
Negative Consequences ◽  
Epidemiological Research ◽  
Health Practitioners ◽  
Health Education And Promotion

In health education and promotion, “risk factors” for disease gathered from epidemiological research form the basis from which the majority of recommendations to individuals for lifestyle change are made. Unfortunately, many health practitioners are unaware that this type of research was never intended to be applied to individuals. The result is ongoing public confusion and anxiety concerning health recommendations and a loss of credibility for health professionals. This article: 1) briefly reviews the most commonly encountered limitations inherent in epidemiological research; 2) explores the problems and potential negative consequences of incorrectly applying epidemiological research in health education and promotion; and 3) makes recommendations to help health practitioners more skillfully interpret and incorporate into their work findings from epidemiological research.

scholarly journals Sustainability Requirements of Digital Twin-Based Systems: A Meta Systematic Literature Review

2021 ◽  
Vol 11 (12) ◽  
pp. 5519
Author(s):  
Rui Carvalho ◽  
Alberto Rodrigues da Silva
Keyword(s):  
Life Cycle ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Environmental Sustainability ◽  
Product Life Cycle ◽  
Data Communication ◽  
Three Dimensions ◽  
Digital Twin ◽  
The Subject ◽  
Reducing Costs

Sustainable development was defined by the UN in 1987 as development that meets the needs of the present without compromising the ability of future generations to meet their own needs, and this is a core concept in this paper. This work acknowledges the three dimensions of sustainability, i.e., economic, social, and environmental, but its focus is on this last one. A digital twin (DT) is frequently described as a physical entity with a virtual counterpart, and the data, connections between the two, implying the existence of connectors and blocks for efficient and effective data communication. This paper provides a meta systematic literature review (SLR) (i.e., an SLR of SLRs) regarding the sustainability requirements of DT-based systems. Numerous papers on the subject of DT were also selected because they cited the analyzed SLRs and were considered relevant to the purposes of this research. From the selection and analysis of 29 papers, several limitations and challenges were identified: the perceived benefits of DTs are not clearly understood; DTs across the product life cycle or the DT life cycle are not sufficiently studied; it is not clear how DTs can contribute to reducing costs or supporting decision-making; technical implementation of DTs must be improved and better integrated in the context of the IoT; the level of fidelity of DTs is not entirely evaluated in terms of their parameters, accuracy, and level of abstraction; and the ownership of data stored within DTs should be better understood. Furthermore, from our research, it was not possible to find a paper discussing DTs only in regard to environmental sustainability.

Sexual history taking in primary care

2021 ◽  
Vol 32 (8) ◽  
pp. 308-311
Author(s):  
Sarah Kipps
Keyword(s):  
Primary Care ◽  
Sexual Health ◽  
Health Professional ◽  
Health Professionals ◽  
Sexual History ◽  
History Taking ◽  
Medical Assessment ◽  
Men And Women ◽  
Sexual History Taking ◽  
The Subject

Sexual history can be neglected in a routine nursing or medical assessment. Sarah Kipps gives tips to assist in making a sexual history taking session as comfortable as possible for both health professional and patient Practitioners in primary care are in a unique position to improve the sexual health of men and women. They can do this by introducing the topic of sexual health into their everyday consultations and thereby normalising the subject as part of routine health for the patient. There is evidence that health professionals find sexual history taking to be one of the more challenging aspects of a consultation. There are a number of different reasons for this: feeling not equipped to ask questions of such a sensitive nature; fear of opening a ‘can of worms’ which cannot be dealt with; and the general social embarrassment and difficulties experienced talking about sex in general. This article will give health professionals some tips and guides to assist in making a sexual history taking session as comfortable as possible for both health professional and patient.

scholarly journals Driving and Dementia: Workshop Module on Communicating Cessation to Drive

2017 ◽  
Vol 20 (4) ◽  
pp. 241-245
Author(s):  
Anna Byszewski ◽  
Barbara Power ◽  
Linda Lee ◽  
Glara Gaeun Rhee ◽  
Robert Parson ◽  
...  
Keyword(s):  
Health Professionals ◽  
Positive Impact ◽  
Communication Strategies ◽  
Emotional Reactions ◽  
Accurate Information ◽  
Driving Cessation ◽  
Ovid Medline ◽  
Online Tools ◽  
Background Material ◽  
The Subject

BackgroundFor persons with dementia (PWD), driving becomes very dangerous. Physicians in Canada are legally responsible to report unfit drivers and then must disclose that decision to their patients. That difficult discussion is fraught with challenges: physicians want to maintain a healthyrelationship; patients often lack insight into their cognitive loss and have very strong emotional reactions to the loss of their driving privileges. All of which may stifle the exchange of accurate information. The goal of this project was to develop a multimedia module that would provide strategies and support for health professionals having these difficult conversations.MethodsLiterature search was conducted of Embase and OVID MedLine on available driving and dementia tools, and on websites of online tools for communication strategies on driving cessation. A workshop module was developed with background material, communication strategies, links to resources and two videos demonstrating the “bad” then the “good” ways of managing this emotionally charged discussion.ResultsWhen the module was tested with internal medicine trainees, results demonstrated that confidence increased significantly (p < .001), and comfort and willingness in discussing the subject improved.ConclusionThis project demonstrated the positive impact of the module on improving health professionals’ attitude and readiness to communicate driving cessation to PWD.

scholarly journals A vivência da morte pela equipe de saúde que atua no setor de oncologia

Bionorte ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 9-19
Author(s):  
Jacina Santos Dias ◽  
Woochiton Ramos Lopes Pereira ◽  
Leonardo Augusto Couto Finelli
Keyword(s):  
Health Professionals ◽  
Field Research ◽  
Death Process ◽  
Future Research ◽  
Continuous Training ◽  
Cross Sectional ◽  
Professional Qualification ◽  
Health Team ◽  
Intervention Models ◽  
The Subject

Objective: Identify the team's difficulties in dealing with the death process of patients under their care. Materials and Methods: the research carried out is classified as exploratory, qualitative, cross-sectional, with a field research design. We interviewed professionals from the health team of the oncology sector, then the data were analyzed from discourse analysisprocedures that sought connections between objects, strategies, concepts and enunciative types. To these data were verified systems of unity and coherence, reached by the analysis of the summary descriptions that were collected. Results: it was verified that there is no preparation offered by the institution so that the professionals learn the best deal with death. Therefore, it is urgent that the question of professional qualification be restored. Conclusion: the need for future research on the subject, which is suggestive of testingproposals and intervention models, such as the continuous training of professionals, is aimed at, among other purposes, the training of health professionals in dealing with process of death and death of its patients.

scholarly journals Knowledge of continent women on physiotherapy as a treatment of urinary incontinence

2018 ◽  
Vol 6 (8) ◽  
pp. 153-166
Author(s):  
ENILDA MARTA CARNEIRO DE LIMA MELLO ◽  
HANNA HELLEN FERNANDES MEDEIROS ◽  
NIKELLY YORANNE DE AQUINO DE MATOS
Keyword(s):  
Urinary Incontinence ◽  
Physical Therapy ◽  
Quantitative Study ◽  
Health Professionals ◽  
Age Groups ◽  
Cross Sectional ◽  
Physical Therapy Treatment ◽  
The Subject ◽  
Information Providers ◽  
Therapy Treatment

Objective: To identify the knowledge about physiotherapy as a treatment of urinary incontinence in continent women. Methods: The study was characterized by a cross-sectional and quantitative study. A ten items questionnaire, created by the researchers, was used with related questions about women's health. The sample consisted of 60 continents women, aged between 20-90 years, divided into age groups, accommodating ten participants in each age delimitation as follows: 20-29, 30-39, 40-49, 50-59, 60-69, 70-90. Results: The results showed that 65% of the women did not know about the physiotherapeutic treatment for UI, 28.33% had heard and 6.67% knew about it. The channels of knowledge selected by the volunteers who claimed to know or hear about physiotherapy in the UI were 18.18% media, 31.82% were people known, 45.45% were health professionals, and 4.55% were other unna/med forms. It was also found that women aged between 60 and 90 years have more knowledge on the subject (15%) than those aged 20 to 39 (5%) and 40 to 59 years (0%). Conclusion: It is concluded, therefore, that continents women need more information regarding physical therapy treatment for urinary incontinence. In addition, this awareness should occur in a multidisciplinary way to cover a greater number of women and information providers, in view of the search for treatment early avoid greater complications.

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