Burnout levels among dietitians working in the New South Wales public hospital system: A cross-sectional statewide survey

2014 ◽  
Vol 72 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Marianna Milosavljevic ◽  
Gary Noble
2017 ◽  
Vol 41 (5) ◽  
pp. 511 ◽  
Author(s):  
Carla Saunders ◽  
David J. Carter

Objective The overall aim of the study was to investigate and assess the feasibility of improving the timeliness of public hospital care through a New South Wales (NSW)-wide public–private hospital partnership. Methods The study reviewed the academic and professional grey literature, and undertook exploratory analyses of secondary data acquired from two national health data repositories informing in-patient access and utilisation across NSW public and private hospitals. Results In 2014–15, the NSW public hospital system was unable to deliver care within the medically recommended time frame for over 27 400 people who were awaiting elective surgery. Available information indicates that the annual commissioning of 15% of public in-patient rehabilitation bed days to the private hospital system would potentially free up enough capacity in the NSW public hospital system to enable elective surgery for all public patients within recommended time frames. Conclusions The findings of the study justify a strategic whole-of-health system approach to reducing public patient wait times in NSW and highlight the need for research efforts aimed at securing a better understanding of available hospital capacity across the public and private hospital systems, and identifying and testing workable models that improve the timeliness of public hospital care. What is known about the topic? There are very few studies available to inform public–private hospital service partnerships and the opportunities available to improve timely health care access through such partnerships. What does this paper add? This paper has the potential to open and prompt timely discussion and debate, and generate further fundamental investigation, on public–private hospital service partnerships in Australia where opportunity is available to address elective surgery wait times in a reliable and effective manner. What are the implications for practitioners? The NSW Ministry of Health and its Local Health Districts have the potential to realise a key objective, namely to deliver the ‘right care, in the right place, at the right time’, through the core value of collaboration, using available infrastructure.


1999 ◽  
Vol 39 (6) ◽  
pp. 743 ◽  
Author(s):  
J. L. Cooper

Summary. Cotton growers in the Macquarie, Namoi and Gwydir Valleys of New South Wales were surveyed in 1992 to determine what crops are grown in rotation with cotton, how frequently rotation crops are used, and what influences the grower’s choice of rotation system. A total of 155 properties were surveyed, covering 100, 49 and 58% of irrigated cotton produced in the Macquarie, Namoi and Gwydir Valleys, respectively. Although a large part of the 1992–93 cotton crop (61% by area) did not follow a rotation crop, there was widespread interest in rotations and 70% of properties had used rotations. Wheat was by far the most widely grown rotation crop, but there was considerable interest in other crops, especially legumes. The perceived benefits from rotation crops reported by most growers were better soil structure, less disease in following cotton, and more soil organic matter. However, when asked why they preferred certain rotation crops, these factors did not rate highly with growers. Crops that were easy to grow and gave the best financial returns possessed the main features sought in a rotation crop. The greatest problem in growing rotation crops was a lack of irrigation water. It is not surprising that this problem ranked highly because when the survey was conducted, the Namoi and Gwydir Valleys had water allocations of 15 and 0%, respectively. Not having suitable equipment to sow rotation crops was also a problem for 17% of growers, but 10% encountered no problems. The survey also investigated the use of permanent beds and retained hills. These practices have benefits for soil structure, and are almost essential for rotation crops which need to be sown as soon as the cotton is harvested. Over 80% of growers using rotations had adopted some form of permanent beds or retained hills. The benefit which ranked highest was a reduction in costs, followed by less soil compaction. Some growers (44%) who used permanent beds or retained hills had no problems, but handling the trash and keeping the rows straight were of concern to others.


2010 ◽  
Vol 14 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Emily Banks ◽  
Louisa Jorm ◽  
Kris Rogers ◽  
Mark Clements ◽  
Adrian Bauman

AbstractObjectiveTo assess the relationship between obesity and sedentary behaviours, such as watching television or using a computer (‘screen-time’), and describe how this relationship varies between population subgroups.DesignCross-sectional analysis of the relationship between obesity (BMI ≥ 30 kg/m2) and screen-time, adjusted for age, sex, income and education and compared according to a range of personal characteristics.SettingNew South Wales, Australia.SubjectsA total of 91 266 men and women aged 45 years and above from the general population of New South Wales in 2006–2007 and providing self-reported information on height and weight and other factors.ResultsObesity prevalence was 21·4 %. Compared to individuals with <2 h of daily screen-time, the adjusted relative risks (RR) of obesity were 1·35 (95 % CI 1·26, 1·44), 1·70 (95 % CI 1·59, 1·82), 1·94 (95 % CI 1·81, 2·08) and 1·92 (95 % CI 1·80, 2·06) for 2–3, 4–5, 6–7 and ≥8 h, respectively. The increase in obesity with increasing screen-time was similar within categories of overall physical activity, but was attenuated in those in full-time paid work, compared to non-workers (P for interaction < 0·0001). Among non-workers, the overall obesity RR per 2 h increase in daily screen-time was 1·23 (95 % CI 1·21, 1·25) and was significantly elevated in all groups examined, ranging from 1·16 to 1·31 according to sex, level of age, education, income, smoking and fruit consumption. The RR did not differ significantly according to overall physical activity, region of residence and alcohol and vegetable consumption, but was substantially lower in disabled v. not-disabled individuals (P for interaction < 0·0001).ConclusionsObesity increases with increasing screen-time, independent of purposeful physical activity. This was observed in all population groups examined, although it is attenuated in full-time workers and disabled individuals.


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