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"The doctor of the future will give no medicine, but will educate his patients in the care of the human frame, in diet, and in the cause and prevention of disease."

Thomas Edison


Partnering with consumers

A systematic review was undertaken to establish if personalised care planning leads to better outcomes than when these decisions are taken by health professionals alone. The authors concluded that a personalised approach was most successful when it included preparation, record-sharing, care co-ordination and review, involved more intensive support from health professionals, and was integrated into routine care.
Source: Cochrane Consumers and Communication Group 

Coproduction of healthcare service
"Efforts to ensure effective participation of patients in healthcare are called by many names - patient centredness, patient engagement, patient experience. Improvement initiatives in this domain often resemble the efforts of manufacturers to engage consumers in designing and marketing products. Services, however, are fundamentally different than products; unlike goods, services are always 'coproduced'. Failure to recognise this unique character of a service and its implications may limit our success in partnering with patients to improve health care."
Source: BMJ Quality and safety 16 September 2015 Online First.

Recommended reading
The putting patients first field guide : global lessons in designing and implementing patient-centered care / editors, Susan B. Frampton, Patrick A. Charmel, Sara Guastello.
This guide outlines how hospitals, long-term care communities and integrated health care systems worldwide are implementing a patient-centred culture. It addresses the fundamental dimensions of: access to information; family involvement; healing environments; employee and physician engagement; and patient advocacy.

Recommended viewing
Cleveland Clinic's empathy video series: Patients - Afraid and vulnerable

Recommended Austin Health staff resource
Patient Centred Care Toolkit available on the Hub


'Real-world' haemorrhagic rates - warfarin & dabigatran

Dabigatran is associated with significantly lower risks of haemorrhage in older patients with atrial fibrillation than warfarin, according to a real-world study from New Zealand. "The risk of any haemorrhage and intracerebral haemorrhage was lower in dabigatran users compared to warfarin users. Importantly no increased risk of gastrointestinal haemorrhage was found in dabigatran users."

Source: International journal of cardiology 2015 Nov 10; 203:746-752.
(Due to a technical issue, this link directs you to the online journal - once open, browse Articles in press using article title for full text)


Risk of diabetes with statin use - overemphasised?

"Statin use is associated with increased incidence of diabetes, and possibly with increased body weight and reduced exercise capacity. This retrospective cohort study showed increased risk of new-onset diabetes with statin use, which aligns with previous studies. However, one of the conclusions, that statins increased diabetic complications, was contradictory with what had been found in many randomised controlled trials. Metabolic syndrome or prediabetes is probably the most important predictor for statin-induced new-onset diabetes."

Source: Evidence based medicine 2015;20:6 222 Online First: 6 October 2015


Burden of chronic disease

The burden of chronic diseases is a major public policy challenge that threatens the health of individuals,
communities and Australia's future economic prosperity. Action is required in relation to modifiable risk factors that contribute to disease and disability in Australia. This paper proposes a set of national chronic disease targets and indicators as a means of measuring progress and enhancing accountability for action.

Source: Targets and indicators for chronic disease prevention in Australia, Australian Health Policy Collaboration technical paper No. 2015-08, November 2015


Palliative care skills for nurses

"Although palliative care policies increasingly require all healthcare professionals to have at least basic or non-specialist skills in palliative care, international evidence suggests there are difficulties in realising such policies. This study reports on an action research project aimed at developing respiratory nursing practice to address the palliative care needs of patients with advanced chronic obstructive pulmonary disease (COPD)."

Source: Nursing Inquiry 2015 22(3); 249-260


Digital hospital handbook - world first

A project was launched this week at Standards Australia to develop the world’s first Digital Hospitals Handbook. The project aims to develop a set of principles and recommendations that inform the design and implementation of digital hospitals, both new and refurbished, including articulating exactly what a digital hospital is.

Source: Pulse+IT Dec 2015


NICE guidelines

The following NICE guidelines (National Institue for Health and Care Excellence - UK) are new or recently updated:

Children's attachment : attachment in children and young people who are adopted from care, in care or at high risk of going into care / National Institute for Health and Care Excellence, 2015.
This new guideline addresses attachment in children and young people who are adopted from care, in care or at high risk of going into care. It covers the identification, assessment and treatment of attachment difficulties in children and young people up to age 18. 

Menopause : diagnosis and management / National Institute for Health and Care Excellence, 2015.
In its first guideline on menopause, NICE recommends that help and information is available for women with menopause, and that a range of treatment options, including HRT, can help.

Dementia, disability and frailty in later life : mid-life approaches to delay or to prevent onset / National Institute for Health and Care Excellence, 2015.
With recommendations to encourage healthy behaviours, raise awareness and integrate dementia risk reduction policies, this guideline addresses how approaches during mid-life can delay or prevent the onset of dementia, disability and frailty in later life.


eBooks spotlight

Just say sepsis! : a review of the process of care received by patients with sepsis / compiled by A.P.L. Goodwin -- National Confidential Enquiry into Patient Outcome and Death, 2015
"This NCEPOD report highlights the process of care for patients aged 16 years or older with sepsis. The report takes a critical look at areas where the care of patients might have been improved. Remediable factors have also been identified in the clinical and the organisational care of these patients."

New books on display

Management of labor and delivery / edited by George A. Macones - 2nd ed. - Wiley Blackwell, 2016.

Clinical cases in general medicine / Sanjaya Senanayake - 3rd ed. - McGraw Hill, 2015.


Journals spotlight

Have you tried BrowZine yet?
BrowZine provides you full text access to most of our licensed scholarly journals straight to your mobile phone, tablet or laptop via the free app and also now as BrowZine Web for your desktop computer.

Note: BrowZine Web will work well on Chrome version 43+, Safari version 8+, Firefox version 31+ or Internet Explorer version 11+)

These links provide access to the current table of contents:


Australian and New Zealand journal of public health


CA: A cancer journal for clinicians


Disability and rehabilitation

Endocrine reviews

Evidence-based medicine

Heart, lung and circulation

Journal of the American College of Cardiology

Neonatal network

Nursing in critical care

Seminars in respiratory and critical care medicine

Looking for the latest journal issues? Try BrowZine or access via our Journal List.

All our journal titles with electronic access are available via the Journal List
(outside the Austin Health network use your Library barcode no. & PIN for access)

If you require an article from a journal that is not in the Journal List, please use our online document delivery form.


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