Epworth Collection:
http://hdl.handle.net/11434/44
2024-03-28T10:29:35ZResearch Week 2015 15-19 June.
http://hdl.handle.net/11434/2268
Title: Research Week 2015 15-19 June.
Epworth Authors: Epworth Research Institute
Abstract: Summary of posters presented during Epworth Research Week 20152015-06-01T00:00:00ZSocial determinants of health in the U.S.: a framework to support superior care co-ordination and leverage digital health solutions.
http://hdl.handle.net/11434/2260
Title: Social determinants of health in the U.S.: a framework to support superior care co-ordination and leverage digital health solutions.
Epworth Authors: Wickramasinghe, Nilmini
Abstract: Objectives
The social determinants of health are made up of the economic and social conditions that influence individual and group differences in one's health status. Essentially, when taken together, they make up the health promoting factors found in one's living and working conditions (such as the distribution of income, wealth, influence, and power) which in turn affect the risk for a disease, or vulnerability to disease or injury for individuals or groups. The following develops a holistic framework to support superior care co-ordination grounded around addressing voids in the social determinants of health and leveraging opportunities with technology developments so that current voids can be addressed in order to assess and then develop targeted strategies and solutions to ameliorate problem areas and enable better care to ensue.
Methods
A qualitative research approach was adopted including a literature review, coupled with a survey of key issues and then thematic analysis focused on a priori themes around socio-technical aspects of healthcare
Results
Based on the findings from the thematic analysis performed a framework to support superior care co-ordination was developed.
Conclusions
The developed framework serves to identify the social determinants of health and suggests how we can better address critical factors so that we can reduce risks and vulnerabilities as well as opportunities to leverage advances in technology in this regard.2021-05-01T00:00:00Z"Building the plane while flying it”: Reflections on pandemic preparedness and response; an organisational case study.
http://hdl.handle.net/11434/2259
Title: "Building the plane while flying it”: Reflections on pandemic preparedness and response; an organisational case study.
Epworth Authors: Hutchinson, Anastasia; Redley, Bernice
Abstract: Background
The COVID-19 pandemic provided a unique opportunity to learn about acute health organisations experiences implementing a pandemic response plan in real-time. This study was conducted to explore organisational leader’s perspectives and experience activating a COVID-19 pandemic response plan in their health service and the impact of this on service provision, clinicians, and consumers.
Methods
This study was conducted at a large metropolitan health service in Australia that provides acute, subacute, and residential aged care services. Semi-structured interviews were conducted with 12 key participants from the COVID-19 leadership team between November-January 2021/2022. A semi-structured interview guide was developed to explore how the health service developed a clinical governance structure, policy and procedures and experience when operationalising each element within the Hierarchy of Controls Framework. Thematic analysis was used to code data and identify themes. A cross-sectional survey of frontline healthcare workers on the impacts and perceptions of infection control practices during the COVID-19 pandemic, was also completed in 2021 with 559 responses.
Results
Twelve organisational leaders completed the semi-structured interviews. Key themes that emerged were: (1) Building the plane while flying it, (2) A unified communications strategy, (3) Clinicians fear ‘my job is going to kill me’, (4) Personal Protective Equipment (PPE) supply and demand, and (5) Maintaining a workforce. When surveyed, front-line healthcare workers responded positively overall about the health services pandemic response, in terms of communication, access to PPE, education, training, and availability of resources to provide a safe environment.
Conclusion
Health service organisations were required to respond rapidly to meet service needs, including implementing a pandemic plan, developing a command structure and strategies to communicate and address the workforce needs. This study provides important insights for consideration when health service leaders are responding to future pandemics. Future pandemic plans should include detailed guidance for acute and long-term care providers in relation to organisational responsibilities, supply chain logistics and workforce preparation.2023-09-01T00:00:00ZEquip Evaluation and Quality Improvement Program Assessment Tool
http://hdl.handle.net/11434/2258
Title: Equip Evaluation and Quality Improvement Program Assessment Tool
Epworth Authors: Epworth HealthCare
Editors: Epworth HealthCare1997-01-01T00:00:00Z