Suchergebnisse

IntroductionThe Coordination of Health Care study was developed by the Australian Institute of Health and Welfare in partnership with the Australian Bureau of Statistics (ABS) to fill an important data gap relating to patient-reported experiences of continuity of care across Australia.
Objectives and approachThe 2016 Survey of Health Care was administered by the ABS. Over 35,000 responses were weighted to population benchmarks before being linked toadministrative datasets including hospital and emergency department care, Medicare Benefits Schedule and Pharmaceutical Benefits Scheme.
These linked datasets aim to provide a comprehensive picture of patient journeys in relation to patient-reported experiences of continuity of care.
The cross-jurisdictional data linkage spanned state and federal agencies, data linkage units and state health departments. Approvals across 10 different ethicscommittees were sought. Study management included governance and compliance with state and federal privacy legislation, negotiation of safe transfer of sensitive information across organisations, data interrogation, understanding data quality and study limitations.
Specific challenges included sensitivities in response to requested data variables, obtaining private hospital data, understanding state based legislation, particularly in changes to guardianship and consent, working across jurisdictions to meet requirements and communicating linkage protocol.
ResultsAll hospital linked datasets were received in early 2020 and currently being validated. Analysis of linked data will investigate continuity themes on low urgencycare and potentially preventable hospitalisations.
ConclusionFive key lessons learned from the cross-jurisdictional data linkage:

Engage with jurisdictional-based organisations early. Leveraging existing committees in the first instance can help.
Be specific in documentation and approach.
Subtly, every state is different. Local context and state legislation matter.
Governance ethics and compliance take time. Get started early.
Liaise broadly, across and between organisations.

Background with rationaleTransport is an under-recognised wider determinant of health. But, there is growing recognition, among policy makers and the general public, that significant modal shift, from cars and to greater use of public transport and active travel is needed to improve and protect health directly and indirectly, and in the short and long term, including with regards to climate change.
In Wales, this comes when a new Welsh Transport Strategy is being written. This is likely to encourage greater recognition of the links between transport and health and demand data to support understanding of the ways in which transport affects health, as well as to evaluate the effects of the strategy, and to support wider research into the links between transport and health.
Main AimThis suggests the need for a formal, routine transport and health surveillance system. This study will therefore aim to determine whether this is needed.
Methods/ApproachThe approach is a review of existing systems and the evidence for the links between transport and health.
ResultsThis paper will present the results of the review noted above and outline the rationale for and structure of a Welsh Transport and Health Surveillance System that will support policy evaluation at local and national levels.

Blended learning has transformed the landscape of classrooms over the past few years, as technology has become more readily accessible. This review of literature aims to explore this transformation by looking into the history leading up to the regular use of technology in the classroom, as well as the theoretical frameworks that support the premise of blended learning. Several significant themes in the literature are discussed, next, in addition to some of the main oppositions to the implementation of blended learning. Legislation pertaining to blended learning and technology in education is briefly described, followed by a description of the impacts that the successful implementation of effective blended learning environments can have on students, teachers, and districts. To conclude, several areas for future research are addressed.

How does a one-year-old's mind and personality develop and grow? How does your role as a parent change when your baby starts to walk, talk and really explore the world around her? How do you support and understand your very young child as his independence increases and he starts to become a toddler, beginning to learn to dress himself, share toys and play with other children. Sarah Gustavus Jones offers guidance, reassurance and sensitive exploration of the central issues you can be aware of as your child's physical and emotional needs develop and change