Publications

GERARD, K, DOBSON, M & HALL, J 1993, 'FRAMING AND LABELING EFFECTS IN HEALTH DESCRIPTIONS - QUALITY ADJUSTED LIFE YEARS FOR TREATMENT OF BREAST-CANCER', JOURNAL OF CLINICAL EPIDEMIOLOGY, vol. 46, no. 1, pp. 77-84.
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At present there is a growing interest in the use of cost-utility analysis (CUA) to a point where it merits serious consideration by health care decision makers. However, there remain a number of theoretical and practical issues to be resolved including

KEITH, AR, PIRKIS, JE, VINEY, RC, KATZ, CM, LAGAIDA, RM, BRITT, H & BADEN, L 1993, 'Atención Primaria en los Hospitales y los Centros de Salud en Australia', International Journal for Quality in Health Care, vol. 5, no. 2, pp. 180-180.
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KEITH, AR, PIRKIS, JE, VINEY, RC, KATZ, CM, LAGAIDA, RM, BRITT, H & BADEN, L 1993, 'Delivery of Primary Care in Hospital and Community Settings in Australia', International Journal for Quality in Health Care, vol. 5, no. 2, pp. 131-141.
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This study examined the interface between emergency departments and community general practice in terms of their delivery of primary care services. Through the collection of casemix and treatment data, and interviews with patients, information was gathered relating to the extent of primary care delivery in emergency departments, problems managed and treatments provided in the two settings and patients' characteristics and reasons for choosing to seek primary care in the emergency department. The results indicate a high proportion of primary care delivery is in emergency departments, and that there is a need for delivery in this setting to continue. The results are discussed in terms of such quality assurance issues as monitoring primary care in emergency departments and addressing patient needs. © 1993 Pergamon Press Ltd.

Kenny, P, King, MT, Cameron, S & Shiell, A 1993, 'Satisfaction with postnatal care — the choice of home or hospital', Midwifery, vol. 9, no. 3, pp. 146-153.
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Shiell, A, Cameron, S, Kenny, P & King, M 1993, 'A mother's choice: the reasons women choose hospital stay over early discharge', Health & Social Care in the Community, vol. 2, no. 2, pp. 69-76.
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Shiell, A, Kenny, P & Farnworth, MG 1993, 'The role of the clinical nurse co‐ordinator in the provision of cost‐effective orthopaedic services for elderly people', Journal of Advanced Nursing, vol. 18, no. 9, pp. 1424-1428.
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Positions for nurses as coordinators and case managers have developed in response to demands for increased efficiency in the provision of hospital care The Fractured Hip Management Programme in Western Sydney is one example of this development The programme was introduced in response to mounting concern about the demands on hospital resources from elderly patients with hip fracture A central feature of the programme is the pivotal role given to the nurse co‐ordinator working within a multi‐disciplinary team This is not a new nursing role; rather it explicitly recognizes skills developed as part of the traditional nursing role Evaluation of the programme found that patients received surgery sooner and spent less time in hospital, without adverse affects on outcome The results show that recognition of the role of the nurse as patient advocate and care manager can lead to more cost‐effective and higher‐quality care

Smith, RD, Hall, J, Gurney, H & Harnett, PR 1993, 'A cost‐utility approach to the use of 5‐fluorouracil and levamisole as adjuvant chemotherapy for Dukes’ C colonic carcinoma', Medical Journal of Australia, vol. 158, no. 5, pp. 319-322.
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Souza, PD, Smith, RD, Hall, J, Gurney, H & Harnett, PR 1993, 'A cost–utility approach to the use of 5‐fluorouracil and levamisole as adjuvant chemotherapy for Dukes' C colonic carcinoma', Medical Journal of Australia, vol. 158, no. 12, pp. 866-866.
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Shiell, A, Hall, J, Jan, S & Seymour, J CHERE 1993, Advancing health in NSW: planning in an economic framework, CHERE Discussion Paper No 23, Sydney.
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Health services planners have not for the most part used economic approaches. The production of the the 'Goals and Targets' documents by the NSW Department of Health and the Commonwealth Department of Health, Housing and Community Services respectively has further stimulated our interest in the role of economic analysis in the planning of health services. This led to a one-day workshop on the Economics of Health Service Planning convened by CHERE and co-ordinated by Professor Mooney. The workshop was attended by over forty planners representing each of the NSW Health Areas and Regions. This discussion paper summarises the material presented at that workshop