Publications by authors named "Liz Hay"

Objective: Patient reported measures of hospital care are known predictors of readmission, even after accounting for risk related to age and comorbidities. This study aimed to determine the association between patient experience of diabetes-related foot disease (DFD) hospital care and unplanned hospital readmission, with a primary focus on DFD-related readmissions and a secondary focus on all-cause readmissions.

Methods: A retrospective longitudinal cohort study was conducted by linking NSW Adult Admitted Patient Survey data with administrative hospital data for persons hospitalised with DFD identified through diagnostic and/or procedure codes.

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Objective Clinician's experiences of providing care are identified as a key outcome associated with value-based healthcare (VBHC). In contrast to patient-reported experience measures, measurement tools to capture clinician's experiences in relation to VBHC initiatives have received limited attention to date. Progressing from an initial 18-item clinician experience measure (CEM), we sought to develop and evaluate the reliability of a set of 10 core clinician experience measure items in the CEM-10.

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Article Synopsis
  • The study aimed to identify key unanswered questions about preventing, diagnosing, treating, and rehabilitating first-time soft-tissue knee injuries in children and adults.
  • Using the James Lind Alliance methodology, over 1,000 questions were gathered from patients and healthcare professionals in the UK, narrowing down the inquiries to 74 based on common concerns.
  • The final ranking revealed the top ten priorities for future research, with the top question addressing the urgency of treatment for optimal outcomes, which has been submitted to the National Institute for Health and Care Research.
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Purpose: The primary treatment recommended for early-stage breast cancer is breast conserving surgery followed by external beam radiation therapy of the whole breast. Previously, radiation therapy for early-stage breast cancer was given using more fractions over longer durations. Guidelines support treatments with fewer fractions over a shorter time (hypofractionated radiation therapy).

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Article Synopsis
  • - The research focused on creating and validating the Clinician Experience Measure (CEM) to evaluate clinicians' experiences in value-based healthcare, addressing a gap in current assessment tools.
  • - A collaborative approach involving 12 clinician leaders resulted in a revision of an initial 31-item instrument to a final robust 18-item version, validated through extensive testing with 433 healthcare professionals across New South Wales.
  • - The finalized CEM, which includes four domains related to clinician experience, demonstrates strong reliability and is intended for healthcare leaders to assess and improve value-based care initiatives.
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Unlabelled: This detailed 11-year longitudinal analysis calculated the public health cost of managing refractures in people aged ≥ 50 years in Australia's most populous state. It provides current and projected statewide health system costs associated with managing osteoporosis and provides a foundation to evaluate a novel statewide model of fracture prevention.

Purpose: The purpose of this longitudinal analysis was to calculate current and projected refracture rates and associated public hospital utilisation and costs in New South Wales (NSW), Australia.

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Background: Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation.

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Introduction: Unwarranted clinical variation (UCV) can be described as variation that can only be explained by differences in health system performance. There is a lack of clarity regarding how to define and identify UCV and, once identified, to determine whether it is sufficiently problematic to warrant action. As such, the implementation of systemic approaches to reducing UCV is challenging.

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Objective Effective health care for older people with complex health needs requires a diverse range of healthcare professionals working together. The Building Partnerships Framework of the New South Wales Agency for Clinical Innovation seeks to promote collaboration and integration among service providers. The aim of the present study was to inform implementation and evaluation of the Framework.

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