by Fuzzyone
I've been in Australia for the past couple of weeks and it had been my intention to blog while here but best laid plans bowed to time demands of running two kids around Australia (one with a broken arm, but that's another story that I hope to get around to telling).
Right now though I want to tell you about a taxi ride. We took about a ten minute ride in a taxi driven by a very nice, middle aged, Australian. He had the stereotypical native Aussie look, for those of you who know it, big, brawny, round faced. As with most Australians we met he was also very kind and hospitable.
The entire ride was a soliloquy on the glories of Australia. Some that I remember include: The first state to give women the right to vote, the second social security system, a high minimum wage (over $15 an hour), health care for all. Most of all he said that there was not such thing as a working poor homeless person. The only homeless people are those who are mentally ill, and they try hard to help them too.
What was so remarkable about this was not the fact that Australia is a social democracy with all of the support for it citizens that this implies. What was remarkable to me, as an American, was the obvious pride our taxi driver had in the support that his country gives to its citizens. In the United States these things have increasingly been painted as undesirable at best, and evil at worst.
I'm not sure how we convert attitudes in the United States to a more enlightened view, but it was nice to reminded that it is possible.
Showing posts with label Australia. Show all posts
Showing posts with label Australia. Show all posts
Tuesday, May 8, 2012
Wednesday, April 11, 2012
87% of people older than 50 took one or more drug, according to Australian survey
A postal survey included a random sample of 4,500 Australians aged ≥ 50 years between in 2009-2010 and the response rate was 37%. Medications use was very common, 87% of participants took one or more drug (called medicines in Australia) and 43% took five or more in the previous 24 hours.
Complementary medicines were used by 46% of participants.
The most commonly used medications were:
- antihypertensive agents, 43% of participants
- natural marine and animal products including fish oil and glucosamine, 32%
- lipid-lowering agents, 30%
Doctors recommended 79% of all medications and 93% of conventional medications.
Much medicines use was to prevent future disease by influencing risk factors.
In a 2011 study, 4 medication classes were linked to 67% of drug-related hospitalizations:
- warfarin, 33%
- insulins, 14%
- oral antiplatelet agents, 13%
- oral hypoglycemic agents, 11%
High-risk medications were implicated in only 1.2% of hospitalizations.
50% of these hospitalizations were among adults 80 years of age or older. 65% of hospitalizations were due to unintentional overdoses.
Classification of adverse reactions to drugs: "SOAP III" mnemonic (click to enlarge the image):
Adverse drug reactions (ADRs) affect 10–20% of hospitalized patients and 25% of outpatients.
Rule of 10s in ADR:
10% of patients develop ADR
10% of these are due to allergy
10% of these lead to anaphylaxis
10% of these lead to death
References:
A national census of medicines use: a 24-hour snapshot of Australians aged 50 years and older. Tessa K Morgan, Margaret Williamson, Marie Pirotta, Kay Stewart, Stephen P Myers and Joanne Barnes. MJA 2012; 196 (1): 50-53, doi: 10.5694/mja11.10698
4 medication classes linked to 67% of drug-related hospitalizations
Image source: Wikipedia, public domain.
Wednesday, March 23, 2011
86% of Australian doctors report high rates of job satisfaction - see why
More than 80% of Australian doctors are moderately or very satisfied with their jobs, a national survey has found.The survey, of 10 498 doctors, 19% of those who were contacted and eligible, found that 86% were moderately or very satisfied with their jobs, with no significant differences between GPs, specialists, and specialists in training. Hospital non-specialists were less satisfied.
- a good support network
The predictors of high professional satisfaction included:
- a good support network
- a household with a high income
- patients with realistic expectations w
- being able to take time off
- being able to take time off
- being younger or close to retirement
- having good self reported health.
Female GPs earn an average 25% less than their male counterparts and that GPs on average earn 32% less than specialists. The average annual pretax personal earnings of GPs and specialists were $US 180 000 and $US 316 570, respectively.
With Australia in the throes of national health reform, the researchers said that their findings set an important baseline for examining the effects of policy changes on doctors’ job satisfaction.
The survey was conducted between June and November 2008, before the Australian government announced its national health reform agenda.
Twitter comments:
@gastromom (Meenakshi Budhraja): What are comparative figures in the US - 80% of Australian doctors report high rates of job satisfaction http://goo.gl/mchQT”
@PMillerMD (Philip Miller): 80% of Australian doctors report high rates of job satisfaction. / What is it in US? And if lower, why? I suspect payment morass.
@cotterj1 80% of Australian doctors report high rates of job satisfaction http://goo.gl/mchQT -> Explains why half the HSE docs are gone!
@SeattleMamaDoc (WendySueSwanson MD): "A good support network" goes long way.
@docmuscles (Adam Nally, D.O.) This was before the health care reform (HCR).
References:
Australian doctors report high rates of job satisfaction. BMJ 2011; 342:d119 doi: 10.1136/bmj.d119 (Published 10 January 2011)
Australian doctors’ satisfaction with their work: results from the MABEL longitudinal survey of doctors. MJA 2011; 194 (1): 30-33.
Image source: Wikipedia, public domain.
Thursday, October 7, 2010
R U OK? Day
Suicide is second to only accidental death as the leading cause of mortality in young men across the world. High-lethality methods of suicide are preferred by young men: hanging and firearms in high-income countries, pesticide poisoning in the Indian subcontinent, and charcoal-burning in east Asia (Lancet, 2012).
Hugh Jackman shows his support for R U OK?Day, a national day of action that aims to prevent suicide by encouraging people to connect with colleagues, friends and loved ones and ask: "Are you OK?". Suicide prevention in Australia: "A conversation could save a life", link via @dreamingspires.
References:
http://ruokday.com.au R U OK? Matt's Notes
Hugh Jackman shows his support for R U OK?Day, a national day of action that aims to prevent suicide by encouraging people to connect with colleagues, friends and loved ones and ask: "Are you OK?". Suicide prevention in Australia: "A conversation could save a life", link via @dreamingspires.
References:
http://ruokday.com.au R U OK? Matt's Notes
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