Issues
Volume 221 Issue 8
Editor's choice
Setting targets, measuring costs, tracking health outcomes and learning lessons
This issue of the MJA has a range of articles that examine various aspects of the Australian health system, and which then reflect on the lessons that can be drawn.
Virginia Barbour
Perspective
30/60/90 National stroke targets and stroke unit access for all Australians: it's about time
Australia’s stroke treatment performance has stagnated. A well targeted national quality improvement effort is required
For the 30/60/90 National Stroke Targets Taskforce
Towards evidence‐based skin checks
Discussion of a more evidence-based approach to skin checks, including who to target for skin checks, what type of skin check, how often, the clinical setting, and resources, costs and quality frameworks
Linda K Martin · Pascale Guitera · Georgina V Long · Richard A Scolyer · Anne E Cust
Implementability and impact in clinical research and the role of clinical trial networks
A framework for planning, design and reporting of clinical trials, to optimise implementability
Helena J Teede · Karen Best · Frank H Bloomfield · Alan Cass · Paul Cohen · Sue Crengle · Tiffany Harris‐Brown · Stephen Jan · David W Johnson · Samantha Keogh · Anne McKenzie · Philippa Middleton · Sandra Peake · Hashim Periyalil · Paul A Scuffham · Angela Scheppokat · Greg R Sharplin · Steve Webb
Cost barriers to medication access in Australia: an analysis of the Patient Experience Survey in context
Medicines are less affordable for women, the ill, the young, and the socio-economically disadvantaged
Narcyz Ghinea
Ethics and law
Aligning legislation with clinical practice: off‐label prescribing under the microscope
A legal analysis of off-label prescribing in Australia. Can we harmonise legislation with clinical practice?
Narcyz Ghinea
Erratum
Erratum
Baumgart SWLW, English S, Sebastian T, et al. Group A streptococcal colitis: an under‐recognised entity? Med J Aust 2024 https://doi.org/10.5694/mja2.52382 In this medical education article, in the first sentence of the Discussion section, where it says “… an aerobic, β‐haemolytic, gram‐positive coccus”, it should say “… a facultative anaerobic, β‐haemolytic, gram‐positive coccus”.
Editorial
Harming those we intend to help: hospital‐acquired complications in patients with dementia
High quality care for patients with dementia should be promoted as core business for hospital staff
Emily H Gordon · Ruth E Hubbard
Research
The likelihood of hospital‐acquired complications in older people with dementia: a matched cohort study
Targeted models of person-centred care are needed to ensure the best outcomes for people with dementia who are admitted to hospital
Danielle Ní Chróinín · Vicki Deane · Rinsy Pulikotil Zachariah · Katrina Stott · Bernadette Shepherd · Margaret Perkins · Leesa Giang · Rozina Shekhar · Vaulina Vueti · Mandana Mayahi‐Neysi · Amy Montgomery · Kaye Rolls · Steven A Frost
Lessons learnt from the first two SARS‐CoV‐2 Omicron waves of the COVID‐19 pandemic in six remote Aboriginal and Torres Strait Islander communities in Queensland, Australia: a retrospective epidemiological review
Co-designed, collaborative partnerships between local councils, community-controlled health services, state health services and public health units likely had a positive impact on the management and outcomes of COVID-19 in Indigenous communities
Allison Hempenstall · Barbara Telfer · Sean Cowley · Shalomie Shadrach · Caroline Taunton · Jay Short · Nicolas Smoll · Roy Rasalam · Oscar Whitehead · Peter Roach · Karen Koko · Josh Stafford · Rittia Matysek · Renarta Whitcombe · Gulam Khandaker · Jason King · Nishila Moodley · Maree Finney · Rica Lacey · Steven Donohue · Richard Gair · Katie Panaretto
Research letter
An outbreak of reactive infectious mucocutaneous eruption (RIME) after Mycoplasma pneumoniae infections in Sydney, 2024: retrospective case series
RIME causes significant pain and distress, but the prognosis is good, with recovery expected within 14 days
Joseph Joseph · Kelvin Truong · Artiene Tatian · Orli Wargon
A rise in Mycoplasma pneumoniae respiratory infections in Victoria in late 2023 and early 2024 detected at two major testing laboratories
The number of M. pneumoniae infections in Victoria began increasing in October 2023, but no signals for greater disease severity were detected
Maryza Graham · Thomas Tran · Changxu Zhang · Michelle Sam · Andrew Daley · Kathy Jackson · Chuan Kok Lim
Guideline summary
Recommendations from the 2024 Australian evidence‐based guideline for unexplained infertility: ADAPTE process from the ESHRE evidence‐based guideline on unexplained infertility
If we are to offer accessible, equitable, cost-effective fertility services to people who desire a child, we need to align to best practice evidence
For the Australian NHMRC Centre for Research Excellence in Reproductive Life UI Guideline Network and the ESHRE guideline group for unexplained infertility
The crux of modern health care challenges
Michael Skilton
The national Cardiovascular Health Leadership Research Forum: a new data‐driven model placing research at the centre of improving patient outcomes
For the Cardiovascular National Health Leaders Research Forum Writing Group
Custodial dermatology for First Nations peoples: a niche service caring for incarcerated communities
Dana RML Slape (Larrakia) · Penelope A Abbott · Kelvin M Kong (Worimi)
Theme issue on women's health: taking a holistic view
Francis Geronimo
Pregnancy, childbirth and the postpartum period: opportunities to improve lifetime outcomes for women with non‐communicable diseases
Jenny A Ramson · Myfanwy J Williams · Bosede B Afolabi · Stephen Colagiuri · Kenneth W Finlayson · Bianca Hemmingsen · Kartik K Venkatesh · Doris Chou
Leave no‐one behind: reducing health disparities for women experiencing homelessness in Australia
Lisa J Wood · Rhiannon C Villiers
Pharmaceuticals in pregnancy: a multifaceted challenge in Australia
Stefan C Kane · Renuka Shanmugalingam · Amanda Henry