Topics
Ethics
Are some more equal than others? Challenging the basis for prisoners’ exclusion from Medicare
Prisons have substantially underinvested in health care — a mixed funding approach can help to overcome the problem
Tessa M Plueckhahn BA(Hons), JD · Stuart A Kinner PhD · Georgina Sutherland BAppSc(Hons), PhD · Tony G Butler PhD
Presentations with alcohol-related serious injury to a major Sydney trauma hospital after 2014 changes to liquor laws
New liquor licensing laws were effective in their first 12 months
Gordian WO Fulde FRACS, FACEM, FRCS/RCP(A · Myles Smith MB BS · S Lesley Forster MB BS, FRACMA, FAFPHM
Ethics and compliance hurdles in conducting multicentre low-risk research
Gaining ethics approval at one ethics committee involves effort, but in multicentre research projects, the effort is multiplied with non-concordant approval requirements
Merin V Pariyadan BPharm(Hons) · Elizabeth D Hotham PhD, MAppSc(Pharm), BPharm · Sean Turner MSc, BPharm · Sanjay Garg PhD, MPharm, MMgt
Legal criteria for involuntary mental health admission: clinician performance in recording grounds for decision
Did South Australian clinicians meet legal requirements regarding documentation of the grounds for involuntary mental health admission?
John Brayley BM BS, MHSM, FRANZCP · Andrew Alston BJuris, LLB, LLM · Kynan Rogers LLB(Hon)
“What should happen before asymptomatic men decide whether or not to have a PSA test?” A report on three community juries
Attitudes to what men should be told before undergoing a PSA test were examined
Chris Degeling PhD, BVSc · Lucie Rychetnik PhD, MPH · Kristen Pickles MPH · Rae Thomas PhD · Jennifer A Doust BM BS, PhD, FRACGP · Robert A Gardiner MD, FRCS, FRACS · Paul Glasziou BM BS, PhD, FRACGP · Ainsley J Newson PhD, LLB(Hons), BSc(Hons) · Stacy M Carter PhD, MPH(Hons)
Match of the decade: risk management of concussion versus high-speed collisions in the football codes
Do we need to change the way body-contact sports are played and administered?
John W Orchard MD, PhD, FACSP
Teledermatologists’ management of emergency skin conditions
Clinicians using teledermatology services must familiarise themselves with the relevant guidelines, hospital policies and privacy legislation
Anna R Finnane PhD · Greg Siller MB BS, FACD · H Peter Soyer MD
Transplantation of the heart after circulatory death of the donor: time for a change in law?
A change in the law is needed to allow procurement after circulatory death to maximise organ procurement
James Tibballs MD, MHlth · Neera Bhatia LLB(Hons), LLM, PhD
Can a medical researcher have too many publications?
It is not plausible that a researcher could author 50 or more publications a year and still adhere to the NHMRC authorship criteria
Anthony F Jorm PhD, DSc
Sexual abuse of doctors by doctors: professionalism, complexity and the potential for healing
Sexual abuse in the medical profession is a complex, multifaceted problem that needs evidence-based solutions
Louise E Stone MPH, MQHR, PhD · Kirsty Douglas DipRACOG, MD, FRACGP · Imogen Mitchell PhD, FRACP, FCICM · Beverley Raphael AM, MD, FRANZCP
Ethical challenges for doctors working in immigration detention
Responsibility for health care in detention must be transferred from the Department of Immigration and Border Protection to an independent body
Peter Young MB BS, FRANZCP
Sexual harassment in the medical profession: legal and ethical responsibilities
Sexual harassment in medicine has implications for employers, professional colleges and associations, and regulators
Ben Mathews PhD, LLB, BA · Marie M Bismark MB ChB, LLB, MPH
Ethical considerations in the management of Ebola virus disease
Is it ever ethically appropriate for health care workers to decline to care for patients with Ebola, and how should treatment decisions be made?
Thomas Solano MB BS, FRACP, FCICM · Gwendolyn L Gilbert MB BS, FRACP, FRCPA · Ian H Kerridge BA, FRACP, FRCPA · Vineet Nayyar MB BS, FRACP, FCICM · Angela Berry BAppSc(Nurs), MAppSc, PhD
Discrimination, bullying and sexual harassment: where next for medical leadership?
Medical colleges should take the lead in abolishing discrimination, bullying and sexual harassment
David AK Watters ChM, FRCSEd, FRACS · David J Hillis MHA, FRACMA, FRACS(Hon)
Precision medicine: are we there?
Implementation of precision medicine requires a multidisciplinary and systematic approach
Ingrid Winship MD, FRACP, FACD
State-based legal requirements for Schedule 8 prescriptions: why so complicated?
Inconsistent Schedule 8 prescription requirements between Australian states and territories create unnecessary complexity for health professionals
Andy C Hua BPharm · Finna Shen BPharm · Xiaoting Ge RN, CCRN
Records access and management on closure of a medical practice
Health practitioners who close a practice have immediate and ongoing legal obligations to their patients
David J Carter LLM(Res), LLB(Hons), BAComm
The Alcohol Mandatory Treatment Act: evidence, ethics and the law
Use of a medical intervention to deal with a perceived social problem should concern clinicians
Fiona Lander MB BS(Hons), LLB(Hons), MPH · Dennis Gray MA, MPH, PhD · Edward Wilkes AO, BA
Call for Australia's ratification of the Optional Protocol to the Convention against Torture
Independent oversight of immigration detention is essential to protect asylum seekers’ human rights
John-Paul Sanggaran MB BS, MHMed, BHSc · Deborah Zion PhD
The value of clinical ethics support in Australian health care
Clinical ethics support may benefit professional practice, and we should evaluate it in Australian health care
Ainsley J Newson BSc(Hons), LLB(Hons), PhD
Antenatal care for asylum seekers
Two paediatricians who have recently visited Nauru disagree with statements made by IHMS doctors
Hasantha Gunasekera MIPH(Hons), FRACP, PhD · David Isaacs MD, FRACP, FRCPCH
Medical negligence system must change
The current legal situation helps neither patients nor doctors
Kerry J Breen MB BS, MD, FRACP · David Weisbrot BA(Hons), JD
Government action on diabetes prevention: time to try something new
Four priority areas where government regulation could strengthen Australia’s response
Jenny C Kaldor BA(Hons), LLB(Hons), MSc · Roger S Magnusson BA/LLB(Hons), PhD, GradDipManagingDevelopment · Stephen Colagiuri MB BS, FRACP
Part of the fabric and mostly right: an ethnography of ethics in clinical practice
Would clinical ethics support services be useful in Australian hospitals?
Evan Doran BA, PhD · Jennifer Fleming BA, MHA, PhD · Christopher Jordens BA (Hons), MPH, PhD · Cameron L Stewart BEc, LLB(Hons), PhD · Julie Letts MBioeth · Ian H Kerridge MPhil, FRACP, FRCPA
Talking About The Smokes: a large-scale, community-based participatory research project
Objective: To describe the Talking About The Smokes (TATS) project according to the World Health Organization guiding principles for conducting community-based participatory research (PR) involving indigenous peoples, to assist others planning large-scale PR projects. Design, setting and participants: The TATS project was initiated in Australia in 2010 as part of the International Tobacco Control Policy Evaluation Project, and surveyed a representative sample of 2522 Aboriginal and Torres Strait Islander adults to assess the impact of tobacco control policies. The PR process of the TATS project, which aimed to build partnerships to create equitable conditions for knowledge production, was mapped and summarised onto a framework adapted from the WHO principles. Main outcome measures: Processes describing consultation and approval, partnerships and research agreements, communication, funding, ethics and consent, data and benefits of the research. Results: The TATS project involved baseline and follow-up surveys conducted in 34 Aboriginal community-controlled health services and one Torres Strait community. Consistent with the WHO PR principles, the TATS project built on community priorities and strengths through strategic partnerships from project inception, and demonstrated the value of research agreements and trusting relationships to foster shared decision making, capacity building and a commitment to Indigenous data ownership. Conclusions: Community-based PR methodology, by definition, needs adaptation to local settings and priorities. The TATS project demonstrates that large-scale research can be participatory, with strong Indigenous community engagement and benefits.
Sophia Couzos FAFPHM, FACRRM, FRACGP · Anna K Nicholson GDipPH, BPhty(Hons) · Jennifer M Hunt MPH, FAFPHM, PhD · Maureen E Davey MB BS, FAFPHM · Josephine K May · Pele T Bennet BHSc · Darren W Westphal MPH · David P Thomas MB BS, PhD, FAFPHM