Objective To report the frequency of 27 enhanced pharmacy services (EPS) provided in Australia's community pharmacies and to analyse barriers and facilitators for providing priority services. Setting A large representative sample of community pharmacies in Australia in 2002. Method Questionnaires were mailed to owners or managers of a stratified, representative sample of Australia's community pharmacies; 1131of 1391 consenting pharmacies responded (81.3%). Specifically trained staff, fees charged, structural and other components and plan to introduce EPS were analysed. The barriers and facilitators for all EPS were rated by a Likert scale. Logistic regression models tested for predictors for providing one or more EPS and those related to Australia's National Health Priorities. Key findings Eighty‐eight per cent of Australia's community pharmacies offered ≥1 EPS. More than 40% offered EPS for asthma, diabetes, methadone, herbal medicines, hypertension and wound care. Pharmacies with higher turnover (odds ratio (OR), 1.90; 99% confidence interval (CI) = 1.05–3.42) and younger owners (OR for age, 0.69; 99% CI = 0.48–0.99) were predictors for providing ≥1 EPS. Higher turnover was a predictor for diabetes care. Enclosed counselling area was a predictor for hypertension care. Owners and managers committed to continuing education was a predictor for diabetes and hyperlipidaemia services. Significant barriers perceived were lack of confidence for diabetes care and not being regarded as ‘part of the job’ for asthma, diabetes, hypertension and weight‐management services. Conclusion The percentages of pharmacies in Australia that provided equivalent EPS were similar or higher than the UK, New Zealand and USA. The frequency of existing and planned EPS appeared disproportionately low to satisfy national health priorities. Significant barriers and facilitators and pharmacy characteristics for providing EPS were identified. The results assist national bodies to increase the uptake of EPS by pharmacies.
This longitudinal investigation evaluated the validity of letter-name fluency (LNF) and nonsense word fluency (NWF) measures as indicators of early reading skill with a sample of 39 kindergarten children.In the spring of kindergarten and first grade, these children responded to a battery of language, readingrelated, and reading measures. Construct and social consequential validity were evaluated through concurrent and predictive criterion-related validity coefficients, multiple regression analyses, and classification analysis. Evidence supportive of validity was found for both fluency measures, with NWF receiving the strongest support. Both fluency measures were more sensitive to poor reader status in first grade than any other measure when reading was defined by oral reading fluency. These findings extend the usefulness of NWF to the early identification of kindergarten students.
The academic success of students is a priority for all universities. This study identifies factors associated with first year academic success (performance and retention) that can be used to improve the quality of the student learning experience. A retrospective cohort study was conducted with a census of all 381 full time students enrolled in the Bachelor of Health Science at The University of Western Australia since the inception of the course in the year 2000. Factors found to be associated with successful academic performance were high matriculation score, female sex, non-Indigenous status, attendance at a government secondary school, upfront payment of university fees and completion of secondary school English Literature. The most influential factor on first year academic performance was a high matriculation score. Retention into second year was found to be influenced by participation in the university mentor scheme, non-Indigenous status and first year university marks. The factor of most influence on student retention was first year university marks. Valuable information about the performance and retention of first year Bachelor of Health Science students is provided in this study which is relevant to the operational priorities of any university.
Objective To report the characteristics of community pharmacies in Australia and analyse them for their association with pharmacists' consultation time.Setting A large representative sample of community pharmacies in Australia in 2002. Method Questionnaires were mailed by an independent survey group to managers and owners in a national sample of pharmacies stratified into six zones. Questionnaires were returned by 1131 of 1532 pharmacies contacted (73.8%). The data were analysed using the general linear model (GLM) for univariate analysis. Key findings: Male pharmacists comprised 76.3% of pharmacy owners and 39.5% were aged ≥ 51 years. Most pharmacies (81.1%) had one or two pharmacist owners, and 51.3% of pharmacies were members of marketing groups. Medicines accounted for approximately 75% of annual sales and occupied a minority of the average total area of 187.2 m 2 . Pharmacies opened for an average of 55.5 h per week. Pharmacists spent 18.8% of their time on patient consultation. This was significantly related to pharmacies with forward pharmacy dispensing areas (P < 0.001), which were owner or partner operated (P < 0.002) and had high numbers of customers (P < 0.004). Holding national accreditation status and belonging to a banner group may be additional factors. Conclusions Ownership of community pharmacies in Australia is dominated by pharmacists in contrast to the minority pharmacist ownership in the USA and England. Owners and managers of pharmacies were mainly male and older than other staff. Pharmacists working in pharmacies with a forward dispensing area, designed to facilitate patient consultation, were significantly more likely to provide increased consultation time for patients. Owner-or partner-operated pharmacies, and pharmacies with high numbers of customers were also significantly associated with patient consultation time. The strength of association between membership of marketing groups and national accreditation with consultation time requires more evidence.Community pharmacy practice, including the pharmacists and the environment where they work, have changed in many countries from a mainly dispensing function to include a wide range of other services involving medicines and health.
Background: The aim of this study was to describe the demographic and health and lifestyle factors associated with dental service attendance in the previous 12 months by young Australian adults (18-24 years). Methods: Population-based data from the 2001 Australian National Health Survey were analysed. Proportions and single associations between variables of interest and dental service attendance were calculated. A logistic regression analysis using significant single association variables was then conducted. Results: Overall, 41 per cent of young adults in this study had visited a dental professional in the previous 12 months. Females, those in cities, those with private insurance, those who spoke languages other than English, those in the highest socioeconomic group and those with healthy behaviours were subgroups most likely to have visited a dental professional. With logistic regression, factors found to be associated with dental services attendance were being female, having private health insurance and low alcohol consumption. Conclusions: In this study, the proportion of young adults who had visited a dental professional in the previous 12 months was only 41 per cent. It is therefore suggested that oral health policy and promotion activities be encouraged for this group, paying attention to young adults in groups with low attendance.
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