Category Archives: evidence-based issues

Food regulator is failing public health, says nutrition expert

In a Crikey piece published today, Dr Rosemary Stanton has subjected the composition of the Food Standards Australia NZ board to some critical analysis. Her conclusion is that the interests of public health are under-represented, especially in comparison with the strong representation of industry.
Does this matter? Why should public health interests be better represented?
Croakey has [...]

Some more questions about hospital performance

Croakey has previously argued that the Productivity Commission inquiry into public and private hospital performance has overly narrow terms of reference.
Below you can read some more suggestions for the Commission from several Croakey contributors, but first have a look at how much further the debate on hospital performance has advanced in some other countries.
In the [...]

Suggestions for the Productivity Commission’s inquiry into hospital performance

Professor Guy Maddern, RP Jepson Professor of Surgery at the University of Adelaide, has some suggestions for the Productivity Commission’s inquiry into the relative performance of public and private hospitals (further to the recent Croakey post on this matter).
He writes:
“Any assessment of the public and private sector needs to look at a range of [...]

NHMRC boss: we are looking into management of competing interests

Professor Warwick Anderson, ceo of the NHMRC, has sent in the following comment re the guidelines controversy. (Readers with an interest in these issues may want to check out the details of a workshop being held by the NHMRC in Canberra on June 2):
“Last week, the National Health and Medical Research Council (NHMRC) released for [...]

Guidelines should be divorced from industry: Prof Guy Maddern

Professor Guy Maddern, professor of surgery at the University of Adelaide, comments on the ongoing controversy over guideline development (see posts below for more background):
“The nature and content of health care needs to be constantly reviewed.   This remains an enormous challenge as the impact of new developments, new understandings of disease and the access to [...]

Some critical issues for clinical practice guidelines

Agnes Vitry, Senior Research Fellow, School of Pharmacy and Medical Sciences, University of South Australia, has sent in this detailed, thoughtful response to the recent Croakey survey on the issues surrounding the controversial, commercially-funded Australian and NZ guidelines for blood clot prevention (for more background, see previous Croakey posts).
Vitry’s comments are well worth a read:
1. [...]

The guidelines controversy: what do the experts think?

Following the recent controversy about Australian and NZ guidelines for preventing blood clots, Croakey asked some relevant parties for their views on:
• whether  health departments, hospitals,  safety and quality groups be reviewing their support for these particular  guidelines in response to the concerns raised in the MJA and elsewhere?
• whether such agencies also review their [...]

The blood clot controversy thickens

Last April, journalist Ray Moynihan wrote this Crikey article revealing that public hospital “guidelines”, recommending widespread use of a group of drugs to stop serious blood clots, had been funded by Sanofi-Aventis, the company that makes one of these drugs.
Moynihan subsequently also reported that an international PR firm Fleishman-Hillard, was involved in a high-profile campaign, [...]

A damning indictment of maternity care

The awful irony about maternity care, as an important new report from the US makes clear, is that it is the field that helped launch the evidence-based health care revolution.
The irony arises because is a field which is rife with examples of non evidence-based practice. Interventions which have been proven to be of benefit are [...]

The hijacking of medical education

Brett Forge, a physician and cardiologist from Warragul in Victoria, has sent in the
following comments regarding his inclusion on the Crikey Register of Influence:
Dear Crikey
Many thanks for the dubious honour of being included on your register of influence.
It is an inadequate way of investigating medical corruption but it may at least start a discussion on [...]