OCCUPATIONAL THERAPY CREATES PROFOUND IMPACTS ON CLIENT AND PATIENT LIVES
Margeaux Bartholomew-Carle
Occupational Therapist &
Chief Executive Officer, Ardant
PEOPLE IN HEALTH CARE
Filmed in Adelaide, South Australia | December 2024
In Australia, access to allied health services such as occupational therapy is increasingly challenging. Barriers like long wait times affect over 600,000 National Disability Insurance Scheme (NDIS) and 1.5 million aged care participants. With both cohorts expected to grow exponentially in coming years, the pressure on an already stretched system is set to increase.
Australian Health Journal met with one Occupational Therapist who encourages those entering the profession to embrace continuous learning and seek mentorship to maximise their impact on clients’ lives. Through her company she has a nation-wide mission to transform client access to allied health services like occupational therapy using artificial intelligence (AI).
Margeaux Bartholomew-Carle is an Adelaide based registered Occupational Therapist and the Founder and CEO of Ardant.
Throughout her career, Margeaux has worked in various settings, including aged care, disability, assistive technology, prescription, and mental health. This diverse experience has deepened her understanding of the different needs among client groups.
A significant turning point came when she worked as a solo practitioner and realised that the heavy administrative burden often kept her from important family moments, especially while her father was in the hospital with advanced prostate cancer. This experience motivated her to establish Ardant, focused on enabling OTs to prioritise client care over administrative tasks.
Under her leadership, Ardant has created an all-in-one online practice management platform designed to reduce administrative burdens for independent occupational therapists across Australia, ultimately enhancing access to OT services and improving client outcomes.
Margeaux believes that the role of occupational therapists is gaining recognition, particularly with the introduction of the NDIS, but acknowledges there are persistent misconceptions about the profession. To raise awareness, she advocates for targeted campaigns to educate GPs, health professionals, and the public about the value of OT in primary healthcare.
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New clinical research entity first to operate across both Australia and New Zealand
Over the past 30 years, 18,000 clinical trials that have been registered in Australia, with the sector contributing $1.4 billion to Australia’s economy annually. Trials are a critical aspect of evidence-based medicine, and are essential for testing how new treatments, tests and vaccines will work. In New Zealand they contribute $146 million to the New Zealand economy.
To capitalise on this unique position and growth, a coordinated multi-site clinical research operation was missing, until now.
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Continuity of Care under COVID-19
Series 3, Episode 1
Under the COVID-19 pandemic, the Australian Healthcare system has handled the public health crisis by monitoring and responding to challenges in supply chains, testing & tracing of new infections and stock piling of essential equipment.
The public has largely responded by practising social distancing, understanding how hand hygiene can spread contagion and recently installing the COVIDSafe mobile application. Public health messaging has been largely effective and literacy improve, to combat the dangers of misinformation.
To open up access to medical advice during the pandemic, in March the Australian government issued MBS item codes for telehealth consultations, for advanced practice nurses as well as GPs and other specialists.
According to AMA President Dr Tony Bartone, as of mid-May 2020, around 10 million Medicare-funded telehealth services have been provided, either over the phone or via video, a significant majority of which have been provided by GPs and other specialists since the Medicare telehealth items were introduced in March.
However in recent months, the health system has mounting concerns on:
- a reduction in general practice visits for testing, investigation or immunisation
- lower rates of elective procedures resuming since being halted
- reduction in laboratory testing
- reduction in treatments and diagnosis of chronic and acute conditions
- access to, and continuing to take medications
Those with pre-existing conditions have been urged to keep appointments and routine treatments to maintain their health.
Industry has taken action such as the newly formed Continuity of Care Collaboration (CCC). The 15 health organisations forming CCC are an Australian first national communication collaboration of Peak Bodies, Industry and Healthcare Organisations coming together to stress the importance for people to continue monitoring their health and maintaining their regular care.
This Australian Health Journal episode on the continuity of care was produced with commentary from the following health industry associations and organisations: APNA – Australian Primary Health Care Nurses Association, RACGP, Medical Technology Association of Australia (MTAA), West Cessnock Medical Practice, Consumers Health Forum of Australia, Medicines Australia
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Dental and oral health care priorities for the elderly
In 2023, there are a number of changes occurring in dental services including the start of a new Senate inquiry and new registered nurses in residential aged care. Yet in the meantime there are gaps and delays in dental and oral health interventions for elderly Australians, unless training is more widely deployed.
Australian Health Journal spoke to Leonie Short, a dental therapist working for Seniors Dental Care Australia on what she considers are dental and oral health priorities for the elderly, based on her work in the aged, home and disability sectors.
