ORCID Profile
0000-0001-8725-5310
Current Organisations
University of South Australia
,
Flinders University
,
University of Adelaide
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Publisher: Elsevier BV
Date: 09-2010
Publisher: Elsevier BV
Date: 2011
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 24-04-2012
DOI: 10.1161/CIRCULATIONAHA.111.083394
Abstract: Access to cardiac services is essential for appropriate implementation of evidence-based therapies to improve outcomes. The Cardiac Accessibility and Remoteness Index for Australia (Cardiac ARIA) aimed to derive an objective, geographic measure reflecting access to cardiac services. An expert panel defined an evidence-based clinical pathway. Using Geographic Information Systems (GIS), the team developed a numeric/alphabetic index at 2 points along the continuum of care. The acute category (numeric) measured the time from the emergency call to arrival at an appropriate medical facility via road ambulance. The aftercare category (alphabetic) measured access to 4 basic services (family doctor, pharmacy, cardiac rehabilitation, and pathology services) when a patient returned to his or her community. The numeric index ranged from 1 (access to principal referral center with cardiac catheterization service ≤1 hour) to 8 (no ambulance service, hours to medical facility, air transport required). The alphabetic index ranged from A (all 4 services available within a 1-hour drive-time) to E (no services available within 1 hour). The panel found that 13.9 million Australians (71%) resided within Cardiac ARIA 1A locations (hospital with cardiac catheterization laboratory and all aftercare within 1 hour). Those outside Cardiac 1A were overrepresented by people years of age (32%) and indigenous people (60%). The Cardiac ARIA index demonstrated substantial inequity in access to cardiac services in Australia. This methodology can be used to inform cardiology health service planning and could be applied to other common disease states within other regions of the world.
Publisher: Scholink Co, Ltd.
Date: 29-11-2018
Abstract: em Breast Screen Australia is a national breast cancer screening program which aims to reduce illness and death from breast cancer through early detection using mammography. Through this program women aged 40 and over in Australia are eligible for a free mammogram every two years. Around 55% of the target population participate in the program. Understanding the accessibility of breast screen services has the potential to improve the uptake of screening services. Spatial analysis of in idual breast screen services: opening hours, disability and accessibility infrastructure, parking and transport data can be used to describe the accessibility of breast screen services. Through highlighting regional accessibility to breast screen services it is possible to identify regions where accessibility to services could be increased to improved equity in health service provision. /em
Publisher: University of Illinois Libraries
Date: 28-12-2016
Abstract: Good quality data on Aboriginal and Torres Strait Islander peoples are needed to assess the effectiveness of programs and interventions, and to evaluate policies that are designed to improve the status of, and service delivery to, Aboriginal and Torres Strait Islander peoples. Due to the lack of longitudinal data it is difficult to gain knowledge on the specific causes or consequences of changes in indigenous outcomes. Variables such as name, date of birth and address variables for Aboriginal and Torres Strait Islanders may be subject to more variation and be less consistently reported among Aboriginal and Torres Strait Islander Australians than among other Australians. Improving the collection and management of key identifying variables for Aboriginal and Torres Strait Islanders are key to providing more quality information on this population group.
Publisher: Elsevier BV
Date: 05-2012
Publisher: Elsevier BV
Date: 2010
Publisher: Elsevier BV
Date: 2010
Publisher: Frontiers Media SA
Date: 06-09-2022
DOI: 10.3389/PHRS.2022.1604856
Abstract: Objectives: This scoping review identifies and details the scope of practice of health professionals who provide palliative care within the primary health setting in Australia. Methods: A scoping review approach was conducted on the Cinahl (Ebsco), Scopus, Medline (Ovid) and PubMed databases to extract articles from 1 December 2015 to 1 December 2020. Broad text words and MeSH headings were used with relevance to palliative care, general practice, primary health, and community setting. Extracted journal articles were limited to those based on the Australian population or Australian health system. Results: Eighty-four papers met the inclusion criteria and were included in the review. The review identified the following health professional roles within the Primary Health Care setting undertaking palliative care: General Practitioner, Nurse, Pharmacist, Paramedics, Carers, and Allied Health professionals. Conclusion: This review offers a first understanding of the in idual health professional roles and multidisciplinary team approach to actively providing palliative care within the Primary Health Care setting in Australia.
Publisher: Springer Science and Business Media LLC
Date: 16-07-2018
Publisher: University of Illinois Libraries
Date: 17-08-2016
Abstract: Most patients with chronic disease are prescribed multiple medications, which are recorded in their personal health records. This is rich information for clinical public health researchers but also a challenge to analyse. This paper describes the method that was undertaken within the Public Health Research Data Management System (PHReDMS) to map medication data retrieved from in idual patient health records for population health researcher’s use. The PHReDMS manages clinical, health service, community and survey research data within a secure web environment that allows for data sharing amongst researchers. The PHReDMS is currently used by researchers to answer a broad range of questions, including monitoring of prescription patterns in different population groups and geographic areas with high incidence revalence of chronic renal, cardiovascular, metabolic and mental health issues. In this paper, we present the general notion of abstraction network, a higher level network that sits above a terminology and offers compact and more easily understandable view of its content. We demonstrate the utilisation of abstraction network methodology to examine medication data from electronic medical records to allow a compact and more easily understandable view of its content.
Publisher: Informa UK Limited
Date: 17-11-2015
Publisher: Springer Science and Business Media LLC
Date: 04-01-2018
Publisher: Elsevier BV
Date: 2009
Publisher: Oxford University Press (OUP)
Date: 17-04-2014
Abstract: Timely access to appropriate cardiac care is critical for optimizing positive outcomes after a cardiac event. Attendance at cardiac rehabilitation (CR) remains less than optimal (10%-30%). Our aim was to derive an objective, comparable, geographic measure reflecting access to cardiac services after a cardiac event in Australia. An expert panel defined a single patient care pathway and a hierarchy of the minimum health services for CR and secondary prevention. Using geographic information systems a numeric/alpha index was modelled to describe access before and after a cardiac event. The aftercare phase was modelled into five alphabetical categories: from category A (access to medical service, pharmacy, CR, pathology within 1 h) to category E (no services available within 1 h). Approximately 96% or 19 million people lived within 1 h of the four basic services to support CR and secondary prevention, including 96% of older Australians and 75% of the indigenous population. Conversely, 14% (64,000) indigenous people resided in population locations that had poor access to health services that support CR after a cardiac event. Results demonstrated that the majority of Australians had excellent 'geographic' access to services to support CR and secondary prevention. Therefore, it appears that it is not the distance to services that affects attendance. Our 'geographic' lens has identified that more research on socioeconomic, sociological or psychological aspects to attendance is needed.
Publisher: Scholink Co, Ltd.
Date: 28-04-2017
Abstract: em Despite the evidence to support cardiac rehabilitation, existing services remain underutilised. Accessibility to those services is a major factor in the underutilisation of current programs. Available literature on barriers to the accessibility of out-patient cardiac rehabilitation services were reviewed. Using Penchansky and Thomas’ (1981) five dimensions of accessibility as a structural framework, the information obtained from this review was then used to create a formal questionnaire which was sent to each of the Cardiac Rehabilitation Programs within Australia in 2007-2008 (n=401). The survey highlighted that the need for a referral, the disease the patient has, the distance required for travel, whether group and in idual sessions are provided, flexibility in service delivery setting, hours of operation, cost, and the range of program components, significantly limit patient accessibility to Phase 2 Cardiac Rehabilitation Programs. Completion rates were low for most programs. The Survey revealed that patient accessibility to Phase 2 Cardiac Rehabilitation Programs includes various socio-economic and geographic impediments that can prevent or limit service use. While barriers to cardiac rehabilitation are well known, service providers need to ensure these patient barriers are taken into consideration when providing a Phase 2 Cardiac Rehabilitation Program to improve their accessibility. /em
Publisher: Exeley, Inc.
Date: 2020
No related grants have been discovered for Deborah van Gaans.