R. Douglas Scott

ORCID: 0000-0001-5364-3059
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About
Contact & Profiles
Research Areas
  • Antibiotic Use and Resistance
  • Healthcare Policy and Management
  • Healthcare cost, quality, practices
  • Nosocomial Infections in ICU
  • Pneumonia and Respiratory Infections
  • Urban Transport and Accessibility
  • Adolescent Sexual and Reproductive Health
  • HIV/AIDS Research and Interventions
  • Indigenous Health, Education, and Rights
  • Patient Satisfaction in Healthcare
  • Antibiotic Resistance in Bacteria
  • Emergency and Acute Care Studies
  • Transportation Planning and Optimization
  • Health Systems, Economic Evaluations, Quality of Life
  • Clostridium difficile and Clostridium perfringens research
  • Economic and Environmental Valuation
  • Urban and Freight Transport Logistics
  • HIV, Drug Use, Sexual Risk
  • Child Abuse and Trauma
  • Central Venous Catheters and Hemodialysis
  • Bacterial Identification and Susceptibility Testing
  • Nutritional Studies and Diet
  • Vaccine Coverage and Hesitancy
  • Resilience and Mental Health
  • Geriatric Care and Nursing Homes

Centers for Disease Control and Prevention
2006-2024

CDC Foundation
2022

NHS England
2022

Development Agency of Serbia
2019

National Center for Emerging and Zoonotic Infectious Diseases
2019

Ambulance Service of New South Wales
2018

Rotary International
2017

Office of Minority Health and Health Equity
2016

Aboriginal Health Council of South Australia
2014

The Centers
2014

Organisms resistant to antimicrobials continue emerge and spread. This study was performed measure the medical societal cost attributable antimicrobial-resistant infection (ARI).A sample of high-risk hospitalized adult patients selected. Measurements included ARI, total cost, duration stay, comorbidities, acute pathophysiology, Acute Physiology Chronic Health Evaluation III score, intensive care unit surgery, health care-acquired infection, mortality. Hospital services used outcomes were...

10.1086/605630 article EN Clinical Infectious Diseases 2009-09-09

Treating patients with infections due to multidrug-resistant pathogens often requires substantial healthcare resources. The purpose of this study was report estimates the costs associated bacteria in United States (US).We performed retrospective cohort studies admitted for inpatient stays Department Veterans Affairs system between January 2007 and October 2015. We multivariable generalized linear models estimate attributable cost by comparing outcomes without positive cultures bacteria....

10.1093/cid/ciaa1581 article EN Clinical Infectious Diseases 2020-10-14

Background: Hospitals will increasingly bear the costs for healthcare-acquired conditions such as infection. Our goals were to estimate attributable infection (HAI) and conduct a sensitivity analysis comparing analytic methods. Methods: A random sample of high-risk adults hospitalized in year 2000 was selected. Measurements included total variable medical costs, length stay (LOS), HAI site, APACHE III score, antimicrobial resistance, mortality. Medical measured from hospital perspective....

10.1097/mlr.0b013e3181ef60a2 article EN Medical Care 2010-10-12

This study sought to determine the prevalence of use sun-protection measures in adolescents, and variables which predicted failure such measures. Three thousand two school students Years 9 10 from 26 high schools New South Wales were surveyed last term 1986 first 1987 as part NSW Department Health's Country Regions Skin Cancer Prevention Campaign. By means standardized criteria, 70% sample defined not using adequate protection. Stepwise regression showed that number opportunities for sun...

10.5694/j.1326-5377.1989.tb139597.x article EN The Medical Journal of Australia 1989-08-01

Context. The US Food and Drug Administration approved a meningococcal conjugate A/C/Y/W-135 vaccine (MCV-4) for use in persons aged 11 to 55 years January, 2005; licensure younger age groups is expected 2 4 years. Objective. To evaluate compare the projected health economic impact of MCV-4 vaccination adolescents, toddlers, infants. Design. Cost-effectiveness analysis from societal perspective based on data Active Bacterial Core Surveillance (ABCs) other published unpublished sources....

10.1542/peds.2004-2514 article EN PEDIATRICS 2005-05-01

Measuring the impact of drug resistance is an important step in understanding scope problem and formulating policies to limit emergence spread resistant organisms. Studies have focused on measuring increased costs, morbidity, mortality patients with infections due versus susceptible These generally found that worsens outcomes. By focusing only infected patients, however, they may understate resistance. It recognize also affects treatment individuals nonresistant In areas high rates...

10.1086/344656 article EN Clinical Infectious Diseases 2003-01-15

Hospital-associated infection is well recognized as a patient safety concern requiring preventive interventions. However, hospitals are closely monitoring expenditures and need accurate estimates of potential cost savings from such prevention programs. We used retrospective cohort design economic modeling to determine the excess hospital perspective for hospital-associated in random sample adult medical patients. Study patients were classified being not infected (n=139), having suspected...

10.1086/375061 article EN Clinical Infectious Diseases 2003-06-01

Abstract West Nile virus (WNV) is transmitted by mosquitoes and can cause illness in humans ranging from mild fever to encephalitis. In 2002, a total of 4,156 WNV cases were reported the United States; 329 Louisiana. To estimate economic impact 2002 epidemic Louisiana, we collected data hospitals, patient questionnaire, public offices. Hospital charges converted costs using Medicare cost-to-charge ratios. The estimated cost Louisiana was $20.1 million June February 2003, including $10.9...

10.3201/eid1010.030925 article EN cc-by Emerging infectious diseases 2004-10-01

Objective. To determine the cost of management occupational exposures to blood and body fluids. Design. A convenience sample 4 healthcare facilities provided information on that varied in type, severity, exposure source infection status. Detailed was collected time spent reporting, managing, following up exposures; salaries (including benefits) for representative staff who sustained managed costs (not charges) laboratory testing sources exposed personnel, as well any postexposure prophylaxis...

10.1086/518729 article EN Infection Control and Hospital Epidemiology 2007-06-11

Objective: To gain some understanding of the attitudes and behaviours Indigenous young people in Townsville concerning relationships, contraception safe sex. Design: Cross-sectional study using a computer-assisted self-administered survey single-sex focus group discussions designed by Young Mums' Group operating on participatory action principles acting as peer interviewers. Participants setting: 171 students Years 9–11 at three high schools 15 residents homeless youth shelter Townsville,...

10.5694/j.1326-5377.2007.tb01025.x article EN The Medical Journal of Australia 2007-05-01

OBJECTIVE. Recent studies have demonstrated that central line-associated bloodstream infections (CLABSIs) are preventable through implementation of evidence-based prevention practices. Hospitals reported CLABSI data to the Centers for Disease Control and Prevention (CDC) since 1970s, providing an opportunity characterize national impact CLABSIs over time. Our objective was describe changes in annual number critical care patients United States. Monte Carlo simulation. Setting. U.S. acute...

10.1086/670629 article EN Infection Control and Hospital Epidemiology 2013-04-18

The economic impacts from preventing health care-associated infections (HAIs) can differ for patients, care providers, third-party payers, and all of society. Previous studies the provider perspective have estimated an burden approximately $10 billion annually HAIs. impact using a societal cost has been illustrated by modifying previously published analysis to include value mortality risk reductions. resulting costs society HAIs exceed $200 annually. This article describes alternative...

10.1097/nan.0000000000000313 article EN Journal of Infusion Nursing 2019-02-28

ADVERTISEMENT RETURN TO ISSUEPREVArticleNEXTMethyl Anthranilate in Grape Beverages and Flavors.R. D. ScottCite this: Ind. Eng. Chem. 1923, 15, 7, 732–733Publication Date (Print):July 1, 1923Publication History Published online1 May 2002Published inissue 1 July 1923https://pubs.acs.org/doi/10.1021/ie50163a031https://doi.org/10.1021/ie50163a031research-articleACS PublicationsRequest reuse permissionsArticle Views193Altmetric-Citations9LEARN ABOUT THESE METRICSArticle Views are the...

10.1021/ie50163a031 article EN Industrial & Engineering Chemistry 1923-07-01

Health services are fundamental to reducing the burden of blood-borne and sexually transmitted infections (BBV/STI) in Indigenous communities. However, we know very little about young people's use mainstream community-controlled health for prevention treatment these infections, or how can best support efforts prevent infection.

10.1071/he09195 article EN Health Promotion Journal of Australia 2009-01-01

To determine the potential epidemiologic and economic value of implementation a multifaceted Clostridium difficile infection (CDI) control program at US acute care hospitalsMarkov model with 5-year time horizonPatients whose data were used in our simulations limited to hospitalized Medicare beneficiaries ≥65 years old.CDI is an important public health problem substantial associated morbidity, mortality, cost. Multifaceted national prevention efforts United Kingdom, including antimicrobial...

10.1017/ice.2015.43 article EN Infection Control and Hospital Epidemiology 2015-03-18

Large-scale vaccination is fundamental to combatting COVID-19. In March 2021, the UK's programme had delivered vaccines large proportions of older and more vulnerable population groups; however, there was concern that uptake would be lower among young people. This research designed elicit preferences 18-29-year-olds regarding key delivery characteristics assess influence these on intentions get vaccinated, inform planning for this cohort.

10.1186/s12889-022-12823-8 article EN cc-by BMC Public Health 2022-03-04

The Indigenous Resilience Project is an Australian community-based participatory research project using qualitative methods to explore young Aboriginal and Torres Strait Islander people's views of blood-borne viral sexually transmitted infections (BBV/STI) affecting their communities. In this paper we present analysis narratives from people who had a previous BBV/STI diagnosis how they actively negotiate the experience infection construct classic resilience narrative. We examine two...

10.1080/13691058.2010.520742 article EN Culture Health & Sexuality 2010-10-23

ABSTRACT National surveillance data indicate marked differences between Indigenous and other Australians in the prevalence of many sexually transmitted infections (STIs). Young people bear a particularly high burden these infections. A collaboration university researchers, health workers young conducted 45 field interviews to examine how keep themselves healthy protected against STIs. Our findings emphasise complexity behaviours, where individuals are rarely always ‘risky’ or ‘safe’, as well...

10.1002/casp.1134 article EN Journal of Community & Applied Social Psychology 2011-12-21

Most catheter-associated urinary tract infections (CAUTIs) are considered preventable and thus a potential target for health care quality improvement cost savings.We sought to estimate excess Medicare reimbursement, length of stay, inpatient death associated with CAUTI among hospitalized beneficiaries.Using retrospective cohort design linked claims National Healthcare Safety Network data from 2009, we compared reimbursement between beneficiaries without CAUTIs.Fee-for-service aged 65 years...

10.1097/mlr.0000000000000106 article EN Medical Care 2014-03-14
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