A5022056996- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Trauma and Emergency Care Studies
- Climate Change and Health Impacts
- Primary Care and Health Outcomes
- Nursing Roles and Practices
- Patient Satisfaction in Healthcare
- Air Quality and Health Impacts
- Disaster Response and Management
- Disaster Management and Resilience
- Thermoregulation and physiological responses
- Homelessness and Social Issues
- Health disparities and outcomes
- Reproductive Health and Technologies
- Global Health Care Issues
- Healthcare Systems and Technology
- Viral gastroenteritis research and epidemiology
- Islamic Studies and History
- Geriatric Care and Nursing Homes
- Medical Coding and Health Information
- Zoonotic diseases and public health
- Animal Disease Management and Epidemiology
- Employment and Welfare Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Social Issues and Policies
Queensland University of Technology
2014-2023
Australian Institute of Health and Welfare
2022
Royal Australian College of General Practitioners
2022
Australasian College for Emergency Medicine
2022
IP Australia
2017
The University of Queensland
2006-2008
Heatwaves are associated with significant health risks particularly among vulnerable groups. To minimize these risks, heat warning systems have been implemented. The question therefore is how effective in saving lives and reducing heat-related harm. We systematically searched reviewed 15 studies which examined this. Six asserted that fewer people died of excessive after the implementation systems. Demand for ambulance decreased following One study also estimated costs running at US$210,000...
Infertility is a social onus for women in Iran, who are expected to produce children early within marriage. With its estimated 1.5 million infertile couples, Iran the only Muslim country which assisted reproductive technologies (ARTs) using donor gametes and embryos have been legitimized by religious authorities passed into law. This has placed Shia-dominant country, unique position vis-à-vis Sunni Islamic world, where all forms of gamete donation strictly prohibited. In this article, we...
A quasi-Poisson generalized linear model combined with a distributed lag non-linear was used to quantify the main effect of temperature on emergency department visits (EDVs) for childhood diarrhea in Brisbane from 2001 2010. Residual checked examine whether there an added due heat waves. The change over time temperature-diarrhea relation also assessed. Both low and high temperatures had significant impact diarrhea. Heat waves diarrhea, this increased intensity duration There decreasing trend...
Abstract Objective: Hospital EDs are a significant and high‐profile component of Australia's health‐care system, which in recent years have experienced considerable crowding. This crowding is caused by the combination increasing demand, throughput output factors. The aim present article to clarify trends use public ED services across Australia with view providing an evidence basis for future policy analysis discussion. Methods: data been extracted, compiled analysed from publicly available...
The acute health effects of heatwaves in a subtropical climate and their impact on emergency departments (ED) are not well known. purpose this study is to examine overt heat-related presentations EDs associated with Brisbane.Data were obtained for the summer seasons (December February) from 2000-2012. Heatwave events defined as two or more successive days daily maximum temperature ≥34°C (HWD1) ≥37°C (HWD2). Poisson generalised additive model was used assess effect visits (International...
Previous research reported strong associations between ED overcrowding and mortality. We assessed the effect of Four-Hour Rule (4HR) intervention (Western Australia (WA) 2009), then nationally rolled out as National Emergency Access Target (Australia 2012) policy on mortality patient flow.A longitudinal cohort study a population-wide 4HR, for 16 hospitals across WA, New South Wales (NSW), Australian Capital Territory (ACT) Queensland (QLD). Mortality trends were analysed 2-4 years before...
The objective was to study the role and effect of patients' perceptions on reasons for using ambulance services in Queensland, Australia.A cross-sectional survey conducted patients (n = 911) presenting via or self-transport at eight public hospital emergency departments (EDs). included perceived illness severity, attitudes toward ambulance, ambulance. A theoretical framework developed inform this study.Ambulance users had significantly higher self-rated seriousness, urgency, pain than...
Patients attending hospital emergency departments (ED) commonly cite the urgency and severity of their condition as main reason for choosing ED. However, patients' perception may be different to nurses' severity, which is underpinned by professional experience, knowledge, training skills. This discordance a cause patient dissatisfaction. The purpose this study understand extent agreement/disagreement between patient's perceived priority actual triage category associated factors. A...
Background In 2009, the Western Australian (WA) Government introduced Four-Hour Rule (FHR) program. The policy stated that most patients presenting to Emergency Departments (EDs) were be seen and either admitted, transferred, or discharged within 4 hours. This study utilised de-identified data from five participating hospitals, before after FHR implementation, assess impact of on several areas ED functioning. Methods A state population-based intervention design, using longitudinal obtained...
Abstract The direct and indirect health effects of increasingly warmer temperatures are likely to further burden the already overcrowded hospital emergency departments (EDs). Using current trends estimates in conjunction with future population growth climate change scenarios, we show that increased number hot days can have a considerable impact on EDs, adding their workload costs. excess visits 2030 is projected range between 98–336 42–127 for younger older groups, respectively. costs...
To inform demand management strategies aimed at reducing congestion in EDs by: (i) identifying public use of EDs, decision-making and reasons; (ii) measuring acceptance alternative care models.A cross-sectional telephone survey a random sample Queensland population aged 18 years or older residing dwelling unit that could be contacted on land-based service was conducted. One person per household selected according to predetermined algorithm ensure sex regional balance were interviewed. The...
Ross River virus (RRV) infection is a debilitating disease that has significant impact on population health, economic productivity, and tourism in Australia. This study examined epidemiologic patterns of RRV Queensland, Australia, during January 2001-December 2011 at statistical local area level. Spatio-temporal analyses were used to identify the distribution over time stratified by age, sex, space. The results show mean annual incidence was 54 per 100,000 persons, with male:female ratio...
Abstract Objective To inform local, state and national strategies intended to reduce demand for ED care, the present study aimed identify key factors influencing current provision of acute care within primary healthcare (PHC) explore policy system changes potentially required. Methods Semi‐structured interviews with stakeholders were audio‐recorded, transcribed verbatim analysed through content thematic approaches incorporating Walt Gilson health framework. Results Eleven conducted. Five...
The Four-Hour Rule or National Emergency Access Target policy (4HR/NEAT) was implemented by Australian State and Federal Governments between 2009 2014 to address increased demand, overcrowding access block (boarding) in Departments (EDs). This qualitative study aimed assess the impact of 4HR/NEAT on ED staff attitudes perceptions. article is part a series manuscripts reporting results this project. methodology has been published journal. As discussed methods paper, we interviewed 119...
Abstract Objective The aim of this study was to gather patients' perceptions regarding their choice between public and private hospital EDs for those who hold health insurance. findings will contribute knowledge decision‐making processes therefore may the development evidence based policies. Methods An in‐depth semi‐structured guide used interview participants at EDs. Questions sought identify issues that were considered by decide attend ED, previous ED experience, expectations services...
Emergency healthcare is a high profile component of modern systems, which over the past three decades has fundamentally transformed in many countries. However, despite this rapid development, and associated investments service standards, there level concern with performance emergency health services relating principally to system wide congestion. The factors driving problem are complex but relate largely combined impact growing demand, expanded scope care blocked access inpatient beds. These...
Abstract Objective To estimate the proportion of ED patients in urban Queensland who are potentially suitable for general practitioner (GP) care. Methods A retrospective analysis was conducted using Information System data from Metro North Hospital and Health Service Brisbane, Australia three consecutive financial years (2014–2015 to 2016–2017). The hospitals included two Principal Referral Public Acute hospitals. GP‐type were calculated Australian Institute Welfare (AIHW), Australasian...