A5073239822- Ophthalmology and Visual Impairment Studies
- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Global Health Care Issues
- Ophthalmology and Visual Health Research
- Intraocular Surgery and Lenses
- Patient Satisfaction in Healthcare
- Healthcare Policy and Management
- Economic and Environmental Valuation
- Retinal Diseases and Treatments
- Primary Care and Health Outcomes
- Pharmaceutical Economics and Policy
- Retinal Imaging and Analysis
- Balance, Gait, and Falls Prevention
- Urban Transport and Accessibility
- Retinal and Optic Conditions
- Pharmaceutical Quality and Counterfeiting
- Corneal surgery and disorders
- Global Health and Surgery
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Health disparities and outcomes
- Acute Ischemic Stroke Management
- Global Health Workforce Issues
- Chronic Disease Management Strategies
UNSW Sydney
2017-2024
The George Institute for Global Health
2014-2024
George Institute for Global Health
2022
George Institute for Global Health
2015-2021
University of Technology Sydney
2020
The University of Sydney
2014-2019
Fred Hollows Foundation
2006-2012
Research Network (United States)
2010
Vision Cooperative Research Centre
2006-2008
<b>Aim:</b> To investigate the aspects of spectacle correction vision-impairing refractive error and presbyopia in those aged ⩾40 years Timor-Leste. <b>Method:</b> A population-based cross-sectional survey with cluster random sampling was used to select 50 clusters 30 people. Those who had uncorrected or undercorrected (presenting acuity worse than 6/18, but at least 6/18 pinhole), (near vision N8), and/or were using spectacles identified. Dispensing history, willingness wear pay for...
The co-administration of multiple drugs (polypharmacy) is the single most common cause adverse drug events in older population, and residents long-term care facilities (LTCFs) are at particularly high risk medication harm. ‘Deprescribing’ – withdrawal an inappropriate with goal managing polypharmacy improving outcomes may improve quality life LTCF residents. RELEASE study sought to explore perceptions use concept deprescribing LTCFs. Focus groups interviews were conducted General...
Objective To compare fall incidence, and visual acuity refractive status, before surgery after first second eye cataract surgery. Design, setting Prospective observational study in eight tertiary referral ophthalmology clinics public hospitals Sydney, Melbourne, Perth. Participants People aged 65 years or more referred for bilateral age-related during 2013–16, followed maximum of 24 months entry until six surgery, whichever was shorter. Main outcome measures Primary outcome: age-...
To assess the prevalence and predictors of depressive symptoms in a cohort older adults awaiting cataract surgery establish threshold vision at which may emerge.Analysis cross-sectional baseline data from longitudinal study patients aged ≥65 years on Australian public hospital waiting lists.We included 329 participants enrolled October 2013-August 2015.Participants completed assessment symptoms, visual disability, quality life, social participation exercise frequency least one month prior to...
Introduction This paper synthesises evidence on the organisation of primary health care (PHC) service delivery in low-income and middle-income countries (LMICs) Asia Pacific identifies effective approaches pathways impact this region. Methods We developed a conceptual framework describing key inputs outcomes PHC as basis systematic review. searched exclusively for intervention studies from LMICs Asia-Pacific region an effort to identify ‘what works’ improve coverage, quality, efficiency,...
<h3>Aim:</h3> To estimate the prevalence and causes of blindness low vision in people aged ⩾40 years Timor-Leste. <h3>Method:</h3> A population-based cross-sectional survey using multistage cluster random sampling to identify 50 clusters 30 people. cause loss was determined for each eye presenting with visual acuity worse than 6/18. <h3>Results:</h3> Of 1470 enumerated, 1414 (96.2%) were examined. The age, gender domicile-adjusted functional (presenting 6/60 better eye) 7.4% (95% CI 6.1...
To determine utilization of Western-style conventional health services for eye problems in Timor-Leste, and barriers to seeking that care.An interview-based questionnaire was administered as part a population-based cross-sectional survey 50 clusters (urban rural) 30 people aged > or =40 years.Of 1470 enumerated, 1414 were examined (96.2%). A total 1293 (91.4%) reported at least one previous present problem, mostly (88.6%) blurred/poor vision, near and/or distance. Men (OR 1.6, 95% CI...
Strong evidence indicates an increased fall risk associated with cataract. Although cataract surgery can restore sight, lengthy wait times are common for public patients in many high-income countries. This study reports incidence and predictors of falls older people during their surgical wait.Data from a prospective adults aged ≥65 years who were awaiting hospitals Australia analyzed. Participants underwent assessment vision, health status, physical function, recalled the previous 12 months....
Amid massive health system disruption induced by the coronavirus disease 2019 (COVID-19) pandemic, need to maintain and improve essential services is greater than ever. This situation underscores importance of primary care (PHC) revitalization agenda articulated in 2018 Astana Declaration. The objective was synthesize what already known about strengthening PHC low- middle- income countries prior COVID-19. We conducted a secondary analysis eleven reviews seven evidence gap maps published...
Purpose To clarify the effect of first-eye cataract surgery on incidence falls and identify components visual function associated with fall risk. Setting Eight public hospital eye clinics in Sydney, Melbourne, Perth, Australia. Design Prospective cohort study. Methods The study recruited patients who had bilateral cataract, were aged 65 years or older, waiting lists. Comprehensive assessments vision, physical function, exercise activity performed before after surgery. Falls reported...
General Practitioners (GPs) are responsible for primary prescribing decisions in most settings. Elderly patients living Advanced Care Facilities (ACFs) often have significant co-morbidities to consider when selecting an appropriate drug therapy. Careful assessment is required considering medication use frail older as they multiple diseases and thus medication. Many physicians seem reluctant discontinue other physicians' prescriptions, resulting further polypharmacy. Therefore it relevant...
Cross-sectional blindness prevalence surveys are essential to plan and monitor eye care services. Incomplete or inaccurate reporting can prevent effective translation of research findings. The Strengthening the Reporting Observational Studies in Epidemiology (STROBE) statement is a 32 item checklist developed improve observational studies. aim this study was assess completeness low middle income countries (LMICs) using STROBE.MEDLINE, EMBASE Web Science databases were searched on April 8...
The Western Pacific region has a dearth of appropriately educated eye care providers, training programs and large increasing health needs.To ensure regional needs would be met, an iterative process sought triangulations between the literature consultations with local stakeholders from various fields. This information was used to develop competencies meet quality standards for educational outcomes. A framework social accountability evaluate proposed initiative, subsequent service graduates...
Background Falls result in >$1 billion treatment, disability, lost output and mortality each year Australia people with cataract are at increased risk. Previous research is inconclusive; one large Australian study using linked hospital data found no protective effect of surgery. We aim to examine the impact cataract-related vision impairment on falls risk additional effects delays access surgery, refractive management (type spectacles changes spectacle prescription) resulting level...
Background Community health workers (CHWs) play a critical role in supporting systems, and improving accessibility to primary healthcare. In many settings CHW programmes do not have formalised employment models face issues of high attrition poor performance. This study aims determine the preferences CHWs Malang district, Indonesia, inform policy interventions. Methods A discrete choice experiment was conducted with 471 across 28 villages. Attributes relevant were identified through...
<h3>Aims:</h3> To assess willingness to pay for spectacles in provincial Cambodia, and use this inform creation of a financially self-sustaining spectacle scheme within blindness prevention programme. <h3>Methods:</h3> An interview-based questionnaire was used elicit all people dispensed during an outreach refraction service visit three village health centres Cambodia. <h3>Results:</h3> Of 293 participating the study, 252 (86%) provided internally valid willingness-to-pay responses from...