A5051508938- Cardiac, Anesthesia and Surgical Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Clinical practice guidelines implementation
- Nursing Diagnosis and Documentation
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Emergency and Acute Care Studies
- Healthcare cost, quality, practices
- Surgical Simulation and Training
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Health Sciences Research and Education
- Climate Change and Health Impacts
- Ethics in Clinical Research
- Cardiovascular and exercise physiology
- Eating Disorders and Behaviors
- Evaluation and Performance Assessment
- Geriatric Care and Nursing Homes
- Delphi Technique in Research
- Health, Environment, Cognitive Aging
- Public Health Policies and Education
- Asthma and respiratory diseases
- Healthcare Quality and Management
- Global Health Care Issues
- Respiratory Support and Mechanisms
Macquarie University
2023-2025
Healthcare Technology Innovation Centre
2025
Sydney Local Health District
2023
Peter MacCallum Cancer Centre
2023
The University of Sydney
2020-2023
Healthcare is a complex, multi-layered team environment where effective change often requires reaching consensus among relatively autonomous stakeholders. Although conducting informal discussions frequently used implementation strategy in real-world clinical settings, limited information exists about what defines when using these methods. Specifying the criteria for important, as it can shape design of consensus-building strategies. This study aimed to identify and define key domains local...
Abstract Background Variation in perioperative care persists globally. Consensus discussions may facilitate standardisation, yet the processes used to reach agreement are poorly understood. This study aimed develop a model for conducting local consensus when implementing standardised pathways. Specifically, we 1) describe how operationalised; 2) identify what guides decision making and between clinicians; 3) formulate explanatory mechanisms determinants that discussions. Methods A...
Abstract Background Evidence suggests that management of people with Chronic Obstructive Pulmonary Disease (COPD) in primary care has been suboptimal, particular, low referral rates to pulmonary rehabilitation (PR). The aim this study was evaluate the effectiveness a GP-physiotherapist partnership optimising COPD care. Methods A pragmatic, pilot, before and after conducted four general practices Australia. senior cardiorespiratory physiotherapist partnered each practice. Adults history...
The COPD Diagnostic Questionnaire (CDQ) was developed to identify people who would benefit from spirometry testing confirm Chronic Obstructive Pulmonary Disease (COPD). aim of this study determine the usefulness a cut-off score 16.5 on CDQ in identifying those at increased risk obstruction, mixed population 'at risk' and with an 'existing' diagnosis.
Addressing clinical variation in elective surgery is challenging. A key issue how to gain consensus between largely autonomous clinicians. Understanding the process works develop and implement perioperative pathways impact of these on reducing can provide important insights into effectiveness process. The primary objective this study understand implementation an organisationally supported, approach care a private healthcare facility determine its impact. mixed-methods...
Abstract Introduction Chronic obstructive pulmonary disease (COPD) is commonly diagnosed and managed in primary care but there evidence that this has been suboptimal, with low confidence expressed providing interventions requiring behaviour change. The aim of study was to determine the acceptability a general practitioner (GP)–physiotherapist partnership diagnosis management COPD explore experiences participants during implementation model. Methods Semi‐structured interviews were conducted...
Chronic obstructive pulmonary disease (COPD) contributes significantly to mortality, hospitalisations and health care costs worldwide. There is evidence that the detection, accurate diagnosis management of COPD are currently suboptimal in primary care. Physiotherapists well-trained cardiorespiratory chronic but underutilised A physiotherapist working partnership with general practitioners (GPs) has potential improve quality for people COPD.A prospective pilot study will test feasibility an...
of evidence-based innovation into practice; including the National Health and Medical Research Council (NHMRC) accredited Translation Centres, NHMRC funded Centres Excellence, health medical research institutes, government agencies.The conference aimed to enhance translation, implementation impact
Abstract Background Pathology services represent an ideal setting to integrate absolute cardiovascular disease (CVD) risk estimation when patients attend for routine cholesterol testing. This study aimed explore the process of implementing CVD into point‐of‐care service delivery by pathology staff inform future implementation and sustainability. Methods A new via a self‐directed screening station was implemented 14 sites across Tasmania, Australia. Before implementation, observations at ( n...
Healthcare triage policies are vital for allocating limited resources fairly and equitably. Despite extensive studies of healthcare equity, consensus on the applied definition equity in remains elusive. This study aimed to investigate how principles operationalised Australian hospital physiotherapy tools guide resource distribution.
Implementation science focuses on improving the dissemination, uptake and adoption of evidence into practice. Over last decade, implementation research has proliferated, particularly in healthcare social science. The key synthesis frameworks conducted by Meyers colleagues 2012, resulting Quality Framework, yet to be updated incorporate this research. This protocol proposes an umbrella review reviews (RORs) synthesise literature since 2012 fields provides recommendations for Framework.
To examine the implementation of a physiotherapist-driven spirometry case finding service in primary care to identify new cases COPD and confirm diagnosis existing COPD.
<b>Background:</b> The aim of this study was to determine the impact a novel general practitioner (GP):physiotherapist (PT) partnership in primary care management COPD. <b>Methods:</b> This pilot mixed-methods conducted four practices Australia. 'At risk' participants (aged >40 years, ever smokers) and people with 'existing' COPD were invited attend an assessment cardiorespiratory PT at each practice. Pre/post-bronchodilator spirometry performed. Those airway obstruction...