A5028613701- Glaucoma and retinal disorders
- Patient Satisfaction in Healthcare
- Retinal Diseases and Treatments
- Retinal Imaging and Analysis
- Primary Care and Health Outcomes
- Ophthalmology and Visual Health Research
- Forensic Toxicology and Drug Analysis
- Global Maternal and Child Health
- Prosthetics and Rehabilitation Robotics
- Retinal and Optic Conditions
- Interprofessional Education and Collaboration
- Muscle activation and electromyography studies
- Reproductive tract infections research
- Patient-Provider Communication in Healthcare
- Global Public Health Policies and Epidemiology
- Adolescent Sexual and Reproductive Health
- Analytical Chemistry and Chromatography
- Healthcare Systems and Technology
- Economic and Environmental Valuation
- Dental Education, Practice, Research
- Ophthalmology and Visual Impairment Studies
- Mass Spectrometry Techniques and Applications
- Healthcare Quality and Management
- Traumatic Ocular and Foreign Body Injuries
- Diabetic Foot Ulcer Assessment and Management
The George Institute for Global Health
2019-2025
UNSW Sydney
2019-2025
Westmead Hospital
2019-2021
George Institute for Global Health
2020
Sydney Local Health District
2020
Faculty (United Kingdom)
2020
The University of Sydney
1983-2019
Westmead Institute for Medical Research
2019
George Institute for Global Health
2019
Glaucoma, a chronic eye disease requires regular monitoring and treatment to prevent vision-loss. In Australia, most public ophthalmology departments are overburdened. Community Eye Care is 'collaborative' care model, involving community-based optometrist assessment 'virtual review' by ophthalmologists manage low-risk patients. C-EYE-C was implemented at one Australian hospital. This study aims determine whether improves access better utilises resources, compared hospital-based care.A...
Background: Successful prosthetic socket fitting contributes to prosthesis user satisfaction and facilitates rehabilitation, but is often challenging achieve maintain. There a lack of information available that explores firsthand experiences users throughout sessions and, in particular, their preferences regarding exchange between them prosthetist. Objectives: Assess with service, confidence clinical judgement, providing feedback prosthetists, examine prosthetists identify the types want...
Objectives To determine whether a collaborative model of care that uses task-sharing for the management low-risk diabetic retinopathy, Community Eye Care (C-EYE-C), can improve access to and better use resources, compared with hospital-based care. Design Retrospective audit medical financial records compare two models Setting A large, urban tertiary Australian publicly funded hospital. Intervention C-EYE-C is model, involving community-based optometrist assessment ‘virtual review’ by...
Introduction The aim of this study was to determine the prevalence diabetic retinopathy (DR) in a low socioeconomic region high-income country, as well diagnostic utility point-of-care screening for high-risk populations tertiary care settings. Research design and methods This cross-sectional patients with diabetes attending foot ulcer or integrated clinics at two Western Sydney hospitals (n=273). DR assessed using portable, two-field, non-mydriatic fundus photography combined...
A simple and efficient method, based on the adsorption properties of octadecasilane bonded silica, is described for rapid extraction acidic drugs from whole post mortem blood. The blood was diluted, passed through an column containing silica absorbed were eluted with methanol. Following into diethylether, methylated chromatographed. Recoveries generally in excess 80% at microgram/mL level method substantially reduced quantity co-extracted lipids normally found acid extracts hemolyzed...
Abstract Importance Patient perspectives are crucial in informing design of acceptable services. Background This study determined patient preferences glaucoma care. Design A discrete choice experiment was used to evaluate the relative importance out‐of‐pocket costs, waiting time, continuity care, service location and expertise. Participants Ninety‐eight suspects or patients were recruited from one public two private clinics Sydney. Methods Twelve choice‐tasks presented random order...
To investigate the perspectives of people accessing a general medical practitioner (GP)-optometry model collaborative care that was established to increase access diabetes eye care.
Several health systems have implemented innovative models of care which share the management patients with chronic eye diseases between ophthalmologists and optometrists. These demonstrated positive outcomes for including increased access patients, service efficiency cost-savings. This study aims to understand factors support successful implementation scalability these care.Semi-structured interviews were conducted 21 key system stakeholders (clinicians, managers, administrators,...
BackgroundThis study aims to explore patient perspectives regarding their journey glaucoma care and sought understand the determinants that guide access tertiary care.MethodsTwenty‐nine patients who are suspects or had definitive diagnosis of were recruited from a large public clinic private ophthalmology in Sydney. Face‐to‐face, in‐depth semi‐structured interviews conducted between April December 2017. Interviews recorded transcribed verbatim. A framework method was used for thematic...
Australian Aboriginal and Torres Strait Islander (Indigenous) peoples face major health disadvantage across many conditions. Recording of patients’ Indigenous status in general practice records supports equitable delivery effective clinical services. National policy accreditation standards mandate recording patient records, however for a large proportion it remains incomplete. We assessed the completeness compared self-reported to medical records. A cross sectional analysis recorded at 95...
Background We aimed to determine the impact of a chlamydia (Chlamydia trachomatis) education program on knowledge and attitudes towards testing practice nurses (PNs). Methods: A cross-sectional survey was conducted at baseline 6–12 months following recruitment with PNs in Australian Chlamydia Control Effectiveness Pilot. Likert scales were analysed as continuous variables (scores), t-tests used assess changes mean scores between rounds groups. Results: Of 72 who completed both surveys, 42...
Following transtibial amputation, a custom-built socket is the most common interface between prosthesis and residual limb. Desire from both prosthetists users for improved fitting processes have been well documented. However, there currently limited information available about prosthetists' experiences of how prosthetic manufacturing workflow can contribute to fit problems.This study aims determine problems are detected managed by identify challenges, management strategies, opportunities...
Abstract Background To explore collaborative care models for paediatric eye that integrate hospital and community‐based to address access blocks. Methods Sequential referrals a tertiary ophthalmology clinic between April October 2019 subsequent encounters up until July 2020 at major metropolitan public children's in Sydney, Australia, were reviewed identify those cases suitable community care. Semi‐structured phone interviews conducted with health service providers, including...
BackgroundPublic hospital ophthalmology services are in high demand and patients requiring medical or surgical intervention for glaucoma may worsen while awaiting care. In Australia, tertiary care requires a referral from primary providers. This study investigates the quality of referrals received at public describes types cases referred management.MethodsAn investigation 200 sequential major Australian 2013–2016, subsequent management. A clinical file audit was made patient records,...
Background: Iterative design and modification are used to manufacture lower limb prosthetic sockets that meet users' needs while also fulfilling safety mobility criteria. Greater understanding of the expectations prosthesis users regarding fit as well their experiences at time socket fitting is needed. Objectives: Describe user perceptions comfort discomfort during last compare this for a perfectly satisfaction with they had fitted. Study Design: Mixed methods (quantitative qualitative)....
Patients with diabetes require regular examination for eye disease, usually in primary care settings. Guidelines recommend patients at least moderate non-proliferative diabetic retinopathy (NPDR) be referred to an ophthalmologist treatment; however, poorly targeted referrals lead access blocks. The quality of new associated a public ophthalmology service Sydney, New South Wales, Australia, were assessed referral completeness and targeting. A cross-sectional audit medical records Westmead...
Diabetic retinopathy (DR) complications can be prevented with regular screening and timely access to an ophthalmologist for treatment. But there are patient health system barriers that impact DR services. This study aims identify enablers accessing public eye care services in a low socio-economic urban area of Australia. We conducted qualitative using semi-structured interviews patients diabetes aged 35 years older attending ophthalmology Interviews were analyzed themes subthemes; the COM-B...
BackgroundPrevious research has shown that cataract surgery referral letters to major metropolitan public hospitals in New South Wales have insufficient detail inform patient triage or apply prioritisation tools. This study aimed canvass the views of optometrists working and Australian Capital Territory (NSW/ACT) on standardising process for hospital surgery.MethodsAn online survey was sent all NSW/ACT members Optometry Australia October 2017. Respondents were asked select clinical personal...
Three contaminants were identified during drug screening of postmortem blood samples which had been stored in glass bottles with a black rubber seal. Two these contaminants, cyanoethyl dimethyldithlocarbamate and N-phenyl-2-naphthylamine, found to come from the seal some bottles. The third contaminant was not single compound but rather mixture aryl phosphates composition very similar technical grade tritolyl phosphate. origin is at present unknown.