92 research outputs found

    Where not to have a heart attack in Australia!: The Cardiac ARIA Index

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    abstract onlyAbstract not availableR. Clark, N. Coffee, K. Eckert, D. Turner, D. Coombe, J. Lawrence, S. Stewart, D. van Gaans, D. Wilkinson, A. Tonki

    Cardiac ARIA: a geographic accessibility model to cardiac services in Australia

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    PowerPoint Presentation. Spatial Information Committee (SICOM), Surveying and Spatial Sciences Institute (SSSI) and Spatial industries Business Association (SIBA)Turner D, Coffee N, Clark RA, Eckert K, Coombe D, Lawrence J, Astles P, Stewart S, van Gaans D, Hugo G, Bamford E, Wilkinson D, Tonkin A. On behalf of the CARDIAC-ARIA project grou

    Where not to have a heart attack in Australia!

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    Poster - Subtitle: The Cardiac ARIA Index: Measuring accessibility to cardiac services in urban, rural and remote Australia using GISClark RA, Coffee N, Turner D, Eckert K, Coombe D, Bamford Errol, Hugo Graeme, Lawrence J, Stewart S, van Gaans D, Wilkinson D, Tonkin A., On behalf of the Cardiac ARIA project

    The development of a spatial model of accessibility to phase 2 cardiac rehabilitation programs

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    Existing Phase 2 cardiac rehabilitation services are currently underutilised and improving access will be necessary because of ageing of the population and falling case-fatality rates. The Spatial Model of Accessibility to Phase 2 Cardiac Rehabilitation Programs was developed to quantify accessibility to out-patient cardiac rehabilitation in Australia. A geographic information system (GIS) was used to combine both geographic and socio-economic aspects of accessibility. The model was developed by integrating the socio-economic information gathered by survey and incorporating a distance decay model.Deborah van Gaans, Graeme Hugo and Andrew Tonki

    Mapping services to support a patient's journey through evidence-based care pathways after a cardiac event

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    Conference paper abstractAbstract not availableR.A. Clark, D. Wilkinson, N. Coffee, K. Eckert, P. Astles, M. Milligan, G. Pearce, S. Stewart, D. van Gaans, D. Turner, D. Coombe, C. Aroney, D. Chew, H. Grantham, P. Macdonald, A. MacIsaac, P. Thompson, W.Walsh, A. Tonkin, Onbehalf of the CARDIAC-ARIA project grou

    A survey of accessibility to Australia's Phase 2 Cardiac Rehabilitation Programs to patient barriers

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    Online Published: April 28, 2017Despite the evidence to support cardiac rehabilitation, existing services remain underutilised. Accessibility to those services is a major factor in the underutilisation of current programs. Available literature on barriers to the accessibility of out-patient cardiac rehabilitation services were reviewed. Using Penchansky and Thomas’ (1981) five dimensions of accessibility as a structural framework, the information obtained from this review was then used to create a formal questionnaire which was sent to each of the Cardiac Rehabilitation Programs within Australia in 2007-2008 (n=401). The survey highlighted that the need for a referral, the disease the patient has, the distance required for travel, whether group and individual sessions are provided, flexibility in service delivery setting, hours of operation, cost, and the range of program components, significantly limit patient accessibility to Phase 2 Cardiac Rehabilitation Programs. Completion rates were low for most programs. The Survey revealed that patient accessibility to Phase 2 Cardiac Rehabilitation Programs includes various socio-economic and geographic impediments that can prevent or limit service use. While barriers to cardiac rehabilitation are well known, service providers need to ensure these patient barriers are taken into consideration when providing a Phase 2 Cardiac Rehabilitation Program to improve their accessibility.Deborah van Gaans and Andrew Tonki

    Measuring national accessibility to cardiac services using geographic information systems

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    The Cardiac Access-Remoteness Index of Australia (Cardiac ARIA) used geographic information systems (GIS) to model population level, road network accessibility to cardiac services before and after a cardiac event for all (20,387) population localities in Australia. The index ranged from 1A (access to all cardiac services within 1 h driving time) to 8E (limited or no access). The methodology derived an objective geographic measure of accessibility to required cardiac services across Australia. Approximately 71% of the 2006 Australian population had very good access to acute hospital services and services after hospital discharge. This GIS model could be applied to other regions or health conditions where spatially enabled data were available.Neil Coffee, Dorothy Turner, Robyn A. Clark, Kerena Eckert, David Coombe, Graeme Hugo, Deborah van Gaans, David Wilkinson, Simon Stewart, Andrew A. Tonki

    Monitoring biodegradation capacity of organic pollutants in the environment

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    Micro-organismen zijn in staat om organische verbindingen om te zetten in minder schadelijke stoffen en spelen daarom een belangrijke rol bij het opruimen van milieuvervuiling. Voor beleidsmakers, landgebruikers en landeigenaren is het belangrijk dat er bij milieuverontreiniging goed toezicht wordt gehouden op de biologische afbraakprocessen en dat deze goed worden beheerst. Aangezien microbiële activiteit in het milieu wordt beïnvloed door diverse fysische, geochemische en biologische factoren, is nauwkeurige kennis van het afbraakproces hierbij noodzakelijk. In dit promotieonderzoek wordt de relatie tussen geochemische condities en de biologische afbraakcapaciteit van micro-organismen in het milieu beschreven, inclusief methoden om de activiteit en metabole functies van deze micro-organismen in het milieu te mete
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