Kirsty Douglas
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View article: Addressing Social and Cultural Determinants of Health for Aboriginal and Torres Strait Islander People in Chronic Disease Programs: A Scoping Review
Addressing Social and Cultural Determinants of Health for Aboriginal and Torres Strait Islander People in Chronic Disease Programs: A Scoping Review Open
Objective This research aimed to assess, synthesise and analyse the evidence to understand whether chronic disease programmes for Aboriginal and Torres Strait Islander peoples address social and cultural health determinants and what strate…
View article: Uptake of video telehealth in general practice: an Australian whole-of-population analysis
Uptake of video telehealth in general practice: an Australian whole-of-population analysis Open
Background Video use remains low in primary care telehealth consultations. Little is known about patterns of use or policy levers to promote video. Aim To investigate use of video telehealth in Australian general practice under permanent t…
View article: The difference the system makes?
The difference the system makes? Open
The case studies demonstrate that care provided by both systems have different barriers related to wait times, delivery of care, cost and access to multidisciplinary care for the patient and different remuneration for the doctor. Reducing …
View article: Screen time among kindergarten children in the Australian Capital Territory (including a comparison of First Nations and non-Indigenous children)
Screen time among kindergarten children in the Australian Capital Territory (including a comparison of First Nations and non-Indigenous children) Open
Screen time of more than two hours per day is associated adverse health outcomes in non-Indigenous children, including overweight/obesity, respiratory problems, developmental concerns, and reduced wellbeing. Further analysis is required to…
View article: Using routinely-collected, linked data to measure and monitor health system performance in Australia: development of an indicator of continuity of primary health care
Using routinely-collected, linked data to measure and monitor health system performance in Australia: development of an indicator of continuity of primary health care Open
Objective To examine a potential new Australian health system indicator—continuity of care (CoC) in general practice—derived from whole-of-population linked administrative data. Methods Using data from Census 2016 and 2021 and the Medicare…
View article: What influences the implementation of health checks in the prevention and early detection of chronic diseases among Aboriginal and Torres Strait Islander people in Australian primary health care? Findings from an Evidence Mapping Review
What influences the implementation of health checks in the prevention and early detection of chronic diseases among Aboriginal and Torres Strait Islander people in Australian primary health care? Findings from an Evidence Mapping Review Open
Background: Ongoing impacts of colonisation, including experiences of intergenerational trauma, systemic racism, and systemic exclusion from appropriate health and social care services, contribute to Aboriginal and Torres Strait Islander p…
View article: Risk of behavioural and developmental difficulties in early childhood in the Australian Capital Territory
Risk of behavioural and developmental difficulties in early childhood in the Australian Capital Territory Open
Aim We aimed to estimate the prevalence of risk for developmental and behavioural problems for children in their first year of full‐time primary education in the Australian Capital Territory (ACT). Methods We conducted an analysis of the 2…
View article: Evaluating the Digital Health Experience for Patients in Primary Care: Mixed Methods Study
Evaluating the Digital Health Experience for Patients in Primary Care: Mixed Methods Study Open
Background The digital health divide for socioeconomic disadvantage describes a pattern in which patients considered socioeconomically disadvantaged, who are already marginalized through reduced access to face-to-face health care, are addi…
View article: Screen time as a health determinant for kindergarten children in the Australian Capital Territory (including a comparison of First Nations and non-Indigenous children): analysis of a cross-sectional complete enumeration survey
Screen time as a health determinant for kindergarten children in the Australian Capital Territory (including a comparison of First Nations and non-Indigenous children): analysis of a cross-sectional complete enumeration survey Open
Background Australian First Nations children have poorer outcomes across a range of health measures. High levels of screen time are associated with a range of adverse health outcomes. Relatively little is known on the association between s…
View article: A novel methodological approach to participant engagement and policy relevance for community-based primary medical care research during the COVID-19 pandemic in Australia and New Zealand
A novel methodological approach to participant engagement and policy relevance for community-based primary medical care research during the COVID-19 pandemic in Australia and New Zealand Open
Community-based primary care, such as general practice (GP) or urgent care, serves as the primary point of access to healthcare for most Australians and New Zealanders. Coronavirus disease 2019 (COVID-19) has created significant and ongoin…
View article: Evaluating the Digital Health Experience for Patients in Primary Care: Mixed Methods Study (Preprint)
Evaluating the Digital Health Experience for Patients in Primary Care: Mixed Methods Study (Preprint) Open
BACKGROUND The digital health divide for socioeconomic disadvantage describes a pattern in which patients considered socioeconomically disadvantaged, who are already marginalized through reduced access to face-to-face health care, are add…
View article: Understanding the implementation of health checks in the prevention and early detection of chronic diseases among Aboriginal and Torres Strait Islander people in Australia: a realist review protocol
Understanding the implementation of health checks in the prevention and early detection of chronic diseases among Aboriginal and Torres Strait Islander people in Australia: a realist review protocol Open
Introduction Chronic disease remains the leading cause of morbidity and mortality among Aboriginal and Torres Strait Islander peoples in Australia. Regular structured, comprehensive health assessments are available to Aboriginal and Torres…
View article: Low agreement among patients and clinicians about urgency and safety to wait for assessment in primary care after hours medical care: results of cross-sectional matched surveys
Low agreement among patients and clinicians about urgency and safety to wait for assessment in primary care after hours medical care: results of cross-sectional matched surveys Open
Background Discordance between patient and clinician perceived urgency may drive “inappropriate” presentations to after-hours medical services. This paper investigates the level of agreement between patient and clinicians’ perceptions of u…
View article: Harnessing fast and slow thinking to ensure sustainability of general practice and functional universal health coverage in Australia
Harnessing fast and slow thinking to ensure sustainability of general practice and functional universal health coverage in Australia Open
We must complement simplistic responses to urgent problems with strategic, considered, long term redesign across the whole health system Universal health coverage (UHC) provides all people with access to the full range of quality health se…
View article: Changes in general practice use and costs with COVID-19 and telehealth initiatives: analysis of Australian whole-population linked data
Changes in general practice use and costs with COVID-19 and telehealth initiatives: analysis of Australian whole-population linked data Open
Background In response to the COVID-19 pandemic, general practice in Australia underwent a rapid transition, including the roll-out of population-wide telehealth, with uncertain impacts on GP use and costs. Aim To describe how use and cost…
View article: Why patients attend after-hours medical services: a cross-sectional survey of patients across the Australian Capital Territory
Why patients attend after-hours medical services: a cross-sectional survey of patients across the Australian Capital Territory Open
Background Almost half of Australian after-hours emergency department (ED) presentations are rated as ‘non-urgent’ by clinicians and are suggested to be managed by community-based services, such as general practice (GP). This paper reports…
View article: Changes in General Practice use and costs with COVID-19 and telehealth initiatives
Changes in General Practice use and costs with COVID-19 and telehealth initiatives Open
Background In response to the COVID-19 pandemic, general practice (GP) in Australia underwent a rapid transition, including the rollout of population-wide telehealth, with uncertain impacts on GP use and costs. Objective To describe how us…
View article: COVID-19 vaccinations and counselling: a mixed-methods survey of Australian general practice in July 2021
COVID-19 vaccinations and counselling: a mixed-methods survey of Australian general practice in July 2021 Open
Background GPs are integral to the COVID-19 vaccination rollout, providing education and administering vaccines. We sought to describe how counselling relating to COVID-19 vaccination was impacting Australian general practice consultations…
View article: ACT Transition from Hospital to Home Orthopaedic Survey: a cross-sectional survey of unplanned 30-day readmissions for patients having total hip arthroplasty
ACT Transition from Hospital to Home Orthopaedic Survey: a cross-sectional survey of unplanned 30-day readmissions for patients having total hip arthroplasty Open
Objectives The aim of this study was to identify patient, hospital and transitional factors associated with unplanned 30-day readmissions in patients who had a total hip arthroplasty (THA). Design A cross-sectional survey was performed. Al…
View article: Understanding factors affecting 30-day unplanned readmissions for patients undergoing total knee arthroplasty (TKA): the ACT Transition from Hospital to Home Orthopaedics Survey
Understanding factors affecting 30-day unplanned readmissions for patients undergoing total knee arthroplasty (TKA): the ACT Transition from Hospital to Home Orthopaedics Survey Open
Objectives The aim of this study was to investigate factors associated with unplanned 30-day readmissions following a total knee arthroplasty (TKA), including association with post-hospital syndrome, patient enablement and transition from …
View article: After-hours presentations to community-based primary care in the Australian Capital Territory
After-hours presentations to community-based primary care in the Australian Capital Territory Open
Backgound This study describes patient characteristics and presentations to community-based primary care medical services in the after-hours period. Methods A cross-sectional survey completed by practitioners was voluntarily conducted over…
View article: Quick COVID Clinician Survey Summary (Australia), series 9-13
Quick COVID Clinician Survey Summary (Australia), series 9-13 Open
These quick surveys of practicing clinicians' experiences dealing with the COVID-19 pandemic in Australia, developed with the Larry Green Center in the US, have been administered since April of 2020. This PDF combines the series 9-13 summa…
View article: Obesity management in primary care: systematic review exploring the influence of therapeutic alliance
Obesity management in primary care: systematic review exploring the influence of therapeutic alliance Open
Purpose To identify the influence of the therapeutic alliance on the effectiveness of obesity interventions delivered in primary care. Method Systematic review of randomized controlled trials of primary care interventions for adult patient…
View article: Aboriginal and Torres Strait Islander health checks: sociodemographic characteristics and cardiovascular risk factors
Aboriginal and Torres Strait Islander health checks: sociodemographic characteristics and cardiovascular risk factors Open
Objective:To quantify Aboriginal and Torres Strait Islander health check claims in Australian adults in relation to sociodemographic and health characteristics, including prior cardiovascular disease (CVD) and CVD risk factors. Methods: Th…
View article: Emergency Department Presentations by Children in Remote Australia: A Population-based Study
Emergency Department Presentations by Children in Remote Australia: A Population-based Study Open
Background. Aboriginal leaders invited us to examine the frequency and reasons for emergency department (ED) presentations by children in remote Western Australia, where Prenatal Alcohol Exposure (PAE) is common. Methods. ED presentations …