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Mapping Services to Support a Patient's Journey through Evidence-Based Care Pathways After a Cardiac Event

Clark, R. A., Wilkinson, D., Coffee, N., Eckert, K., Astles, P., Milligan, M., Pearce, G., Stewart, S., van Gaans, D., Turner, D., Coombe, D., Aroney, C., Chew, D., Grantham, H., Macdonald, P., MacIsaac, A., Thompson, P., Walsh, W., & Tonkin, A. (2009) Mapping Services to Support a Patient's Journey through Evidence-Based Care Pathways After a Cardiac Event. In Cardiac Society of Australia and New Zealand Annual Scientific Meeting and the International Society for Heart Research, Australasian Section, Annual Scientific Meeting.

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Abstract

Background: There are inequalities in geographical access and delivery of health care services in Australia, particularly for cardiovascular disease (CVD), Australia's major cause of death. Analyses and models that can inform and positively influence strategies to augment services and preventative measures are needed.

The Cardiac-ARIA project is using geographical spatial technology (GIS) to develop a national index for each of Australia's 13,000 population centres. The index will describe the spatial distribution of CVD health care services available to support populations at risk, in a timely manner, after a major cardiac event.

Methods: In the initial phase of the project, an expert panel of cardiologists and an emergency physician have identified key elements of national and international guidelines for management of acute coronary syndromes, cardiac arrest, life-threatening arrhythmias and acute heart failure, from the time of onset (potentially dial 000) to return from the hospital to the community (cardiac rehabilitation).

Results: A systematic search has been undertaken to identify the geographical location of, and type of, cardiac services currently available. This has enabled derivation of a master dataset of necessary services, e.g. telephone networks, ambulance, RFDS, helicopter retrieval services, road networks, hospitals, general practitioners, medical community centres, pathology services, CCUs, catheterisation laboratories, cardio-thoracic surgery units and cardiac rehabilitation services.

Conclusion: This unique and innovative project has the potential to deliver a powerful tool to both highlight and combat the burden of disease of CVD in urban and regional Australia.

Impact and interest:

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ID Code: 49403
Item Type: Conference Item (Poster)
Additional Information: On behalf of the CARDIAC-ARIA project group.
DOI: 10.1016/j.hlc.2009.05.656
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CARDIOVASCULAR MEDICINE AND HAEMATOLOGY (110200)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > Institutes > Institute of Health and Biomedical Innovation
Funding:
Deposited On: 28 Mar 2012 15:20
Last Modified: 23 Jul 2014 11:19

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