Browsing by Author "Bradford, Natalie K"
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- ItemHow telehealth facilitates the provision of culturally appropriate healthcare for Indigenous Australians.(0000-00-00) Caffery, Liam J; Bradford, Natalie K; Smith, Anthony C; Langbecker, DanetteIntroduction The aim of this study was to explore how telehealth facilitates or impedes the provision of culturally appropriate healthcare to Indigenous Australians from the perspective of staff at an Aboriginal Community Controlled Health Service ACCHS Methods An exploratory qualitative study was performed Semi structured interviews were conducted with nine ACCHS staff Interview transcripts were analysed using thematic analysis Results One central theme and three sub themes were identified The central theme of Care provided in a supportive environment describes how telehealth enabled specialist consultations to be conducted in the safe environment of an ACCHS instead of a mainstream health service The first sub theme described how telehealth improved affordability and convenience and brought a reduction in the stress of healthcare The second sub theme explained the importance of the presence of an Indigenous health worker to facilitate culturally appropriate healthcare The third sub theme described how telehealth supported a holistic view of health Discussion Our findings show culturally appropriate healthcare may be enhanced by the use of telehealth because it allows care to be provided in the supportive environment of an ACCHS It allows the community member to have the advocacy and assistance of an Indigenous health worker and reduces the burden of travel and dislocation from community and family
- ItemPaediatric palliative care by video consultation at home: a cost minimisation analysis.(2014-08-11) Bradford, Natalie K; Armfield, Nigel R; Young, Jeanine; Smith, Anthony CIn the vast state of Queensland Australia access to specialist paediatric services are only available in the capital city of Brisbane and are limited in regional and remote locations During home based palliative care it is not always desirable or practical to move a patient to attend appointments and so access to care may be even further limited To address these problems at the Royal Children s Hospital RCH in Brisbane a Home Telehealth Program HTP has been successfully established to provide palliative care consultations to families throughout Queensland
- ItemPrinciples of a paediatric palliative care consultation can be achieved with home telemedicine.(2014-11-17) Bradford, Natalie K; Armfield, Nigel R; Young, Jeanine; Herbert, Anthony; Mott, Christine; Smith, Anthony CWe compared the records of paediatric palliative consultations undertaken face to face with telemedicine consultations undertaken in patients homes A convenience sample of consecutive paediatric palliative care patients was identified from the hospital s palliative care database A total of 100 consultations was reviewed 50 telemedicine consultations during home visits and 50 face to face consultations according to 14 established principles and components of a paediatric palliative care consultation In the telemedicine group there was a higher proportion of patients in a stable condition 58 vs 7 and a lower proportion of patients in terminal phase 2 vs 17 Discussion about pain and anorexia were significantly more common in the telemedicine group Discussion about follow up was significantly more common in the telemedicine group 86 vs 56 whilst resuscitation planning was more common in deteriorating patients receiving inpatient care All other components and principles of a palliative care consultation were documented equally regardless of method of consultation The findings confirm that palliative consultations via telemedicine are just as effective as face to face consultations in terms of the documented components of the consultation
- ItemTelemedicine--a bibliometric and content analysis of 17,932 publication records.(2014-08-27) Armfield, Nigel R; Edirippulige, Sisira; Caffery, Liam J; Bradford, Natalie K; Grey, Joanne W; Smith, Anthony CWe aimed to provide an up to date contemporary bibliometric view of the telemedicine and telehealth literature and a longitudinal analysis of changes in content themes