https://dora.health.qld.gov.au/qldresearchjspui/handle/1/876 Sat, 23 May 2026 03:56:36 GMT 2026-05-23T03:56:36Z https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6524 Title: The Murtupuni Statement on rural generalist professional practice in Australia Authors: Hays, Richard; Barker, Ruth; Cairns, Alice; Sparke, Vanessa; Stewart, Ruth A; Varela, Sharon; Collins, Bonnie E; Maloney, Catherine; Omond, Rodney; Sen Gupta, Tarun; Chalmers, Sarah; Chong, Hwee Sin; McKenna, Kylie; Forrest, Kristie; West, Erica; Matthews, Jennie; Ballard, Rosalie; Sabatino, Gabrielle; Turvey, Jodie; Symons, Jo; Quabba, Andrew; Brown, Jodi Description: Acknowledgements: The authors acknowledge the contributions during the workshop of Sarah Jackson, Anna Duan and Sara Drum. Fri, 01 Nov 2024 00:00:00 GMT https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6524 2024-11-01T00:00:00Z https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6514 Title: Carrier rates of group A streptococci in Australian wet tropics and their impact on the clinical usefulness of throat swabs Authors: Gunnarsson, Ronny Kent; Orda, Ulrich; Elliott, Bradley; Heal, Clare Abstract: Rapid point-of-care tests (POCT) are likely to assist with the detection of group A streptococci (GAS), but their usefulness is determined by the presence of carriers of GAS. This is insufficiently explored in the wet tropics. This study included 77 patients attending primary care in the wet tropics complaining of a sore throat, and 49 healthy controls. Carrier rates of GAS and the positive and negative etiological predictive values (P-EPV and N-EPV, respectively) of a POCT were calculated. The carrier rates were 8.3% among healthy children and 2.7% for adults. The P-EPV for children was 71% (95% confidence interval [CI]: 0.0-100%) and for adults it was 85% (95% CI: 0.0-100%). The corresponding N-EPV was 99% (95% CI: 95-100%) for children and 99% (95% CI: 98-100%) for adults. N-EPV, ruling out GAS, was sufficiently high with narrow CIs to allow for defining a stopping rule to avoid unnecessary antibiotic prescribing. Tue, 01 Oct 2024 00:00:00 GMT https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6514 2024-10-01T00:00:00Z https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6227 Title: Discharge against medical advice in rural and remote emergency departments: views of healthcare providers Authors: Oribin, Jacky; Fatima, Yaqoot; Seaton, Catherine Ann; Solomon, Shaun; Khan, Maureen; Cairns, Alice Abstract: The aim of the study was to explore, in one remote hospital, emergency department healthcare providers' experience and perceptions of the factors surrounding a patient's decision to discharge against medical advice (DAMA). The secondary objective was to gain insight into staff experiences of the current protocols for managing DAMA cases and explore their recommendations for reducing DAMA incidence. This was a cross-sectional study involving a survey and semi-structured interviews exploring healthcare providers' (n=19) perceptions of factors perceived to be influencing DAMA, current practice for managing DAMA and recommendations for practice improvements. Health professionals (doctors, nurses, Aboriginal Health Workers) all worked in the emergency department of a remote community hospital, Queensland, Australia. Responses relating to influencing factors for DAMA were provided on a three-point rating scale from 'no influence/little influence' to 'very strong influence'. DAMA management protocol responses were a three-point rating scale from 'rarely/never' to 'always'. Semi-structured interviews were conducted after the survey and explored participants' perceptions in greater detail and current DAMA management protocol. Feedback from the total of 19 participants across the professions presented four prominent yet interconnected themes: patient, culture, health service and health provider, and health literacy and education-related factors. Factors that were perceived to have a strong influence on DAMA events included alcohol and drug abuse (100%), a lack of culturally sensitive healthcare services (94.7%), and family commitments or obligations (89.5%). Healthcare provider recommendations for preventing DAMA presented themes of right communication, culturally safe care (right place, right time) and the right staff to support DAMA prevention. The healthcare providers described the pivotal role the Indigenous Liaison Officer (ILO) plays and the importance of this position being filled. DAMA is a multifaceted issue, influenced by both personal and hospital system-related factors. Participants agreed that the presence of ILO and/or Aboriginal Health Workers in the emergency department may reduce DAMA occurrences for Indigenous Australians who are disproportionately represented in DAMA rates, particularly in rural and remote regions of Australia. Mon, 01 Jul 2024 00:00:00 GMT https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6227 2024-07-01T00:00:00Z https://dora.health.qld.gov.au/qldresearchjspui/handle/1/5595 Title: Aboriginal health Authors: Blackwell, Nikki; Hayllar, Jeremy Sat, 02 May 1998 00:00:00 GMT https://dora.health.qld.gov.au/qldresearchjspui/handle/1/5595 1998-05-02T00:00:00Z