Justin J Beilby

Justin J Beilby
Torrens University Australia

About

236
Publications
24,356
Reads
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4,586
Citations
Citations since 2016
35 Research Items
2006 Citations
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20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
Additional affiliations
January 2005 - August 2014
University of Adelaide
Position
  • Executive Dean

Publications

Publications (236)
Article
Full-text available
Background Frailty is a highly prevalent clinical syndrome increasing older people’s vulnerability to risk of adverse outcomes. Better frailty identification through expanded screening implementation has been advocated within general practice settings, both internationally and within Australia. However, little is known about practitioner perception...
Article
Full-text available
Persistent and inconsistent unsteadiness with nonvertiginous dizziness (persistent postural-perceptual dizziness (PPPD)) could negatively impact quality of life. This study highlights that the use of virtual reality (VR) systems offers bimodal benefits to PPPD, such as understanding symptoms and providing a basis for treatment. The aim is to develo...
Poster
Full-text available
We present the findings from a case study based on a University- Industry collaboration related to virtual reality and climate change that was set up in 2018 between a university and a small digital production company (industry partner) in Adelaide, South Australia. We applied a political science lens to the data to discuss findings that focus on t...
Article
The authors apologize for a typing error that occurred in the September 2020 article that changes the meaning of a sentence.
Conference Paper
Postural-Perceptual Dizziness (PPPD) has variable levels of severity and triggers. Hence the use of an e-diary to capture triggers could be useful for both the patient and treating clinician. Virtual reality (VR) is not new to health sciences. This paper proposes a strategy that by using immersive VR environments at home, the technology could facil...
Article
Full-text available
The purpose of this paper is to suggest practical frailty screening and management strategies in primary care settings.
Article
Identifying and removing access barriers to the timely provision of comprehensive health care is increasingly important for the wellbeing of Australia's rapidly ageing and frail populations, particularly those in non‐metropolitan settings. This study has examined if current general practice (GP) locations in non‐metropolitan South Australia and Wes...
Article
Full-text available
Objectives Studies conducted among older people have shown that frailty is a common condition associated with an array of adverse outcomes. The aims of this study were to identify the prevalence and associations of frailty in older people residing in several aged care facilities located in Queensland, Australia. Methods The database used for this...
Article
Objective: (i) to describe the general practitioner utilisation of health assessments, management plans, coordination of team care arrangements and medication review item numbers within 6 months of an aged care eligibility assessment for home care packages (HCP) and (ii) investigate the impact of health assessments on the risk of mortality and ent...
Article
Full-text available
Background: Frailty exposes older people to an elevated risk of a range of negative outcomes. Emerging evidence that frailty can be effectively treated within community settings has stimulated calls for more proactive screening within primary care. Assessing feasibility is a critical preliminary step in assessing the efficacy of interventions such...
Article
Introduction: Research has shown that frailty, a geriatric syndrome associated with an increased risk of negative outcomes for older people, is highly prevalent among residents of residential aged care facilities (also called long term care facilities or nursing homes). However, progress on effective identification of frailty within residential ca...
Conference Paper
Persistent Postural-Perceptual Dizziness (PPPD) is defined by World Health organization as ”Persistent non-vertiginous dizziness, unsteadiness, or both lasting three months”. With the most common provocations are situations like up-right position, self-motions, looking at fast moving objects or disruptions in a crowded environment. Besides conventi...
Article
Background Rapid frailty screening remains problematic in primary care. The diagnostic test accuracy (DTA) of several screening instruments has not been sufficiently established. We evaluated the DTA of several screening instruments against two reference standards: Fried’s Frailty Phenotype [FP] and the Adelaide Frailty Index [AFI]), a self-reporte...
Article
Full-text available
Objective The task force of the International Conference of Frailty and Sarcopenia Research (ICFSR) developed these clinical practice guidelines to overview the current evidence-base and to provide recommendations for the identification and management of frailty in older adults. Methods These recommendations were formed using the GRADE approach, w...
Article
Full-text available
Background: Frailty is a major health issue which impacts the life of older people, posing a significant challenge to the health system. One of the key emerging areas is the development of frailty interventions to halt or reverse the progression of the condition. In many countries, economic evidence is required to inform public funding decisions f...
Article
Background and objectives General practitioners (GPs) are uniquely positioned to support frailty identification and management. However, awareness of frailty and its treatment remains an emergent concept for many. Consequently, our aim was to explore GPs’ perceptions, attitudes and experiences of frailty and frailty screening. Methods A qualitati...
Article
Full-text available
Background The primary care setting is the ideal location for identifying the condition of frailty in older adults. AimsThe aim of this pragmatic study was twofold: (1) to identify data items to extract the data required for an electronic Frailty Index (eFI) from electronic health records (EHRs); and (2) test the ability of an eFI to accurately and...
Article
With older adults living longer, health service providers have increasingly turned their attention towards frailty and its significant consequences for health and well-being. Consequently, frailty screening has gained momentum as a possible health policy answer to the question of what can be done to prevent frailty's onset and progression. However,...
Article
Background: In a rapidly evolving digital world, it is crucial that general practice embraces the potential of artificial intelligence (AI) and virtual reality (VR) in a real and proactive manner. Objective: Using examples of AI and VR, the article outlines some of the benefits and challenges we face in integrating these digital tools into daily...
Article
Older frequent users of acute care can experience fragmented care. There is a need to understand the issues in a local context before attempting to address fragmented care. 0.5% (n=61) of the population in a defined local government area were identified as having ≥4 unplanned emergency department (ED) presentations/ admissions to an acute-care hosp...
Article
Full-text available
Older frequent users of acute care can experience fragmented care. There is a need to understand the issues in a local context before attempting to address fragmented care. 0.5% (n=61) of the population in a defined local government area were identified as having ≥4 unplanned emergency department (ED) presentations/admissions to an acute-care hospi...
Article
Full-text available
Introduction Frailty is one of the most challenging aspects of population ageing due to its association with increased risk of poor health outcomes and quality of life. General practice provides an ideal setting for the prevention and management of frailty via the implementation of preventive measures such as early identification through screening....
Article
Full-text available
Background Accompanying the unprecedented growth in the older adult population worldwide is an increase in the prevalence of frailty, an age-related clinical state of increased vulnerability to stressor events. This increased vulnerability results in lower social engagement and quality of life, increased dependency, and higher rates of morbidity, h...
Article
Full-text available
Background While current debates on how to deliver sustainable health care recognise socio-economic dimensions to health service use, attention has focussed on how to reduce demand for services. However, the measures of demand may not account for a subgroup of the population who to date have remained out of sight because they do not access health s...
Article
With age, the prevalence of musculoskeletal conditions increases markedly. This rural-based study determined the benefits of two approaches for managing musculoskeletal conditions: a multiple-component 'Self-management Plus' intervention, and usual care. The intervention combined self-management education with physical activity and health professio...
Article
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Background: Appropriate understanding of health information by patients with cardiovascular disease (CVD) is fundamental for better management of risk factors and improved morbidity, which can also benefit their quality of life. Objectives: To assess the relationship between health literacy and health-related quality of life (HRQoL) in patients...
Data
De-identified dataset including the variables used in this study (STATA v13 and CSV). (ZIP)
Article
Full-text available
Background Limited research exists on the process of applying knowledge translation (KT) methodology to a rural-based population health intervention. Methods This study reports on the implementation and translational stages of a previously described Co-creating KT (Co-KT) framework in the rural town of Port Lincoln, South Australia (population: 14...
Article
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Background: There is growing policy emphasis on self-management as an essential component of musculoskeletal chronic care models. Underpinning this drive is the assumption that with correct 'informational' framing people will better manage their condition's progression and thereby maintain quality of life. Objective: To assess associations betwe...
Article
Background: Frailty is a common geriatric condition, well known to contribute to morbidity and mortality. What is not yet well articulated in the literature is the health service use of frail older people in rural areas. This study investigated the impact of frailty on health service use in rural South Australia. Methods: This secondary cross-se...
Article
RationaleTo determine whether spirometry and regular medical review improved quality of life or other outcomes in children and adolescents with asthma.Methods We conducted two cluster randomized controlled trials. We recruited 238 asthma patients aged between 7 and 17 years from 56 general practices in South Eastern Australia.Participants were rand...
Article
Full-text available
Global medical workforce requirements highlight the need for effective workforce planning, with the overall aims being to alleviate doctor shortages and prevent maldistribution. The Medical Schools Outcomes Database and Longitudinal Tracking (MSOD) Project provides a foundation for evaluating outcomes of medical education programs against specified...
Article
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In Australia, primary care-based funding initiatives have been implemented to encourage general practices to employ practice nurses. The aim of this paper is to discuss limitations of the current funding and policy arrangements in enhancing the clinical role of practice nurses in the management of chronic conditions. This paper draws on the results...
Article
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Most evidence on the effect of collaborative care for depression is derived in the selective environment of randomised controlled trials. In collaborative care, practice nurses may act as case managers. The Primary Care Services Improvement Project (PCSIP) aimed to assess the cost-effectiveness of alternative models of practice nurse involvement in...
Article
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Background: Pregnancy presents a unique situation for the management of asthma as it can alter the course of asthma severity and its treatment, which in turn can affect pregnancy outcomes. Despite awareness of the substantial adverse effects associated with asthma during pregnancy, little has been done to improve its management and reduce associat...
Article
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Purpose: Investigate the suitability of mobile devices to deliver drug information content to 4th, 5th and 6th year medical students, searching for opportunities to improve drug information access or content to best support medication-related decision-making. Method: Participants undertook a baseline online survey prior to gaining access to the mob...
Article
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There are few studies investigating the economic value of the Australian practice nurse workforce on the management of chronic conditions. This is particularly important in Australia, where the government needs evidence to inform decisions on whether to maintain or redirect current financial incentives that encourage practices to recruit practice n...
Article
To determine trends in alcohol consumption in South Australia. Data collection from 2003 to 2011. Time series trends overall and by age, sex, education level, and income by proportion of drinkers, mean number of drinks, drinking less than one day, drinking on six or more days per week, lifetime alcohol risk and injury risk. An overall decline in th...
Article
Objectives: To describe the burden of bone and joint problems (BJP) in a defined regional population, and to identify characteristics and service-usage patterns. Methods: In 2010, a health census of adults aged ≥15 years was conducted in Port Lincoln, South Australia. A follow-up computer-assisted telephone interview provided more specific infor...
Article
Full-text available
Population health research can generate significant outcomes for communities, while Knowledge Translation (KT) aims to expressly maximize the outcomes of knowledge producing activity. Yet the two approaches are seldom explicitly combined as part of the research process. A population health study in Port Lincoln, South Australia offered the opportun...
Article
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Outcomes for colorectal cancer patients vary significantly. Compared to other countries, Australia has a good record with patient outcomes, yet there is little information available on the referral pathway. This paper explores the views of Australian patients and their experiences of referral for colorectal cancer treatment following diagnosis; the...
Article
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Purpose: To explore the referral pathways of patients with newly diagnosed colorectal cancer to surgeons. Method: Australian surgeons from three states completed a questionnaire and their records were audited. Results: Thirty-three surgeons provided data on 530 patients seen in the preceding 12 months. The median time between colonoscopy and f...
Article
There is mounting evidence end-of-life care for people with advanced chronic disease is neither adequate nor appropriate. Chronic disease management initiatives have focussed on prevention and systematic care processes, with little or no attention to end-of-life care planning or delivery. To determine how the Australian health care system supports...
Article
Full-text available
Background Despite the considerable and growing body of knowledge translation (KT) literature, there are few methodologies sufficiently detailed to guide an integrated KT research approach for a population health study. This paper argues for a clearly articulated collaborative KT approach to be embedded within the research design from the outset....
Article
Aims: To determine the cost-effectiveness of alternative models of practice nurse involvement in the management of type 2 diabetes within the primary care setting. Methods: Linked routinely collected clinical data and resource use (general practitioner visits, hospital services and pharmaceuticals) were used to undertake a risk-adjusted cost-eff...
Article
Full-text available
To describe general practitioner (GP) involvement in the treatment referral pathway for colorectal cancer (CRC) patients. A retrospective cohort analysis of linked data. A population-based sample of CRC patients diagnosed from August 2004 to December 2007 in New South Wales, Australia, using the 45 and Up Study, cancer registry diagnosis records, i...
Article
Objective: Controlled evaluations are subject to uncertainty regarding their replication in the real world, particularly around systems of service provision. Using routinely collected data, we undertook a risk adjusted cost-effectiveness (RAC-E) analysis of alternative applied models of primary health care for the management of obese adult patient...
Article
Australia has one of the highest incidence rates of colorectal cancer (CRC) in the world with the second highest mortality rate. This has provided justification for the National Bowel Cancer Screening Program. This article explores the views of general practitioners on their referral of colorectal cancer patients following diagnosis to specialist s...