Understanding the Gaps in Acute Coronary Syndrome Care in Australia

Author: Derek Chew

Chew, Derek, 2017 Understanding the Gaps in Acute Coronary Syndrome Care in Australia, Flinders University, School of Medicine

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This thesis explores the decade long experience with monitoring acute coronary syndrome care in Australia. It then describes the observed clinical, health service and health policy barriers that appear to limit translation of the evidence base and compromise the optimal adoption of new diagnostic innovations. Through a series of 16 published papers, the thesis aims to provide the rationale for improving translation of the evidence-base in the care of patients suffering heart attacks in Australia. It identifies the conceptual goals for overcoming these barriers from a whole-of-system and multi-jurisdictional perspective, and describes some of the ongoing research designed to overcome these barriers. Finally, the thesis propose an integrated model for closing the loop between evidence and practice through the real-time assimilation of clinical data with guideline recommendations.

Keywords: Acute Coronary Syndromes, Heart Attacks, Quality of Care, Decision Making

Subject: Medicine thesis

Thesis type: Doctor of Philosophy
Completed: 2017
School: School of Medicine
Supervisor: Professor Andrew Bersten