Dr Jason Agostino

FRACGP, MPhilAppEpid, BMed, DCH
Lecturer in general practice, AUGP. Research fellow, NCEPH
College of Health & Medicine
T: 02 61745592

Areas of expertise

  • Primary Health Care 111717
  • Aboriginal And Torres Strait Islander Health 111701
  • Community Child Health 111704
  • Epidemiology 111706
  • Preventive Medicine 111716

Biography

Jason is a GP and an epidemiologist with a focus on the health of Aboriginal and Torres Strait Islander peoples and is a medical advisor at NACCHO, the National Aboriginal Community Contorlled Health Organisation. He also works as a GP at Gurriny Yealamucka, an Aboriginal community controlled heatlh service in the community of Yarrabah in far north Queensland.

At the ANU his research focuses on improving the prevention of cardiovascular disease for Aboriginal and Torres Strait Islander peoples and understanding the health needs of ACT's children.  

He has an interest in developing team-based community health care, and the use of routinely collected data to improve health services. He works with NACCHO on primary healthcare reform and is involved in national reporting through the Australian Government's Health Services Data Advisory Group.

He has supported the Aboriginal Community Controlled Health Sector through the COVID-19 pandemic and sits on the Aboriginal and Torres Strait Islander COVID-19 Advisory Group and the Guidelines Leadership Group of the National COVID-19 Evidence Taskforce.

Current student projects

A review and evaluation of general practice datasets and indicators available for assessing coverage of chronic disease risk assessment for Aboriginal and Torres Strait Islander peoples

A key element to effective prevention of chronic disease is the early identification and management of chronic disease risk. This is especially important for Aboriginal and Torres Strait Islander peoples who experience a high burden of cardiovascular disease (CVD), diabetes and kidney disease from a young age.

Large datasets exist which contain de-identified cross-sectional patient information extracted from electronic medical records used in general practices (e.g. NPS MedicineInsight). In this project, we will review available GP datasets and indicators available for assessing coverage of chronic disease risk assessment and management of risk for Aboriginal and Torres Strait Islander people. Datasets and indicators will be assessed for usefulness in directing quality improvement and the identification of services achieving high rates of chronic disease risk screening and follow-up.

Past student projects

Outcomes for Aboriginal and Torres Strait Islander patients with end stage renal failure requiring intensive care

The prevalence of dialysis-dependent chronic kidney disease (CKD5D) is increasing steadily, and Aboriginal and Torres Strait Islander people are at increased risk of developing it. Patients who are admitted to the intensive care unit (ICU) with existing CKD5D are more likely to require invasive procedures (mechanical ventilation, blood transfusions, strong drug infusions), are likely to require longer admissions and have an increased risk of death. Finally, Aboriginal and Torres Strait Islander people are overrepresented in the ICU, tend to be younger than non-Indigenous patients and present at later stages of disease. This will be the first study to investigate the difference in hospital outcomes between Aboriginal and Torres Strait Islander and non-Indigenous ICU patients with existing CKD5D.

Evaluation of the continuum of care of otitis media and its sequelae in children in Yarrabah

Otitis Media and sequelae carry a significant burden of disease in Aboriginal and Torres Strait Islander children, with possible detrimental outcomes including poor hearing, difficulty with language acquisition, decreased social integration and cholesteatoma. While treatment guidelines exist and treatment is relatively simple on a case by case basis, the interplay of complex social, biological, economic and geographic determinants present a significant challenge to both prevention and treatment of the disease.

We audited the files of children in Yarrabh who had been referred for further assessment due to ear disease or hearing concerns.  We ound low attendance rates and long wait times for appointments that would likely contribute to poor outcomes for children of this community.

Publications

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Updated:  04 December 2021 / Responsible Officer:  Director (Research Services Division) / Page Contact:  Researchers