Dr Jason Agostino

FRACGP, MPhilAppEpid, BMed, DCH
Lecturer in general practice, AUGP. Research fellow, NCEPH
ANU College of Health and 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 who has worked mainly in the field of Aboriginal and Torres Strait Islander health.  Since graduating from medicine he has worked in rural Australia with a focus on child health and does clinical work at Gurriny Yealamucka, an Aboriginal community controlled heatlh service in the community of Yarrabah in far north Queensland.

Through his training as an epidemiologist Jason has worked at the National Aboriginal Community Controlled Health Organisation (NACCHO) and the National Health Performance Authority (NHPA) before coming to the ANU.  At the ANU his research focuses on improving prevention of cardiovascular disease among Aboriginal and Torres Strait Islander peoples and understanding the health needs of ACT's children.  He has an interest in the use of routinely collected data to improve health services and continues to be involved in national reporting through his position on the Australian Commission on Safety and Quality in Healthcare's Primary Care Expert Advisory Group.

Current 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.

Past student projects

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:  13 December 2019 / Responsible Officer:  Director (Research Services Division) / Page Contact:  Researchers