Students - Dominic Robin Guda
Dr Dominic Robin Guda
PhD Student, Centre for Health Stewardship ANU College of Medicine
and Health Sciences
MBBS, DPH, MBA
Contact Details:
Telephone: 6125 0625
Email: robin.guda@anu.edu.au
Biography
Robin Guda is currently a PhD Candidate at the ANU Centre for Health
Stewardship in collaboration with the Centre for Research Excellence
in Patient Safety of Monash University. He worked previously for non-government
organizations of Bangladesh to ensure clinical governance and quality
of primary health care services offered by NGO clinics. His research
interests are on performance management; quality improvement and process
redesign methodologies in health service delivery system.
Publications
Projects
Service Specific Chronic Disease Registers
to Improve Chronic Disease Management Interventions in Public Sector
Health Services
Project Description:
It is estimated that one in six Australians over the age of 45 years
have chronic obstructive pulmonary diseases; 4% of the population over
45 years old have chronic heart failure; and the total national prevalence
of diabetes mellitus is 7.4%. However, several studies found gaps in
the quality of chronic diseases care. The factors contributing to the
gaps include method of financing, availability of other disciplines
to participate in team care, limited engagement with self-management
education, and lack of information and decision support systems. To
improve chronic disease care, it is clear that we need a transformed
approach to care delivery and the most widely accepted model for such
approach is the Wagner’s Chronic Care Model. It is evident that
clinical information management can play an important role in successful
implementation of sustainable chronic disease management initiatives.
The central element in Wagner’s Chronic Care Model is the use
of chronic disease management register for individual and population
management of chronic conditions. Healthcare demands person-to-person
interaction for collaborative diagnosis, treatment assessment, planning
and decision-making to lead to a ‘partnership model’ of
information use. Technologies in information systems for chronic diseases
management are critical to achieve recommended clinical outcomes. The
PhD research will focus on the characteristics and role of chronic
disease management register with view to facilitate population management
and support long-term orientation of chronic care within the health
system. . The research will be mainly qualitative using quantitative
materials for illustration purposes. It will work with the health system;
resources; service provision and processes; patients and carers; health
outcomes; and quality of health care. The outline for information collection
methods will be interview of key informants of health services; organizational
surveys: environmental, organizational, and team factors associated
with success to achieve organization- and patient-level changes and
reports; document review; patient and carers surveys; analysis medical
records, primary care data, patient care plans; business process mapping;
and team work.
Supervisors:
- Dr. Paul Dugdale
- Dr. Sue Evans
- Dr. Brian Richards
CV
