This may be the author’s version of a work that was submitted/acceptedfor publication in the following source:

Clark, Robyn, Wilkinson, David, Coffee, Neil, Eckert, Kerena, Astles, Peter,Milligan, Marian, Pearce, Greg, Stewart, Simon, van Gaans, Deborah, &Turner, D.(2009)Mapping services to support a patient’s journey through evidence-basedcare pathways after a cardiac event. InAnnual Scientific Meeting of the Cardiac Society of Australia and NewZealand (57th), 2009-08-13 - 2009-08-16.

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https://doi.org/10.1016/j.hlc.2009.05.656

https://eprints.qut.edu.au/view/person/Clark,_Robyn.htmlhttps://eprints.qut.edu.au/49403/https://doi.org/10.1016/j.hlc.2009.05.656

Background/ aims

There are inequalities in geographical access and delivery of health care services in Australia, particularly for

cardiovascular disease (CVD), Australia’s major cause of death. Therefore we will :

• Develop a national index• reflecting a community’s ability to respond to a cardiac event in a timely manner• from the time of onset (potentially call 000)

to return from hospital to the community (cardiac rehabilitation)

• Type of events include:• cardiac arrest• acute coronary syndromes• acute heart failure• life threatening arrhythmias

• Based on clearly defined national and international guidelines

1 Sansom Institute, University of South Australia 2 University of Queensland, Brisbane 3 National Centre for Social Applications of Geographical Information Systems (GISCA), The University of Adelaide, South Australia 4 Adelaide City Council 5 TheUniversity of Adelaide, South Australia 6 Hanson Institute, Adelaide 7 Alphapharm Pty Ltd 8 Baker IDI Heart and Diabetes Institute, Melbourne 9 Department of Geography and Environmental Studies, The University of Adelaide, South Australia 10 PrinceCharles Hospital, Brisbane 11 Flinders University, South Australia 12 South Australia Ambulance Service 13 St Vincent’s Hospital, Sydney 14 St Vincent’s Hospital, Melbourne 15 Sir Charles Gairdner Hospital, Perth 16 Eastern Heart Clinic, Sydney 17Department of Epidemiology and Preventive Medicine, Monash University

Methods

• Consensus building

• A panel of expert cardiologists and stakeholders

• Guideline statements reviewed

• Translated to a master list of essential facilities, services, and timeframes

Results

• Locations of essential facilities and services were sourced for input into aGeographical Information System (GIS)

• telecommunications• response and transport networks and facilities• medical and pharmaceutical facilities,

and rehabilitation services

• Measurements of distance and time

Authors: Dr. Robyn Clark ,1 Prof. David Wilkinson, 2 Kerena Eckert ,2,3,4 Neil Coffee ,5,6 Peter Astles, 7 Greg Pearce ,7 Prof. Simon Stewart, 8 Errol Bamford, 5 Deborah van Gaans ,9 Dorothy Turner ,5 David Coombe, 5 Assoc. Prof. Con Aroney ,10 Assoc. Prof. Derek Chew ,11 Prof. Hugh Grantham ,12 Prof. Peter MacDonald ,13 Dr. Andrew MacIsaac,14 Prof Peter Thompson ,15 Dr. Warren Walsh ,16 Prof Andrew Tonkin.17 On behalf of the Cardiac ARIA project group.

Telecommunications

Ambulance Stations

Roads Networks

Medical Facilities

Pharmacies

Cardiac Rehabilitation

Conclusion

• These datasets will be used to analyse a community’s accessibility / remotenessin relation to cardiac services and the timeframes necessary for treatment

• Identify geographic hotspots of mismatch between demand and provision ofcardiac services

• A potentially powerful tool for policy makers and researchers, to both highlight andcombat the burden of cardiovascular disease in urban and regional Australia

Data Sources:

Heart Failure Data - Clark, Driscoll & Stewart 2005

Spatial Unit - Australian Bureau of Statistics Census Collection Districts 2001

Urban Centres - Australian Bureau of Statistics Census 2001

* Natural Breaks (Jenks) Classification

Data Sources:

Heart Failure Data - Clark, Driscoll & Stewart 2005

Spatial Unit - Australian Bureau of Statistics Census Collection Districts 2001

Urban Centres - Australian Bureau of Statistics Census 2001

* Natural Breaks (Jenks) Classification

Acknowledgements

We wish to thank Pitney Bowes Business Insight and Tonkin

Consulting for their very generous support in supplying the road

database free of cost

We also wish to acknowledge JPM Media Pty Ltd for their

generosity in supplying the Hospitals Yearbook database.Adapted from

Neil Coffee, 2005, Constructing an Objective Index of Walkability,

Masters Thesis, University of Adelaide