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WHO. GRAPHC . National Centre for   G eographic & R esources A nalysis in P rimary H ealth C are. To enhance the capacity of Primary Health Care by using geographically based tools, methods, data and web-based mapping platforms to support research into primary health care.

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Paul konings

WHO

GRAPHC .

National Centre for  

Geographic & Resources Analysis in Primary Health Care

To enhance the capacity of Primary Health Care by using geographically based tools, methods, data and web-based mapping platforms to support research into primary health care.

Paul Konings

National Centre for Geographic & Resource Analysis in Primary Health Care (GRAPHC),Australian Primary Health Care Research Institute (APHCRI), Australian National University (ANU)Credits: Nicholas Glasgow, Kirsty Douglas, Danielle Butler, Bob Wells, Mark Carrozza, Andrew Bazemore, Bob Phillips, Michael Hewett


Challenges opportunities

WHY

Challenges & Opportunities:

Global:

Population Growth

Urbanisation

Climate Change

National:

Aging Population

Rural and Remote

Chronic Disease

Regional:

Supply & Demand

Budgets

Resources

Variation

Technology:

Connectivity

Cloud Computing

GIS

Data:

Big Data

Access to data

Demography

Open Data

Issues:

Privacy & Confidentiality

Expertise

Information / Knowledge

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

WHY

O. Gudes 2011

  • Medicare Locals:L

  • Local Communities

  • Connected services

  • Where: Demand

  • Where: Services

  • Where: Gaps

ML 401: pop: 534,000

Where

Where

Where

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

WHAT

  • Public Health & demographic datasets.

  • Spatial Analysis Tools.

  • Map-based Visualisation.

  • Location as data.

Paul Konings: GRAPHC, APHCRI, ANU


Graphc resources

WHAT

GRAPHC Resources

Maps / Visualisations

INFRASTRUCTURE

Functionality

G-Tag System: Geo-Attribution / Geo-Linking

G-Tag System: Geo-Attribution / Geo-Linking

Data, Data, Data

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

G-Tag System Principles

  • Small Geography is Important

  • Privacy is Critical.

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

WHY

G-Tag System Principles

  • Small geography is Important

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

WHY

G-Tag System Principles

  • Small geography is Important

  • Socio-Economic Indexes for Areas (SEIFA) is a product developed by the ABS that ranks areas in Australia according to relative socio-economic advantage and disadvantage. The indexes are based on information from the five-yearly Census.

  • SEIFA 2011 is the latest version of this product and consists of four indexes:

  • The Index of Relative Socio-Economic Disadvantage (IRSD)

  • The Index of Relative Socio-Economic Advantage and Disadvantage (IRSAD)

  • The Index of Education and Occupation (IEO)

  • The Index of Economic Resources (IER).

  • Each index is a summary of a different subset of Census variables and focuses on a different aspect of socio-economic advantage and disadvantage.

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

G-Tag System Principles

  • Small geography is Important

4350, Pop’n: 102,259, IRSAD: 975

4352, Pop’n: 24,802, IRSAD: 1049

West Moreton-Oxley MedicareLocal

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

G-Tag System Principles

  • Small geography is Important

Postcode = 4350

SA1’s: 264

AvgPop’n = 387

IRSAD: 765 – 1166

22 x National Decile = 1

12 National Decile = 10

Paul Konings: GRAPHC, APHCRI, ANU


G tag system geo attribution geo linking

HOW

HOW

G-Tag System: Geo-attribution / Geo-linking

3. Researcher takes de-identified clinical data including GTAGs & undertakes research enquiry

1. Extract clinical data using extraction tool ie Pen- CAT

General Practice

General Practice

4. GTAG -> Spatial attributes using Geo-Attribution or Link to Statistics via Geo-Linking

2. Register Addresses using GRAPHC G-Tag Registration tool

Patient Identifiable Data

De-Identified Clinical Data

Health Research / Administration

Geo-Attribution / Geo-Linking / Geo-Processing Tools

GRAPHC G-UI

GRAPHC G-UI

GTAG

Address

GTAG

GRAPHC Database

Region ID &/or

Statistical Indicators

5. Review data spatially using GRAPHC Quick Themes tool

2 (a) GRAPHC Server-side geo-coding NB coordinates are NOT available.

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

  • Case study:

  • Looks at relationships between diabetes and socio-economic status.

  • We had access to patient clinical records.

  • Knowing where patients reside gives us an indication of their socio economic status.

  • What region has the highest spatial resolution AND SEIFA indicators (SA1).

  • Can we convert addresses to SA1 regions.

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

G-Tag System Applied

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

G-Tag System Applied

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

G-Tag System Applied

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

G-Tag System Applied

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

WHY

ABS – Statistical Area 1 versus Postcodes

Paul Konings: GRAPHC, APHCRI, ANU


Paul konings

HOW

GRAPHC Work Flow Model

Geo-attributed Demographic & socio economic data. CSV

Geo-attributed & Linked topic data. CSV

Researcher

1

1

2

3

GRAPHC Services

HLA

Quick Themes

Map Visualisation

G-ET

G-Tag

Paul Konings & Michael Hewett: GRAPHC, APHCRI, ANU


Paul konings

WHO

GRAPHC .

National Centre for Geographic & Resources Analysis in Primary Health Care

Acknowledgement:

The research reported in this presentation is a product of the Australian Primary Health Care Research Institute, which is supported by a grant from the Australian Government Department of Health and Ageing under the Primary Health Care Research, Evaluation and Development Strategy. The information and opinions contained in it do not necessarily reflect the views or policies of the Australian Government Department of Health.

http://GRAPHC.APHCRI.ANU.EDU.AU

Paul Konings

National Centre for Geographic & Resource Analysis in Primary Health Care (GRAPHC),Australian Primary Health Care Research Institute (APHCRI), Australian National University (ANU)Credits: Paul Konings, Michael Hewett


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