Dr Jason Agostino

FRACGP, MPhilAppEpi, BMed, DipChHlth

Jason Agostino mugshot

Lecturer, Academic Unit of General Practice

Research Fellow, ANU Medical School

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 health service in the community of Yarrabah in far north Queensland and is a medical advisor at the National Aboriginal Community Contorlled Health Organisation (NACCHO).

Through his training as an epidemiologist Jason worked at 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 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 his position on the Australian Commission on Safety and Quality in Healthcare's Primary Care Expert 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. He is also a member of the executive group overseeing the development of COVID-19 Primary Healthcare Guidance for Aboriginal and Torres Strait Islander peoples.

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.

Areas of expertise

  • Epidemiology
  • Primary Health Care
  • Aboriginal and Torres Strait Islander Health
  • Community Child Health
  • Preventive Medicine

Research Interests:

  • General practice
  • In phase 1 I contribute to teaching of Aboriginal and Torres Strait Islander health and EBM teaching

Publications

Greaves, K, Smith, A, Agostino, J et al. 2020, 'Cross-sectional survey describing general practitioners absolute cardiovascular disease risk assessment practices and their relationship to knowledge, attitudes and beliefs about cardiovascular disease risk in Queensland, Australia', BMJ Open, vol. 10, no. 8.

O'Brien, K, Agostino, J, Ciszek, K et al 2020, 'Physical activity and risk of behavioural and mental health disorders in kindergarten children: analysis of a series of cross-sectional complete enumeration (census) surveys', BMJ Open, vol. 10, no. 3, pp. 1-9.

Agostino, J, Wong, D, Paige, E et al 2020, 'Cardiovascular disease risk assessment for Aboriginal and Torres Strait Islander adults aged under 35 years: a consensus statement', Medical Journal of Australia, vol. 212, no. 9, pp. 422-427.

Paige, E, O'Donoughue Jenkins, L, Agostino, J et al 2019, 'Aboriginal and Torres Strait Islander absolute cardiovascular risk assessment and management: systematic review of evidence to inform national guidelines [IN PRESS]', Public Health Research & Practice, vol. Online, pp. 1-5.

Paige, E, Agostino, J, Phillips, C et al 2019, 'Living Guidelines for Absolute Cardiovascular Disease Risk Assessment and Management', Heart, Lung and Circulation, vol. 28, no. 6, pp. 829-832.

van der Linden, N, van Gool, K, Gardner, K et al. 2019, 'A systematic review of scabies transmission models and data to evaluate the cost-effectiveness of scabies interventions', PLoS Neglected Tropical Diseases, vol. 13, no. 3, pp. e0007182-1-18.

Sturgiss, E, Agostino, J & Smith, GJD (2019) Conversations about obesity need to be realistic and informed, Australian Journal of General Practice, vol. 48, no. 5, pp. 247-247.

Strobel, N, McAuley, K, Matthews, V et al 2018, 'Understanding the structure and processes of primary health care for young indigenous children', Journal of Primary Health Care, vol. 10, no. 3, pp. 1-12.

Ju, I, Banks, E, Calabria, B et al 2018, 'General practitioners' perspectives on the prevention of cardiovascular disease: systematic review and thematic synthesis of qualitative studies', BMJ Open, vol. 8, no. 11, pp. e021137-.

Gardner, K, van Gool, K, Van der Linden, N et al 2018, Evaluation of the One Disease Crusted Scabies Elimination Project.

Paige, E, Welsh, J, Agostino, J et al 2018, 'Socioeconomic variation in absolute cardiovascular disease risk and treatment in the Australian population', Preventive Medicine, vol. 114, pp. 217-222pp.

Sturgiss, E & Agostino, J 2018, 'Preventive Health Care Should Focus on Modifiable Cardiovascular Risk Factors, Not Obesity Alone', Journal of the American College of Cardiology, vol. 71, no. 7, pp. 815-816.

Agostino, J, Ferguson, J, Eastwood, K et al 2017, 'The increasing importance of community-acquired methicillin-resistant Staphylococcus aureus infections', Medical Journal of Australia, vol. 207, no. 9, pp. 388-393pp.

Sibthorpe, B, Agostino, J, Coates, H et al 2017, 'Indicators for continuous quality improvement for otitis media in primary health care for Aboriginal and Torres Strait Islander children', Australian Journal of Primary Health, vol. 23, no. 1, pp. 1-9.

Agostino, J, Ferguson, J, Eastwood, K et al 2017, 'The increasing importance of community-acquired methicillin-resistant Staphylococcus aureus infections', Medical Journal of Australia, vol. 207, no. 9, pp. 388-393pp.

Agostino, J, Heazlewood, R & Ruben, A 2012, 'Improving access to primary care in the Cape York Peninsula region', Australian Family Physician, vol. 41, no. 8, pp. 623 - 625.

Projects and Grants:

Multifactorial, multidisciplinary nurse led Aboriginal dementia prevention through cardio-metabolic risk reduction, behaviour change and other strategies: a pragmatic RCT (Secondary Investigator) https://researchers.anu.edu.au/projects/25269

Completing the 'Evaluation of the Crusted Scabies Elimination Program' (Secondary Investigator) https://researchers.anu.edu.au/projects/25045

Absolute Risk Assessment of Cardiovascular Disease for Aboriginal and Torres Strait Islander People (Secondary Investigator) https://researchers.anu.edu.au/projects/24328

Related sites:

ANU Research

Contact:

Email: Jason.Agostino@anu.edu.au

Phone:  +61 2 5124 4947

Location:  Canberra Hospital, Bdg 4, Level 2, Garran ACT 2605

Centre:  Academic Unit of General Practice

Page last updated on: 17 Dec 2020