Leonard C Gray

Summary

Affiliation: University of Queensland
Country: Australia

Publications

  1. pmc How effective are programs at managing transition from hospital to home? A case study of the Australian Transition Care Program
    Leonard C Gray
    Centre for Research in Geriatric Medicine, The University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, Woolloongabba, Queensland 4102, Australia
    BMC Geriatr 12:6. 2012
  2. pmc 'Online' geriatric assessment procedure for older adults referred for geriatric assessment during an acute care episode for consideration of reliability of triage decisions
    Len Gray
    Centre for Research in Geriatric Medicine, University of Queensland, Princess Alexandra Hospital, Woolloongabba, QLD 4102, Australia
    BMC Geriatr 12:10. 2012
  3. pmc Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings: study protocol
    Caroline A Brand
    Department of Clinical Epidemiology, Biostatistics and Health Services Research, Melbourne Health, The University of Melbourne and The Royal Melbourne Hospital, Melbourne, Australia
    BMC Health Serv Res 11:281. 2011
  4. pmc Documentation of in-hospital falls on incident reports: qualitative investigation of an imperfect process
    Terry P Haines
    Department of Physiotherapy, School of Primary Health Care, Monash University, Frankston, Australia
    BMC Health Serv Res 8:254. 2008
  5. pmc Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system
    John P Hirdes
    University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada
    BMC Health Serv Res 8:277. 2008
  6. pmc Relationship between interRAI HC and the ICF: opportunity for operationalizing the ICF
    Katherine Berg
    Department of Physical Therapy, University of Toronto, Toronto, Canada
    BMC Health Serv Res 9:47. 2009
  7. doi request reprint Standardizing assessment of elderly people in acute care: the interRAI Acute Care instrument
    Len C Gray
    Academic Unit in Geriatric Medicine, School of Medicine, University of Queensland, Brisbane, Australia
    J Am Geriatr Soc 56:536-41. 2008
  8. ncbi request reprint Geriatric ward rounds by video conference: a solution for rural hospitals
    Leonard C Gray
    University of Queensland, Brisbane, QLD, Australia
    Med J Aust 191:605-8. 2009
  9. pmc Sharing clinical information across care settings: the birth of an integrated assessment system
    Leonard C Gray
    The University of Queensland, c Academic Unit in Geriatric Medicine, University Department of Medicine, Princess Alexandra Hospital, Brisbane, Australia
    BMC Health Serv Res 9:71. 2009
  10. doi request reprint The diagnostic accuracy of telegeriatrics for the diagnosis of dementia via video conferencing
    Melinda Martin-Khan
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, QLD, Australia
    J Am Med Dir Assoc 13:487.e19-24. 2012

Collaborators

Detail Information

Publications37

  1. pmc How effective are programs at managing transition from hospital to home? A case study of the Australian Transition Care Program
    Leonard C Gray
    Centre for Research in Geriatric Medicine, The University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, Woolloongabba, Queensland 4102, Australia
    BMC Geriatr 12:6. 2012
    ..In this paper, we review the current evidence on the efficacy of such programs, using the Australian Transition Care Program as a case study...
  2. pmc 'Online' geriatric assessment procedure for older adults referred for geriatric assessment during an acute care episode for consideration of reliability of triage decisions
    Len Gray
    Centre for Research in Geriatric Medicine, University of Queensland, Princess Alexandra Hospital, Woolloongabba, QLD 4102, Australia
    BMC Geriatr 12:10. 2012
    ..It will also explore the accuracy of the procedure in identifying common geriatric syndromes, and its cost relative to conventional "live" consultations...
  3. pmc Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings: study protocol
    Caroline A Brand
    Department of Clinical Epidemiology, Biostatistics and Health Services Research, Melbourne Health, The University of Melbourne and The Royal Melbourne Hospital, Melbourne, Australia
    BMC Health Serv Res 11:281. 2011
    ..This paper reports the study protocol for the development of aged care quality indicators for acute care hospitals...
  4. pmc Documentation of in-hospital falls on incident reports: qualitative investigation of an imperfect process
    Terry P Haines
    Department of Physiotherapy, School of Primary Health Care, Monash University, Frankston, Australia
    BMC Health Serv Res 8:254. 2008
    ....
  5. pmc Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system
    John P Hirdes
    University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada
    BMC Health Serv Res 8:277. 2008
    ..This study examined the reliability of the items from five instruments supporting home care, long term care, mental health, palliative care and post-acute care...
  6. pmc Relationship between interRAI HC and the ICF: opportunity for operationalizing the ICF
    Katherine Berg
    Department of Physical Therapy, University of Toronto, Toronto, Canada
    BMC Health Serv Res 9:47. 2009
    ....
  7. doi request reprint Standardizing assessment of elderly people in acute care: the interRAI Acute Care instrument
    Len C Gray
    Academic Unit in Geriatric Medicine, School of Medicine, University of Queensland, Brisbane, Australia
    J Am Geriatr Soc 56:536-41. 2008
    ..To examine the frequency distributions and interrater reliability of individual items of the interRAI Acute Care instrument...
  8. ncbi request reprint Geriatric ward rounds by video conference: a solution for rural hospitals
    Leonard C Gray
    University of Queensland, Brisbane, QLD, Australia
    Med J Aust 191:605-8. 2009
    ..To evaluate the acceptance and cost of a ward-based geriatric consultation service delivered via a mobile videoconferencing system...
  9. pmc Sharing clinical information across care settings: the birth of an integrated assessment system
    Leonard C Gray
    The University of Queensland, c Academic Unit in Geriatric Medicine, University Department of Medicine, Princess Alexandra Hospital, Brisbane, Australia
    BMC Health Serv Res 9:71. 2009
    ..Population ageing, the emergence of chronic illness, and the shift away from institutional care challenge conventional approaches to assessment systems which traditionally are problem and setting specific...
  10. doi request reprint The diagnostic accuracy of telegeriatrics for the diagnosis of dementia via video conferencing
    Melinda Martin-Khan
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, QLD, Australia
    J Am Med Dir Assoc 13:487.e19-24. 2012
    ..The suitability of video conferencing (VC) technology for clinical purposes relevant to geriatric medicine is still being established. This project aimed to determine the validity of the diagnosis of dementia via VC...
  11. ncbi request reprint The Higher Care At Discharge Index (HCDI): identifying older patients at risk of requiring a higher level of care at discharge
    Prabha Lakhan
    Centre for Research in Geriatric Medicine, The University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Brisbane 4102, Australia
    Arch Gerontol Geriatr 57:184-91. 2013
    ..8%; specificity 68.7%; PPV 18.0%; NPV 97.8%, correctly classified 69.7%. Requirement for a higher level care at discharge has important consequences for health service delivery. The HCDI can be used to identify patients at higher risk...
  12. ncbi request reprint A break-even analysis of delivering a memory clinic by videoconferencing
    Tracy A Comans
    Centre for Applied Health Economics, School of Medicine, Griffith University, Brisbane, Australia
    J Telemed Telecare 19:393-6. 2013
    ....
  13. doi request reprint Profiles of older patients in the emergency department: findings from the interRAI Multinational Emergency Department Study
    Leonard C Gray
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, Queensland, Australia
    Ann Emerg Med 62:467-74. 2013
    ..We examine functional profiles and presence of geriatric syndromes among older patients attending 13 emergency departments (EDs) in 7 nations...
  14. doi request reprint Telehealth for nursing homes: the utilization of specialist services for residential care
    Leonard C Gray
    Centre for Research in Geriatric Medicine, School of Medicine, University of Queensland, Brisbane, Australia
    J Telemed Telecare 18:142-6. 2012
    ..Many services which are currently being provided on site to metropolitan long-term care facilities could be provided by telehealth in both urban and rural facilities...
  15. doi request reprint Deciding when to stop: towards evidence-based deprescribing of drugs in older populations
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, University of Queensland, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Evid Based Med 18:121-4. 2013
    ..Evidence supporting a structured approach to drug discontinuation (or deprescribing) is emerging, and while many barriers to deprescribing exist in routine practice, various enabling strategies can help overcome them. ..
  16. doi request reprint A systematic review of studies concerning observer agreement during medical specialist diagnosis using videoconferencing
    Melinda Martin-Khan
    Centre for Research in Geriatric Medicine, University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Queensland 4102, Australia
    J Telemed Telecare 17:350-7. 2011
    ..The variation in research methodology and statistical analysis suggests a lack of clarity about which research design is appropriate for measuring observer agreement in relation to diagnostic reliability...
  17. ncbi request reprint Feasibility of using an in-home video conferencing system in geriatric rehabilitation
    Nancye M Peel
    Centre for Research in Geriatric Medicine, School of Medicine, The University of Queensland, Level 2 Building 33, Princess Alexandra Hospital, Ipswich Road, Woolloongabba QLD 4102 Australia
    J Rehabil Med 43:364-6. 2011
    ..This pilot study trialled an in-home videoconferencing system to determine the feasibility of delivering rehabilitation services remotely to aged clients...
  18. pmc Quality of life of older frail persons receiving a post-discharge program
    Tracy A Comans
    School of Medicine, Griffith University, Brisbane, Australia
    Health Qual Life Outcomes 11:58. 2013
    ..e. satisfaction with own quality of life) for participants of a discharge program for older people following an extended hospital episode of care and 2) examine the impact of the intensity of this program on utility gains over time...
  19. pmc Methodology for developing quality indicators for the care of older people in the Emergency Department
    Melinda Martin-Khan
    Centre for Research in Geriatric Medicine, Level 2, Building 33, Princess Alexandra Hospital, The University of Queensland, Ipswich Road, Woolloongabba QLD 4102, Australia
    BMC Emerg Med 13:23. 2013
    ..This project will develop a suite of quality indicators focused on the care of older persons in the emergency department...
  20. doi request reprint Effects of a drug minimization guide on prescribing intentions in elderly persons with polypharmacy
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Drugs Aging 29:659-67. 2012
    ..While frameworks exist to assist clinicians in prescribing appropriately in older patients at risk of adverse drug reactions, their impact on prescribing is uncertain...
  21. doi request reprint A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals
    Prabha Lakhan
    The University of Queensland, Brisbane, Australia
    J Am Geriatr Soc 59:2001-8. 2011
    ....
  22. ncbi request reprint Trends in the use of hospital beds by older people in Australia: 1993-2002
    Len C Gray
    Department of Medicine, University of Queensland, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, QLD 4102, Australia
    Med J Aust 181:478-81. 2004
    ..To determine trends in use of Australian acute hospital inpatient services by older patients...
  23. ncbi request reprint Health assessment of elderly patients
    Len C Gray
    University of Queensland
    Aust Fam Physician 33:795-7. 2004
    ..Comprehensive health assessment of the elderly in primary care will become a more important element of general practice as population aging proceeds and evidence of efficacy emerges...
  24. ncbi request reprint The acute-aged care interface: exploring the dynamics of 'bed blocking'
    Catherine M Travers
    Academic Unit in Geriatric Medicine, Princess Alexandra Hospital, Wooloongabba, Queensland, Australia
    Australas J Ageing 27:116-20. 2008
    ..To understand the dynamics underlying 'bed-blocking' in Australian public hospitals that is frequently blamed on older patients...
  25. pmc Design of a randomized, non-inferiority trial to evaluate the reliability of videoconferencing for remote consultation of diabetes
    Farhad Fatehi
    Centre for Online Health, The University of Queensland, Brisbane, Australia
    BMC Med Inform Decis Mak 14:11. 2014
    ..This paper describes the protocol of a randomised controlled trail for assessing the reliability of remote video consultation for people with diabetes...
  26. ncbi request reprint Telehealth opportunities in regional Queensland: a scoping study
    Jasmine Croll
    Centre for Online Health, Royal Children s Hospital, Brisbane, QLD, Australia
    J Telemed Telecare 18:451-4. 2012
    ..The study reinforced the potential for telehealth services in three key domains: regional hospitals, residential aged-care facilities and general practice...
  27. ncbi request reprint Appraisal of the quality of care of older adults with cognitive impairment in the emergency department
    Linda M Schnitker
    University of Queenland, The Centre for Research in Geriatric Medicine, Brisbane, Australia
    J Gerontol Nurs 39:34-40. 2013
    ..Recommendations for improvement are discussed...
  28. doi request reprint The Rowland Universal Dementia Assessment Scale (RUDAS) as a reliable screening tool for dementia when administered via videoconferencing in elderly post-acute hospital patients
    Lillian Wong
    Princess Alexandra Hospital, Brisbane, Queensland, Australia
    J Telemed Telecare 18:176-9. 2012
    ..9 (difference between the means 0.04), i.e. there was no significant difference. The results suggest that the RUDAS can be reliably administered via VC in post acute patients as an alternative to FTF administration...
  29. doi request reprint A clinimetric study of outpatient diabetes consultations: the potential for telemedicine substitution
    Farhad Fatehi
    1 Centre for Online Health, The University of Queensland, Brisbane, Australia
    Diabetes Technol Ther 16:8-14. 2014
    ..The purpose of this study was to identify the clinimetric characteristics of specialist outpatient consultations for people with diabetes and to evaluate the possibility of providing such consultations remotely using telemedicine...
  30. ncbi request reprint Telemedicine across the ages
    Anthony C Smith
    Centre for Online Health, University of Queensland, Brisbane, QLD, Australia
    Med J Aust 190:15-9. 2009
    ..For telemedicine to become a mainstream service, its focus must move beyond simply the provision of equipment and network connectivity. Telemedicine must be funded adequately if it is to be successful...
  31. ncbi request reprint Telemedicine for clinical management of diabetes - a process analysis of video consultations
    Farhad Fatehi
    Centre for Online Health, University of Queensland, Brisbane, Australia
    J Telemed Telecare 19:379-82. 2013
    ..Video consultation can substitute for a large proportion of in-person specialist consultations for people with diabetes who are referred to endocrinology specialists...
  32. doi request reprint Minimizing inappropriate medications in older populations: a 10-step conceptual framework
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Australia
    Am J Med 125:529-37.e4. 2012
    ..Further studies are warranted in validating this framework as a means for assisting clinicians to make more appropriate prescribing decisions in at-risk older patients...
  33. ncbi request reprint Chronic illness in older people
    Leonard C Gray
    Academic Unit in Geriatric Medicine, University of Queensland, Brisbane
    Med J Aust 179:241. 2003
  34. ncbi request reprint Developing a policy simulator at the acute-aged care interface
    Leonard C Gray
    Department of Medicine, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia
    Aust Health Rev 30:450-7. 2006
    ..The paper includes a description of the relevant policy environment and some of the associated key policy issues...
  35. ncbi request reprint Transition care: will it deliver?
    Len C Gray
    Academic Unit in Geriatric Medicine, University of Queensland, Brisbane, QLD, Australia
    Med J Aust 188:251-3. 2008
    ..Transition care services should be established within the context of overall regional plans for aged care, incorporating hospital acute and subacute inpatient services, and long-term community and residential care programs...
  36. ncbi request reprint Quality of life assessment in the community-dwelling elderly: validation of the Assessment of Quality of Life (AQoL) Instrument and comparison with the SF-36
    Richard H Osborne
    Centre for Rheumatic Diseases, Department of Medicine, The Royal Melbourne Hospital, The University of Melbourne, Charles Connibere Building, Ground Floor, West Wing, Parkville 3040, Australia
    J Clin Epidemiol 56:138-47. 2003
    ..Given these robust psychometric properties and the brevity of the scale, AQoL appears to be a suitable instrument for epidemiologic studies where HRQoL and utility data are required from elderly populations...
  37. ncbi request reprint Effectiveness of case management and post-acute services in older people after hospital discharge
    Wen K Lim
    Centre for Applied Gerontology, Bundoora Extended Care, 1231 Plenty Road, Bundoora, VIC 3083, Australia
    Med J Aust 178:262-6. 2003
    ..To evaluate the benefits of coordinating community services through the Post-Acute Care (PAC) program in older patients after discharge from hospital...