Photo of Magnolia Cardona
  • Bond University, Faculty of Health Sciences & Medicine

    4229 Gold Coast

    Australia

Accepting PhD Students

PhD projects

Translating strategies for de-implementation of over-treatment in older people

  • 1043 Citations
  • 18 h-Index
19952020

Research output per year

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Personal profile

Research interests

Associate Professor Magnolia Cardona is a health services researcher with a passion for ensuring high quality care of disadvantaged populations. Her work over the past few years has focused on the identification and reduction of overtreatment of older patients near the end of life.

Since 2014 she has led a program of research to improve end-of-life care for patients, families and health professionals (https://newsroom.unsw.edu.au/news/health/sense-ending). Central to this was the development, implementation and validation of a checklist for identifying terminal patients and facilitating doctor's conversations with patients and families about end-of-life care preferences. See medicalisation of dying projects work  at:

(page 34) https://ahha.asn.au/system/files/docs/publications/the_health_advocate_june_2019_-_web.pdf 

https://www.nursingreview.com.au/2019/10/doing-everything-near-the-end-of-life-may-be-inappropriate-for-seniors-in-icu/

https://swscs.med.unsw.edu.au/project/validation-cristal-criteria-screening-and-triaging-appropriate-alternative-care

Another research initiative which recently attracted international media attention was a review of unnecesary treatments in hospitals at the end of life. The global publicity indicated that these sensitive topics apply across cultures and highlighted the willingness of clinicians and service managers to address them in several health systems.

http://theconversation.com/doctors-still-provide-too-many-dying-patients-with-needless-treatment-61091

https://croakey.org/please-dont-let-this-happen-to-me-too-much-medicine-at-the-end-of-life/

http://newsroom.unsw.edu.au/news/health/global-analysis-finds-unnecessary-end-life-treatment-widespread

Her research program supports Dying to Know Day, a time to bring conversations on the importance of stating your last wishes before it is too late.

https://newsroom.unsw.edu.au/news/health/day-voice-your-dying-preferences

The Palliative Medicine journal awarded her team a Paper of the Year Award in 2016 for a systematic review on the perceived and actual benefits of advance care documentation

https://eapcnet.wordpress.com/2017/08/23/palliative-medicine-paper-of-the-year-award-helping-clinicians-engage-in-end-of-life-discussions-with-older-dying-patients/

A/Prof Cardona has a background in Medicine from Latin America with Australian postgraduate qualifications in Public Health (MPH) and Applied Epidemiology (PhD and Grad Dipl Appl Epidemiology).

She has worked with international aid agencies in Europe and Africa, at State Health Departments and Universities in Australia, and has eight years experience teaching at the Master's level. Her research interests are health services research, health program evaluation, patient safety, end-of-life care, chronic disease prevention (diabetes, cardiovascular disease, cancer), international health, pharmacoepidemiology and evidence-based health policy. 

 

Education/Academic qualification

Research Translation in General Practice, PhD, University of Sydney

20082011

Health Economics, Certificate, Monash University

1996

Epidemiology, Grad Diploma of Applied Epidemiology, NSW Vocational Education & Accreditation Board (VETAB)

19931996

Public Health, Master of Public Health, University of Sydney

19911993

Medicine, Bachelor or Medicine and Surgery, Universidad del Valle

19781984

External positions

Senior Research Fellow, University of New South Wales

Oct 2013Jun 2018

Epidemiologist, R&D Branch, NPS MedicineWise

20112013

Statistician/Data Manager, Prevention Research Collaboration, University of Sydney

20082011

Research Associate, Sydney Health Projects Group, University of Sydney

20062008

Program Manager, The George Institute for Global Health, University of Sydney

20032006

Coordinating Epidemiologist, Public Health Services Division, Queensland Health

19992003

Emergency Preparedness Epidemiologist, Médecins Sans Frontieres (Doctors Without Borders)

19961999

Public Health Officer Trainee, NSW Health

19931996

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Projects

Optimising early end-of-life conversations and advance care planning in general practice: (Stage 1)

Cardona, M., Williamson, M., Gullotta, J., Lindner, R., Ni Chroinin, D., Hillman, K., Jones, M., Lewis, E. T. & Morgan, M.

1/02/1831/07/19

Project: Research

Identifying older adults at risk of poor outcomes to promote advance care planning among aged care residents

Cardona, M., Lewis, E. T., Brisbane, J., Ni Chroinin, D., Lovell, N., Achat, H. & Hillman, K.

1/11/1730/06/19

Project: Research

Electronic tool to facilitate decision-making and advance care planning at the end of life in Emergency Departments

Cardona, M., Lewis, E. T., Alkhouri, H., Lovell, N., Asha, S. E. & Turner, R. M.

1/05/1730/06/19

Project: Research

Research Output

Estimating the extent of true asymptomatic COVID-19 and its potential for community transmission: systematic review and meta-analysis

Byambasuren, O., Cardona, M., Bell, K. J. L., Clark, J., McLaws, M-L. & Glasziou, P. P., 15 May 2020, 12 p. medRxiv: the preprint server for health sciences.

Research output: Other contributionDiscipline Preprint RepositoryResearch

Open Access
File
  • 112 Downloads (Pure)

    Non-beneficial treatments in hospital at the end of life: A systematic review on extent of the problem

    Cardona-Morrell, M., Kim, J. C. H., Turner, R. M., Anstey, M., Mitchell, I. A. & Hillman, K., 1 Sep 2016, In : International Journal for Quality in Health Care. 28, 4, p. 456-469 14 p., mzw060.

    Research output: Contribution to journalArticleResearchpeer-review

    Open Access
  • 92 Citations (Scopus)

    Are We Making Progress on Communication with People Who Are Near the End of Life in the Australian Health System? A Thematic Analysis

    Trankle, S. A., Shanmugam, S., Lewis, E., Nicholson, M., Hillman, K. & Cardona, M., 28 Jan 2020, In : Health Communication. 35, 2, p. 158-167 10 p.

    Research output: Contribution to journalArticleResearchpeer-review

    Open Access
    File
  • 1 Citation (Scopus)
    9 Downloads (Pure)

    Clinicians’ and public acceptability of universal risk-of-death screening for older people in routine clinical practice in Australia: Cross-sectional surveys

    Lewis, E. T., Harrison, R., Nicholson, M., Hillman, K., Trankle, S. A., Rangel, S., Stokes, C. & Cardona, M., 26 May 2020, In : Aging Clinical and Experimental Research. 8 p.

    Research output: Contribution to journalArticleResearchpeer-review

  • General practitioners' perceptions on feasibility and acceptability of implementing a risk prediction checklist to support end-of-life discussions in routine care: a qualitative study

    Lewis, E. T., Mahimbo, A., Linhart, C., Williamson, M., Morgan, M., Hammill, K., Hall, J. & Cardona, M., 16 Apr 2020, In : Family Practice. 8 p., cmaa036.

    Research output: Contribution to journalArticleResearchpeer-review

  • Activities

    • 4 Professional Memberships
    • 3 Peer-review
    • 1 Organising a conference, workshop, ...
    • 1 Oral presentation

    European Association for Palliative Care (External organisation)

    Magnolia Cardona (Member)
    2017 → …

    Activity: MembershipProfessional Memberships

    Australian Association of Gerontology (External organisation)

    Magnolia Cardona (Member)
    2017 → …

    Activity: MembershipProfessional Memberships

    BMJ Supportive and Palliative Care (Journal)

    Magnolia Cardona (Reviewer)
    2016 → …

    Activity: Publication peer-review and editorial workPeer-review

    BMJ Open (Journal)

    Magnolia Cardona (Reviewer)
    2016 → …

    Activity: Publication peer-review and editorial workPeer-review

    Medical Journal of Australia (Journal)

    Magnolia Cardona (Reviewer)
    2013 → …

    Activity: Publication peer-review and editorial workPeer-review

    Press / Media

    ‘How much longer do I have?’

    Magnolia Cardona

    8/05/19

    1 item of Media coverage

    Press/Media: Expert Comment

    Research reveals older Australians want truth about their medical prognosis

    Magnolia Cardona

    4/03/196/03/19

    9 items of Media coverage, 1 Media contribution

    Press/Media: Research

    New study on intensive rapid response system treatment in end-of-life care

    Magnolia Cardona

    29/08/1831/08/18

    11 items of Media coverage

    Press/Media: Public Engagement Activities