• Bond University, Faculty of Health Sciences & Medicine

    4229 Gold Coast

    Australia

Accepting PhD Students

  • 879 Citations
  • 16 h-Index
19952019
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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 CriSTAL project page, available at:

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 2017 2019

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

Cardona, M., Williamson, M., Gullotta, J., Lindner, R., Ní Chróinín, 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., Ní Chróinín, 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 1995 2019

61 Citations (Scopus)

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
Therapeutics
Intensive Care Units
Resuscitation Orders
Literature
Information Storage and Retrieval

Dissonance on perceptions of end‐of‐life needs between health‐care providers and members of the public: Quantitative cross‐sectional surveys

Cardona, M., Lewis, E. T., Shanmugam, S., Nicholson, M., Williamson, M., Hanly, L. & Hillman, K., 13 Mar 2019, In : Australasian Journal on Ageing.

Research output: Contribution to journalArticleResearchpeer-review

Open Access
Health Personnel
Nurses
Advance Directives
Life Expectancy
Uncertainty
20 Downloads (Pure)

End-of-life priorities of older adults with terminal illness and caregivers: A qualitative consultation

Lewis, E. T., Harrison, R., Hanly, L., Psirides, A., Zammit, A., McFarland, K., Dawson, A., Hillman, K., Barr, M. & Cardona, M., 1 Jun 2019, In : Health Expectations. 22, 3, p. 405-414 10 p.

Research output: Contribution to journalArticleResearchpeer-review

Open Access
File
Caregivers
Referral and Consultation
Health
Quality of Health Care
Focus Groups

The medicalisation of dying from natural causes: unacceptable to patients, low-value for the health system

Cardona, M. & Greenaway, S., Jun 2019, In : The Health Advocate. 54, p. 34-36 3 p.

Research output: Contribution to journalMagazine ArticleResearch

Open Access
Living Wills
Medicalization
Psychological Stress
Health Care Costs
Chronic Disease
2 Citations (Scopus)

Which frailty scale for patients admitted via Emergency Department? A cohort study

Lewis, E., Dent, E., Kellett, J., Alkhouri, H., Kellett, J., Williamson, M., Asha, S. E., Holdgate, A., Mackenzie, J., Winoto, L., Fajardo-Pulido, D., Ticehurst, M., Hillman, K., McCarthy, S., Elcombe, E., Rogers, K. & Cardona, M., 1 Jan 2019, In : Archives of Gerontology and Geriatrics. 80, p. 104-114 11 p.

Research output: Contribution to journalArticleResearchpeer-review

community service
Hospital Emergency Service
Cohort Studies
hospitalization
quality of life

Activities 2013 2018

  • 4 Professional Memberships
  • 3 Peer-review

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 Open (Journal)

Magnolia Cardona (Reviewer)
2016 → …

Activity: Publication peer-review and editorial workPeer-review

BMJ Supportive and Palliative Care (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

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

TOO MUCH MEDICINE AT THE END OF LIFE

Magnolia Cardona

15/09/17

1 item of media coverage

Press/Media: Expert Comment

Medical research team leads study of end-of-life treatment

Magnolia Cardona

18/08/16

1 item of media coverage

Press/Media: Public Engagement Activities