JCU > Research Portfolio > Dr Rebecca Evans

About

Dr Rebecca Evans is an Early Career Researcher at the Anton Breinl Research Centre for Health Systems Strengthening (a centre of the Australian Institute of Tropical Health and Medicine, AITHM). She has experience in both qualitative and quantitative research methodologies. Rebecca's research interests are in health policy, addressing health inequities, health care workforce and innovative models of health service provision (particularly with underserved populations). Many of these interests are reflected in her PhD project which explored the interface between prevailing health policies and the provision of rural health services. Rebecca is particularly interested in investigating the influence of government policy on health service provision to produce greater equity in health.

Rebecca has been involved in research collborations ranging from local to international. She has worked with several health organisations (including Queensland Health, Medicare Locals, Primary Health Networks - PHNs, training organisations) on projects, research and evaluations. Many of these projects have investigated service delivery models and health workforce issues (including medical education and training as they influence workforce supply). Rebecca is also active in research supervision, being on the advisory panel for a number of PhD and MBBS Honours students.

As a Lecturer in the Department of General Practice and Rural Medicine at the College of Medicine and Dentistry (CMD), Rebecca teaches into subjects throughout the MBBS program (particularly foundation years). She co-coordinates a first year medicine subject covering behavioural and social sciences relevant to the medical profession and which align with her research interests (e.g. health systems, health policy, teamwork in health care).

Teaching

MD1010: Introduction to Integrated Medical Studies Part 1 of 2 (Level 1; CNS & TSV)
MD2011: Integrated Human System Pathophysiology Part 1 of 2 (Level 2; TSV)
MD2012: Integrated Human System Pathophysiology Part 2 of 2 (Level 2; TSV)
MD5010: Integrated Clinical Practice Part 1 of 3 (Level 5; TSV)
MD5020: Integrated Clinical Practice Part 2 of 3 (Level 5; TSV)
MD5030: Integrated Clinical Practice Part 3 of 3 (Level 5; TSV)
MD6010: Advanced Clinical Medicine Part 1 of 3 (Level 6; TSV)
MD6020: Advanced Clinical Medicine Part 2 of 3 (Level 6; TSV)
MD6030: Advanced Clinical Medicine Part 3 of 3 (Level 6; TSV)
RM8301: Research Planning in Tropical Health and Medicine (Level 8; CNS & TSV)
RM8302: Research Project in Tropical Health and Medicine (Level 8; CNS & TSV)

Interests

Research

health services research
health policy
health care systems
health equity
rural health services
maternity services
primary health care
health care workforce and training

Teaching

health care systems
health policy
interdisciplinary health care
research methods
behavioural and social sciences

Experience

2018 to present - MBBS Honours Site Coordinator (Townsville), College of Medicine & Dentistry
2010 to present - Lecturer, College of Medicine & Dentistry
2009 to 2010 - Senior Research Officer, School of Medicine & Dentistry
2006 to 2008 - Research Officer, School of Medicine & Dentistry
2004 to 2006 - Research Assistant, School of Medicine & Dentistry

Research Disciplines

Socio-Economic Objectives

Honours

Awards

2017 - JCU Citation for Outstanding Contribution to Student Learning. First Year Social Medicine Team.
2010 - Emerging Researcher Award and presentation at the 2nd Rural and Remote Health Scientific Symposium
2007 - Jill Thistlethwaite, Rebecca Stewart, Rebecca Evans Evidence Into Action Award for "Breast Examination and Pelvic Examination of Asymptomatic Women"

Memberships

2018 - Australasian Association for Academic Primary Care (AAAPC) - National Executive member - ECR Representative
2014 - Health Services Research Association of Australia and New Zealand (HSRAANZ)
2014 - Tropical Centre for Telehealth Practice and Research - Member, Development Committee

Other

2005 to 2007 - Growing the Smart State PhD Funding Award (Department of Premier and Cabinet, Queensland Government)
2005 to 2007 - Australian Postgraduate Award (APA) scholarship

Publications

These are the most recent publications associated with this author. To see a detailed profile of all publications stored at JCU, visit ResearchOnline@JCU. Hover over Altmetrics badges to see social impact.

Journal Articles

Lindsay D, Bates N, Callander E, Johnston K, Carlisle K, Smith D, Evans R and Larkins S (2023) Evaluating the quality and safety of the BreastScreen remote radiology assessment model of service delivery in Australia. Journal of Telemedicine and Telecare, 29 (3). pp. 203-210
Brumpton K, Evans R, Ward R and Sen Gupta T (2022) A consistent definition of cultural safety within Australian health professional education: a scoping review. AlterNative, 18 (3). pp. 436-444
Canuto K, Preston R, Rannard S, Felton-Busch C, Geia L, Yeomans L, Turner N, Thompson Q, Carlisle K, Evans R, Passey M, Larkins S, Redman-MacLaren M, Farmer J, Muscat M and Taylor J (2022) How and why do women’s groups (WGs) improve the quality of maternal and child health (MCH) care? A systematic review of the literature. BMJ Open, 12 (2).
Drovandi A, Seng L, Crowley B, Fernando M, Evans R and Golledge J (2022) Health Professionals’ Opinions About Secondary Prevention of Diabetes-Related Foot Disease. The Science of Diabetes Self-Management and Care, 48 (5). pp. 349-361
Goulolo N, Bugoro H, Whittaker M, Larkins S, Harrington H, Carlisle K, MacLaren D and Evans R (2021) Perspectives of nurses about factors affecting quality of care at the Solomon Islands National Referral Hospital during the 2016-2017 dengue outbreak: a qualitative study. Asia Pacific Journal of Public Health, 33 (6-7).
Joshi A, Larkins S, Evans R, Moodley N, Brown A and Sabesan S (2021) Use and impact of breast cancer survivorship care plans: a systematic review. Breast Cancer, 28. pp. 1293-1317
Smith D, Johnston K, Carlisle K, Evans R, Preston R, Beckett J, Geddes D, Naess H, Poole M and Larkins S (2021) Client perceptions of the BreastScreen Australia remote radiology assessment model. BMC Women's Health, 21 (30).
Johnston K, Smith D, Preston R, Evans R, Carlisle K, Lengren J, Naess H, Phillips E, Shephard G, Lydiard L, Lattimore D and Larkins S (2020) “From the technology came the idea”: safe implementation and operation of a high quality teleradiology model increasing access to timely breast cancer assessment services for women in rural Australia. BMC Health Services Research, 20.
Otty Z, Brown A, Sabesan S, Evans R and Larkins S (2020) Optimal care pathways for people with lung cancer - a scoping review of the literature. International Journal of Integrated Care, 20 (3).
Carlisle K, Farmer J, Taylor J, Larkins S and Evans R (2018) Evaluating community participation: a comparison of participatory approaches in the planning and implementation of new primary health-care services in northern Australia. International Journal of Health Planning and Management, 33 (3). pp. 704-722
Schubert N, Evans R, Battye K, Sen Gupta T, Larkins S and McIver L (2018) International approaches to rural generalist medicine: a scoping review. Human Resources for Health, 16.
Agnew A, Sen Gupta T, Quirk F, Evans R and Larkins S (2017) The master's apprentice: how do Australian medical interns learn? Focus on Health Professional Education, 18 (1). pp. 56-66

More: ResearchOnline@JCU stores 43+ research outputs authored by Dr Rebecca Evans from 2005 onwards.

Current Funding

Current and recent Research Funding to JCU is shown by funding source and project.

Commonwealth Department of Health - Medical Research Future Fund - Cardiovascular Health Mission

Improving clinical pathways for abdominal aortic aneurysm through incorporating biomarkers

Indicative Funding: $1,000,000 over 3 years
Summary: 20 million people worldwide have weakening of their main abdominal artery (abdominal aortic aneurysm; AAA) and are at high risk of both major adverse cardiovascular events (MACE) and AAA related events (AAA repair and rupture-related death). Most AAAs are identified at a small size when their risk of rupture is low. Management of small AAA focuses on repeat aortic imaging every 6 months to identify when the threshold diameter (50mm in women and 55mm in men) is reached for elective surgical AAA repair. Most small AAAs continue to grow in size and eventually undergo repair. No drugs have been shown to limit AAA growth and the clinical pathway focuses on identifying those needing surgery rather than medical management. There are no established means to individualise care. Our interviews with patients and health professionals indicate that the number one deficiency in current AAA management is the lack of individualising medical management to reduce the high incidence of MACE and AAA related events. Our international AAA alliance is uniquely placed due to our resources (biobank-registry) and IP (bioinformatics, clinical, engineering software, genomics, biomarkers, machine learning and pathogenesis) to addresses this unmet clinical need.
Investigators: Jon Golledge, Clare Arnott, Thomas Gasser, Rebecca Evans, Joseph Moxon, Matt Field, Jenna Pinchbeck, Aaron Drovandi, Dylan Morris, Svetha Venkatesh, Truyen Tran, Catherine Rush, Aletta Schutte, Robyn Clay-Williams and Geoffrey Jones (College of Medicine & Dentistry, The George Institute for Global Health, KTH Royal Institute of Technology, College of Public Health, Medical & Vet Sciences, Townsville Hospital and Health Services, Deakin University, The University of New South Wales, Macquarie University and University of Otago)
Keywords: Prevention; Complications; Peripheral artery disease; Risk Factors

Queensland Aboriginal and Islander Health Council (QAIHC) - Consultancy 2

Proposed development of revised framework for operational and implementation research in health and disease control programmes.

Indicative Funding: $51,762 over 1 year
Summary: The overall goal of the QAIHC Sexual Health and Wellbeing Project is to improve Sexually transmissible infection (STI) and blood borne virus (BBVs) services in QAIHC Member Services and to work towards reducing the number of Aboriginal and Torres Strait Islander positive notifications. To help achieve this, support is provided for Member Services to implement models of care aimed to increase client engagement, education opportunities, as well as improve screening, notification and treatment rates. Tools, resources and support are provided to participant health services to implement sexual health and wellbeing activities that are culturally safe, led by Aboriginal and Torres Strait Islander health workers and tailored to the Aboriginal and Torres Strait Islander model of care. The aim of this work is to evaluate the implementation, impact and outcomes of the QAIHC Sexual Health and Wellbeing Project.
Investigators: Karen Carlisle, Rebecca Evans, Sarah Larkins, Alice Cairns, Shaun Solomon, Kris Vine, Talah Laurie and Nishila Moodley (College of Medicine & Dentistry and JCU Murtupuni Centre for Rural & Remote Health)
Keywords: Sexual Health; Atsi Health; Quality improvement

National Health & Medical Research Council - Project Grant

Women's Action for Mums and Bubs (WOMB): A pragmatic trial of participatory women's groups to improve Indigenous maternal and child health

Indicative Funding: $1,786,415 over 6 years
Summary: There is strong evidence elsewhere that involving community women in decision-making about strategies to improve the health of mothers and babies is a cheap and effective way of improving health. The WOMB study tests whether community women's groups improve the quality of maternal and child health care and outcomes in Aboriginal and Torres Strait Islander communities, the cost-effectiveness and mechanism of action.
Investigators: Sarah Larkins, Catrina Felton-Busch, Yvonne Cadet-James, Ross Baille, Jane Farmer, N Passey, Judy Taylor, V Matthews, Emily Callander and Rebecca Evans in collaboration with Priscilla Page, J Kelly, Adrian Esterman, Merrick Zwarenstein, Robyn Preston, Karen Carlisle, Lynore Geia, Elaine Williams and N Turner (College of Medicine & Dentistry, JCU Murtupuni Centre for Rural & Remote Health, Indigenous Education & Research Centre, University of Sydney, Swinburne University of Technology, Monash University, University of Adelaide, Australian Institute of Tropical Health & Medicine, The University of Western Ontario, College of Healthcare Sciences, NT Department of Health & Community Services and Menzies School of Health Research)
Keywords: Aboriginal Health; Torres Strait Islander health; Maternal & Child Health; Primary Health Care; Quality Improvement; Participatory women's groups; Community Participation

National Health & Medical Research Council - Partnership Projects

Implementation of quality improvement in Indigenous primary health care: Leveraging Effective Ambulatory Practices (LEAP)

Indicative Funding: $1,144,570 over 4 years, in partnership with North Queensland Primary Health Network ($315,000); Northern Territory Department of Health, Top End Health ($20,000); Northern Territory Primary Health Network (NTPHN) ($38,700) and Western Queensland Primary Care Collaborative Limited ($210,000)
Summary: Despite increased policy attention and funding, not all primary healthcare (PHC) services for Indigenous Australians show the desired improvements in quality of care. Practices which provide PHC services are complex systems and emerging evidence indicates many things affect quality improvement. There remains a knowledge gap regarding what is required for Indigenous PHCs to succeed in improving the quality of their services and, subsequently, health outcomes for their patients. This project will capitalise on emerging research and existing strong partnerships to provide a solid evidence base for interventions to improve quality of priority health services in Indigenous PHC settings.
Investigators: Sarah Larkins, Ross Baille, Catrina Felton-Busch, Paul Burgess, Emma McBryde, Kerry Copley, Rebecca Evans, V Matthews and Karen Carlisle in collaboration with Judy Taylor, Karla Canuto, Donald Whaleboat, S Thompson, Christine Connors and Roderick Wright (College of Medicine & Dentistry, University of Sydney, JCU Murtupuni Centre for Rural & Remote Health, Department of Health (NT), Australian Institute of Tropical Health & Medicine, Aboriginal Medical Service, Apunipima Cape York Health Council, The University of Western Australia and Queensland Aboriginal and Islander Health Council)
Keywords: Learning community; Aboriginal and Torres Strait Islander; Primary Health Care; Quality Improvement

Department of Health and Ageing - Contract Research

National Research Project on Remote Radiology Assessment Service Delivery

Indicative Funding: $378,906 over 3 years
Summary: This project will investigate outcomes of the BreastScreen Australia remote radiology assessment trial at sites through9out Australia. Engaging a remote radiologist may assist with overcoming many challenges associated with providing health services in a regional, rural or remote location. This project seeks to ensure that the alternative model of service delivery is appropriate for consumers, evidence-based and safe. Specifically, this project will assess how the new remote radiology model affects: - Patient safety - Patient acceptability - Staff acceptability of new model of service provision - The safe, efficient organisation of BreastScreen services
Investigators: Sarah Larkins, Rebecca Evans, Robyn Preston, Emily Callander, Sabe Sabesan, Leila Murison, Karen Johnston and Nicole Bates (College of Medicine & Dentistry, Australian Institute of Tropical Health & Medicine and Townsville Hospital and Health Service)
Keywords: rural health services; breast cancer screening; Telehealth; Radiology; Health Workforce

Supervision

Advisory Accreditation: I can be on your Advisory Panel as a Primary or Secondary Advisor.

These Higher Degree Research projects are either current or by students who have completed their studies within the past 5 years at JCU. Linked titles show theses available within ResearchOnline@JCU.

Current

The Australian Oral Health Time Bomb. An Evalustion of Gerondontology in the Undergraduate Curriculum of Australian Dental Schools to care for a growing Frail and Care-Dependent Population (PhD , Secondary Advisor)
Implementation and evaluation of referral pathways for people with Lung Cancer in Townsville Health Service District (PhD , Secondary Advisor)
Development and Implementation of a Breast Cancer Care Pathway in Townsville Region - A Study Looking into Feasibility, Governance, Patient Centred Outcomes and Economics (PhD , Secondary Advisor)
Can an Implementation Science Framework Enable Emergency Clinicians at a Major Referral Emergency Department in North Queensland to De-implement Low-value Care in Adult Patients? (PhD , Secondary Advisor)
Maskhelper Project - using Artificial Intelligence and Machine Learning based facial recognition technology to create a multi-level scalable health system solution that drives efficiency in selection and reduction in wastage for the mandatory fit testing (PhD , Primary Advisor/AM/Adv)
ADAPTTS ? App-based Diet And Physical Activity Tools for the Torres Strait (PhD , Primary Advisor/AM/Adv)
Implementation of an Interprofessional Student Training Model to assist High-Risk Foot Services in Rural Queensland (Masters , Primary Advisor)
Measures of Cultural Capability in Primary Care Consultations (PhD , Primary Advisor)
International Approaches to Rural Medical Generalism (PhD , Primary Advisor)
Self-reported auditory and non-auditory effects of noise on members of the dental team ? an Australian perspective (Masters , Secondary Advisor)

Completed

Medical interns' learning in the 21st century (2019, PhD , Secondary Advisor)
Exploring the development of clinical reasoning skills among doctors-in-training (2019, PhD , Secondary Advisor)

Collaboration

The map shows research collaborations by institution from the past 7 years.
Note: Map points are indicative of the countries or states that institutions are associated with.