Dr Jack Chen

Senior Research Fellow

MBBS PhD MBA

School / Unit

The Simpson Centre for Health Services Research

Research Interests

Jack graduated from Shanghai Medical University with a medical degree in 1987 and completed his PhD on Epidemiology/Statistics at the School of Community Medicine of University of New South Wales in 1997. With broad experiences and interests in quantitative research methods in many fields, he has worked as a biostatistician, psychometrician and health econometrician in different projects. His recent research interests involve health services research, safety and quality of care and social epidemiology.

Broad Research Areas

• Epidemiology and Biostatistics
• Quantitative methods in health services research
• Patient safety
• Public health and social epidemiology
• Casual inference methodology in observational data
• Methodology in evaluating complex system intervention
• Data linkage

Current Project Work

• MERIT study: an NHMRC funded 23-hospital cluster randomised controlled trial to test the effectiveness of medical emergency team /rapid response system;
• 45 up study: the largest cohort study in the southern atmosphere with more than 250,000 participants aged over 45 years;
• SEEF study: an NHMRC strategic award program that assesses the social economic factors related to health and ageing. It is a sub-study of the 45 up study;
• Longitudinal Study of Australian Children: An Australian government funded (over $20m) cohort study on the development of the health, social well-being and literacy and numeracy (aged 0-12 years); one of the best cohort studies in such population in the world;
• New stroke clinical model: an NHMRC funded clinical trial on new health services model in managing stroke patients;
• Integration of medical emergency team and palliative care team: an NHMRC funded study in exploring the integration of medical emergency team and palliative care team;
• Assessing the capacity of communicable diseases monitoring system in middle western China: an AusAid funded project to develop the capacity of monitoring communicable disease in middle-western China covering three provinces;
• Various projects using administrative database to assess the quality of care.

Publications

Ou L, Chen J, Hillman K, Eastwood J. The comparison of health services utilisation between indigenous and non-indigenous infants in Australia. Australia and New Zealand Journal of Public Health, accepted August, 2009

Ou L, Chen J, Hillman. Health services utilisation: a comparison between English speaking and non-English speaking background Australia infants. BMC: Public Health, under review, 2009.
Chen J, Flabours A, Bellomo R, Hillman K, Finfer S, the MERIT investigators for the Simpson Centre and the ANZICS Clinical Trial Group. Baseline Hospital Performance and the Impact of Medical Emergency Teams: Modelling vs. Conventional Subgroup Analysis. Trials. Under review, 2009.

Shehabi Y, Grant P, Wolfenden H, Bass F, Hammond N, Nicholson L. Chen J Prevalence of Delirium with Dexmedetomidine Compared with Morphine-based Therapy after Cardiac Surgery: A Randomized Controlled Trial (DEXmedetomidine COMpared to Morphine - DEXCOM study). Anesthesiology,2009; 111:1074-1083

Chen J, Bellomo R, Hillman K, Flabouris A, Finfer S. The triggers of the emergency team calls: A multicentre assessment. Journal of Critical Care. Under review. 2009.
Flabouris A, Chen J, Hillman K, Bellomo R, Finfer S, The MERIT Study Investigators from the Simpson Centre and the ANZICS Clinical Trial Group. Timing and Interventions of Emergency Teams During the MERIT study. Resuscitation, Accepted August 2009

Chen J, Hillman K, Bellomo R, Flabouris A, Finfer S, Cretikos M, The MERIT Study Investigators for the Simpson Centre and the ANZICS Clinical Trials Group. The Impact of introducing Medical Emergency Team System on the documentations of vital signs. Resuscitation, 2009; 80(1):35-43.

Hillman K, Chen J, May E. Complex Intensive Care Unit Interventions. Supplement to Critical Care Medicine. 2009; 37(13):S1-S5.

Ou L, Young L, Chen J, Santiano L, Baramy LS, Hillman K. Discharge delay in acute care: reasons and determinants in general ward patients. Australia Health Review, 2009: 33 (3): 513-521

Chen J, Bellomo R, Flabouris A, Hillman K, Finfer S and the MERIT study investigators for the Simpson centre and the ANZICS Clinical Trails Group. Relationship between preventive emergency team activity and serious adverse events. Critical Care Medicine, 2009; 37(1):148-153.

Shehabi Y, Grant P, Wolfenden H, Bass F, Chen J, Hammond N, Nicholson L. Acute Kidney Injury after Cardiac Surgery in Patients with Renal Impairment: Roles of N-Acetylcysteine and Cystatin C. Kidney International, submitted 2008.

Martlin M. Chen J, Holdgate A. The preoperative preservation of amputed digits: An assessment of proposed methods. The Journal of Trauma, 65:127-131. 2008

Chiu A, Nguyen H, Reutens S, Grace D, Schmidtman R, Shen Q, Chen J, Chan DKY. Clinical outcomes and length of stay of a co-located psychogeriatric and geriatric unit. Archives of Gerontology and Geriatrics. 2008; online: doi.10.1016/j.archger.2008.08.008.

Chen J, Flabouris A, Bellomo R, Hillman K, Finfer S, The MERIT Study Investigators for the Simpson Centre and the ANZICS Clinical Trials Group. The Medical Emergency Team System and Not-for-Resuscitation Orders: Results from the MERIT Study. Resuscitation, 2008;79(3):391-397.

Cretikos M, Bellomo R, Hillman K, Chen J, Finfer S, Flabouris A. Respiratory rate: the neglected vital signs. Medical Journal of Australia 2008;188:657-659

Cretikos M, Chen J, Hillman K, Bellomo R, Finfer S, Flabouris A, the MERIT study investigators. The effectiveness of MET system implementation and factors associated with the level of MET utilisation during the MERIT study, Critical Care and resuscitation, 2007;9:206-212.

Cretikos M, Chen J, Hillman K, Bellomo R, Finfer S, Flabouris A, the MERIT investigators. The Medical Emergency Team Activation Criteria: A matched case-control study. Resuscitation 2007; 73:69-72.

Elbourne K, Chen J. The Continuum Model of Obligatory Exercise: A Preliminary Investigation. Journal of Psychosomatic Research, 2007; 62(1):73-80.

Smith B, Bauman A, Chen J, Loveday S, Costello M, Mackie B, Dore GJ, Heptitis C in Australia: Impacts of a mass media awareness campaign. American Journal of Preventive Medicine. 2006;31(6):493-498.

DeVita M, Bellomo R, Hillman K, Kellum J, Rotondi A, Terres D, Auerbach A, Chen WJ, Duncan K, Kenward G, Bell M, Buist M, Chen J, Bion J, Kirby A, Lighthall G, Ovreveit J, Scott B, Gosbee J, Mibrandt E, Peberdy M, Savitz L, Young L, Chelluri L, Galhotra S. Findings of the First Consensus Conference on Medical Emergency Teams. Critical Care Medicine. 2006; 34:2463-2478..

Chen J, Smith BJ, Loveday S, Bauman A, Costello M, Mackie B and Chung D. Impact of a mass media campaign upon calls to the New South Wales Hep C Helpline. Health Promotion Journal of Australia, 2005;16(1):11-14.

Hillman K, Chen J, Cretikos M, Brown D, Bellomo R, Finfer S, Flabouris A. Introduction of the Medical Emergency Team (MET) System: a cluster-randomised controlled trial. The Lancet, 2005;365(9477):2091-2097.

Phongsavan P, Olatunbosun-Alakija A, Havea B, Bauman A, Smith BJ, Galea G, Chen J, Members of the Health Behaviour and Lifestyle of Pacific Youth Survey Collaborating Group and Core Survey Teams. Health behaviour and lifestyle of Pacific youth surveys: a resource for capacity building. Health Promotion International 2005; 20:238-248.

Hillman K, Chen J, Brown D. A clinical Model for Health Services Research – The Medical Emergency Team. Journal of Critical Care. 2003:19(3): 195-199.

Chen J, Conigrave KM, Macaskill P, Whitfield JB, Irwig L. Combining Carbohydrate-Deficient Transferrrin and Gamma-Glutamyl Transferase to increase diagnositc accuracy for chronic problem drinking. Alcohol and Alcoholism 2003: 38(6): 574-82.

Aristides M, Chen J, Schulz M, Williamson E, Glarke S, Grant K. Conjoint analysis of a new chemotherapy: Willingness to pay and preference for the features of raltitrexed versus standard therapy in advanced colorectoal cancer. Pharmacoeconomics. 2002: 20(11) (p775-784)

Forero R, Chen J, Rissel C, Bauman A. New Statistical Methods: Their Role in Health Promotion Research and Evaluation Practice – Part Two. Australian Journal for Health Promotion. 2002: 13(3):242-246.

Chen J, Forero R, Rissel C, Bauman A. New Statistical Methods: Their Role in Health Promotion Research and Evaluation Practice – Part 1. Australian Journal for Health Promotion 2002:13(2):72-76.

Marshall AL, Bauman A, Patch C, Wilson J, Chen J. Can motivational signs prompt increases in incidental physical activity in an Australia health-care facility? Health Education Research 17(6): 743-749, 2002.

Shulz MW, Chen J, Woo HH, Keech M, Watson M, Davey P. A comparison of techniques for eliciting patient preferences in patients with benign prostatic hyperplasia. Journal of Urology 168(1):155-9, 2002

Gliksman M, Chen J. Changes in the juvenile crime incidence rate by gender in New South Wales, Australia, 1991/2 to 1996/7. The Australian and New Zealand Journal of Criminology. 34:3; 2001.

Chen J, Bauman A, Rissel C, Forero R, Flaherty B. Substance use in high school students in New South Wales, Australia, in relation to language spoken at home. Journal of Adolescent Health. 2000;26(1):53-63.

Book Chapters

Hillman K, Chen J. Managing conflict at the end-of-life. Book chapter in 2009 Yearbook of Intensive Care and Emergency Medicine. Springer .2009; P969-978

Chen J, Hillman K. Book Chapter: Evaluating complex system interventions. Section: Monitoring of Efficacy and New Challenges. Book: Rapid Response Systems: Concept and Implementation. Editors: Michael, Devita, Ken Hillman, Rinaldo Bellomo. In press, Springer, 2009.

Flabouris A. Chen J. Book Chapter: The impact of rapid response systems on NFR orders. Section: Monitoring of Efficacy and New Challenges. Book: Rapid Response Systems: Concept and Implementation. Editors: Michael, Devita, Ken Hillman, Rinaldo Bellomo. In press, Springer, 2009.

Hillman K, Chen J, Book Chapter: Moving from Safe ICUs to Safe Systems. Book: Patient Safety and Quality of Care in Intensive Care Medicine. Medizinisch Wissenschaftlich Verlagsgesellschaft on behalf of European Society of Intensive Care Medicine, 2009; p57-63

Hillman K, Chen J, Young L. “The Evolution of the Health Care System”. Book Chapter: “Medical Emergency Team”, p18-p23; Springer, 2006;

Chen J, Young L, Hillman K. “Evaluating complex system intervention in patient safety” Book Chapter; “Medical Emergency Team”, p258-p271; Springer, 2006;

Young L, Chen J, Hillman K. “Information Systems Considerations: Integration of Medical Emergency Team Clinical Indicators. Book Chapter, “Medical Emergency Team”, p246-p257; Springer, 2006;

Hillman K, Chen J. “Health Services Research and Critical Care”, in Book “2006 Yearbook of Intensive Care and Emergency Medicine”; p773-p777; Springer, 2006

Forero R, Bauman A, Chen J, Flaherty B. Substance use and socio-demographic factors among aborignal and Torres Islander school students in New Sourth Wales. Aust N Z J Public Health 1999;23(3):295-300.

Chai E, Golderg I, Chia A, Chen J. Visual field responses to a hand vibration stimulus. Survey of Ophthalmology. 43 Suppl 1:S79-86, 1999 June

Goldberg I, Chai E, Chia A, Benscher C, Bauman A, Chen J. The Hettinger hand vibration test, vasospasm, and glaucoma. Survey of Ophthalmology. 43 Suppl :s66-78, 1999 June

Forero R, Bauman A, Chen J, Flaherty B. “Alcohol and other drugs usage amongst aboriginal and Torres Strait Islander school students in New South Wales, Australia” International Journal of Adolescent Medicine and Health 1998;10(1):39-50.

Tang KC ; Duffield C; Chen J; Choucair S; Creegan R; Mak C; Lesley G. “Predictors of intention to study nursing among school students speaking a language other than English at home” Aust J Adv Nurs, 15(2):33-9 1997 Dec-1998 Feb.

Bauman A, Chen XC, Chapman S. “Protecting children in cars from tobacco smoke” British Medical Journal. 311(7013):1164 1995 Oct 28.

"Health Communication" one of the authors of this textbook for national-wide universities, sponsored by Health Ministry of China, 1993.

" Health Education" one of the authors of this textbook for national-wide universities, sponsored by Health Ministry of China, 1993.

" 2000 year Health Strategies and Objectives of China----health education topic " one of the co-authors, sponsored and published by the Health Ministry of China. 1992.

" Health Education" one of the co-authors of this text book written by the staffs of Shanghai Medical University, 1991.

Reports

Hillman K, Chen J. Rapid Reviews of the Conflict Resolution in End-of-Life Treatment Decisions. Commissioned Report for the Department of Health, NSW. 2008.

Bauman A, Chen J, Smith B, Forero R, Rissel C. The State of Health Behavior and Lifestyle of Pacific Youth – Federal States of Macronesia Report. (Accepted by UNICEFF Pacific & WHO/ WPRO). Nov. 2001

Tang KC, Chen J, Bauman A. Wise M. Report for the Department of Health Hong Kong Special Administrative Region on the Study of Community, Organisational and Workforce Capacity in Health Promotion and Education. June 2001.

Bauman A, Chen J, Smith B, Forero R, Rissel C. The State of Health Behavior and Lifestyle of Pacific Youth – Tonga Report. UNICEFF Pacific & WHO/ WPRO. 2001

Taylor A, Nicolson S, Chen J, Tennant C. Mental Health Clinician Risk Management Options - The Final Report for Northern Sydney Area Health Services, 2001.

Bauman A, Chen J, Smith B, Forero R, Rissel C. The State of Health Behavior and Lifestyle of Pacific Youth – Vanuatu Report. UNICEFF Pacific & WHO/ WPRO. 2001

Bauman A, Chen J, Tang KC. Evaluation of the Hepatitis C Mass Media Campaign. The Study Report for the Commonwealth Government. 2000

“Determinants and correlates of illicit drug usage and trends in usage among NSW secondary school students” Monograph prepared for NSW Health Department. Adrian Bauman, JXC Chen, 1997

“Problem behaviour theory and drug use among NSW high school students” Monograph published by NSW Health Department. Michael Booth, Jack Chen, Adrian Bauman, Brian Oldenburg, John Howard 1997.

“Perceptions of nursing as a career choice” Monograph Published by Dept. of Health of NSW. State Health Publication No. : (NCS) 96 0127. K.C.Tang, C Duffield, S Choucair, X.C Chen, R Creegan, C Mark, G Leslie, Sept. 1996

“The Utilization of Traditional Chinese Medicine in English-speaking Australian” A final report to the Research and Development Grants of the Commonwealth Department of Human Service and Health , K.C Tang ,Alan G. Davis , X. C. Chen 1995

“1993 Survey of Drug Use By NSW Primary School Students”, a monograph published by Dept. of NSW, State Health Publication No. : (DAD) 94/148. Adrian Bauman, X.C. Chen, Bruce Flaherty, Annie Cooney, Suzanne Dobbinson 1994.

“Community Attitudes To Passive Smoking ------An Evaluation of the ‘Other People’s Smoke’ Mass Media Campaign in NSW ” A report for Parliament of NSW. Quentin Jones, Adrian Bauman, X.C. Chen, Simon Chapman, Petra Macaskill 1993

Book Reviews and Translations

Chen J. The review of the book “Social Epidemiology” edited by Lisa Berkman and Ichiro Kawachi. Australia Public Health Association, NSW Branch. Sep 2001

" From PRECEDE to PROCEED Model " one of the interpreters of this book which was written by Lawrence Green, Kruter etc, Centre of Disease Control , USA. 1993.

" The Evaluation of Health Education and Health Promotion Program", one of the interpreters of this book which is written by Richard Windsor, Prof. of School of Public Health ,Uni. of Alabama, USA. May, 1992.

Conference Presentations

Chen J, Wise M, Bauman A. Measuring social capital in public health survey – A critical review. Paper presented at the Australian Public Health Assocation Conference, 2001.

Chen J, Schulz M, Aristides M, Davey P. Using conjoint analysis in pharmacoeconomics – Statistical considerations and approaches. Conference Proceedings: 21st Australia Health Economists Conference, Canberra, Australia. July 1999

Davey P, Hristova L, Montgomery B, Grainger D, Aristides M, Chen J. Schizophrenia care assessment program (SCAP) – epidemilogical and health economic assessment of schizophrenia care in Australia. Conference Proceedings: 21st Australia Health Economists Conference, Canberra, Australia, July 1999

Chen XC, Wang JH " The Health Education Intervention to the 205 Patients with Hypertension in Luwan District" '92 Shanghai International Symposium on Health Education, Shanghai, P.R. China

Chen XC "Quitting smoke by Health Education Intervention" 2nd Shanghai International Symposium On Smoking and Health. Shanghai, May , 1991.