Improving Access For Community Health And Sub-acute Outpatient Services
Funder
National Health and Medical Research Council
Funding Amount
$644,791.00
Summary
Many patients face long waits for access to outpatient and community health services. Waiting lists with triage systems to allocate priority are commonly used to manage demand, but these systems often contribute to inefficiencies in service delivery. This project will trial implementation of an alternative approach using immediate allocation of new patients to triage appointments in a range of ambulatory services within a metropolitan health service.
The Physiology Of Health Systems: Port Lincoln As A Case Study
Funder
National Health and Medical Research Council
Funding Amount
$2,228,073.00
Summary
No health system in Australia has a complete, population-wide view of how they are used, by whom, and with what effect on health. Our plan is to capture and describe comprehensively all health system activity relating to a sizeable and carefully-defined Australian population and to complement this with a population-wide census of health status. Such 'intelligence' is fundamental to evaluating the current performance of health systems and to planning changes to them.
Optimising Emergency And Trauma Systems Through Evidence Based Pathways
Funder
National Health and Medical Research Council
Funding Amount
$418,049.00
Summary
Developing systems for emergency and trauma care based on strong evidence and robust data systems is crucial to the acute health sector. Through an extensive, well recognised collaboration of research groups at The Alfred, Monash and the National Trauma Research Institute, we aim to undertake world leading systems development both locally and globally, focusing on prehospital, emergency and trauma clinical care pathways significantly reducing mortality and improving functional outcomes.
Integrated Kids Hubs - Ensuring Equity of Access for Children. The Integrated Kids Hubs - Ensuring Equity of Access for Children project aims to determine if integrated Hubs are effective in increasing access to child and family services for disadvantaged urban and regional families with children aged 3 years and under, thus improving early identification of developmental vulnerability, parental wellbeing and capacity, and addressing unmet psychosocial needs. If these issues are not identified a ....Integrated Kids Hubs - Ensuring Equity of Access for Children. The Integrated Kids Hubs - Ensuring Equity of Access for Children project aims to determine if integrated Hubs are effective in increasing access to child and family services for disadvantaged urban and regional families with children aged 3 years and under, thus improving early identification of developmental vulnerability, parental wellbeing and capacity, and addressing unmet psychosocial needs. If these issues are not identified and addressed early, these children will go on to struggle in school and life. We will use a pragmatic trial design (meaning the research is embedded in our usual practice), determine the social return on investment, and establish what is needed to scale up the Hubs across NSW and Australia.Read moreRead less
Improving outcomes for young people transitioning from out-of-home care. The central aim of this project is to generate the new knowledge needed to support the development, implementation, and diffusion of evidence-based innovations for young people as they transition from out-of-home care to adulthood. The project is significant because young people living in out-of-home care are more likely to enter juvenile justice, become a teenage parent, be socially excluded, have mental and physical healt ....Improving outcomes for young people transitioning from out-of-home care. The central aim of this project is to generate the new knowledge needed to support the development, implementation, and diffusion of evidence-based innovations for young people as they transition from out-of-home care to adulthood. The project is significant because young people living in out-of-home care are more likely to enter juvenile justice, become a teenage parent, be socially excluded, have mental and physical health problems and addictions. Outcomes include a world first longitudinal data evidence base, exemplars of best practice, and guidance to advance the application of transition pathways and plans to inform future innovations in Victoria and across Australia for improving transition from care with, by, and for young people. Read moreRead less
INVESTIGATING MORTALITY AMONG EX-PRISONERS IN QUEENSLAND: A DATA LINKAGE STUDY
Funder
National Health and Medical Research Council
Funding Amount
$716,801.00
Summary
NOTE: At the time of submitting the NOI for this project we had not yet received feedback from a submission to a parallel NHMRC funding round concerned with social disadvantage. We have since received very positive reviews for the trial foreshadowed in our NOI, and consistent with the recommendations of one reviewer, we have modified our application to complement the proposed trial by conducting a record linkage study. The content area and ethical issues associated with the proposed project rema ....NOTE: At the time of submitting the NOI for this project we had not yet received feedback from a submission to a parallel NHMRC funding round concerned with social disadvantage. We have since received very positive reviews for the trial foreshadowed in our NOI, and consistent with the recommendations of one reviewer, we have modified our application to complement the proposed trial by conducting a record linkage study. The content area and ethical issues associated with the proposed project remain largely unchanged. Studies in Australia and elsewhere have identified a heightened risk of death among ex-prisoners, with drug overdose, suicide and 'accidents' three major causes. Many deaths occur soon after release. Although the high incidence of 'overdose' among ex-prisoners is often attributed to reduced tolerance,most fatal drug overdoses are due to the combined effects of multiple drugs. A detailed understanding of deaths among ex-prisoners is a prerequisite for evidence-based preventive strategies. The proposed study will: (a) Link the identities of prisoners released from custody in QLD between 1994 and 2006, with the National Death Index (NDI). The linked database will permit exploration of the incidence, timing, causes and risk factors for death among ex-prisoners. (b) Compare correctional records of deceased ex-prisoners and a random sample of ex-prisoners known to be alive, focussing on suspected risk factors including criminal history, behaviour in custody, health status, psychosocial adjustment, socio-economic status, and history and treatment for drug use. This will allow more detailed analysis of risk factors for death post-release. (c) Conduct in-depth analysis of causes of death among ex-prisoners, using the National Coroners Information System (NCIS). Information regarding cause and context of death will be coded by a research assistant and analysed to identify group differences (e.g., between ATSI and non-ATSI ex-prisoners).Read moreRead less
Consumer Directed Care: Understanding And Promoting Participation And Care Outcomes For People Living With Dementia In Receipt Of A Home Care Package
Funder
National Health and Medical Research Council
Funding Amount
$571,648.00
Summary
This research will develop tools and assess the impact of the delivery of Consumer Directed Care for people living with dementia in receipt of a Home Care Package. It will also translate the findings into an intervention aimed at building the capacity of service providers and consumers to work together to improve care outcomes for people with dementia.
Meals on Wheels: building towards a new social experiment for our times. This project contributes directly to the National Research Priority, promoting and maintaining good health: ageing well, ageing productively, through developing evidence-based knowledge on which to build future volunteer business models. With the rapid ageing of the Australian population, it is imperative that volunteer-based organisations, such as Meals on Wheels, innovate to continue to deliver essential community service ....Meals on Wheels: building towards a new social experiment for our times. This project contributes directly to the National Research Priority, promoting and maintaining good health: ageing well, ageing productively, through developing evidence-based knowledge on which to build future volunteer business models. With the rapid ageing of the Australian population, it is imperative that volunteer-based organisations, such as Meals on Wheels, innovate to continue to deliver essential community services in a sustainable and cost-effective way. Meals on Wheels is integral within community care for frail, older people and those with disabilities, keeping people in their own homes and out of institutional care. Using national and international examples, the research has the potential to be adopted by the broad community services sector in Australia.Read moreRead less
Meaningful Engagement Of Adolescents In Health Programming And Evaluation
Funder
National Health and Medical Research Council
Funding Amount
$128,224.00
Summary
Adolescence is a critical developmental period of immense potential where health behaviours can be established that affect the lifecourse, and indeed the next generation. The Jharkhand Initiative for Adolescent Health trial set in rural India is exploring how meaningful engagement and participation of adolescents in their own peer-led community health intervention groups can lead to better health in marginalised adolescent girls, assisting us to better help vulnerable adolescents everywhere.