Coverage with Evidence Development: Application to pharmaceutical reimbursement decisions. Some new medicines produce only a small improvement in health but have considerable costs. When these medicines are trialled on only small numbers of people, uncertainty results about the value of the medicine, which can create problems for decision makers. Funding medicines where there is uncertainty may lead to harm when medicines are later found to be unsafe, or waste millions of dollars when they are ....Coverage with Evidence Development: Application to pharmaceutical reimbursement decisions. Some new medicines produce only a small improvement in health but have considerable costs. When these medicines are trialled on only small numbers of people, uncertainty results about the value of the medicine, which can create problems for decision makers. Funding medicines where there is uncertainty may lead to harm when medicines are later found to be unsafe, or waste millions of dollars when they are overpriced relative to effectiveness. Not funding medicines may disadvantage patients in whom the medicines are effective. Methods to enable access to medicines while reducing uncertainty will offer significant benefit to patients, clinicians and taxpayers. Read moreRead less
Financing aged care in Australia: Mitigating fiscal gaps and maintaining intergenerational equity. Aged care has been identified as a significant contributor to the growing fiscal problems predicted for Australian government finances during the next 10 to 20 years. This project will develop the cutting-edge modelling tools needed to allow Australia to make informed decisions about possible reforms in aged care financing. It will create significant national benefits by allowing detailed assessmen ....Financing aged care in Australia: Mitigating fiscal gaps and maintaining intergenerational equity. Aged care has been identified as a significant contributor to the growing fiscal problems predicted for Australian government finances during the next 10 to 20 years. This project will develop the cutting-edge modelling tools needed to allow Australia to make informed decisions about possible reforms in aged care financing. It will create significant national benefits by allowing detailed assessment of the distributional impact of a wide range of possible reforms, including how the outcomes of any policy change will affect disadvantaged sections of our society, whether different generations will be fairly treated, and the impact by gender.Read moreRead less
Blended payment systems for doctors: evaluation of an experiment. The results of the study will provide new evidence for health care policy makers in Australia (and internationally) on the effects of changing the remuneration system for GPs on the costs and quality of health care provided. The study will examine effects in the national priority and national health priority areas of preventive health care and chronic disease. The results will be relevant to other countries, such as the US and U ....Blended payment systems for doctors: evaluation of an experiment. The results of the study will provide new evidence for health care policy makers in Australia (and internationally) on the effects of changing the remuneration system for GPs on the costs and quality of health care provided. The study will examine effects in the national priority and national health priority areas of preventive health care and chronic disease. The results will be relevant to other countries, such as the US and UK, where blended payments schemes exist for GPs but have not been evaluated. Read moreRead less
Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between ri ....Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between rich and poor and urban and rural populations evident in maternal morbidity and mortality. Results will inform facilitative policies and models of service to optimise safety and increase effectiveness in deployment of human and monetary resources.Read moreRead less
Modelling Inequalities in Health in Australia in the Area of Obesity. This research will contribute to a body of knowledge that informs government policy and falls under a National Research Priority - Promoting and Maintaining Good Health. Obesity is a serious health problem among adult Australians and the situation is likely to worsen if left unchecked. The first task in addressing this issue is to identify who is at risk. In this project we will use multiple and robust techniques to examine t ....Modelling Inequalities in Health in Australia in the Area of Obesity. This research will contribute to a body of knowledge that informs government policy and falls under a National Research Priority - Promoting and Maintaining Good Health. Obesity is a serious health problem among adult Australians and the situation is likely to worsen if left unchecked. The first task in addressing this issue is to identify who is at risk. In this project we will use multiple and robust techniques to examine this issue. Our research will therefore help in targeting public resources to those that can really benefit, as we hypothesise markets in health do not clear efficiently for a multitude of reasons. Read moreRead less
Development of a Value of Life Framework to Assist Priority Setting Decision Making Across Sectors. The techniques used to evaluate life-saving interventions differ between health and other sectors. In health cost-effectiveness or cost-utility anlaysis is common, avoiding specification of a value for life. In contrast the transport and environment sectors use cost-benefit analysis and value life in monetary terms. This duality of approaches has resulted in a lower implicit value of life in th ....Development of a Value of Life Framework to Assist Priority Setting Decision Making Across Sectors. The techniques used to evaluate life-saving interventions differ between health and other sectors. In health cost-effectiveness or cost-utility anlaysis is common, avoiding specification of a value for life. In contrast the transport and environment sectors use cost-benefit analysis and value life in monetary terms. This duality of approaches has resulted in a lower implicit value of life in the health sector. The research will explore these differences and attempt to identify key attributes that influence how life is valued, to provide a framework for a single approach to the valuation of life, and the more efficient allocation of resources cross-sectorally.Read moreRead less
Resolving patients' complaints about hospitals: Responsive regulation by health ombudsmen. Ombudsmen help ensure integrity and accountability in societal institutions. This study of patients' complaints about hospitals to health ombudsmen in two states, and the responses of hospitals, will produce evidence on strategies for making hospitals more responsive to the public and more accountable for the quality of their care. Australia was a world leader in establishing health ombudsmen and this stud ....Resolving patients' complaints about hospitals: Responsive regulation by health ombudsmen. Ombudsmen help ensure integrity and accountability in societal institutions. This study of patients' complaints about hospitals to health ombudsmen in two states, and the responses of hospitals, will produce evidence on strategies for making hospitals more responsive to the public and more accountable for the quality of their care. Australia was a world leader in establishing health ombudsmen and this study will explore their impact upon the hospital system. Evidence-based strategies are needed to improve the accountability of service providers and regulators. Social and economic benefits flow from empowering patients and from improving hospital performance.Read moreRead less
Health Production Functions: Effects of Socioeconomic and Lifestyle Factors on Health Status. Improving the health and wellbeing of individuals is a priority for the Australian government. Empirical knowledge on the determinants of health is crucial for effective allocation of public health funds. We propose a thorough economic investigation into the interrelationships between self-assessed health, chronic conditions, obesity, private insurance status, and socioeconomic and lifestyle factors, us ....Health Production Functions: Effects of Socioeconomic and Lifestyle Factors on Health Status. Improving the health and wellbeing of individuals is a priority for the Australian government. Empirical knowledge on the determinants of health is crucial for effective allocation of public health funds. We propose a thorough economic investigation into the interrelationships between self-assessed health, chronic conditions, obesity, private insurance status, and socioeconomic and lifestyle factors, using advanced microeconometric techniques and comprehensive national and Victorian health surveys. We will link the micro-level findings to economic and policy implications for the Australian health sector and society. The research will be valuable in the design and evaluation of health promotion programs.Read moreRead less
Patient waiting times at public hospitals and the demand for private care. Public hospital waiting times compromise the objective of accessible health care for all Australians. Past policy focused on private insurance incentives to ease pressure on public hospitals. Current policy focuses on extra public provision. This will be the first Australian research to model the impact of waiting times on private health insurance and the choice between private and public hospital treatment. We will analy ....Patient waiting times at public hospitals and the demand for private care. Public hospital waiting times compromise the objective of accessible health care for all Australians. Past policy focused on private insurance incentives to ease pressure on public hospitals. Current policy focuses on extra public provision. This will be the first Australian research to model the impact of waiting times on private health insurance and the choice between private and public hospital treatment. We will analyse how waiting times differ by income, medical procedure and region, and quantify the benefits associated with different ways of reducing waiting lists. This research will provide an evidence base for effective policy design and lead to better targeting of health care investments.Read moreRead less
Incentives and performance in the health care system. Changes in financial incentives for health care providers will have direct effects on their behaviour, which in turn influences patients' health outcomes, quality of care, and access to health care for the population. The research will provide a richer understanding of the effects of incentives, and will influence policy on the design of incentives for health care providers in Australia. Changes in incentives will ensure patients receive mo ....Incentives and performance in the health care system. Changes in financial incentives for health care providers will have direct effects on their behaviour, which in turn influences patients' health outcomes, quality of care, and access to health care for the population. The research will provide a richer understanding of the effects of incentives, and will influence policy on the design of incentives for health care providers in Australia. Changes in incentives will ensure patients receive more appropriate, higher quality, and less costly health care, in the most appropriate settings, and delivered by the most appropriate health care providers. This will have direct effects on population health and well-being and the capacity of individuals to lead healthy and productive lives.Read moreRead less