Supply, Demand And The Distribution Of Health Services In Australia
Funder
National Health and Medical Research Council
Funding Amount
$308,038.00
Summary
The distribution of medical services and its impact on access and equity is widely recognised as a key concern of the Australian community. Access and equity are key indicators to the public of the performance of a health system. These concerns have led to the adoption of major policy goals under Medicare relating to equitable access to medical services for the population as a whole. Furthermore, both the community and policy makers have expressed high levels of concern over the distribution of ....The distribution of medical services and its impact on access and equity is widely recognised as a key concern of the Australian community. Access and equity are key indicators to the public of the performance of a health system. These concerns have led to the adoption of major policy goals under Medicare relating to equitable access to medical services for the population as a whole. Furthermore, both the community and policy makers have expressed high levels of concern over the distribution of medical services between sub-markets and sub-populations, in particular, in the distribution of medical services between urban and rural-remote areas. This project, for the first time, comprehensively examines the performance of Medicare in terms of access to medical services over time. Australian data sets, largely untapped by economic modelling, will be used for analysis of the relationships between the distribution of, access to, and demand and fees for Australian medical services and their impact upon mortality over time. The study will result in the first comprehensive Australian description of access and supply of different medical services by social group and by geographic location over time. Furthermore it will provide evidence on the key determinants of distribution and changes in the distribution of medical services and estimates the likely effects of policy instruments designed to address the distribution of, and access to, medical services.Read moreRead less
A Cluster Randomised Controlled Trial Of Selective Decontamination Of The Digestive Tract In Critically Ill Patients
Funder
National Health and Medical Research Council
Funding Amount
$4,113,393.00
Summary
Sepsis is the most common cause of death in intensive care patients. Selective Decontamination of the Digestive Tract (SDD) is a treatment to reduce the risk of infection and improve survival for these patients. Many trials suggest SDD works but there has not been widespread uptake due to concerns that SDD will increase antibiotic resistance.rates. This trial will provide a definitive answer. If SDD reduces mortality without increasing antibiotic resistance, the study will have a global impact.
Revisiting Australia's war: international perspectives on heritage, memory and ANZAC pilgrimages to the cemeteries, sites and battlefields of World War Two (WW2). War has assumed an iconographic status in Australia and New Zealand; for many the spirit of Anzac defines the values of both nations. A study of WW2 pilgrimage will explore ways the Anzac legend has been revisited, reinvented and revitalised by successive generations. This project will retrieve the memory of war from those who suffered ....Revisiting Australia's war: international perspectives on heritage, memory and ANZAC pilgrimages to the cemeteries, sites and battlefields of World War Two (WW2). War has assumed an iconographic status in Australia and New Zealand; for many the spirit of Anzac defines the values of both nations. A study of WW2 pilgrimage will explore ways the Anzac legend has been revisited, reinvented and revitalised by successive generations. This project will retrieve the memory of war from those who suffered it, empower communities of mourners on both sides of the Tasman and help to explain why the Anzac mythology captivates such a diverse cross-section of society. It will explore a neglected dimension of Australasia's relationship with the world and the Asia/Pacific region in particular.Read moreRead less
Economic Inequality: Trends, Causes and Consequences. Measuring inequality and understanding its determinants is important for three reasons. First, knowing the causes and consequences of inequality is critical to making trade-offs between equity and efficiency. Second, the degree of economic mobility over the lifecycle determines how much opportunity people have to move upwards, and how much risk they face on moving downwards. This informs policies that guard against risk (eg. social insurance) ....Economic Inequality: Trends, Causes and Consequences. Measuring inequality and understanding its determinants is important for three reasons. First, knowing the causes and consequences of inequality is critical to making trade-offs between equity and efficiency. Second, the degree of economic mobility over the lifecycle determines how much opportunity people have to move upwards, and how much risk they face on moving downwards. This informs policies that guard against risk (eg. social insurance) and those that encourage risk (eg. entrepreneurship). Third, by learning more about intergenerational mobility, we can improve policies that seek to boost the life chances of children in disadvantaged households. Read moreRead less
How Do Thick Airway Walls Affect Airway Hyperresponsiveness In Asthma?
Funder
National Health and Medical Research Council
Funding Amount
$382,538.00
Summary
Asthmatic airways narrow too easily, a characteristic called airway hyperresponsiveness (AHR). To understand the cause of asthma we need to understand the cause of AHR. Thickened airway walls could amplify airway narrowing and increase AHR. However, thick airway walls are also stiff, and stiff walls could reduce narrowing and AHR. This project will examine the relationships between AHR and airway wall thickness and stiffness during and after treatment that reduces airway wall thickness.
Economic impacts of disease on older workers: Costs to government and individuals and opportunities for intervention. With an ageing workforce, Australia is at risk of having an inadequate workforce to ensure economic growth and to maintain sufficient taxation revenue to support future needs.
This project will provide fill substantial gaps in the Australian evidence the health conditions that keep older workers out of the labour market and that diminish their own immediate and long-term livi ....Economic impacts of disease on older workers: Costs to government and individuals and opportunities for intervention. With an ageing workforce, Australia is at risk of having an inadequate workforce to ensure economic growth and to maintain sufficient taxation revenue to support future needs.
This project will provide fill substantial gaps in the Australian evidence the health conditions that keep older workers out of the labour market and that diminish their own immediate and long-term livings standards and reduce funds available to government. We will address one of the most significant issues resulting fundamental changes to the demography of the Australian labour market and one is regularly raised by the Prime Minister and Treasurer in their speeches following the Intergenerational Report.Read moreRead less
The effects of home-based couple relationship education on couple relationships, mental health and work performance. Marital distress and separations cause great suffering and cost the Australian community at least $5 billion annually. This research evaluates an innovative relationship education program that couples can complete at home. The research tests whether the education enhances couples' relationship satisfaction, which couples benefit, how the program achieves its effects, and whether i ....The effects of home-based couple relationship education on couple relationships, mental health and work performance. Marital distress and separations cause great suffering and cost the Australian community at least $5 billion annually. This research evaluates an innovative relationship education program that couples can complete at home. The research tests whether the education enhances couples' relationship satisfaction, which couples benefit, how the program achieves its effects, and whether improved couple relationships enhances partners' mental health and work performance. The program might provide national benefit in reducing the enormous personal and social costs of marital problems, as well as providing a potentially important new product with significant export potential.Read moreRead less
Reform of the Personal Liability of Directors for Unpaid Employee Entitlements. The financing of business and the provision of labour services to the corporate sector are central to the nation's economic health. Loss of employment, employee entitlements and the fallout of business collapse impact on every aspect of social and economic life. The ability of employees to recover lost entitlements has emerged as an issue critical to a sustainable, efficient and equitable economy. Presently, the burd ....Reform of the Personal Liability of Directors for Unpaid Employee Entitlements. The financing of business and the provision of labour services to the corporate sector are central to the nation's economic health. Loss of employment, employee entitlements and the fallout of business collapse impact on every aspect of social and economic life. The ability of employees to recover lost entitlements has emerged as an issue critical to a sustainable, efficient and equitable economy. Presently, the burden of compensating unpaid employee entitlements is carried by the taxpayer through the General Employment Entitlements and Redundancy Scheme. Director liability provisions which make placing failing companies into voluntary administration an attractive option could relieve that burden. Read moreRead less
Private Wealth Accumulation, Wealth Distribution, and Social Welfare Reform in Urban China. During the 1990s, when the Chinese urban labour market and social security reforms accelerated, average urban household wealth increased more than three fold and the distribution of wealth widened. We will document this significant change and examine its relationship to past and future social welfare reform. This project will:
· Be the first study of wealth accumulation and distribution in China over th ....Private Wealth Accumulation, Wealth Distribution, and Social Welfare Reform in Urban China. During the 1990s, when the Chinese urban labour market and social security reforms accelerated, average urban household wealth increased more than three fold and the distribution of wealth widened. We will document this significant change and examine its relationship to past and future social welfare reform. This project will:
· Be the first study of wealth accumulation and distribution in China over the 1990s.
· Add to our knowledge of the interrelationship between wealth accumulation, distribution and political power during economic transition.
· Contribute to a better design of a new social welfare system.
· Develop lessons and policy implications that will be broadly applicable to most transitional and developing economies.
The project will produce at least seven journal articles and one book.
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HEIGHT, WEIGHT and LENGTH: Biometric explorations of Australia's socio-economic fabric in the long run, 1860-1970. HEIGHT, WEIGHT and LENGTH is a biometric analysis of Australian living standards. This project is significant because it illuminates the very fabric of Australian social and economic organisation. It traces what happened to living standards over the long run 1860-1970, covering booms, busts and wars. It examines the functioning of the family as an economic unit at the core of dis ....HEIGHT, WEIGHT and LENGTH: Biometric explorations of Australia's socio-economic fabric in the long run, 1860-1970. HEIGHT, WEIGHT and LENGTH is a biometric analysis of Australian living standards. This project is significant because it illuminates the very fabric of Australian social and economic organisation. It traces what happened to living standards over the long run 1860-1970, covering booms, busts and wars. It examines the functioning of the family as an economic unit at the core of distributing welfare-enhancing resources. It identifies who were the winners and the losers. It teaches lessons about vulnerability and strength during economic change that should inform future policy makers. Finally, it pushes the methodology in new directions with implications for its use around the world.Read moreRead less