Nanny state or good public policy: Do the benefits of mandatory health programs justify the loss of consumer choice? Governments are increasingly turning to mandatory programs to improve health. Such programs are appealing because there are high health benefits from universal participation and low costs for promotion and monitoring the program. However, this apparent benefit relies on restriction of personal choice, which may impose welfare losses on consumers. Evaluations generally ignore loss ....Nanny state or good public policy: Do the benefits of mandatory health programs justify the loss of consumer choice? Governments are increasingly turning to mandatory programs to improve health. Such programs are appealing because there are high health benefits from universal participation and low costs for promotion and monitoring the program. However, this apparent benefit relies on restriction of personal choice, which may impose welfare losses on consumers. Evaluations generally ignore loss of choice, despite evidence suggesting consumers value the ability to choose. This study will estimate the impact and value this loss of consumer choice, explore program specific factors and consumer characteristics influencing the valuation, and determine whether and how restricted choice should be explicitly considered when evaluating public health programs.Read moreRead less
The effect of competition and doctor heterogeneity on prices charged by doctors. Prices charged by doctors can have important effects on health care costs, access to health care and health status. This research will examine the determinants of prices charged by doctors. The results will be important in understanding the pricing practices of doctors and their impact on health care costs.
The Medicare Safety Net and its effect on efficiency, equity and welfare. This project aims to measure the welfare implications of social health insurance reforms. It will use the introduction of the Extended Medicare Safety Net to examine the effect of social insurance reforms on the efficiency and equity of Australia's health care system. The project expects to produce evidence on the partial and aggregate effects of the Medicare Safety Net and knowledge on the relationship between social insu ....The Medicare Safety Net and its effect on efficiency, equity and welfare. This project aims to measure the welfare implications of social health insurance reforms. It will use the introduction of the Extended Medicare Safety Net to examine the effect of social insurance reforms on the efficiency and equity of Australia's health care system. The project expects to produce evidence on the partial and aggregate effects of the Medicare Safety Net and knowledge on the relationship between social insurance and health system performance. In doing so, the research seeks to help policy makers to improve the design of social health insurance programmes to make the system more sustainable and equitable.Read moreRead less
Modelling community preferences for health policy: how choice experiments can inform the organisation of acute health services for older Australians. This work will provide vital information on community preferences to inform health policy regarding how we should best organise acute healthcare for older Australians. It addresses one of the most pressing health policy issues in Australia: how to maintain a sustainable, equitable and responsive health care system, in the face of an ageing populati ....Modelling community preferences for health policy: how choice experiments can inform the organisation of acute health services for older Australians. This work will provide vital information on community preferences to inform health policy regarding how we should best organise acute healthcare for older Australians. It addresses one of the most pressing health policy issues in Australia: how to maintain a sustainable, equitable and responsive health care system, in the face of an ageing population.Read moreRead less
Chronic Disease Prevention and Treatment - Cost-Benefit Model Systems to Assist with Priority Setting. The key benefit of the proposal to develop linked chronic disease models that are able to account for comorbidities will be that a much more accurate picture of the health and financial implications of chronic diseases will be obtainable than with the traditional 'disease-by-disease' based studies. Such a global approach is particularly relevant to analysis of chronic disease prevention and/or ....Chronic Disease Prevention and Treatment - Cost-Benefit Model Systems to Assist with Priority Setting. The key benefit of the proposal to develop linked chronic disease models that are able to account for comorbidities will be that a much more accurate picture of the health and financial implications of chronic diseases will be obtainable than with the traditional 'disease-by-disease' based studies. Such a global approach is particularly relevant to analysis of chronic disease prevention and/or treatment, because the lifestyle related risk factors are common to many such diseases. Overall, the linked models will be able to improve on current decision making processes, providing a more complete view of chronic disease costs and benefits - either today, or in future - under different prevention or treatment scenarios.Read moreRead less
Evaluation in health promotion: gathering evidence to improve effectiveness. Effective disease prevention and health promotion to address the public health challenges facing Australia requires a strong evidence base for policy and practice. Evaluation of programs in natural contexts is a vital source of this evidence, valuable for improving strategy design and delivery, building sustainability and guiding funding. The aim of this project is to determine the strengths and limitations of evaluatio ....Evaluation in health promotion: gathering evidence to improve effectiveness. Effective disease prevention and health promotion to address the public health challenges facing Australia requires a strong evidence base for policy and practice. Evaluation of programs in natural contexts is a vital source of this evidence, valuable for improving strategy design and delivery, building sustainability and guiding funding. The aim of this project is to determine the strengths and limitations of evaluation by health promotion agencies, and to identify the roles of individual, organisational and system-level factors in relation to evaluation practice and use. This knowledge is expected to guide efforts to build capacity for evaluation, improve systems for organisational learning, and enable evidence gathering to improve effectiveness.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
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
Community preferences for organ donation and allocation in Australia. This work will provide vital information on the Australian public's attitudes and preferences towards organ donation and allocation strategies, and inform the development of a national organ donation strategy that considers the public's preferences for different policies to increase organ donor rates. This project will directly address the National Research Priority of 'promoting and maintaining good health'; increasing the a ....Community preferences for organ donation and allocation in Australia. This work will provide vital information on the Australian public's attitudes and preferences towards organ donation and allocation strategies, and inform the development of a national organ donation strategy that considers the public's preferences for different policies to increase organ donor rates. This project will directly address the National Research Priority of 'promoting and maintaining good health'; increasing the availability of donor organs, and improving the equity and transparency of organ allocation in Australia will lead to improved health outcomes for patients on transplant waiting lists around Australia, and improved health outcomes for patients not previously eligible for transplant (e.g. some dialysis patients)Read moreRead less
Choice experiments to improve predictive power for policy makers. In the current economic climate, Australian governments will benefit from superior choice experiments which will lead to improved prediction of the potential public benefit of proposed policy changes. The choice experiments developed here will have a substantial effect on the development of strategies for the promotion and maintenance of a strong health care system as well as being relevant to the maintenance of a sustainable envi ....Choice experiments to improve predictive power for policy makers. In the current economic climate, Australian governments will benefit from superior choice experiments which will lead to improved prediction of the potential public benefit of proposed policy changes. The choice experiments developed here will have a substantial effect on the development of strategies for the promotion and maintenance of a strong health care system as well as being relevant to the maintenance of a sustainable environment, both designated National Research Priority areas. The innovative research proposed will tap into and build strong links with international research networks, advancing Australia's research reputation and providing a rich environment for the training of research graduates.Read moreRead less