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Developing methods for benefit measurement in health-related economic analyses and their use in selecting public health promotional programs. The program involves the creation, validation and use of a suite of instruments for evaluating outcomes of health promotional programs, including adult and childhood obesity, depression and smoking - areas that are universally recognised as being of importance for the Australian community. The program will provide multiple scoring algorithms for each of th ....Developing methods for benefit measurement in health-related economic analyses and their use in selecting public health promotional programs. The program involves the creation, validation and use of a suite of instruments for evaluating outcomes of health promotional programs, including adult and childhood obesity, depression and smoking - areas that are universally recognised as being of importance for the Australian community. The program will provide multiple scoring algorithms for each of the instruments in order to test the sensitivity of results to assumptions made about social values, and will produce Australian estimates of the person trade-off weights used in the Australian and Victorian Burden of Disease studies (which presently use Dutch PTO weights). Read moreRead less
Motor vehicle injuries: economic evaluation of a new treatment modality. The management of injured persons following motor vehicle accidents is a serious health issue in Australia, with over 60,000 minor injuries and 20,000 major injuries occurring annually. This project will provide a cost-effectiveness analysis of a new multidisciplinary approach to managing minor injuries by utilising data from the Accident Care Evaluation (ACE) trial of a new clinic being tested for this purpose.
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
The identification and measurement of equity and other health sector objectives. The project will investigate public expectations and values about the health system. The results will: (i) challenge the recent WHO evaluation of health systems in which 75 percent of the total score came from objectives other than population health; (ii) provide policy makers with numerical scores to indicate the relative importance of different broad objectives (such as access and the distribution of health servic ....The identification and measurement of equity and other health sector objectives. The project will investigate public expectations and values about the health system. The results will: (i) challenge the recent WHO evaluation of health systems in which 75 percent of the total score came from objectives other than population health; (ii) provide policy makers with numerical scores to indicate the relative importance of different broad objectives (such as access and the distribution of health services and the question of access to services); (iii) provide health service researchers with numerical scores to indicate where there are higher priority services or recipients: for example, the young or those with long term disabilities.Read moreRead less
COst-effectiveness analyses of improved adherence to Management PLans among AustralIANS (COMPLIANS). Chronic diseases are the leading cause of disability in the community and over $34billion is spent each year on health services in Australia treating these diseases. It is hoped that the project will lead to identification of opportunities for cost-effective prevention and treatment of lung and other chronic diseases and that this will lead to more cost-effective deployment of healthcare resourc ....COst-effectiveness analyses of improved adherence to Management PLans among AustralIANS (COMPLIANS). Chronic diseases are the leading cause of disability in the community and over $34billion is spent each year on health services in Australia treating these diseases. It is hoped that the project will lead to identification of opportunities for cost-effective prevention and treatment of lung and other chronic diseases and that this will lead to more cost-effective deployment of healthcare resources. Improvements in the management and treatment of these diseases will result in an improvement in the quality of life of Australian patients, and their active and productive participation in society for as long as possible.Read moreRead less
Investigating consumer partnerships in the context of complex health service delivery. Whilst increased consumer participation has been demonstrated to improve health outcomes, there has been no translation to people with chronic illness using acute care services. People with chronic conditions represent an increasing proportion of health care consumers and due to the existence of co-morbidities their needs are usually complex. Despite this, they have been marginalised in the current development ....Investigating consumer partnerships in the context of complex health service delivery. Whilst increased consumer participation has been demonstrated to improve health outcomes, there has been no translation to people with chronic illness using acute care services. People with chronic conditions represent an increasing proportion of health care consumers and due to the existence of co-morbidities their needs are usually complex. Despite this, they have been marginalised in the current development of participatory models of service delivery. This project will investigate the determinants of participation for consumers during episodes of acute health care, identify barriers to their participation, and develop testable strategies for increasing effective consumer participation in acute health care services.Read moreRead less
Patient and nurse outcomes and the cost of nurses' turnover in Australian hospitals. An adequate supply of nurses is fundamental to all of the National Health Priority disease areas where quality care cannot be delivered without an adequate number of motivated nurses. Designing cost-effective methods of retaining nurses requires understanding reasons why they leave the workforce and the impact this has on patient care and system costs. The findings will assist policy makers and workforce planner ....Patient and nurse outcomes and the cost of nurses' turnover in Australian hospitals. An adequate supply of nurses is fundamental to all of the National Health Priority disease areas where quality care cannot be delivered without an adequate number of motivated nurses. Designing cost-effective methods of retaining nurses requires understanding reasons why they leave the workforce and the impact this has on patient care and system costs. The findings will assist policy makers and workforce planners at both local and national levels, to design strategies to effectively recruit and retain nurses as demands for health care and market competition for staff both increase.Read moreRead less
Bayesian statistical models for understanding outcomes and improving decision-making for women screened for breast cancer. This project has two key benefits: (i) the development of frontier statistical methods for spatio-temporal analysis and data synthesis, which are imperative in a wide range of disciplines; and (ii) the application of these methods for improved understanding of breast cancer outcomes for women screened in Queensland. The project results will lead to direct health and financi ....Bayesian statistical models for understanding outcomes and improving decision-making for women screened for breast cancer. This project has two key benefits: (i) the development of frontier statistical methods for spatio-temporal analysis and data synthesis, which are imperative in a wide range of disciplines; and (ii) the application of these methods for improved understanding of breast cancer outcomes for women screened in Queensland. The project results will lead to direct health and financial benefits through targeted policies for increasing screening uptake and reducing cancer morbidity and mortality and therefore health spending in this area. Importantly, the project represents an excellent training opportunity to develop a PhD candidate into an experienced interdisciplinary researcher.Read moreRead less
Does Self Management Increase The Effectiveness Of Vocational Rehabilitation For Chronic Compensated Disorders? Workplace injuries result in human suffering and are costly for those injured, employers and the community. For some, the injury results in a chronic disability, a sense of powerlessness, and unemployment. This study will test whether participation in a 'self-management' program improves health and well-being, decreases pain, results in earlier return-to-work and is a more efficient us ....Does Self Management Increase The Effectiveness Of Vocational Rehabilitation For Chronic Compensated Disorders? Workplace injuries result in human suffering and are costly for those injured, employers and the community. For some, the injury results in a chronic disability, a sense of powerlessness, and unemployment. This study will test whether participation in a 'self-management' program improves health and well-being, decreases pain, results in earlier return-to-work and is a more efficient use of resources than usual care in vocational rehabilitation. Self-management programs have been shown to be effective in helping people manage chronic disabling conditions. By adapting the self-management program for this population it is anticipated that the human and financial burden on individuals and society from chronic injuries will be reduced.Read moreRead less
Establishment of Therapeutically Relevant Animal Models and Markers for Crohn's Disease. Crohn's disease is a devastating life long disease, affecting 0.5% of the world population. There is urgent economic and social need to develop new and better drugs to treat the symptoms and underlying cause of this debilitating disease. Social benefits include the improved quality of life of sufferers that positively impacts society. Economic benefit includes income derived from commercialisation of rese ....Establishment of Therapeutically Relevant Animal Models and Markers for Crohn's Disease. Crohn's disease is a devastating life long disease, affecting 0.5% of the world population. There is urgent economic and social need to develop new and better drugs to treat the symptoms and underlying cause of this debilitating disease. Social benefits include the improved quality of life of sufferers that positively impacts society. Economic benefit includes income derived from commercialisation of research outcomes and the contribution this project makes to high value employment in the biotechnology sector.Read moreRead less