To Improve The Quality And Access To Dialysis Treatments By Indigenous Australians From Remote Areas By Using A Patient-centred Approach To Determine The Cost-effectiveness Of Treatment Models That Include The Health, Social And Economic Impact
Funder
National Health and Medical Research Council
Funding Amount
$1,195,023.00
Summary
Compared to other Australians, Indigenous people from remote areas suffer disproportionately from kidney disease. In order to access treatment they must often relocate, sometimes permanently to urban areas. Communities advocate for services closer to home but most health providers see remote area delivery as prohibitively costly. The study will assess the relative cost-benefits of more patient-centered models of care that are inclusive of impacts on patients, families and communities.
A Population-based Record Linkage Study Of The Impact Of Chlamydia Infection On Reproductive Health In Women
Funder
National Health and Medical Research Council
Funding Amount
$405,114.00
Summary
Chlamydia is the most commonly notified infection in young Australian women and reports of cases are increasing. While chlamydia is thought to result in infertility and ectopic pregnancy in later life, the evidence for this is limited. This will be the largest, most comprehensive study in the world to determine the risk of infertility and ectopic pregnancy following chlamydia infection. The results will provide vital information to more cost-effectively plan strategies to control chlamydia in Au ....Chlamydia is the most commonly notified infection in young Australian women and reports of cases are increasing. While chlamydia is thought to result in infertility and ectopic pregnancy in later life, the evidence for this is limited. This will be the largest, most comprehensive study in the world to determine the risk of infertility and ectopic pregnancy following chlamydia infection. The results will provide vital information to more cost-effectively plan strategies to control chlamydia in Australia.Read moreRead less
Dental Health Services Research For Improved Oral Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$2,641,484.00
Summary
This research will generate new knowledge to improve health outcomes by investigating expenditure and financing of dental care, dental practice performance, and the impact of dental services on oral health outcomes. This is needed for health policy to deliver dental care that promotes good oral health, to identify characteristics of the dental delivery system that deliver productive outputs with good outcomes, and testing oral health outcomes in relation to the type of dental care received.
SCALE-C: Strategies For Hepatitis C Testing And Treatment In Aboriginal Communities That Lead To Elimination
Funder
National Health and Medical Research Council
Funding Amount
$2,175,170.00
Summary
Prevalence of hepatitis C infection within the Aboriginal population is among the highest of any identifiable population in Australia. Highly effective, direct-acting antiviral (DAA) therapy, and their listing on the PBS in 2016 has revolutionised HCV clinical management in Australia. The SCALE-C study will evaluate an established test and treat model to rapidly scale-up DAA within four Aboriginal communities to determine both impact on community prevalence and ongoing transmission.
Reducing Disparities In Heart Disease-Related Morbidity And Mortality: Optimising Prevention And Management
Funder
National Health and Medical Research Council
Funding Amount
$826,854.00
Summary
Heart disease contributes to a large but potentially preventable burden of death and disability. This burden is uneven with particularly vulnerable/at risk groups - including those living in regional areas and developing countries, Indigenous Australians and older patients with chronic heart disease. Prof. Simon Stewart will lead national/international collaborations to undertake innovative, multidisciplinary, prevention and disease management programs to reduce the impact and burden of heart di ....Heart disease contributes to a large but potentially preventable burden of death and disability. This burden is uneven with particularly vulnerable/at risk groups - including those living in regional areas and developing countries, Indigenous Australians and older patients with chronic heart disease. Prof. Simon Stewart will lead national/international collaborations to undertake innovative, multidisciplinary, prevention and disease management programs to reduce the impact and burden of heart disease in these vulnerable groups.Read moreRead less
STRIVEplus: Refinement And Translation Of An Intervention Designed To Improve Sexual Health Service Delivery In Remote Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,373,952.00
Summary
Curable sexually transmitted infections remain an important public health issue in many remote communities. We will conduct a long term study to find out how successful remote clinics have been in increasing testing and treatment for these infections through a quality improvement program. The study will also identify the types of health clinics that are more likely to succeed, and show whether the program has had any effects, whether positive or negative, on other clinical services.
New Strategies To Increase Testing And Treatment For Endemic Sexually Transmitted Infections In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$982,228.00
Summary
We will undertake a trial of two new approaches to increase the number of people being tested for curable sexually transmitted infection in remote Aboriginal communities. One strategy will involve offering community members a means of being tested without having to see a clinician unless the result is positive, and the other will involve a financial incentive. The study will provide new ways forward in the long and challenging campaign to rid remote communities of the burden of curable STIs.
Delivering Effective Dental Healthcare In 2020-2030: A National Longitudinal Partnership Study Of Burden Of Oral Diseases In Australia
Funder
National Health and Medical Research Council
Funding Amount
$1,056,522.00
Summary
The proposed partnership project will focus on five main areas: 1. The evaluation of changes in oral diseases. 2. The assessment of the incidence of oral diseases and its relationships with service systems and individual healthcare behaviours. 3. The estimation of the burden of oral diseases in the period 2020–30. 4. The assessment of cost-effectiveness of the various patterns of dental service use. 5. The knowledge translation involving policymakers and dental service providers.
Improving Delivery Of Secondary Prophylaxis For Rheumatic Heart Disease: A Stepped-wedge, Community-randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,913,074.00
Summary
Rheumatic heart disease (RHD) is a major health problem in Indigenous communities. Continued progress in controlling RHD requires an understanding of how to improve delivery of regular injections of penicillin - secondary prophylaxis (SP). We will evaluate a systems-based approach to improving delivery of SP, using a stepped-wedge trial in 12 communities in NT and Qld. If successful, this model will provide a practical and transferable model.
Looking Forward - Moving Forward Project: Transforming Systems To Improve Mental Health And Drug And Alcohol Outcomes For Aboriginal Peoples
Funder
National Health and Medical Research Council
Funding Amount
$1,304,508.00
Summary
Despite the clear need for support, Aboriginal people do not access mental health and drug and alcohol services at a level that corresponds with their need. We need to know how services can respond appropriately to this high-risk group of people. This project brings together Perth-based services, researchers and local Aboriginal Elders to implement and evaluate a framework for organisational change that will transform the way in which services respond to Aboriginal people.