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Advancing understanding of health professionals' work and communication patterns and the effectiveness of work reform initiatives. Health systems internationally need to improve productivity and the way hospital staff work together. Yet we have surprisingly poor data about these and few measurement techniques. This project will deliver new methods, information and theoretical advances to support the design and evaluation of future workforce reform initiatives.
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
Realising an 'ordinary life' for people with intellectual disabilities: Developing a theoretical framework for group home outcomes. Explaining why group homes produce variable outcomes for people with intellectual disabilities will make it more likely they live healthy, productive and fulfilling lives. Such outcomes are central to policies of inclusion and fundamental to human rights. The Australian community will be enriched by the inclusion of all people with disabilities and become a more jus ....Realising an 'ordinary life' for people with intellectual disabilities: Developing a theoretical framework for group home outcomes. Explaining why group homes produce variable outcomes for people with intellectual disabilities will make it more likely they live healthy, productive and fulfilling lives. Such outcomes are central to policies of inclusion and fundamental to human rights. The Australian community will be enriched by the inclusion of all people with disabilities and become a more just society. The research will support the translation of social policy into practice and adoption of good management practices. It will enable more effective use of the $2 billion spent on disability accommodation, and will bolster the arguments for community rather than institutional living, demonstrating investment in community services is a sound use of public moneyRead moreRead less
Statistical methods for the analysis of critical care data, with application to the Australian and New Zealand Intensive Care Database. The recent inquiry into Queensland's Bundaberg Base Hospital highlights the need to monitor hospital performance. This project develops new statistical methods to account for uncertainty in the assessment of provider performance and its outcomes will provide government with institutional comparisons for policy and planning.
A longitudinal study exploring women's experiences following a prenatal diagnosis of fetal abnormality. In Australia four per cent of babies are born with a congenital abnormality, many of which are detected during pregnancy. Little is known about women's experiences of a diagnosis. The aim of this study is to explore women's experiences following the diagnosis of a fetal abnormality during pregnancy, in order to develop appropriate models of supportive care.
Intellectual disability in courts and police cells. Benefit to the nation accrues because offenders with intellectual disability will be accurately identified early in their contact with the criminal justice system (CJS), and appropriate diversions from the CJS as well as rehabilitation programs can be implemented, thus producing cost-savings in all jurisdictions. The community benefits because offenders with ID can receive appropriate service provision, based on evidence provided by this study ....Intellectual disability in courts and police cells. Benefit to the nation accrues because offenders with intellectual disability will be accurately identified early in their contact with the criminal justice system (CJS), and appropriate diversions from the CJS as well as rehabilitation programs can be implemented, thus producing cost-savings in all jurisdictions. The community benefits because offenders with ID can receive appropriate service provision, based on evidence provided by this study. The individual's ties to the community will be maintained and on the community will be supported to assist the individual. Justice health systems, in staff management and training areas, will benefit. The outcomes will benefit educational programs for the judiciary, police and lawyers.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
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
Min/Max Autocorrelation Factors in Time Series Studies of the Adverse Health Effects of Ozone. The annual health costs associated with exposure to air pollution in Australia have been estimated at between $3 and 5.3 billion. Given these costs, it is vital to conduct research that ensures public health officials and policy makers stay fully informed of Australia’s air pollution problem. The project proposes to address this need by developing methodology to detect trends in air pollution concentra ....Min/Max Autocorrelation Factors in Time Series Studies of the Adverse Health Effects of Ozone. The annual health costs associated with exposure to air pollution in Australia have been estimated at between $3 and 5.3 billion. Given these costs, it is vital to conduct research that ensures public health officials and policy makers stay fully informed of Australia’s air pollution problem. The project proposes to address this need by developing methodology to detect trends in air pollution concentrations and reduce measurement error in recorded air pollution concentrations. This will enable relevant authorities to produce more accurate estimates of air pollution health costs and implement more appropriate pollution regulations and health warnings.Read moreRead less
The nature, extent and effect of infant removal by child protection. This project aims to provide new knowledge about the nature, extent and effect of removals of babies from their parents in Australia. Removal is the highest level of intervention by the child protection system, and one which some mothers experienced on multiple occasions. Little is known, however, about its incidence and effects, nor whether there are over-represented groups (e.g. Aboriginal mothers and babies) who would respon ....The nature, extent and effect of infant removal by child protection. This project aims to provide new knowledge about the nature, extent and effect of removals of babies from their parents in Australia. Removal is the highest level of intervention by the child protection system, and one which some mothers experienced on multiple occasions. Little is known, however, about its incidence and effects, nor whether there are over-represented groups (e.g. Aboriginal mothers and babies) who would respond to targeted interventions. This project aims to identify appropriate early intervention and prevention strategies, preventing the need for babies to spend their whole childhood in care at great financial and societal cost.Read moreRead less