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Bargaining and the price of new pharmaceuticals in Australia: An empirical analysis. The proposed research will consider whether there is a trade-off between price and access and will identify features of the regulatory framework that contribute to delays in securing access to drugs for diseases with no alternative therapy. It will provide decision makers with the necessary information to negotiate the lowest achievable price for drugs, freeing up resources for use elsewhere in the health sector ....Bargaining and the price of new pharmaceuticals in Australia: An empirical analysis. The proposed research will consider whether there is a trade-off between price and access and will identify features of the regulatory framework that contribute to delays in securing access to drugs for diseases with no alternative therapy. It will provide decision makers with the necessary information to negotiate the lowest achievable price for drugs, freeing up resources for use elsewhere in the health sector or slowing the growth in healthcare expenditure.Read moreRead less
Development of a Value of Life Framework to Assist Priority Setting Decision Making Across Sectors. The techniques used to evaluate life-saving interventions differ between health and other sectors. In health cost-effectiveness or cost-utility anlaysis is common, avoiding specification of a value for life. In contrast the transport and environment sectors use cost-benefit analysis and value life in monetary terms. This duality of approaches has resulted in a lower implicit value of life in th ....Development of a Value of Life Framework to Assist Priority Setting Decision Making Across Sectors. The techniques used to evaluate life-saving interventions differ between health and other sectors. In health cost-effectiveness or cost-utility anlaysis is common, avoiding specification of a value for life. In contrast the transport and environment sectors use cost-benefit analysis and value life in monetary terms. This duality of approaches has resulted in a lower implicit value of life in the health sector. The research will explore these differences and attempt to identify key attributes that influence how life is valued, to provide a framework for a single approach to the valuation of life, and the more efficient allocation of resources cross-sectorally.Read moreRead less
Long term economic impacts of disease on older workers to 2030: Costs to government and individuals and opportunities for intervention. This project will fill substantial gaps in Australian evidence about the health conditions of the future that will keep older workers out of the labour market and diminish their own immediate and long-term livings standards, thereby reducing funds available to government. We will address one of the most significant issues resulting from the fundamental changes t ....Long term economic impacts of disease on older workers to 2030: Costs to government and individuals and opportunities for intervention. This project will fill substantial gaps in Australian evidence about the health conditions of the future that will keep older workers out of the labour market and diminish their own immediate and long-term livings standards, thereby reducing funds available to government. We will address one of the most significant issues resulting from the fundamental changes to the demography of the Australian labour market and one that is regularly raised by the government following the release of the 2002 and 2007 Intergenerational Reports. This project will also examine the interventions that would improve the health of older workers and increase labour force participation over the long term.Read moreRead less
Economic Modelling of the Nurses' Labour Market in Australia. Nurses play an important role in the health system and help to ensure individuals lead healthier, happier and more productive lives. Devising cost-effective policies to ensure an adequate supply of motivated and productive nurses is crucial in achieving efficiency and equity in the health care system. The results will be used by government to help set optimal pay and conditions for nurses, and to ensure that these are competitive with ....Economic Modelling of the Nurses' Labour Market in Australia. Nurses play an important role in the health system and help to ensure individuals lead healthier, happier and more productive lives. Devising cost-effective policies to ensure an adequate supply of motivated and productive nurses is crucial in achieving efficiency and equity in the health care system. The results will be used by government to help set optimal pay and conditions for nurses, and to ensure that these are competitive with other nurse employers. This will provide a firm evidence-base to reduce nurse shortages and therefore increase the quality of patient care in Australia.Read moreRead less
Private Health Insurance and Utilisation of Health Care in Australia. The breakdown of activity between the Australian public and private health sectors is currently subject to considerable scrutiny. The combination of a comprehensive public system with minimal co-payments, but considerable waiting times for some treatment, and a private system with minimal waiting but sizeable co-payments has interesting economic implications for both consumer and provider behaviour. This research project will ....Private Health Insurance and Utilisation of Health Care in Australia. The breakdown of activity between the Australian public and private health sectors is currently subject to considerable scrutiny. The combination of a comprehensive public system with minimal co-payments, but considerable waiting times for some treatment, and a private system with minimal waiting but sizeable co-payments has interesting economic implications for both consumer and provider behaviour. This research project will explore the relationship between insurance status and utilisation of health care in Australia. Because insurance reduces the out-of-pocket price for consumers, they tend to purchase more care than they would without insurance.Read moreRead less
Measuring Hospital Performance: Outputs, Quality of Care, Competition and Efficiency. Hospitals are a critical component of the health infrastructure. An understanding of the performance of hospitals is important in shaping an overall health care strategy. Unfortunately, assessing hospital performance has been fraught with difficulties. A major obstacle is in defining and measuring the outputs and quality of hospitals. Collaborating with the Victorian Department of Human Services, and using t ....Measuring Hospital Performance: Outputs, Quality of Care, Competition and Efficiency. Hospitals are a critical component of the health infrastructure. An understanding of the performance of hospitals is important in shaping an overall health care strategy. Unfortunately, assessing hospital performance has been fraught with difficulties. A major obstacle is in defining and measuring the outputs and quality of hospitals. Collaborating with the Victorian Department of Human Services, and using the Department's VAED datasets, we aim to develop a framework within which unobservable quality dimensions can be estimated, so that hospital output and quality can be accounted for. The framework will be useful for addressing pertinent health policy issues, including hospital funding, specialisation, and competition issues.Read moreRead less
Blended payment systems for doctors: evaluation of an experiment. The results of the study will provide new evidence for health care policy makers in Australia (and internationally) on the effects of changing the remuneration system for GPs on the costs and quality of health care provided. The study will examine effects in the national priority and national health priority areas of preventive health care and chronic disease. The results will be relevant to other countries, such as the US and U ....Blended payment systems for doctors: evaluation of an experiment. The results of the study will provide new evidence for health care policy makers in Australia (and internationally) on the effects of changing the remuneration system for GPs on the costs and quality of health care provided. The study will examine effects in the national priority and national health priority areas of preventive health care and chronic disease. The results will be relevant to other countries, such as the US and UK, where blended payments schemes exist for GPs but have not been evaluated. Read moreRead less
Understanding the Labour Market for Professional Nurses: An Economic Analysis of Skill Shortages, Nurse Retention and Turnover. There is currently a worldwide shortage of nurses. This shortage is particularly acute in a number of publicly dominated health care systems including the Australian, British and Canadian systems. Given that nurses are a key input in the production of health care and therefore health, the need to address this issue by increasing the number of school-leavers entering the ....Understanding the Labour Market for Professional Nurses: An Economic Analysis of Skill Shortages, Nurse Retention and Turnover. There is currently a worldwide shortage of nurses. This shortage is particularly acute in a number of publicly dominated health care systems including the Australian, British and Canadian systems. Given that nurses are a key input in the production of health care and therefore health, the need to address this issue by increasing the number of school-leavers entering the profession and/or improving the retention of training nurses is of paramount importance. This project will use high quality cross-sectional and longitudinal data on nurses to provide a detailed investigation of the retention and turnover behaviour of nurses and inform the policy debate.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
The effects of child disability on carer's labour market outcomes in Australia. Increasing prevalence of children with disabilities in Australia accompanied by lack of research makes this study imperative. The innovative approach adopted in this project means there will be a number of national benefits resulting from this study.
- It will help governments in Australia make more informed policies toward providing assistance to affected families, which will reduce the burden on families caring ....The effects of child disability on carer's labour market outcomes in Australia. Increasing prevalence of children with disabilities in Australia accompanied by lack of research makes this study imperative. The innovative approach adopted in this project means there will be a number of national benefits resulting from this study.
- It will help governments in Australia make more informed policies toward providing assistance to affected families, which will reduce the burden on families caring for children with disabilities.
- More informed policy will improve the well-being of such children.
- It will advance knowledge in the fields of labour and health economics, and econometrics, and hence enhance Australian research reputation in the fields.Read moreRead less