Improving Alcohol Treatment Outcomes: The Impact Of Client, Intervention And System Variables On Treatment Outcomes.
Funder
National Health and Medical Research Council
Funding Amount
$1,525,879.00
Summary
Patient outcomes are significantly influenced by a number of factors including the characteristics of the patient, the type of treatment provided, and the characteristics of the system in which care is delivered. This study aims to determine how these factors influence outcomes for people seeking treatment for alcohol dependence. It will provide critical information for policy makers on which to base minimum service standards.
Are ‘potentially Preventable Hospitalisations’ A Valid Measure Of The Quality And Affordability Of Primary And Community Care In Australia?
Funder
National Health and Medical Research Council
Funding Amount
$397,264.00
Summary
This project will investigate the validity of ‘potentially preventable hospitalisations’ (PPH) as a measure of the quality and affordability of primary and community care in Australia. We will explore relationships between use of primary care services, hospital admissions for PPH diagnoses, and health outcomes and quantify the contributions of person-, geographic- and service-level factors to variations in PPH. We will make recommendations regarding the ongoing use of PPH measures to track the i ....This project will investigate the validity of ‘potentially preventable hospitalisations’ (PPH) as a measure of the quality and affordability of primary and community care in Australia. We will explore relationships between use of primary care services, hospital admissions for PPH diagnoses, and health outcomes and quantify the contributions of person-, geographic- and service-level factors to variations in PPH. We will make recommendations regarding the ongoing use of PPH measures to track the impacts of health reform in Australia.Read moreRead less
A new quality of life instrument with older people for economic evaluation. This project aims to develop and validate a new preference-based quality-of-life instrument with applications in aged-care. The new instrument will be developed with older people receiving aged care services, and will focus upon incorporating their values into the measurement and valuation of quality of life for economic evaluation. The new instrument will have immediate applications in quality assessment and economic ev ....A new quality of life instrument with older people for economic evaluation. This project aims to develop and validate a new preference-based quality-of-life instrument with applications in aged-care. The new instrument will be developed with older people receiving aged care services, and will focus upon incorporating their values into the measurement and valuation of quality of life for economic evaluation. The new instrument will have immediate applications in quality assessment and economic evaluation, improving the quality of life and wellbeing of older Australians, and will assist in determining the relative cost effectiveness of new and existing services.
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Improving Access To Psychological Services For People With Cancer: A Randomised Control Trial Of An Interactive Web-Based Intervention
Funder
National Health and Medical Research Council
Funding Amount
$612,715.00
Summary
Approximately 35% of people diagnosed with cancer will experience persistent significant distress, and unmet psychological supportive care needs in Australian cancer patients are highly prevalent. The web presents a unique method of delivery of supportive care. However, to our knowledge this type of intervention has not been examined. This two-phased study will develop and test a novel web-based intervention to improve psychological outcomes in cancer patients experiencing distress.
Improving Evidence Based Care For Locally Advanced Prostate Cancer
Funder
National Health and Medical Research Council
Funding Amount
$533,442.00
Summary
There is an urgent need to improve care for men with advanced prostate cancer if we wish to improve their survival. Compelling new evidence suggests we need to alter current practice by offering radiotherapy to high risk men – but will clinicians change their practice? We will develop and test ways to change practice within a network of 9 hopsitals. The study will provide crucial evidence about how to embed the recommended care into practice to improve outcomes for men with prostate cancer.
Making nursing work: Developing a national framework for advanced practice in nursing. Advanced practice nursing (APN) is closing service gaps in delivery of health care across a range of settings for an aging population that is increasingly chronically ill. Development of APN has been rapid, resulting in confusion about the role and service potential. The lack of a common meaning of APN is prohibiting effective utilisation of the nursing workforce and causing confusion within nursing, the healt ....Making nursing work: Developing a national framework for advanced practice in nursing. Advanced practice nursing (APN) is closing service gaps in delivery of health care across a range of settings for an aging population that is increasingly chronically ill. Development of APN has been rapid, resulting in confusion about the role and service potential. The lack of a common meaning of APN is prohibiting effective utilisation of the nursing workforce and causing confusion within nursing, the health care industry and the community. The project aims to conduct the first nationwide study of advanced practice nurses, their clinical activities and service patterns. The research aims to develop new knowledge and professional tools and provide an evidence base for nursing workforce reform to meet the imperatives of contemporary health services.Read moreRead less
The Diabetes Renal Project: Better Outcomes For Patients With Diabetes And Chronic Kidney Disease
Funder
National Health and Medical Research Council
Funding Amount
$646,508.00
Summary
People with diabetes and chronic kidney disease (CKD) suffer from significant morbidity and premature mortality. Studies suggest a substantial gap between current recommended practices and treatment targets, which may be related to existing health services being unable to respond to these patients’ complex needs. This project aims to address this gap, by characterising the needs of patients, and the location, capacity and performance of existing health services. This work will ultimately inform ....People with diabetes and chronic kidney disease (CKD) suffer from significant morbidity and premature mortality. Studies suggest a substantial gap between current recommended practices and treatment targets, which may be related to existing health services being unable to respond to these patients’ complex needs. This project aims to address this gap, by characterising the needs of patients, and the location, capacity and performance of existing health services. This work will ultimately inform the design of a new model of care.Read moreRead less
Consumer Co-payments For Subsidised Medicines: Impact On Access And Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$465,838.00
Summary
Expenditure on pharmaceuticals subsidised under the Pharmaceutical Benefits Scheme (PBS) in Australia was >$6.5b in 2003-04. In efforts to ensure that medicine costs remain affordable, the government instituted cost-effectiveness assessments for listing, brand premium policies and generic substitution and consumer copayments. International research suggests copayments may affect vulnerable populations(1-4) and impact adversely on medicine use(10). In Australia, dispensings of essential and di ....Expenditure on pharmaceuticals subsidised under the Pharmaceutical Benefits Scheme (PBS) in Australia was >$6.5b in 2003-04. In efforts to ensure that medicine costs remain affordable, the government instituted cost-effectiveness assessments for listing, brand premium policies and generic substitution and consumer copayments. International research suggests copayments may affect vulnerable populations(1-4) and impact adversely on medicine use(10). In Australia, dispensings of essential and discretionary medicines fell immediately after the introduction of copayments for concessional card holders in 1991(5). Subsequent analysis found that low income general beneficiaries bore the greatest burden of copayments, with PBS expenditure accounting for 7.4% of their income, compared with 2.4% for those with high incomes(6). Costs appear to be becoming a barrier to medicine use in Australia, with a 2005 survey of 702 Australian adults who required regular medications finding 22% did not fill a prescription because of cost in the last 2 years(7). Similar results were reported in 2002 for 23% of 844 sicker Australian adults(8). A regional survey of 420 households found 20% reported they did not purchase all of their prescription medicines due to costs(9). Apart from the initial analysis of medication changes in 1991 as a result of copayment introduction(5), no Australian study has assessed the impact of these on medication use, nor on the impact of any changes in medication use on health outcomes. While copayments may effectively reduce the cost burden of the PBS to government, they may have an unintended negative effect if costs are generated elsewhere in the health system through increased hospitalisations or emergency department attendances as a result of omission of medicines. This research will explore the association between increasing copayments, medication and health service utilisation, information critical for informing policy on increasing consumer copayments.Read moreRead less
Modelling And Economic Evaluation Of Hepatitis C Epidemic Mitigation Strategies In Australia
Funder
National Health and Medical Research Council
Funding Amount
$465,132.00
Summary
To evaluate the impact of introducing hepatitis C virus (HCV) prevention and treatment strategies on the burden of hepatitis C in Australia through mathematical transmission models and health economics approaches. We will compare the impact of a peer-education intervention, preventive HCV candidate vaccines and enhanced HCV treatment initiatives in various risk groups on the number of HCV cases, HCV-related liver failure, liver cancer and transplants prevented, and associated cost savings.
Psychosocial and economic impacts of rare diseases on Australian children, families and health professionals. Rare childhood diseases have enormous impacts on children and families; health services, and health professionals. This project will enable Australia to lead the international research effort by using a coordinated approach to study the impacts of rare diseases in order to improve psychosocial, health and economic outcomes for children and families.