Moral Hazard and the Pharmaceutical Benefits Scheme. The extent and significance of moral hazard in the PBS is an issue of significance for all Australians. Pharmaceuticals are a central feature in maintaining the health of Australians and with factors such as an ageing population and technological advances the centrality of pharmaceuticals is likely to be consolidated One, if not the, major challenge will be how to provide pharmaceuticals efficiently, equitably and sustainably. If significant a ....Moral Hazard and the Pharmaceutical Benefits Scheme. The extent and significance of moral hazard in the PBS is an issue of significance for all Australians. Pharmaceuticals are a central feature in maintaining the health of Australians and with factors such as an ageing population and technological advances the centrality of pharmaceuticals is likely to be consolidated One, if not the, major challenge will be how to provide pharmaceuticals efficiently, equitably and sustainably. If significant and extensive, moral hazard potentially compromises PBS efficiency and threatens sustainability. The proposed project represents a significant empirical contribution to understanding the impact of moral hazard on the PBS and will make a significant contribution towards making the PBS sustainableRead moreRead less
Development and implementation of an evidence-based primary health care workforce planning model to support best practice chronic disease management. The workforce model will inform government health workforce and health services planning, with the promise of improving access to best practice care for persons with diabetes, and potentially other chronic conditions, that represent the dominant Australian health burden. It also will inform education and training of health professionals and support ....Development and implementation of an evidence-based primary health care workforce planning model to support best practice chronic disease management. The workforce model will inform government health workforce and health services planning, with the promise of improving access to best practice care for persons with diabetes, and potentially other chronic conditions, that represent the dominant Australian health burden. It also will inform education and training of health professionals and support a more flexible response to health workforce needs. Given projected health work force shortages, flexibility in responding to health care needs will be crucial to maintaining health system capacity. The model supports system level change that will enable improved population health outcomes, reduce preventable hospital admissions and deliver production gainsRead moreRead less
Cataract and crash risk for older drivers: evidence from a population based study. Older drivers are the fastest growing segment of the driving population, which has implications for road safety. The removal of cataract is a common surgical procedure for older drivers, therefore, it is necessary to determine the effects of cataract surgery on crash risk. This project will be the largest population based study to examine crash risk for older drivers with cataract and the cost-effectiveness in ter ....Cataract and crash risk for older drivers: evidence from a population based study. Older drivers are the fastest growing segment of the driving population, which has implications for road safety. The removal of cataract is a common surgical procedure for older drivers, therefore, it is necessary to determine the effects of cataract surgery on crash risk. This project will be the largest population based study to examine crash risk for older drivers with cataract and the cost-effectiveness in terms of a reduction in crashes. The development of effective countermeasures will have direct relevance for road safety, medical practitioners and licensing authorities in Australia and is also pivotal to reducing the financial burden associated with older driver crashes.
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Social and health inequalities related to changes in drinking water in rural Victoria. This project will add significantly to knowledge about the role of water in health. Dental caries (decay) experience over an individual's life time is influenced by dental health in early childhood. Obesity and overweight in early childhood is also a predictor of later life obesity. Both these conditions reduce life chances and wellbeing for Australians and are costly for communities. Understanding why and how ....Social and health inequalities related to changes in drinking water in rural Victoria. This project will add significantly to knowledge about the role of water in health. Dental caries (decay) experience over an individual's life time is influenced by dental health in early childhood. Obesity and overweight in early childhood is also a predictor of later life obesity. Both these conditions reduce life chances and wellbeing for Australians and are costly for communities. Understanding why and how choices about drinks for children are made by parents using a longitudinal design will help to develop interventions and policies that support the use of water in preference to sweetened and acidic beverages. Read moreRead less
Chronic Disease Prevention and Treatment - Cost-Benefit Model Systems to Assist with Priority Setting. The key benefit of the proposal to develop linked chronic disease models that are able to account for comorbidities will be that a much more accurate picture of the health and financial implications of chronic diseases will be obtainable than with the traditional 'disease-by-disease' based studies. Such a global approach is particularly relevant to analysis of chronic disease prevention and/or ....Chronic Disease Prevention and Treatment - Cost-Benefit Model Systems to Assist with Priority Setting. The key benefit of the proposal to develop linked chronic disease models that are able to account for comorbidities will be that a much more accurate picture of the health and financial implications of chronic diseases will be obtainable than with the traditional 'disease-by-disease' based studies. Such a global approach is particularly relevant to analysis of chronic disease prevention and/or treatment, because the lifestyle related risk factors are common to many such diseases. Overall, the linked models will be able to improve on current decision making processes, providing a more complete view of chronic disease costs and benefits - either today, or in future - under different prevention or treatment scenarios.Read moreRead less
Incentives and performance in the health care system. Changes in financial incentives for health care providers will have direct effects on their behaviour, which in turn influences patients' health outcomes, quality of care, and access to health care for the population. The research will provide a richer understanding of the effects of incentives, and will influence policy on the design of incentives for health care providers in Australia. Changes in incentives will ensure patients receive mo ....Incentives and performance in the health care system. Changes in financial incentives for health care providers will have direct effects on their behaviour, which in turn influences patients' health outcomes, quality of care, and access to health care for the population. The research will provide a richer understanding of the effects of incentives, and will influence policy on the design of incentives for health care providers in Australia. Changes in incentives will ensure patients receive more appropriate, higher quality, and less costly health care, in the most appropriate settings, and delivered by the most appropriate health care providers. This will have direct effects on population health and well-being and the capacity of individuals to lead healthy and productive lives.Read moreRead less
Working while breastfeeding: best practice strategies for workplaces and childcare centres. By generating new knowledge on how to strengthen community and policy support for breastfeeding, the proposed research will contribute to National Research Priority goals regarding promoting and maintaining good health. Assisting employed mothers to continue breastfeeding will reduce adverse impacts of genetic, social and environmental factors predisposing infants and children to ill health and reducing t ....Working while breastfeeding: best practice strategies for workplaces and childcare centres. By generating new knowledge on how to strengthen community and policy support for breastfeeding, the proposed research will contribute to National Research Priority goals regarding promoting and maintaining good health. Assisting employed mothers to continue breastfeeding will reduce adverse impacts of genetic, social and environmental factors predisposing infants and children to ill health and reducing their life potential. It will also help prevent disease, and help mothers reconcile labour force participation with protecting their own and their children's health. 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
Improving Patient Access To Novel Cancer Drugs In Australia: Striking The Balance
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
Cancer patients in Australia may experience delays before they can benefit from new expensive drugs because of the lengthy existing processes to evaluate new medicines by the Department of Health. I will study how to improve the existing drug evaluation processes to make timely but informed funding decisions. This work will improve patient outcomes from early access to effective new cancer drugs and help the government make a wiser spending of public funds.
Epidemiological modelling of cardiovascular disease and diabetes in Australia. With Australia's population ageing and becoming increasingly obese, cardiovascular diseases and diabetes are predicted to be a massive burden on our already stretched health system. Preventing the onset of disease is clearly the best management strategy, but we also need effective treatment strategies for those with these diseases, and we need to ensure that we are spending our healthcare dollars in the most effectiv ....Epidemiological modelling of cardiovascular disease and diabetes in Australia. With Australia's population ageing and becoming increasingly obese, cardiovascular diseases and diabetes are predicted to be a massive burden on our already stretched health system. Preventing the onset of disease is clearly the best management strategy, but we also need effective treatment strategies for those with these diseases, and we need to ensure that we are spending our healthcare dollars in the most effective and cost-effective manner to achieve these aims. This research will evaluate how best to do this in a specifically Australian context.Read moreRead less