Coverage with Evidence Development: Application to pharmaceutical reimbursement decisions. Some new medicines produce only a small improvement in health but have considerable costs. When these medicines are trialled on only small numbers of people, uncertainty results about the value of the medicine, which can create problems for decision makers. Funding medicines where there is uncertainty may lead to harm when medicines are later found to be unsafe, or waste millions of dollars when they are ....Coverage with Evidence Development: Application to pharmaceutical reimbursement decisions. Some new medicines produce only a small improvement in health but have considerable costs. When these medicines are trialled on only small numbers of people, uncertainty results about the value of the medicine, which can create problems for decision makers. Funding medicines where there is uncertainty may lead to harm when medicines are later found to be unsafe, or waste millions of dollars when they are overpriced relative to effectiveness. Not funding medicines may disadvantage patients in whom the medicines are effective. Methods to enable access to medicines while reducing uncertainty will offer significant benefit to patients, clinicians and taxpayers. Read moreRead less
Evaluating the long-term costs and benefits of community-based initiatives. The ultimate benefit from the research is a more efficient allocation of public funds to provide public services, i.e. an increase in the gain derived from the government budget. The relative advantages of alternative methods of delivering government services are subject to significant uncertainty, which means that policy decisions are often poorly informed. Improvements in the accuracy of predicting the costs and benefi ....Evaluating the long-term costs and benefits of community-based initiatives. The ultimate benefit from the research is a more efficient allocation of public funds to provide public services, i.e. an increase in the gain derived from the government budget. The relative advantages of alternative methods of delivering government services are subject to significant uncertainty, which means that policy decisions are often poorly informed. Improvements in the accuracy of predicting the costs and benefits of complex community-based initiatives will help policymakers identify the set of initiatives that provide the best outcomes for the community they serve, as well as informing the optimal specification of the individual initiatives.Read moreRead less
Which Heart Failure Intervention Is Most Cost-effective And Consumer Friendly In Reducing Hospital Care: The Which
Funder
National Health and Medical Research Council
Funding Amount
$921,640.00
Summary
Chronic heart failure (CHF) is a costly, debilitating and deadly condition that has reached near epidemic proportions in Australia. In the absence of a permanent cure for CHF, the number of people affected by CHF has risen beyond 350,000 and is expected to increase by 20-30% in the next 20 years. We recently reviewed the benefits of applying nurse-led, CHF management programs (CHF-MPs) to typically old and fragile patients, in whom recurrent hospital admissions and a premature death are common. ....Chronic heart failure (CHF) is a costly, debilitating and deadly condition that has reached near epidemic proportions in Australia. In the absence of a permanent cure for CHF, the number of people affected by CHF has risen beyond 350,000 and is expected to increase by 20-30% in the next 20 years. We recently reviewed the benefits of applying nurse-led, CHF management programs (CHF-MPs) to typically old and fragile patients, in whom recurrent hospital admissions and a premature death are common. We confirmed the results of pioneering Australian research that CHF-MPs dramatically improve health outcomes in CHF. CHF-MPs now form part of the recommended gold-standard management of CHF. However, we also have evidence that only a small proportion of patients are exposed to a CHF-MP in Australia. Residual issues such as consumer preference and the cost of applying these programs are hindering their wide-spread application. The WHICH? Study addresses this _road block� to implementing a potentially valuable health care service by tackling a number of critical issues: which form of CHF-MP (home or specialist clinic-based follow-up), will produce the best health outcomes, save the most money and meet the needs of consumers at the same time? To answer this question, we will undertake a randomised, head-to-head study of a home versus clinic-based CHF-MP, in 1000 recently hospitalised CHF patients recruited from SA, VIC, NSW and QLD. Patterns and of health care and consumer preferences and quality of life will then be compared for these two different forms of CHF-MP from a combined health economic, health policy and consumer perspective to determine the best form of CHF-MP to be applied. A _consensus� vision for applying an Australia-wide service will then be developed. The potential impact of the results of the study will then be modelled on the status of Australian CHF-MPs in the year 2010 and a blue-print for action devised.Read moreRead less
An action research project to strengthen inter-professional learning and practice across the ACT health system. There are 14 beneficial reasons why this project is vital to the fabric of our nation. These include: the economic benefits of a more efficient health-care system; the social benefits of more responsive and resilient workplaces; the research benefits of better knowledge about how professionals can work together effectively; the consumer benefits of improved patient care; health sector ....An action research project to strengthen inter-professional learning and practice across the ACT health system. There are 14 beneficial reasons why this project is vital to the fabric of our nation. These include: the economic benefits of a more efficient health-care system; the social benefits of more responsive and resilient workplaces; the research benefits of better knowledge about how professionals can work together effectively; the consumer benefits of improved patient care; health sector benefits in assisting health reforms to be more effective; and education sector benefits in understanding how professionals from different disciplines can learn together more collaboratively. The benefits are transferable to other industries and professional groups, as well as to Australia's international partners.Read 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 spatially sensitive approach to understanding the impact of public expenditure on social exclusion. This project seeks to assess the effectiveness of public expenditure in reducing social exclusion. It aims to develop innovative new forms of quantitative modelling using geographical information systems (GIS) to interrogate of the impact of government expenditure on social outcomes. The project will benchmark and measure the impact of public expenditure on social exclusion in the region of Nort ....A spatially sensitive approach to understanding the impact of public expenditure on social exclusion. This project seeks to assess the effectiveness of public expenditure in reducing social exclusion. It aims to develop innovative new forms of quantitative modelling using geographical information systems (GIS) to interrogate of the impact of government expenditure on social outcomes. The project will benchmark and measure the impact of public expenditure on social exclusion in the region of Northern Adelaide. The project will seek to develop new GIS technologies that for the first time will enable policy makers to allocate resources according to directly measurable needs and to evaluate the effectiveness of resource allocation in a small area.Read moreRead less
Involving children in social research: balancing the risks and benefits. There is a growing consensus that children's involvement in social research is important, but considerable uncertainty remains around children's inclusion in research on 'sensitive' issues, reflecting concerns about how to balance children's protection with their participation. Key to this are deeply embedded assumptions and beliefs about children and childhood, especially concerning notions of capacity, agency, vulnerabili ....Involving children in social research: balancing the risks and benefits. There is a growing consensus that children's involvement in social research is important, but considerable uncertainty remains around children's inclusion in research on 'sensitive' issues, reflecting concerns about how to balance children's protection with their participation. Key to this are deeply embedded assumptions and beliefs about children and childhood, especially concerning notions of capacity, agency, vulnerability, dependency and the like. This project aims to better understand and address the tensions between the protection of children and their participation in research, and to explore how ethics committees, parents, other gatekeepers and children themselves manage and navigate these tensions.Read moreRead less
Exploring new opportunities for Local Government to facilitate innovative partnership options that link social, economic and employment development. The project seeks to formulate an expanded role for Australian Local Government in light of OECD debates on localism in the formation of partnerships for economic, employment and social development. It will redress the under-utilisation of Local Government's specific knowledge and resources that could facilitate economic, employment and social devel ....Exploring new opportunities for Local Government to facilitate innovative partnership options that link social, economic and employment development. The project seeks to formulate an expanded role for Australian Local Government in light of OECD debates on localism in the formation of partnerships for economic, employment and social development. It will redress the under-utilisation of Local Government's specific knowledge and resources that could facilitate economic, employment and social development, particularly in disadvantaged communities. In addition to the theoretical and practical knowledge gained regarding localism and partnerships, which has immediate community benefit, it is expected that the project's outcomes will have the potential to be transferable to other Local Government jurisdictions in Australia and hence be of national benefit. Read moreRead less
Reconceptualising partnership: new options for effective partnerships between State governments and the third sector in employment services in Australia. The rapid devolution of employment services from the Commonwealth Employment Service to a model of contracted Job Network agencies assumes effective partnerships between Commonwealth, State, third sector and private organizations. Recent research suggests this is not the case. Furthermore, the industry partner, SACOSS, argues that the disparate ....Reconceptualising partnership: new options for effective partnerships between State governments and the third sector in employment services in Australia. The rapid devolution of employment services from the Commonwealth Employment Service to a model of contracted Job Network agencies assumes effective partnerships between Commonwealth, State, third sector and private organizations. Recent research suggests this is not the case. Furthermore, the industry partner, SACOSS, argues that the disparate requirements of Australian States in addressing local circumstances and diverse needs of disadvantaged jobseekers have not been met. This collaborative project will use network analysis methodology to assess alternative models of governance and identify best options for effective State/third sector partnerships that promote efficient and equitable labour markets.Read moreRead less
Theorising and understanding how policy processes affect uptake of evidence on social determinants of health and equity in Australian health policy. This project determines how to apply recent recommendations from the World Health Organisation about the social determinants of health to Australia. Analysis of health sector policies, including detailed case studies, will determine how governments can shape policy and implementation processes to improve Australia’s health.