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Extending The Australian Arm Of The International Tobacco Control Policy Evaluation Study
Funder
National Health and Medical Research Council
Funding Amount
$881,295.00
Summary
This project is to provide for the Australian arm of a large multi-national study to determine how tobacco control policies work. It is being conducted in the context of the implementation in 2005 of the World Health Organisation's Framework Convention on Tobacco Control, to which Australia is a party. We will provide new knowledge on the impacts of specific policies which are being implemented in Australia, as well as ones that occur in other countries that are part of the larger study. These i ....This project is to provide for the Australian arm of a large multi-national study to determine how tobacco control policies work. It is being conducted in the context of the implementation in 2005 of the World Health Organisation's Framework Convention on Tobacco Control, to which Australia is a party. We will provide new knowledge on the impacts of specific policies which are being implemented in Australia, as well as ones that occur in other countries that are part of the larger study. These include the adoption of graphic health warnings on tobacco packaging, removal of misleading constituents levels information from packs, bans of misleading descriptors such as Light and Mild, and implementation of smoke-free bars. In addition it will advance our understanding of how policy effects persist over time, their equity, and the means by which they contribute to increased cessation and reduced relapse. We do this by following smokers every year in each of the countries and asking them about their thinking and actions with regard to smoking, as well as about their awareness of the policies. By comparing the responses of smokers exposed to policies with those from other countries that are not exposed, we can work out the contribution of the policies to changes in smoking. Understanding policy effects on smokers and smoking cessation will lead to improved policies in Australia and the likelihood of improved dissemination of policies that work here to other countries. Similarly policies found to work in other countries, can be best adapted to Australia if we understand how they work. Taken in total, it should advance our efforts to reduce the burden of smoking-related harm both in Australia and the rest of the world.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE170100726
Funder
Australian Research Council
Funding Amount
$381,000.00
Summary
Socioeconomic effects of fault attribution after a motor vehicle crash. This project aims to identify claimant and crash risk characteristics that predict elevated socio-economic burden on injured persons, compensation systems and the public health system. 19% of Australians injured in road trauma annually report long-term reductions in social participation and work capacity, and have costly health service needs. Attributions of fault lead to perceived injustice and affect the capacity to cope w ....Socioeconomic effects of fault attribution after a motor vehicle crash. This project aims to identify claimant and crash risk characteristics that predict elevated socio-economic burden on injured persons, compensation systems and the public health system. 19% of Australians injured in road trauma annually report long-term reductions in social participation and work capacity, and have costly health service needs. Attributions of fault lead to perceived injustice and affect the capacity to cope with trauma. This project will evaluate the effect of fault attributions on socioeconomic outcomes. Expected results include approaches for identifying those at greatest risk of poor outcomes who need additional support after a crash.Read moreRead less
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
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.
After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, ....After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, early childhood, mental health and drug and alcohol services operated by NSW Health. The research will be the first study of its size to consider the outcomes of routine screening for domestic violence in public health settings in the Australian context.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
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
This proposal aims to build research capacity and methodological sophistication in economic evaluation and priority setting in health. An unprecedented critical mass of Australian experts in economic evaluation will be created who can then train a new generation of researchers. The proposal covers the following topics: Assessing the impact of economic evaluation and priority setting methods on resource allocation in Australia to better understand the methodological, conceptual, practical and pol ....This proposal aims to build research capacity and methodological sophistication in economic evaluation and priority setting in health. An unprecedented critical mass of Australian experts in economic evaluation will be created who can then train a new generation of researchers. The proposal covers the following topics: Assessing the impact of economic evaluation and priority setting methods on resource allocation in Australia to better understand the methodological, conceptual, practical and political barriers to its use ('policy analysis'); Developing appropriate, valid and reliable utility measures that are culturally appropriate for Indigenous populations, children and carers ('utility measures'); Developing methods and tools for measuring non-health sector costs and benefits from a social perspective ('cost benefit'); Refining methods for adjusting cost-effectiveness results to reflect other values such as equity, applicability and feasibility ('second filter'); Exploring the usefulness and appropriateness of different modeling approaches used in economic evaluation ('modeling'); and Developing techniques to measure gains in overall health system efficiency from the adoption of cost-effective interventions ('efficiency'). The proposed outcomes are: An increased number of independent researchers with expertise in economic evaluation-priority setting who develop their own research programs; Establish a critical mass of researchers who can improve the standard and acceptance of economic evaluation and priority setting methods in health, including priority setting for Indigenous Australians and other groups with special needs; Value-adding to existing priority setting and economic evaluation projects by validating methods and developing new approaches; Effective linkages between researchers and policy makers, advocates and other stakeholders to increase appreciation of the use of economic evaluation and priority setting in health policy and clinical practice; and Research transfer through workshops, presentations and peer-reviewed publications.Read moreRead less
National registration of health practitioners: a comparative study of the complaints and notification system under the national system and in NSW. This project will compare the NSW healthcare complaints system with that of the new Australian Health Practitioner Regulation Agency to provide insight into complaints handling and notification at a state and national level. It will determine best practice in government assessment and resolution methods and reveal complainant experiences.
Discovery Early Career Researcher Award - Grant ID: DE160100307
Funder
Australian Research Council
Funding Amount
$330,290.00
Summary
Food policies for population health: evidence, influence and accountability. The project aims to investigate ways to improve the development and implementation of policies to create healthy food environments in Australia. Currently, Australian food environments are dominated by cheap, heavily promoted, unhealthy food, and governments are seeking ways to reduce the economic and social burden of diet-related ill-health. Policy changes are needed to create environments that encourage healthy food c ....Food policies for population health: evidence, influence and accountability. The project aims to investigate ways to improve the development and implementation of policies to create healthy food environments in Australia. Currently, Australian food environments are dominated by cheap, heavily promoted, unhealthy food, and governments are seeking ways to reduce the economic and social burden of diet-related ill-health. Policy changes are needed to create environments that encourage healthy food consumption. The project aims to generate new evidence of the economic case for implementation of priority policy options, provide critical insight into the policy process, and identify levers for increasing the accountability of governments for creating healthier food environments. The project intends to identify strategies to improve population health.Read moreRead less