Support or sales? Medical device representatives in Australian hospitals. Medical device representatives provide crucial support to clinicians using complex medical equipment. However, their obligation to maximise sales conflicts with their support role. Increasing uptake of devices potentially impacts patient safety and healthcare costs, making it important to understand the involvement and influence of device representatives. The proposed research will investigate the ethical and legal impacts ....Support or sales? Medical device representatives in Australian hospitals. Medical device representatives provide crucial support to clinicians using complex medical equipment. However, their obligation to maximise sales conflicts with their support role. Increasing uptake of devices potentially impacts patient safety and healthcare costs, making it important to understand the involvement and influence of device representatives. The proposed research will investigate the ethical and legal impacts of device representatives in Australian hospitals, leading to new knowledge and innovative ethical and legal analyses of their activities. Benefits include a policy framework, new standards for managing device representatives’ interactions, and clarity about ethical and legal obligations of clinicians and institutions.Read moreRead less
Why do only some exotics become invasive? Combining ecological and genomic approaches to address alternative hypotheses in a recent Australian weed. This project will specifically test alternative hypotheses about how weeds become invasive. As invasive weeds affect both agricultural and native ecosystems equally, research on understanding the mechanisms of weed invasion is critical. Outcomes will benefit Australia by allowing better prioritisation of management against exotic plants already i ....Why do only some exotics become invasive? Combining ecological and genomic approaches to address alternative hypotheses in a recent Australian weed. This project will specifically test alternative hypotheses about how weeds become invasive. As invasive weeds affect both agricultural and native ecosystems equally, research on understanding the mechanisms of weed invasion is critical. Outcomes will benefit Australia by allowing better prioritisation of management against exotic plants already in the country by providing predictive tools to estimate likelihood of spread. For formal Pest Risk Analysis by regulators (eg Biosecurity Australia), our project will provide genomic tools by which the potential weediness of a regulated plant can be assessed through genetic screening, and forms part of an international effort to identify 'weedy genes'. 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
Improving Delivery Of Secondary Prophylaxis For Rheumatic Heart Disease: A Stepped-wedge, Community-randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,913,074.00
Summary
Rheumatic heart disease (RHD) is a major health problem in Indigenous communities. Continued progress in controlling RHD requires an understanding of how to improve delivery of regular injections of penicillin - secondary prophylaxis (SP). We will evaluate a systems-based approach to improving delivery of SP, using a stepped-wedge trial in 12 communities in NT and Qld. If successful, this model will provide a practical and transferable model.
Innovative Health Programs To Reduce Inequality In Heart Disease
Funder
National Health and Medical Research Council
Funding Amount
$876,005.00
Summary
As part of his Senior NHMRC Fellowship, Prof Simon Stewart, a world-renowned health services researcher, will lead an internationally linked team of researchers from a broad range of health disciplines to undertake a program of research designed to improve the lives of those most vulnerable to heart disease and poor health outcomes. His program of research will focus on Indigenous Australians, patients with complex forms of heart disease and urban African communities in economic transition.
SCALE-C: Strategies For Hepatitis C Testing And Treatment In Aboriginal Communities That Lead To Elimination
Funder
National Health and Medical Research Council
Funding Amount
$2,175,170.00
Summary
Prevalence of hepatitis C infection within the Aboriginal population is among the highest of any identifiable population in Australia. Highly effective, direct-acting antiviral (DAA) therapy, and their listing on the PBS in 2016 has revolutionised HCV clinical management in Australia. The SCALE-C study will evaluate an established test and treat model to rapidly scale-up DAA within four Aboriginal communities to determine both impact on community prevalence and ongoing transmission.
Redesigning Landcare policy to better coordinate across landholders. This project aims to study how landscape-sensitive economic incentives and social norms can be leveraged to enhance the short- and long-term effectiveness of conservation programs. It will yield new knowledge for innovative designs in conservation contracting that is urgently needed to address worsening environmental threats in Australia and worldwide. In collaboration with Nobel laureate Vernon Smith’s team, new methods and pr ....Redesigning Landcare policy to better coordinate across landholders. This project aims to study how landscape-sensitive economic incentives and social norms can be leveraged to enhance the short- and long-term effectiveness of conservation programs. It will yield new knowledge for innovative designs in conservation contracting that is urgently needed to address worsening environmental threats in Australia and worldwide. In collaboration with Nobel laureate Vernon Smith’s team, new methods and protocols will improve our ability to generate better data and better understand how social and incentive mechanisms can constructively interact to facilitate collaborative environmental action. Results will help make the achievement of environmental targets and the use of public funds more cost-effective. Read moreRead less
A screening human health risk assessment for developing coal seam gas water resources in Queensland, Australia. Due to its rich coal seam deposits, Queensland is projected to become Australia's leading coal seam gas (CSG) producer, contributing significantly to the State's economy and national "clean" energy targets. Over a 30 year period, it is estimated that Queensland's CSG industry could also create by-product water of sufficient volume to beneficially augment the State's future water supply ....A screening human health risk assessment for developing coal seam gas water resources in Queensland, Australia. Due to its rich coal seam deposits, Queensland is projected to become Australia's leading coal seam gas (CSG) producer, contributing significantly to the State's economy and national "clean" energy targets. Over a 30 year period, it is estimated that Queensland's CSG industry could also create by-product water of sufficient volume to beneficially augment the State's future water supply demands. The proposed screening Health Risk Assessment will evaluate the relative risks associated with human exposure to raw and treated CSG by-product water contaminants, informing public debate on this matter, and guide policy development within the complex multi-sector regulatory framework in place for CSG water resource development in Queensland.Read moreRead less
What Cost-effective Built Environment Interventions Would Create Healthy, Liveable And Equitable Communities In Australia, And What Would Facilitate These Being Translated Into Policy And Practice?
Funder
National Health and Medical Research Council
Funding Amount
$2,658,832.00
Summary
This CRE involves collaboration between a multi-disciplinary research team across Australia working with policy-makers covering planning, urban design, transport planning and health. It will identify the most cost-effective built environment interventions required to create healthy, liveable, and equitable communities. Factors that influence research findings being translated into urban planning policy and practice will be examined and tools to assist changes to policy and practice developed.
CENTRE OF RESEARCH EXCELLENCE TO REDUCE INEQUALITY IN HEART DISEASE
Funder
National Health and Medical Research Council
Funding Amount
$2,607,253.00
Summary
There is increasing recognition of a societal responsibility to provide effective and sustainable health care to the entire population and not just to selected parts. Indigenous and regional Australians are most affected by Australia's biggest killer - heart disease. In response, the CRE to Reduce Inequality in Heart Disease, is a national collaboration of researchers from a range of health disciplines. Together they aim to address this problem by developing sustainable and cost-effective health ....There is increasing recognition of a societal responsibility to provide effective and sustainable health care to the entire population and not just to selected parts. Indigenous and regional Australians are most affected by Australia's biggest killer - heart disease. In response, the CRE to Reduce Inequality in Heart Disease, is a national collaboration of researchers from a range of health disciplines. Together they aim to address this problem by developing sustainable and cost-effective health care services.Read moreRead less