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
Genetic Identity Testing and the Family: the articulation between biotechnology and family relationships, politics and policy. Genetic identity testing cuts to the very nature of the family itself. For the first time in human history, it is possible to identify paternity - and misattributed paternity - with reasonable certainty. Parentage testing has become a vehicle for the fathers? rights movement, and is influencing the management of child support policy. Governments are currently developing ....Genetic Identity Testing and the Family: the articulation between biotechnology and family relationships, politics and policy. Genetic identity testing cuts to the very nature of the family itself. For the first time in human history, it is possible to identify paternity - and misattributed paternity - with reasonable certainty. Parentage testing has become a vehicle for the fathers? rights movement, and is influencing the management of child support policy. Governments are currently developing broad policy frameworks on this issue. Yet there is almost no social research on parentage testing. This study will provide scope for Australian leadership in an area of study that will become progressively more important with the rapid development of DNA chip technology. Read moreRead less
COMMUNITY BASED COALITIONS FOR HEALTH, SAFETY AND WELLBEING: DEVELOPMENT OF A BEST PRACTICE MODEL. In recent years, governmental and non-governmental organisations have developed coalitions of professionals and community groups to advance health, safety and wellbeing. These coalitions in the fields of prevention, public health, community psychology and community development have to be evaluated and refined in order to maximize their potential. As a result, our project has two main aims: (1) To d ....COMMUNITY BASED COALITIONS FOR HEALTH, SAFETY AND WELLBEING: DEVELOPMENT OF A BEST PRACTICE MODEL. In recent years, governmental and non-governmental organisations have developed coalitions of professionals and community groups to advance health, safety and wellbeing. These coalitions in the fields of prevention, public health, community psychology and community development have to be evaluated and refined in order to maximize their potential. As a result, our project has two main aims: (1) To develop a framework for the evaluation of community-based coalitions for health, safety, and wellbeing, and (2) To develop a best-practice model for the effective creation and functioning of community-based coalitions for health, safety, and wellbeing.Read moreRead less
Reducing health inequities and social exclusion: improved theory, understanding and policies. This research will provide knowledge to help understanding of why some groups are less healthy and less included in the mainstream of society than others. Research evidence indicates that reducing differences in health status & making more citizens included in the activities of society has overall health benefits & is good for economic development. The program will provide Australian and other governmen ....Reducing health inequities and social exclusion: improved theory, understanding and policies. This research will provide knowledge to help understanding of why some groups are less healthy and less included in the mainstream of society than others. Research evidence indicates that reducing differences in health status & making more citizens included in the activities of society has overall health benefits & is good for economic development. The program will provide Australian and other governments with much improved evidence about what works, what does not work in terms of improving population health and so enable better decisions about which public programs to invest in. Thus the research conducted under this program will inform ways in which Australian and overseas populations can achieve long and more productive livesRead moreRead less
Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between ri ....Improving Birth Outcomes in China: consequences and potentials of policy, state and professional interactions. The aim of the project is to reduce morbidity and mortality associated with birth by informing health systems improvement in China. We will develop an innovative methodology to study consequences of policy, state and professional interactions on birth outcomes. This work is also relevant in other settings. Macro economic reforms in China have produced paradoxical disparities between rich and poor and urban and rural populations evident in maternal morbidity and mortality. Results will inform facilitative policies and models of service to optimise safety and increase effectiveness in deployment of human and monetary resources.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
Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic ....Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic wounds are associated with significant hidden burdens on the community resulting from loss of mobility, decreased functional ability, social isolation and loss of participation in the workforce/society. This study will provide much needed information on management of this chronic disease to promote improved quality of life, health and independence in this population.Read moreRead less
Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting ....Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting the health system to focus more on prevention and health promotion, improving current approaches of consumer participation in prevention and chronic disease management, tackling broader issues in public policy trade-offs between health and non-health, diversifying workforce roles and involving health professionals in prevention and promotion.Read moreRead less
Modelling patient flows through hospitals: optimizing effective use of resources. Hospitals are complex, dynamic systems confronted by increased demand in the face of shrinking real capacity. Managing such systems is currently undertaken with sub-optimal analytical support, particularly when demand and capacity are changing and resources must be manipulated to respond to such changes. In this project, the investigators will apply a mathematical modelling approach to the analysis of hospital pati ....Modelling patient flows through hospitals: optimizing effective use of resources. Hospitals are complex, dynamic systems confronted by increased demand in the face of shrinking real capacity. Managing such systems is currently undertaken with sub-optimal analytical support, particularly when demand and capacity are changing and resources must be manipulated to respond to such changes. In this project, the investigators will apply a mathematical modelling approach to the analysis of hospital patient flows. Furthermore, they will employ statistical process control methodologies to the problem of recognising and responding to changes in the flows, so that performance objectives are met. In doing this, they will give health service managers and clinicians a significant advantage in deciding how best to manage a constrained resource to maximize access, throughput and patient outcomes.Read moreRead less
Economic analysis of inter-relationships between private health insurance and health expenditures. Health care services involve a complex mix of private and public funding and provision. The links between policy initiatives, such as private health insurance incentives, and outcomes are often unclear. This project involves a detailed economic and econometric investigation of individual health insurance and health care consumption decisions and their interaction, and the resulting impact on health ....Economic analysis of inter-relationships between private health insurance and health expenditures. Health care services involve a complex mix of private and public funding and provision. The links between policy initiatives, such as private health insurance incentives, and outcomes are often unclear. This project involves a detailed economic and econometric investigation of individual health insurance and health care consumption decisions and their interaction, and the resulting impact on health care utilisation and expenditure across public and private sectors. The significance of the project lies in its use of innovative methods to combine several data sources, and in the potential for the resulting models to predict the impact of future health policy initiatives.
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