Optimising Emergency And Trauma Systems Through Evidence Based Pathways
Funder
National Health and Medical Research Council
Funding Amount
$418,049.00
Summary
Developing systems for emergency and trauma care based on strong evidence and robust data systems is crucial to the acute health sector. Through an extensive, well recognised collaboration of research groups at The Alfred, Monash and the National Trauma Research Institute, we aim to undertake world leading systems development both locally and globally, focusing on prehospital, emergency and trauma clinical care pathways significantly reducing mortality and improving functional outcomes.
Examination of the integration and diffusion of Aboriginal voices in public health collaboratives. Does the integration of Aboriginal voices in governance processes of public health collaboratives influence equity of access in service delivery? Improving access to services is a key priority in order to improve the wellbeing of Aboriginal people. However there is no rigorous scientific evidence base driving current integration reforms. This project will use innovative methodologies (mathematical, ....Examination of the integration and diffusion of Aboriginal voices in public health collaboratives. Does the integration of Aboriginal voices in governance processes of public health collaboratives influence equity of access in service delivery? Improving access to services is a key priority in order to improve the wellbeing of Aboriginal people. However there is no rigorous scientific evidence base driving current integration reforms. This project will use innovative methodologies (mathematical, visual, and vocal) which will lead to a performance indicator framework of the relationships between integration, collaboration, equity and access to services within a social model of health. This is a way to move from assessments of Aboriginal participation processes as 'bad, poor and no' to 'good, green and go'.Read moreRead less
INVESTIGATING MORTALITY AMONG EX-PRISONERS IN QUEENSLAND: A DATA LINKAGE STUDY
Funder
National Health and Medical Research Council
Funding Amount
$716,801.00
Summary
NOTE: At the time of submitting the NOI for this project we had not yet received feedback from a submission to a parallel NHMRC funding round concerned with social disadvantage. We have since received very positive reviews for the trial foreshadowed in our NOI, and consistent with the recommendations of one reviewer, we have modified our application to complement the proposed trial by conducting a record linkage study. The content area and ethical issues associated with the proposed project rema ....NOTE: At the time of submitting the NOI for this project we had not yet received feedback from a submission to a parallel NHMRC funding round concerned with social disadvantage. We have since received very positive reviews for the trial foreshadowed in our NOI, and consistent with the recommendations of one reviewer, we have modified our application to complement the proposed trial by conducting a record linkage study. The content area and ethical issues associated with the proposed project remain largely unchanged. Studies in Australia and elsewhere have identified a heightened risk of death among ex-prisoners, with drug overdose, suicide and 'accidents' three major causes. Many deaths occur soon after release. Although the high incidence of 'overdose' among ex-prisoners is often attributed to reduced tolerance,most fatal drug overdoses are due to the combined effects of multiple drugs. A detailed understanding of deaths among ex-prisoners is a prerequisite for evidence-based preventive strategies. The proposed study will: (a) Link the identities of prisoners released from custody in QLD between 1994 and 2006, with the National Death Index (NDI). The linked database will permit exploration of the incidence, timing, causes and risk factors for death among ex-prisoners. (b) Compare correctional records of deceased ex-prisoners and a random sample of ex-prisoners known to be alive, focussing on suspected risk factors including criminal history, behaviour in custody, health status, psychosocial adjustment, socio-economic status, and history and treatment for drug use. This will allow more detailed analysis of risk factors for death post-release. (c) Conduct in-depth analysis of causes of death among ex-prisoners, using the National Coroners Information System (NCIS). Information regarding cause and context of death will be coded by a research assistant and analysed to identify group differences (e.g., between ATSI and non-ATSI ex-prisoners).Read moreRead less
Improving Access For Community Health And Sub-acute Outpatient Services
Funder
National Health and Medical Research Council
Funding Amount
$644,791.00
Summary
Many patients face long waits for access to outpatient and community health services. Waiting lists with triage systems to allocate priority are commonly used to manage demand, but these systems often contribute to inefficiencies in service delivery. This project will trial implementation of an alternative approach using immediate allocation of new patients to triage appointments in a range of ambulatory services within a metropolitan health service.
Doubly disadvantaged: harnessing elements of resilience and establishing information for systems change. Aboriginal children with a disability who receive insufficient support when young are likely to experience a lifetime of disadvantage. This project will provide these children, their families and their carers with a culturally appropriate, holistic pathway enabling easier access to health, social, and educational services.
Discovery Early Career Researcher Award - Grant ID: DE130100211
Funder
Australian Research Council
Funding Amount
$370,045.00
Summary
Improving alcohol prevention in Aboriginal and Torres Strait Islander drug and alcohol services. This project will work with the Aboriginal and Torres Strait Islander drug and alcohol sector in Queensland to develop and test a process for improving the delivery of alcohol prevention services.
Optimising intersectoral collaboration between the health and education sectors. The Australian Government has a clear commitment to improving the health of all Australians. In the face of rising rates of chronic illness and attendant unsustainable high medical costs, optimising outcomes for public health initiatives, such as school based immunisation programs, is of the utmost importance. The recent H1N1 (Swine Flu) epidemic school closures highlight the need for a more effective, efficient and ....Optimising intersectoral collaboration between the health and education sectors. The Australian Government has a clear commitment to improving the health of all Australians. In the face of rising rates of chronic illness and attendant unsustainable high medical costs, optimising outcomes for public health initiatives, such as school based immunisation programs, is of the utmost importance. The recent H1N1 (Swine Flu) epidemic school closures highlight the need for a more effective, efficient and flexible intersection between education and health. This project offers the opportunity for the public health and education sectors to work closely together to identify how they can best configure future collaborations to maximise outcomes for all Australians.Read moreRead less
The Physiology Of Health Systems: Port Lincoln As A Case Study
Funder
National Health and Medical Research Council
Funding Amount
$2,228,073.00
Summary
No health system in Australia has a complete, population-wide view of how they are used, by whom, and with what effect on health. Our plan is to capture and describe comprehensively all health system activity relating to a sizeable and carefully-defined Australian population and to complement this with a population-wide census of health status. Such 'intelligence' is fundamental to evaluating the current performance of health systems and to planning changes to them.
Closing the gap in Aboriginal maternal and child health outcomes. This project will build the evidence base needed to design and implement effective strategies to close the gap in Aboriginal maternal and child health outcomes and reduce Indigenous disadvantage across the life course.
Enhancing linkage and exchange in a national research partnership to improve primary health care performance and outcomes for Indigenous peoples. This project will enhance current efforts to make high-quality primary health care services accessible to all Indigenous Australians. The work will result in widespread application of systematic and cutting-edge methods to enable health service staff and managers to review and continually work to improve the quality of their service.