Are ‘potentially Preventable Hospitalisations’ A Valid Measure Of The Quality And Affordability Of Primary And Community Care In Australia?
Funder
National Health and Medical Research Council
Funding Amount
$397,264.00
Summary
This project will investigate the validity of ‘potentially preventable hospitalisations’ (PPH) as a measure of the quality and affordability of primary and community care in Australia. We will explore relationships between use of primary care services, hospital admissions for PPH diagnoses, and health outcomes and quantify the contributions of person-, geographic- and service-level factors to variations in PPH. We will make recommendations regarding the ongoing use of PPH measures to track the i ....This project will investigate the validity of ‘potentially preventable hospitalisations’ (PPH) as a measure of the quality and affordability of primary and community care in Australia. We will explore relationships between use of primary care services, hospital admissions for PPH diagnoses, and health outcomes and quantify the contributions of person-, geographic- and service-level factors to variations in PPH. We will make recommendations regarding the ongoing use of PPH measures to track the impacts of health reform in Australia.Read moreRead less
Identifying Factors That Improve The Health Of Prisoners Who Inject Drugs
Funder
National Health and Medical Research Council
Funding Amount
$376,658.00
Summary
Prisoners who inject drugs are highly marginalised with high rates of unresolved health and social issues and high rates of return to prison. Little is known, however, about how this group manages after release from prison. This qualitative project will allow ex-prisoners to tell their own stories of the challenges they have had and what strategies (formal and informal) they have used with the aim of informing responses in prisons and in the community setting.
Consumer Co-payments For Subsidised Medicines: Impact On Access And Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$465,838.00
Summary
Expenditure on pharmaceuticals subsidised under the Pharmaceutical Benefits Scheme (PBS) in Australia was >$6.5b in 2003-04. In efforts to ensure that medicine costs remain affordable, the government instituted cost-effectiveness assessments for listing, brand premium policies and generic substitution and consumer copayments. International research suggests copayments may affect vulnerable populations(1-4) and impact adversely on medicine use(10). In Australia, dispensings of essential and di ....Expenditure on pharmaceuticals subsidised under the Pharmaceutical Benefits Scheme (PBS) in Australia was >$6.5b in 2003-04. In efforts to ensure that medicine costs remain affordable, the government instituted cost-effectiveness assessments for listing, brand premium policies and generic substitution and consumer copayments. International research suggests copayments may affect vulnerable populations(1-4) and impact adversely on medicine use(10). In Australia, dispensings of essential and discretionary medicines fell immediately after the introduction of copayments for concessional card holders in 1991(5). Subsequent analysis found that low income general beneficiaries bore the greatest burden of copayments, with PBS expenditure accounting for 7.4% of their income, compared with 2.4% for those with high incomes(6). Costs appear to be becoming a barrier to medicine use in Australia, with a 2005 survey of 702 Australian adults who required regular medications finding 22% did not fill a prescription because of cost in the last 2 years(7). Similar results were reported in 2002 for 23% of 844 sicker Australian adults(8). A regional survey of 420 households found 20% reported they did not purchase all of their prescription medicines due to costs(9). Apart from the initial analysis of medication changes in 1991 as a result of copayment introduction(5), no Australian study has assessed the impact of these on medication use, nor on the impact of any changes in medication use on health outcomes. While copayments may effectively reduce the cost burden of the PBS to government, they may have an unintended negative effect if costs are generated elsewhere in the health system through increased hospitalisations or emergency department attendances as a result of omission of medicines. This research will explore the association between increasing copayments, medication and health service utilisation, information critical for informing policy on increasing consumer copayments.Read moreRead less
Improving Evidence Based Care For Locally Advanced Prostate Cancer
Funder
National Health and Medical Research Council
Funding Amount
$533,442.00
Summary
There is an urgent need to improve care for men with advanced prostate cancer if we wish to improve their survival. Compelling new evidence suggests we need to alter current practice by offering radiotherapy to high risk men – but will clinicians change their practice? We will develop and test ways to change practice within a network of 9 hopsitals. The study will provide crucial evidence about how to embed the recommended care into practice to improve outcomes for men with prostate cancer.
Improving outcomes for young people transitioning from out-of-home care. The central aim of this project is to generate the new knowledge needed to support the development, implementation, and diffusion of evidence-based innovations for young people as they transition from out-of-home care to adulthood. The project is significant because young people living in out-of-home care are more likely to enter juvenile justice, become a teenage parent, be socially excluded, have mental and physical healt ....Improving outcomes for young people transitioning from out-of-home care. The central aim of this project is to generate the new knowledge needed to support the development, implementation, and diffusion of evidence-based innovations for young people as they transition from out-of-home care to adulthood. The project is significant because young people living in out-of-home care are more likely to enter juvenile justice, become a teenage parent, be socially excluded, have mental and physical health problems and addictions. Outcomes include a world first longitudinal data evidence base, exemplars of best practice, and guidance to advance the application of transition pathways and plans to inform future innovations in Victoria and across Australia for improving transition from care with, by, and for young people. Read moreRead less