Improving Government Policy Making and Needs-Based Delivery of Services: Innovative Techniques to Enhance Administrative Data by Adding Socioeconomic Status. This project will create major national benefits by illuminating whether there are significant differences in access to or usage of such key government services as health and education by socio-economic status. Currently, most departments do not fully exploit their administrative data to answer such questions, because of the difficulty of ....Improving Government Policy Making and Needs-Based Delivery of Services: Innovative Techniques to Enhance Administrative Data by Adding Socioeconomic Status. This project will create major national benefits by illuminating whether there are significant differences in access to or usage of such key government services as health and education by socio-economic status. Currently, most departments do not fully exploit their administrative data to answer such questions, because of the difficulty of identifying the socio-economic status of users. This project will help Australia in its on-going but recently intensified efforts to make better use of its administrative data, resulting in a more efficient use of our data resources; better targeting of scare government resources; and improved identification of those in greatest need. Read moreRead less
Resolving patients' complaints about hospitals: Responsive regulation by health ombudsmen. Ombudsmen help ensure integrity and accountability in societal institutions. This study of patients' complaints about hospitals to health ombudsmen in two states, and the responses of hospitals, will produce evidence on strategies for making hospitals more responsive to the public and more accountable for the quality of their care. Australia was a world leader in establishing health ombudsmen and this stud ....Resolving patients' complaints about hospitals: Responsive regulation by health ombudsmen. Ombudsmen help ensure integrity and accountability in societal institutions. This study of patients' complaints about hospitals to health ombudsmen in two states, and the responses of hospitals, will produce evidence on strategies for making hospitals more responsive to the public and more accountable for the quality of their care. Australia was a world leader in establishing health ombudsmen and this study will explore their impact upon the hospital system. Evidence-based strategies are needed to improve the accountability of service providers and regulators. Social and economic benefits flow from empowering patients and from improving hospital performance.Read moreRead less
Financing aged care in Australia: Mitigating fiscal gaps and maintaining intergenerational equity. Aged care has been identified as a significant contributor to the growing fiscal problems predicted for Australian government finances during the next 10 to 20 years. This project will develop the cutting-edge modelling tools needed to allow Australia to make informed decisions about possible reforms in aged care financing. It will create significant national benefits by allowing detailed assessmen ....Financing aged care in Australia: Mitigating fiscal gaps and maintaining intergenerational equity. Aged care has been identified as a significant contributor to the growing fiscal problems predicted for Australian government finances during the next 10 to 20 years. This project will develop the cutting-edge modelling tools needed to allow Australia to make informed decisions about possible reforms in aged care financing. It will create significant national benefits by allowing detailed assessment of the distributional impact of a wide range of possible reforms, including how the outcomes of any policy change will affect disadvantaged sections of our society, whether different generations will be fairly treated, and the impact by gender.Read moreRead less
The Distributional Impact of Health Outlays: Developing the Research and Modelling Infrastructure for Policy Makers. The Commonwealth recently concluded that the projected increase in health outlays over the next few decades is unaffordable. Policy makers are therefore going to face difficult decisions about health funding, the balance between government and consumer contributions to health costs, and about taxes (which fund public health outlays). They do not currently have adequate modelling t ....The Distributional Impact of Health Outlays: Developing the Research and Modelling Infrastructure for Policy Makers. The Commonwealth recently concluded that the projected increase in health outlays over the next few decades is unaffordable. Policy makers are therefore going to face difficult decisions about health funding, the balance between government and consumer contributions to health costs, and about taxes (which fund public health outlays). They do not currently have adequate modelling tools to help them make sound decisions. This project aims to redress this situation, by constructing a microsimulation model of the health sector, with a capacity to assess the likely distributional impact of possible policy changes and their revenue or expenditure implications.Read moreRead less
Long term economic impacts of disease on older workers to 2030: Costs to government and individuals and opportunities for intervention. This project will fill substantial gaps in Australian evidence about the health conditions of the future that will keep older workers out of the labour market and diminish their own immediate and long-term livings standards, thereby reducing funds available to government. We will address one of the most significant issues resulting from the fundamental changes t ....Long term economic impacts of disease on older workers to 2030: Costs to government and individuals and opportunities for intervention. This project will fill substantial gaps in Australian evidence about the health conditions of the future that will keep older workers out of the labour market and diminish their own immediate and long-term livings standards, thereby reducing funds available to government. We will address one of the most significant issues resulting from the fundamental changes to the demography of the Australian labour market and one that is regularly raised by the government following the release of the 2002 and 2007 Intergenerational Reports. This project will also examine the interventions that would improve the health of older workers and increase labour force participation over the long term.Read moreRead less
Population Ageing, Health Status and Health Outlays: Assessing Impacts and Policy Options During the Next 40 Years. This project will enable the Commonwealth and Australia to develop the modelling infrastructure that will allow them to assess the future distributional consequences of the far-reaching human capital and health reforms that are likely to be on the policy agenda during the next few decades. The project will also place Australia at the forefront internationally in the construction of ....Population Ageing, Health Status and Health Outlays: Assessing Impacts and Policy Options During the Next 40 Years. This project will enable the Commonwealth and Australia to develop the modelling infrastructure that will allow them to assess the future distributional consequences of the far-reaching human capital and health reforms that are likely to be on the policy agenda during the next few decades. The project will also place Australia at the forefront internationally in the construction of dynamic microsimulation population models, particularly including the simulation of health status and health services. This technology will improve public policy in Australia and be able to be exported to our Asia-Pacific neighbours in the near future.Read moreRead less
Economic Modelling of the Nurses' Labour Market in Australia. Nurses play an important role in the health system and help to ensure individuals lead healthier, happier and more productive lives. Devising cost-effective policies to ensure an adequate supply of motivated and productive nurses is crucial in achieving efficiency and equity in the health care system. The results will be used by government to help set optimal pay and conditions for nurses, and to ensure that these are competitive with ....Economic Modelling of the Nurses' Labour Market in Australia. Nurses play an important role in the health system and help to ensure individuals lead healthier, happier and more productive lives. Devising cost-effective policies to ensure an adequate supply of motivated and productive nurses is crucial in achieving efficiency and equity in the health care system. The results will be used by government to help set optimal pay and conditions for nurses, and to ensure that these are competitive with other nurse employers. This will provide a firm evidence-base to reduce nurse shortages and therefore increase the quality of patient care in Australia.Read moreRead less
Motor vehicle injuries: economic evaluation of a new treatment modality. The management of injured persons following motor vehicle accidents is a serious health issue in Australia, with over 60,000 minor injuries and 20,000 major injuries occurring annually. This project will provide a cost-effectiveness analysis of a new multidisciplinary approach to managing minor injuries by utilising data from the Accident Care Evaluation (ACE) trial of a new clinic being tested for this purpose.
Measuring Hospital Performance: Outputs, Quality of Care, Competition and Efficiency. Hospitals are a critical component of the health infrastructure. An understanding of the performance of hospitals is important in shaping an overall health care strategy. Unfortunately, assessing hospital performance has been fraught with difficulties. A major obstacle is in defining and measuring the outputs and quality of hospitals. Collaborating with the Victorian Department of Human Services, and using t ....Measuring Hospital Performance: Outputs, Quality of Care, Competition and Efficiency. Hospitals are a critical component of the health infrastructure. An understanding of the performance of hospitals is important in shaping an overall health care strategy. Unfortunately, assessing hospital performance has been fraught with difficulties. A major obstacle is in defining and measuring the outputs and quality of hospitals. Collaborating with the Victorian Department of Human Services, and using the Department's VAED datasets, we aim to develop a framework within which unobservable quality dimensions can be estimated, so that hospital output and quality can be accounted for. The framework will be useful for addressing pertinent health policy issues, including hospital funding, specialisation, and competition issues.Read moreRead less
The economics of mothers milk and the market for infant food. Breastfeeding is increasingly recognized as an important public health issue, but is rarely viewed from an economic perspective. However, feminist critiques of mainstream economics have helped draw attention to the value of breastmilk and the significance of economic and commercial factors in women's decisions about infant feeding. This project aims to provide the economic analysis and social research relevant to effective public heal ....The economics of mothers milk and the market for infant food. Breastfeeding is increasingly recognized as an important public health issue, but is rarely viewed from an economic perspective. However, feminist critiques of mainstream economics have helped draw attention to the value of breastmilk and the significance of economic and commercial factors in women's decisions about infant feeding. This project aims to provide the economic analysis and social research relevant to effective public health policies on breastfeeding. The primary output will be a book manuscript.Read moreRead less