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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
Which Heart Failure Intervention Is Most Cost-effective And Consumer Friendly In Reducing Hospital Care: The Which
Funder
National Health and Medical Research Council
Funding Amount
$921,640.00
Summary
Chronic heart failure (CHF) is a costly, debilitating and deadly condition that has reached near epidemic proportions in Australia. In the absence of a permanent cure for CHF, the number of people affected by CHF has risen beyond 350,000 and is expected to increase by 20-30% in the next 20 years. We recently reviewed the benefits of applying nurse-led, CHF management programs (CHF-MPs) to typically old and fragile patients, in whom recurrent hospital admissions and a premature death are common. ....Chronic heart failure (CHF) is a costly, debilitating and deadly condition that has reached near epidemic proportions in Australia. In the absence of a permanent cure for CHF, the number of people affected by CHF has risen beyond 350,000 and is expected to increase by 20-30% in the next 20 years. We recently reviewed the benefits of applying nurse-led, CHF management programs (CHF-MPs) to typically old and fragile patients, in whom recurrent hospital admissions and a premature death are common. We confirmed the results of pioneering Australian research that CHF-MPs dramatically improve health outcomes in CHF. CHF-MPs now form part of the recommended gold-standard management of CHF. However, we also have evidence that only a small proportion of patients are exposed to a CHF-MP in Australia. Residual issues such as consumer preference and the cost of applying these programs are hindering their wide-spread application. The WHICH? Study addresses this _road block� to implementing a potentially valuable health care service by tackling a number of critical issues: which form of CHF-MP (home or specialist clinic-based follow-up), will produce the best health outcomes, save the most money and meet the needs of consumers at the same time? To answer this question, we will undertake a randomised, head-to-head study of a home versus clinic-based CHF-MP, in 1000 recently hospitalised CHF patients recruited from SA, VIC, NSW and QLD. Patterns and of health care and consumer preferences and quality of life will then be compared for these two different forms of CHF-MP from a combined health economic, health policy and consumer perspective to determine the best form of CHF-MP to be applied. A _consensus� vision for applying an Australia-wide service will then be developed. The potential impact of the results of the study will then be modelled on the status of Australian CHF-MPs in the year 2010 and a blue-print for action devised.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
Effectiveness of Intervention Strategies to Promote Physical Activity Among Insufficiently Active Adults. This project will determine the cost-effectiveness of 2 types of physical activity (PA) interventions based around the workplace. 480 participants will be randomly assigned to PA intervention groups or controls. Interventions are either a (1) self-regulated, pedometer-based program or a (2) semi-structured, 40-day initiation to more moderately-vigorous PA. Both are designed to increase self- ....Effectiveness of Intervention Strategies to Promote Physical Activity Among Insufficiently Active Adults. This project will determine the cost-effectiveness of 2 types of physical activity (PA) interventions based around the workplace. 480 participants will be randomly assigned to PA intervention groups or controls. Interventions are either a (1) self-regulated, pedometer-based program or a (2) semi-structured, 40-day initiation to more moderately-vigorous PA. Both are designed to increase self-efficacy and impact on positive PA behaviours. Long-term, behavioural change and job-related outcomes will be evaluated by following participants for 12 months after the interventions.Read moreRead less
Citizens' juries: enabling effective influenza pandemic policy through engagement with the community. The project will provide information and practical guidance to assist with South Australian pandemic management specifically and will have implications for the state and national disaster planning generally. The project will provide resources for both state and national policy makers in the form of technical reports and comprehensive public health information modules appropriate for disseminatio ....Citizens' juries: enabling effective influenza pandemic policy through engagement with the community. The project will provide information and practical guidance to assist with South Australian pandemic management specifically and will have implications for the state and national disaster planning generally. The project will provide resources for both state and national policy makers in the form of technical reports and comprehensive public health information modules appropriate for dissemination to the wider Australian community. The project will contribute to increased community awareness of pandemic influenza and enhanced community acceptance of (and cooperation with) pandemic management plans while establishing a mechanism for future pandemic and disaster policy planning and evaluation.Read moreRead less
Changing Places: An exploration of factors influencing the move of older people from retirement villages to residential aged care. Older Australians living in retirement villages, an increasing community population segment, make choices both about the place at which they live, and the support needed to optimise health and wellbeing at that place. Changing places for this group often involves moving from retirement village to residential aged care facility. This study explores how and why this ....Changing Places: An exploration of factors influencing the move of older people from retirement villages to residential aged care. Older Australians living in retirement villages, an increasing community population segment, make choices both about the place at which they live, and the support needed to optimise health and wellbeing at that place. Changing places for this group often involves moving from retirement village to residential aged care facility. This study explores how and why this change occurs, how it might be avoided, and, when the move is unavoidable what can improve the moving process. Findings will inform innovations in policy, service and health care provision designed to facilitate appropriate ageing in place congruent with best practice principles.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE120101502
Funder
Australian Research Council
Funding Amount
$375,000.00
Summary
Planning the primary health care workforces: developing and implementing a needs-based approach. Current approaches to workforce planning in Australia do not adequately take into account the future health care needs of the population, leading to expensive solutions. This project undertaken within primary health care will develop a needs-based health workforce planning model which will provide a better predictive model of future workplace requirements.
A new quality of life instrument with older people for economic evaluation. This project aims to develop and validate a new preference-based quality-of-life instrument with applications in aged-care. The new instrument will be developed with older people receiving aged care services, and will focus upon incorporating their values into the measurement and valuation of quality of life for economic evaluation. The new instrument will have immediate applications in quality assessment and economic ev ....A new quality of life instrument with older people for economic evaluation. This project aims to develop and validate a new preference-based quality-of-life instrument with applications in aged-care. The new instrument will be developed with older people receiving aged care services, and will focus upon incorporating their values into the measurement and valuation of quality of life for economic evaluation. The new instrument will have immediate applications in quality assessment and economic evaluation, improving the quality of life and wellbeing of older Australians, and will assist in determining the relative cost effectiveness of new and existing services.
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Alone in a crowd: Supporting older Australians managing loneliness. The project provides crucial understandings and knowledge about loneliness as understood by older Australians and support/service providers, and solutions to assist them manage it. The findings will provide immediate practical outcomes that can be implemented by support/service providers, whilst also providing information that can assist policy makers and managers in the service provision area. The findings will enhance the heal ....Alone in a crowd: Supporting older Australians managing loneliness. The project provides crucial understandings and knowledge about loneliness as understood by older Australians and support/service providers, and solutions to assist them manage it. The findings will provide immediate practical outcomes that can be implemented by support/service providers, whilst also providing information that can assist policy makers and managers in the service provision area. The findings will enhance the health and well-being of older Australians with concomitant social and economic benefits. The study contributes to ensuring the optimum use and deployment of finite health and social resources.Read moreRead less
Options, Opportunities and Older people: An exploration of care transitions of older people. Older Australians experience transition points in type and level of support needed to age in their place of choice. Transition points refer to some form of destabilisation in the life of the older person resulting in a changed level of care required along the continuum of care options and opportunities available. This multi-stage, multi-State, qualitative study will determine what constitutes a 'good t ....Options, Opportunities and Older people: An exploration of care transitions of older people. Older Australians experience transition points in type and level of support needed to age in their place of choice. Transition points refer to some form of destabilisation in the life of the older person resulting in a changed level of care required along the continuum of care options and opportunities available. This multi-stage, multi-State, qualitative study will determine what constitutes a 'good transition' for older people, how 'transition points' are identified by consumers and service providers, and what happens after such identification. The study contributes to prevention and early intervention responses enabling older people to age in place wherever possible.Read moreRead less