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Discovery Early Career Researcher Award - Grant ID: DE170100726
Funder
Australian Research Council
Funding Amount
$381,000.00
Summary
Socioeconomic effects of fault attribution after a motor vehicle crash. This project aims to identify claimant and crash risk characteristics that predict elevated socio-economic burden on injured persons, compensation systems and the public health system. 19% of Australians injured in road trauma annually report long-term reductions in social participation and work capacity, and have costly health service needs. Attributions of fault lead to perceived injustice and affect the capacity to cope w ....Socioeconomic effects of fault attribution after a motor vehicle crash. This project aims to identify claimant and crash risk characteristics that predict elevated socio-economic burden on injured persons, compensation systems and the public health system. 19% of Australians injured in road trauma annually report long-term reductions in social participation and work capacity, and have costly health service needs. Attributions of fault lead to perceived injustice and affect the capacity to cope with trauma. This project will evaluate the effect of fault attributions on socioeconomic outcomes. Expected results include approaches for identifying those at greatest risk of poor outcomes who need additional support after a crash.Read moreRead less
The impact of policy, demography and geography on work disability. This project aims to map the burden of work disability in Australia through geographic, socioeconomic, demographic and occupational factors. The project intends to determine the impact of state and territory workers' compensation practice on work disability and identify target groups for intervention. Expected outcomes include new insights which nation’s workers’ compensation systems can use in order to implement policy practices ....The impact of policy, demography and geography on work disability. This project aims to map the burden of work disability in Australia through geographic, socioeconomic, demographic and occupational factors. The project intends to determine the impact of state and territory workers' compensation practice on work disability and identify target groups for intervention. Expected outcomes include new insights which nation’s workers’ compensation systems can use in order to implement policy practices that will reduce the burden of work disability in Australia. This outcome would, in turn, improve national productivity and lead to flow-on benefits for the Australian economy and social protection systems such as social security and healthcare.Read moreRead less
Evaluation in health promotion: gathering evidence to improve effectiveness. Effective disease prevention and health promotion to address the public health challenges facing Australia requires a strong evidence base for policy and practice. Evaluation of programs in natural contexts is a vital source of this evidence, valuable for improving strategy design and delivery, building sustainability and guiding funding. The aim of this project is to determine the strengths and limitations of evaluatio ....Evaluation in health promotion: gathering evidence to improve effectiveness. Effective disease prevention and health promotion to address the public health challenges facing Australia requires a strong evidence base for policy and practice. Evaluation of programs in natural contexts is a vital source of this evidence, valuable for improving strategy design and delivery, building sustainability and guiding funding. The aim of this project is to determine the strengths and limitations of evaluation by health promotion agencies, and to identify the roles of individual, organisational and system-level factors in relation to evaluation practice and use. This knowledge is expected to guide efforts to build capacity for evaluation, improve systems for organisational learning, and enable evidence gathering to improve effectiveness.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
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
Does Self Management Increase The Effectiveness Of Vocational Rehabilitation For Chronic Compensated Disorders? Workplace injuries result in human suffering and are costly for those injured, employers and the community. For some, the injury results in a chronic disability, a sense of powerlessness, and unemployment. This study will test whether participation in a 'self-management' program improves health and well-being, decreases pain, results in earlier return-to-work and is a more efficient us ....Does Self Management Increase The Effectiveness Of Vocational Rehabilitation For Chronic Compensated Disorders? Workplace injuries result in human suffering and are costly for those injured, employers and the community. For some, the injury results in a chronic disability, a sense of powerlessness, and unemployment. This study will test whether participation in a 'self-management' program improves health and well-being, decreases pain, results in earlier return-to-work and is a more efficient use of resources than usual care in vocational rehabilitation. Self-management programs have been shown to be effective in helping people manage chronic disabling conditions. By adapting the self-management program for this population it is anticipated that the human and financial burden on individuals and society from chronic injuries will be reduced.Read moreRead less
Australian Health Inequities Program: A Program Addressing Social And Economic Determinants Of Health
Funder
National Health and Medical Research Council
Funding Amount
$2,444,000.00
Summary
The Australian Health Inequities Program, AHIP, is an exciting new program which brings together researchers from a range of disciplines including sociology, public health, labour market economics, housing and geography to research health inequities and analyse policy and program responses to reduce these inequities. This will be done by addressing ways in which our housing, employment, the availability and quality of our social connections, the locations we live in, and perceptions of our envir ....The Australian Health Inequities Program, AHIP, is an exciting new program which brings together researchers from a range of disciplines including sociology, public health, labour market economics, housing and geography to research health inequities and analyse policy and program responses to reduce these inequities. This will be done by addressing ways in which our housing, employment, the availability and quality of our social connections, the locations we live in, and perceptions of our environments, affect health. The researchers, based at Flinders University in Adelaide and La Trobe University in Melbourne, will identify how the physical and social characteristics of local environments impact on health. The research conducted in this program will provide guidance to government, service providers and community groups about how to improve the quality of people's local environments and reduce the health differences between different groups of Australians. Policy makers will be engaged fully with the AHIP.Read moreRead less
Developing methods for benefit measurement in health-related economic analyses and their use in selecting public health promotional programs. The program involves the creation, validation and use of a suite of instruments for evaluating outcomes of health promotional programs, including adult and childhood obesity, depression and smoking - areas that are universally recognised as being of importance for the Australian community. The program will provide multiple scoring algorithms for each of th ....Developing methods for benefit measurement in health-related economic analyses and their use in selecting public health promotional programs. The program involves the creation, validation and use of a suite of instruments for evaluating outcomes of health promotional programs, including adult and childhood obesity, depression and smoking - areas that are universally recognised as being of importance for the Australian community. The program will provide multiple scoring algorithms for each of the instruments in order to test the sensitivity of results to assumptions made about social values, and will produce Australian estimates of the person trade-off weights used in the Australian and Victorian Burden of Disease studies (which presently use Dutch PTO weights). Read moreRead less
Geelong Healthy Eating and Active Play for Under Fives. Helping children achieve a healthier weight is a major national health priority. About 30% of 4 and 5 year old children are already overweight or obese. Action is urgently needed to prevent further increases yet there have been very few studies in the area. The Geelong Under-5s project in will measure the impact of a comprehensive intervention designed to reduce the prevalence of overweight and obesity by modifying day care and kindergarte ....Geelong Healthy Eating and Active Play for Under Fives. Helping children achieve a healthier weight is a major national health priority. About 30% of 4 and 5 year old children are already overweight or obese. Action is urgently needed to prevent further increases yet there have been very few studies in the area. The Geelong Under-5s project in will measure the impact of a comprehensive intervention designed to reduce the prevalence of overweight and obesity by modifying day care and kindergarten settings, by increasing the capacity of staff to teach and model healthy eating and physical activity patterns, and by educating parents at receptive moments in their child's life.Read moreRead less
Realising an 'ordinary life' for people with intellectual disabilities: Developing a theoretical framework for group home outcomes. Explaining why group homes produce variable outcomes for people with intellectual disabilities will make it more likely they live healthy, productive and fulfilling lives. Such outcomes are central to policies of inclusion and fundamental to human rights. The Australian community will be enriched by the inclusion of all people with disabilities and become a more jus ....Realising an 'ordinary life' for people with intellectual disabilities: Developing a theoretical framework for group home outcomes. Explaining why group homes produce variable outcomes for people with intellectual disabilities will make it more likely they live healthy, productive and fulfilling lives. Such outcomes are central to policies of inclusion and fundamental to human rights. The Australian community will be enriched by the inclusion of all people with disabilities and become a more just society. The research will support the translation of social policy into practice and adoption of good management practices. It will enable more effective use of the $2 billion spent on disability accommodation, and will bolster the arguments for community rather than institutional living, demonstrating investment in community services is a sound use of public moneyRead moreRead less