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Improving management decisions in mental health care through applications of advanced simulation modelling. Evidence to inform management decisions about the best way to structure mental health care services is currently lacking. This project will develop a simulation modelling tool that will allow managers to explore various service configurations in virtual reality, enabling predictions to be made about the cost and quality of care.
Visual field impairment and injury: A population-based study. This project aims to link a large-scale ophthalmic database of visual field tests to population-based injury data which includes police-reported crash data, hospitalisation, death and trauma data in people aged over 60 years. The identification of individuals with high risk visual fields will enable the development of targeted interventions at the local, national and international level to prevent injuries due to visual field loss. Si ....Visual field impairment and injury: A population-based study. This project aims to link a large-scale ophthalmic database of visual field tests to population-based injury data which includes police-reported crash data, hospitalisation, death and trauma data in people aged over 60 years. The identification of individuals with high risk visual fields will enable the development of targeted interventions at the local, national and international level to prevent injuries due to visual field loss. Significant benefits include a reduction in the number of injuries and consequent reductions in personal harm and health care demands.Read moreRead less
A study of the provision of the emergency contraceptive pill over-the-counter in Australia. Australian abortion rates, especially among young women, are a major concern. The emergency contraceptive pill (ECP) is an effective method for the prevention of unwanted and unplanned pregnancy, with the potential to reduce abortions. The study aims to provide evidence of whether the rescheduling of ECP in Australia so that pharmacists as well as doctors can dispense it, has improved its accessibility ....A study of the provision of the emergency contraceptive pill over-the-counter in Australia. Australian abortion rates, especially among young women, are a major concern. The emergency contraceptive pill (ECP) is an effective method for the prevention of unwanted and unplanned pregnancy, with the potential to reduce abortions. The study aims to provide evidence of whether the rescheduling of ECP in Australia so that pharmacists as well as doctors can dispense it, has improved its accessibility and use by women at risk of abortion. It will also assess whether pharmacists feel confident, well-trained and supported to provide it and whether abortion rates have reduced. The study will provide policymakers with the evidence to assess whether this important initiative is effective and what is needed to improve its effectiveness.Read moreRead less
The importance of gender and socio-economic disadvantage for the mental health of people living with disabilities. The twenty per cent of Australians reporting a disability are more likely to live in disadvantaged circumstances such as inadequate housing, unemployment, and lower levels of education all of which may contribute to poor mental health. Yet there has not been research on the mental health of people with disabilities. This means that disability services and advocacy groups, which deal ....The importance of gender and socio-economic disadvantage for the mental health of people living with disabilities. The twenty per cent of Australians reporting a disability are more likely to live in disadvantaged circumstances such as inadequate housing, unemployment, and lower levels of education all of which may contribute to poor mental health. Yet there has not been research on the mental health of people with disabilities. This means that disability services and advocacy groups, which deal daily with the lived experiences of disadvantage and poor mental health in people with disabilities, do not have evidence to support policy and service sector reform. This project will provide this critical evidence as well as build research capacity in disability-related research and lead to better monitoring of disability-related health inequities.Read moreRead less
The prevalence and impact of intellectual disability among Indigenous Australians in Western Australia. There is limited information on the extent and impact of intellectual disability among Indigenous Australians. The proposed project will develop a credible baseline picture of intellectual disability among Indigenous Australians in Western Australia by investigating the true prevalence, clinical and sociodemographic correlates, and morbidity and mortality patterns. It builds on a successful co ....The prevalence and impact of intellectual disability among Indigenous Australians in Western Australia. There is limited information on the extent and impact of intellectual disability among Indigenous Australians. The proposed project will develop a credible baseline picture of intellectual disability among Indigenous Australians in Western Australia by investigating the true prevalence, clinical and sociodemographic correlates, and morbidity and mortality patterns. It builds on a successful collaborative relationship between Disability Services Commission of WA and academia; and is unique in integrating information from multiple data sources. The findings will have direct health and social benefits by providing information on which to base appropriate health strategies and care networks to service particular needs.Read moreRead less
The effect of acquiring a disability in adulthood. This project aims to analyse the effect the acquisition of a disability in adulthood has on subsequent socio-economic circumstances (employment, housing, education, income, social capital, wealth) and wellbeing. Researchers from epidemiology, econometrics and statistics will use longitudinal data to model the patterns of disability and subsequent socio-economic and health circumstances over time. The methods aim to make causal statements and pro ....The effect of acquiring a disability in adulthood. This project aims to analyse the effect the acquisition of a disability in adulthood has on subsequent socio-economic circumstances (employment, housing, education, income, social capital, wealth) and wellbeing. Researchers from epidemiology, econometrics and statistics will use longitudinal data to model the patterns of disability and subsequent socio-economic and health circumstances over time. The methods aim to make causal statements and provide a template for research and evaluation in this field. Outcomes are expected to set priorities for action to improve socio-economic conditions, productivity and health for people with disabilities.Read moreRead less
Adaptive capabilities in the elderly during extreme heat events in South Australia. This study, using first hand accounts of experiences and perceptions of the extreme heat event of 2009 in South Australia, will provide a valuable insight into the heat adaptive capability of the ageing population, factors affecting susceptibility, and ways to curb the predicted increase in often life-threatening heat exacerbated illnesses, many of which require extended hospital stays. It is envisaged that findi ....Adaptive capabilities in the elderly during extreme heat events in South Australia. This study, using first hand accounts of experiences and perceptions of the extreme heat event of 2009 in South Australia, will provide a valuable insight into the heat adaptive capability of the ageing population, factors affecting susceptibility, and ways to curb the predicted increase in often life-threatening heat exacerbated illnesses, many of which require extended hospital stays. It is envisaged that findings will help inform health policy and contribute to the formulation of a National Heatwave Response plan. Study findings will be disseminated widely at government (state and federal), non-government, and community levels and will help to raise the awareness of heat exacerbated illness in general.Read moreRead less
Use And Adequacy Of Diabetic Retinopathy Screening: A Whole Population Linked Data Study
Funder
National Health and Medical Research Council
Funding Amount
$219,382.00
Summary
Diabetes and its health complications are major public health issues presently facing Australia. Currently, around 7% of Australians have diabetes and it is estimated that 300 million people will be diabetic within 20-years. One major complication of diabetes is diabetic retinopathy, which is the most common cause of blindness in working-age adults. Although early treatment can prevent vision loss from diabetic retinopathy, often there are no visual symptoms until the condition is more advanced ....Diabetes and its health complications are major public health issues presently facing Australia. Currently, around 7% of Australians have diabetes and it is estimated that 300 million people will be diabetic within 20-years. One major complication of diabetes is diabetic retinopathy, which is the most common cause of blindness in working-age adults. Although early treatment can prevent vision loss from diabetic retinopathy, often there are no visual symptoms until the condition is more advanced and less treatable. Consequently, it is vital that people with diabetes have their eyes examined regularly. We aim to investigate the use of eye services by people with diabetes. The WA Data Linkage System provides the unique opportunity to efficiently examine the benefits of specialist eye care in diabetics within WA over a 17-year period. The study period encompasses the introduction of NHMRC guidelines for diabetic retinopathy screening in 1997. This will enable us to examine the effectiveness of these guidelines in increasing ophthalmic services use by people with diabetes. Evaluating these trends will provide important data on the effectiveness of policy and NHMRC guidelines in improving diabetic eye care, which has never been comprehensively investigated. Early intervention can prevent and delay vision loss from diabetic retinopathy, substantially reducing the personal and community burden from diabetes. The identification of poorly screened groups will enable more targeted programs to improve the use of ophthalmic series, which in turn may reduce the risk of: i) eye surgery related to diabetes, ii) injury resulting from diabetes-related vision disorder or iii) blindness. The feasibility of using linked health data to evaluate eye screening in diabetics will enable future work addressing processes of care in the prevention of other diabetic complications to be undertaken quickly and cost-effectively.Read moreRead less
The Benefits And Harms Associated With Breast Cancer Screening In The Australian Context.
Funder
National Health and Medical Research Council
Funding Amount
$80,222.00
Summary
Australia is caught in a dilemma. Breast screening is well-established however there has been fierce debate about the value of screening programmes. I will determine the frequency of benefit and harm due to breast screening programs in Australia to better understand the true extent of overdiagnosis and overtreatment. Based on this information, I will make recommendations about how breast screening should be provided in Australia in future and clearly communicate this information to the community