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Social And Decision Maker Preferences For Priority Setting In Health Care Resource Allocation
Funder
National Health and Medical Research Council
Funding Amount
$273,051.00
Summary
All countries face the question of how best to allocate scarce health care resources. This leads to questions such as do we value health gains to different people (e.g. young versus old) differently, or different types of health gain (improved quality of life or life extension) differently? Survey methods will be used to investigate how members of society and “decision makers” prioritise different types of health gain. Results will help Australia to make informed resource allocation decisions.
Ensuring The Sustainability Of Care For People With Dementia Now And Into The Future
Funder
National Health and Medical Research Council
Funding Amount
$717,063.00
Summary
Ensuring adequate the funding of appropriate and timely care is available for people living with dementia is a key concern for the public and for governments. This research will develop new methods of measuring the effectiveness and cost-effectiveness of treatments and care packages for people with dementia. This will help ensure the sustainability of our health and social care system into the future by directing scarce resources into programs most likely to be of benefit.
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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Developing A Common Outcome Measure For Priority Setting In Health: Validation Of The 'Transfer To Utility' Technique
Funder
National Health and Medical Research Council
Funding Amount
$314,100.00
Summary
The economic evaluation of health programs is a common requirement of funders and purchasers seeking to get the best value from the health dollar. But researchers employ a wide range of disease specific and generic health status instruments to describe trial outcomes, making comparison between diverse interventions difficult. In response to this problem a 'Transfer to Utility' or TTU technique was developed by Dr Segal and colleagues, to translate diverse outcomes reported in clinical trials, in ....The economic evaluation of health programs is a common requirement of funders and purchasers seeking to get the best value from the health dollar. But researchers employ a wide range of disease specific and generic health status instruments to describe trial outcomes, making comparison between diverse interventions difficult. In response to this problem a 'Transfer to Utility' or TTU technique was developed by Dr Segal and colleagues, to translate diverse outcomes reported in clinical trials, into a utility score, so the performance of diverse health interventions can be expressed in cost-QALY and compared. The technique establishes a statistical transformation between instruments commonly used in clinical trials and a utility value. While the technique appears highly useful, based on a priority setting exercise in osteoarthritis enabling 20 disparate interventions to be compared its validity and applicability in other contexts is not established. The purpose of the grant is to explore the TTU technique to i) establish the best method for estimating the regression equation between common health outcome measures and a utility score and validating that method; ii) test generalisability to other disease areas, for which quality of life is the primary objective of management (in stroke, drug dependence and depression), iii) develop and validate a method for translating the most commonly used measure of general health status, the SF-36, into a utility score and iv) illustrate the application of the TTU in comparing intervensions for the prevention and management of depression. The results of the research will be of value to i) decision makers who must compare the performance of medical-health care interventions across a range of diseases and modalities and ii) to clinicians who want to practice evidenced based health care. The potential health gains for the community are substantial, in supporting the redirection of resources to more effective and cost-effectiveRead moreRead less
A health economic model for the development and evaluation of innovations in aged care: an application to consumer directed care. This project will investigate the preferences, quality of life outcomes and cost effectiveness of a new consumer directed care approach to community aged care service delivery for older people. The applicability of a health economic model in the development and economic evaluation of innovations in aged care service delivery will be demonstrated.
Explaining Social Preferences For Priority Setting In The Health Sector
Funder
National Health and Medical Research Council
Funding Amount
$235,218.00
Summary
This project looks at whether the views of the public regarding the allocation of society's limited health care resources are well-informed and carefully considered. A series of focus groups will be conducted where members of the public can think about the ethical issues involved, discuss them with others, and ask questions. This approach has the potential to improve the legitimacy of health policy decisions by contributing to a better understanding of the values of the public.
Development and implementation of an evidence-based primary health care workforce planning model to support best practice chronic disease management. The workforce model will inform government health workforce and health services planning, with the promise of improving access to best practice care for persons with diabetes, and potentially other chronic conditions, that represent the dominant Australian health burden. It also will inform education and training of health professionals and support ....Development and implementation of an evidence-based primary health care workforce planning model to support best practice chronic disease management. The workforce model will inform government health workforce and health services planning, with the promise of improving access to best practice care for persons with diabetes, and potentially other chronic conditions, that represent the dominant Australian health burden. It also will inform education and training of health professionals and support a more flexible response to health workforce needs. Given projected health work force shortages, flexibility in responding to health care needs will be crucial to maintaining health system capacity. The model supports system level change that will enable improved population health outcomes, reduce preventable hospital admissions and deliver production gainsRead moreRead less
Economic and Social Benefits of treating and preventing influenza in Aged Care Facilities. Influenza is a deadly issue for the elderly, their carers and the community. It reduces quality of life and productivity through hospitalisation and work absenteeism. By preventing influenza using an antiviral drug for residents and staff in aged care facilities there should be considerable economic and social benefits. This controlled scientific experiment will determine how much disease and death can be ....Economic and Social Benefits of treating and preventing influenza in Aged Care Facilities. Influenza is a deadly issue for the elderly, their carers and the community. It reduces quality of life and productivity through hospitalisation and work absenteeism. By preventing influenza using an antiviral drug for residents and staff in aged care facilities there should be considerable economic and social benefits. This controlled scientific experiment will determine how much disease and death can be averted and provide real data that is critical to planning for an influenza pandemic. It will direct where emphasis should be placed between the control measures of infection control (eg hand-washing, masks), vaccination and use of antiviral drugs. Annual outbreaks will be curtailed.Read moreRead less
Modelling The Economics Of The Australian Health Care System For Policy Analysis
Funder
National Health and Medical Research Council
Funding Amount
$3,500,000.00
Summary
The program will build a suite of economic models capable of providing timely relevant analysis of almost any major health policy option or issue, providing expertise in government and academia to use the kind of sophisticated quantitative tools of analysis common in sectors of the economy of an equivalent size to health. Through a PhD and postdoctoral program, it will increase capacity in quantitative health economics in Australia to answer key questions in health services, health promotion and ....The program will build a suite of economic models capable of providing timely relevant analysis of almost any major health policy option or issue, providing expertise in government and academia to use the kind of sophisticated quantitative tools of analysis common in sectors of the economy of an equivalent size to health. Through a PhD and postdoctoral program, it will increase capacity in quantitative health economics in Australia to answer key questions in health services, health promotion and illness prevention, developed with partners in government, clinicians and industry.Read moreRead less
Centre For Research Excellence In Medical Workforce Dynamics.
Funder
National Health and Medical Research Council
Funding Amount
$2,496,646.00
Summary
The Centre for Research Excellence in Medical Workforce Dynamics will grow new capacity in health services research, with high potential for policy impact, providing much needed evidence on the factors that influence doctors' decisions on how many hours to work, their location of work, including working in rural and remote areas, and decisions to leave the medical workforce and retire. These decisions influence the population’s access to health care, costs and health outcomes.