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Value-Based Healthcare In Elective Coronary Stenting
Funder
National Health and Medical Research Council
Funding Amount
$1,236,881.00
Summary
Coronary stents are wire mesh tubes inserted into cholesterol blockages in heart blood vessels (arteries) thus improving coronary blood flow and alleviating chest pain. Although life saving in acute heart attacks, their value is limited in stable patients and may be associated with severe complications. In partnership with the health department, this project will evaluate how many patients continue to experience chest pain after elective coronary stenting so that can be used more effectively.
Primary Health Care And Self-management For Depression And Anxiety: A Vital Community-based Study For Future Service Delivery
Funder
National Health and Medical Research Council
Funding Amount
$330,779.00
Summary
Depression and anxiety are widespread. As treatment is typically managed by GPs, effective primary care for these disorders is a national priority. The Australia-wide coverage of these services means that the research behind their delivery must be based on community-wide studies of primary care outcomes and determinants. There is an acute lack of such research. Dr Olesen proposes a comprehensive and innovative set of epidemiological investigations to address this gap.
Stroke In Australia: Understanding Variation In Clinical Care And Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$314,644.00
Summary
Stroke is the major cause of death and disability. My ECF research project is designed to identify (1) factors that influence hospital readmissions (2) gaps in hospital care for specific groups who experience stroke using the largest national dataset (40+ hospitals, 17,000+ patients). These data will provide evidence for me to develop and test novel future interventions to reduce inequalities in health care access in order to reduce deaths and disability through improvements in stroke care.
Improving Epidemiological Risk Assessment Of Influenza Epidemics
Funder
National Health and Medical Research Council
Funding Amount
$645,205.00
Summary
Severe flu epidemics have killed young mothers, teenagers, young children and many older people in recent years. Systems for monitoring the flu in Australia and other countries are limited in their ability to provide sound risk assessment during an evolving epidemic. The research I lead will show how unused and under-used data sources can be harnessed to provide a strong influenza risk and healthcare impact assessment capability.
Pharmaceutical Opioids For Chronic Non-cancer Pain: Evaluating Health Outcomes And Economic Impact Over Five Years
Funder
National Health and Medical Research Council
Funding Amount
$775,922.00
Summary
Chronic non-cancer pain (CNCP) is a major contributor to disability. Increased opioid prescribing for CNCP has produced concern about dependence and overdose in the absence on data on its long-term effectiveness. Novel statistical methods will test causal relationships over 5 years between treatment, outcomes, and costs on 1,514 CNCP patients prescribed opioids. We will answer critical questions on 5-year outcomes, and whether, and for whom, opioids and other clinical interventions reduce costs.
Post-discharge Care And Recovery Of Seriously Injured Patients In A Regionalised Trauma System
Funder
National Health and Medical Research Council
Funding Amount
$314,644.00
Summary
The establishment of hospital trauma centres has improved survival for seriously-injured patients. However, there is still potential to improve the care of trauma patients following their discharge from hospital, particularly when they live outside big cities. This research will investigate the challenges faced by trauma patients in accessing follow-up care after they leave hospital, whether this influences their long-term recovery and what can be done to improve their care.
Measuring Low-value Health Care For Targeted Policy Action
Funder
National Health and Medical Research Council
Funding Amount
$806,176.00
Summary
It is claimed that up to 30% of (U.S.) health care represents waste, including the use of unsafe and ineffective health care practices. While many agree the problem exists, little empirical work has been completed to test this 30% figure, particularly in Australia. We will quantify the extent of, and variability in, waste across Australian health datasets (stand-alone and linked). This project will be the first of its kind in Australia and the largest and most comprehensive internationally.
Preventing Hospital Readmission In A Regional Australian Hospital Setting
Funder
National Health and Medical Research Council
Funding Amount
$565,695.00
Summary
Hospitals face high levels of emergency presentations and demand for inpatient care particularly for Aboriginal Australian people from remote communities. Readmissions lead to overcrowded emergency departments and poorer patient outcomes. We will evaluate the efficacy of a multidimensional case-based management intervention linking hospital and primary health in a regional Australian hospital with the aim of reducing hospital readmission and improving patient outcomes.
Understanding Health Service System Needs For People With Intellectual Disability
Funder
National Health and Medical Research Council
Funding Amount
$1,216,389.00
Summary
The health of people with intellectual disability (ID) is one of the poorest of any group in Australia. People with ID experience higher rates of ill health, poor access to responsive health services and premature death. Our research will develop the first comprehensive profile of health, health service and medicines use and costs for people with ID, and will examine the impact of the National Disability Insurance Scheme (NDIS) on these metrics.