Are ‘potentially Preventable Hospitalisations’ A Valid Measure Of The Quality And Affordability Of Primary And Community Care In Australia?
Funder
National Health and Medical Research Council
Funding Amount
$397,264.00
Summary
This project will investigate the validity of ‘potentially preventable hospitalisations’ (PPH) as a measure of the quality and affordability of primary and community care in Australia. We will explore relationships between use of primary care services, hospital admissions for PPH diagnoses, and health outcomes and quantify the contributions of person-, geographic- and service-level factors to variations in PPH. We will make recommendations regarding the ongoing use of PPH measures to track the i ....This project will investigate the validity of ‘potentially preventable hospitalisations’ (PPH) as a measure of the quality and affordability of primary and community care in Australia. We will explore relationships between use of primary care services, hospital admissions for PPH diagnoses, and health outcomes and quantify the contributions of person-, geographic- and service-level factors to variations in PPH. We will make recommendations regarding the ongoing use of PPH measures to track the impacts of health reform in Australia.Read moreRead less
Identifying Factors That Improve The Health Of Prisoners Who Inject Drugs
Funder
National Health and Medical Research Council
Funding Amount
$376,658.00
Summary
Prisoners who inject drugs are highly marginalised with high rates of unresolved health and social issues and high rates of return to prison. Little is known, however, about how this group manages after release from prison. This qualitative project will allow ex-prisoners to tell their own stories of the challenges they have had and what strategies (formal and informal) they have used with the aim of informing responses in prisons and in the community setting.
Consumer Co-payments For Subsidised Medicines: Impact On Access And Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$465,838.00
Summary
Expenditure on pharmaceuticals subsidised under the Pharmaceutical Benefits Scheme (PBS) in Australia was >$6.5b in 2003-04. In efforts to ensure that medicine costs remain affordable, the government instituted cost-effectiveness assessments for listing, brand premium policies and generic substitution and consumer copayments. International research suggests copayments may affect vulnerable populations(1-4) and impact adversely on medicine use(10). In Australia, dispensings of essential and di ....Expenditure on pharmaceuticals subsidised under the Pharmaceutical Benefits Scheme (PBS) in Australia was >$6.5b in 2003-04. In efforts to ensure that medicine costs remain affordable, the government instituted cost-effectiveness assessments for listing, brand premium policies and generic substitution and consumer copayments. International research suggests copayments may affect vulnerable populations(1-4) and impact adversely on medicine use(10). In Australia, dispensings of essential and discretionary medicines fell immediately after the introduction of copayments for concessional card holders in 1991(5). Subsequent analysis found that low income general beneficiaries bore the greatest burden of copayments, with PBS expenditure accounting for 7.4% of their income, compared with 2.4% for those with high incomes(6). Costs appear to be becoming a barrier to medicine use in Australia, with a 2005 survey of 702 Australian adults who required regular medications finding 22% did not fill a prescription because of cost in the last 2 years(7). Similar results were reported in 2002 for 23% of 844 sicker Australian adults(8). A regional survey of 420 households found 20% reported they did not purchase all of their prescription medicines due to costs(9). Apart from the initial analysis of medication changes in 1991 as a result of copayment introduction(5), no Australian study has assessed the impact of these on medication use, nor on the impact of any changes in medication use on health outcomes. While copayments may effectively reduce the cost burden of the PBS to government, they may have an unintended negative effect if costs are generated elsewhere in the health system through increased hospitalisations or emergency department attendances as a result of omission of medicines. This research will explore the association between increasing copayments, medication and health service utilisation, information critical for informing policy on increasing consumer copayments.Read moreRead less
Improving Evidence Based Care For Locally Advanced Prostate Cancer
Funder
National Health and Medical Research Council
Funding Amount
$533,442.00
Summary
There is an urgent need to improve care for men with advanced prostate cancer if we wish to improve their survival. Compelling new evidence suggests we need to alter current practice by offering radiotherapy to high risk men – but will clinicians change their practice? We will develop and test ways to change practice within a network of 9 hopsitals. The study will provide crucial evidence about how to embed the recommended care into practice to improve outcomes for men with prostate cancer.
Improving outcomes for young people transitioning from out-of-home care. The central aim of this project is to generate the new knowledge needed to support the development, implementation, and diffusion of evidence-based innovations for young people as they transition from out-of-home care to adulthood. The project is significant because young people living in out-of-home care are more likely to enter juvenile justice, become a teenage parent, be socially excluded, have mental and physical healt ....Improving outcomes for young people transitioning from out-of-home care. The central aim of this project is to generate the new knowledge needed to support the development, implementation, and diffusion of evidence-based innovations for young people as they transition from out-of-home care to adulthood. The project is significant because young people living in out-of-home care are more likely to enter juvenile justice, become a teenage parent, be socially excluded, have mental and physical health problems and addictions. Outcomes include a world first longitudinal data evidence base, exemplars of best practice, and guidance to advance the application of transition pathways and plans to inform future innovations in Victoria and across Australia for improving transition from care with, by, and for young people. Read moreRead less
The big gamble: an interdisciplinary study of the normalisation of gambling. This project aims to explore industry and socio-cultural factors that contribute to the normalisation of gambling. Gambling is recognised as an urgent public health issue in Australia, posing a health threat to individuals and communities. However, there is limited empirical evidence about the processes that may contribute to the normalisation of different forms of gambling. This project aims to explore the interplay be ....The big gamble: an interdisciplinary study of the normalisation of gambling. This project aims to explore industry and socio-cultural factors that contribute to the normalisation of gambling. Gambling is recognised as an urgent public health issue in Australia, posing a health threat to individuals and communities. However, there is limited empirical evidence about the processes that may contribute to the normalisation of different forms of gambling. This project aims to explore the interplay between the sophisticated promotional tactics used by the gambling industry, and the socio-cultural mechanisms which may interact with these promotional tactics to normalise gambling beliefs in youth, women, and older adults. This project expects to help local governments and related stakeholders develop a comprehensive range of public health strategies aimed at preventing the risks and harms posed by the normalisation of gambling.Read moreRead less
Enhancing health literacy to optimise health equality across Victorian communities. Health literacy—the ability to seek, understand and use health information—is a major influence on equitable health outcomes for Australians. This project will take a fresh approach to health literacy to understand vulnerable members of our community and develop supports and interventions that aim to assist services to reduce health inequalities.
Preventing Chronic Disease In Australia Through Applied Intervention Research
Funder
National Health and Medical Research Council
Funding Amount
$415,218.00
Summary
Research supported by this fellowship will help to identify programs which are effective in reducing chronic disease risks such as tobacco use, and obesity. Furthermore, it will examine ways in which such programs can be implemented in health services and community organisations so that the community can benefit from evidence based initiatives. In doing so, the fellowship will contribute to reducing the death and disability associated with chronic disease in Australia.
Understanding fertility management in contemporary Australia. Fertility management, including unintended pregnancy and infertility carry substantial public costs including increased health service use and reduced economic participation. Both are experienced in individual lives, contributing to disappointed life goals, altered social and family relationships, the burden of stigma, and compromised physical and mental health. The goal of this research is to reduce the public and personal costs of s ....Understanding fertility management in contemporary Australia. Fertility management, including unintended pregnancy and infertility carry substantial public costs including increased health service use and reduced economic participation. Both are experienced in individual lives, contributing to disappointed life goals, altered social and family relationships, the burden of stigma, and compromised physical and mental health. The goal of this research is to reduce the public and personal costs of sub-optimal fertility management by providing the knowledge for improving national reproductive and sexual health promotion strategies. The consequence will be increased likelihood that pregnancies are intended and reproductive hopes realised. Data will contribute to National Research Priorities of promoting health and strengthening families.Read moreRead less
Psychosocial and economic impacts of rare diseases on Australian children, families and health professionals. Rare childhood diseases have enormous impacts on children and families; health services, and health professionals. This project will enable Australia to lead the international research effort by using a coordinated approach to study the impacts of rare diseases in order to improve psychosocial, health and economic outcomes for children and families.