Nanny state or good public policy: Do the benefits of mandatory health programs justify the loss of consumer choice? Governments are increasingly turning to mandatory programs to improve health. Such programs are appealing because there are high health benefits from universal participation and low costs for promotion and monitoring the program. However, this apparent benefit relies on restriction of personal choice, which may impose welfare losses on consumers. Evaluations generally ignore loss ....Nanny state or good public policy: Do the benefits of mandatory health programs justify the loss of consumer choice? Governments are increasingly turning to mandatory programs to improve health. Such programs are appealing because there are high health benefits from universal participation and low costs for promotion and monitoring the program. However, this apparent benefit relies on restriction of personal choice, which may impose welfare losses on consumers. Evaluations generally ignore loss of choice, despite evidence suggesting consumers value the ability to choose. This study will estimate the impact and value this loss of consumer choice, explore program specific factors and consumer characteristics influencing the valuation, and determine whether and how restricted choice should be explicitly considered when evaluating public health programs.Read moreRead less
Child Dental Benefit Policies and the Health of Australian Children. This project aims to examine the early effects of two recent initiatives by the Australian government to improve children’s dental health by providing funds to cover essential dental services for children from disadvantaged families. It explores the factors affecting eligible children’s access to benefits from these initiatives and identifies the causal impacts of these changed health care financing arrangements on children’s c ....Child Dental Benefit Policies and the Health of Australian Children. This project aims to examine the early effects of two recent initiatives by the Australian government to improve children’s dental health by providing funds to cover essential dental services for children from disadvantaged families. It explores the factors affecting eligible children’s access to benefits from these initiatives and identifies the causal impacts of these changed health care financing arrangements on children’s consumption of dental services, indicators of oral health and general health, and other indicators of cognitive and non-cognitive development. Using advanced econometric techniques and panel datasets, this project is expected to contribute to the development of effective policies for promoting health and wellbeing.Read moreRead less
Equitable funding for health care: integrating social outcomes. This project will develop an innovative method for decision makers to achieve more equitable allocation of scarce health care resources. Health programs and treatments affect not just health (survival & health related quality of life) but also broader aspects of well-being (e.g. dignity, autonomy, safety). Our current methods for evaluating value for money in health do not capture these aspects. The project will provide benefit by a ....Equitable funding for health care: integrating social outcomes. This project will develop an innovative method for decision makers to achieve more equitable allocation of scarce health care resources. Health programs and treatments affect not just health (survival & health related quality of life) but also broader aspects of well-being (e.g. dignity, autonomy, safety). Our current methods for evaluating value for money in health do not capture these aspects. The project will provide benefit by allowing health system decision makers to achieve fairer allocation of resources across diverse health conditions, interventions and patient populations. Expected outcomes include a new tool for assessing interventions and measuring population health incorporating both health and social outcomes. Read moreRead less
Blended payment systems for doctors: evaluation of an experiment. The results of the study will provide new evidence for health care policy makers in Australia (and internationally) on the effects of changing the remuneration system for GPs on the costs and quality of health care provided. The study will examine effects in the national priority and national health priority areas of preventive health care and chronic disease. The results will be relevant to other countries, such as the US and U ....Blended payment systems for doctors: evaluation of an experiment. The results of the study will provide new evidence for health care policy makers in Australia (and internationally) on the effects of changing the remuneration system for GPs on the costs and quality of health care provided. The study will examine effects in the national priority and national health priority areas of preventive health care and chronic disease. The results will be relevant to other countries, such as the US and UK, where blended payments schemes exist for GPs but have not been evaluated. Read moreRead less
The Medicare Safety Net and its effect on efficiency, equity and welfare. This project aims to measure the welfare implications of social health insurance reforms. It will use the introduction of the Extended Medicare Safety Net to examine the effect of social insurance reforms on the efficiency and equity of Australia's health care system. The project expects to produce evidence on the partial and aggregate effects of the Medicare Safety Net and knowledge on the relationship between social insu ....The Medicare Safety Net and its effect on efficiency, equity and welfare. This project aims to measure the welfare implications of social health insurance reforms. It will use the introduction of the Extended Medicare Safety Net to examine the effect of social insurance reforms on the efficiency and equity of Australia's health care system. The project expects to produce evidence on the partial and aggregate effects of the Medicare Safety Net and knowledge on the relationship between social insurance and health system performance. In doing so, the research seeks to help policy makers to improve the design of social health insurance programmes to make the system more sustainable and equitable.Read moreRead less
Modelling community preferences for health policy: how choice experiments can inform the organisation of acute health services for older Australians. This work will provide vital information on community preferences to inform health policy regarding how we should best organise acute healthcare for older Australians. It addresses one of the most pressing health policy issues in Australia: how to maintain a sustainable, equitable and responsive health care system, in the face of an ageing populati ....Modelling community preferences for health policy: how choice experiments can inform the organisation of acute health services for older Australians. This work will provide vital information on community preferences to inform health policy regarding how we should best organise acute healthcare for older Australians. It addresses one of the most pressing health policy issues in Australia: how to maintain a sustainable, equitable and responsive health care system, in the face of an ageing population.Read moreRead less
Incentives and performance in the health care system. Changes in financial incentives for health care providers will have direct effects on their behaviour, which in turn influences patients' health outcomes, quality of care, and access to health care for the population. The research will provide a richer understanding of the effects of incentives, and will influence policy on the design of incentives for health care providers in Australia. Changes in incentives will ensure patients receive mo ....Incentives and performance in the health care system. Changes in financial incentives for health care providers will have direct effects on their behaviour, which in turn influences patients' health outcomes, quality of care, and access to health care for the population. The research will provide a richer understanding of the effects of incentives, and will influence policy on the design of incentives for health care providers in Australia. Changes in incentives will ensure patients receive more appropriate, higher quality, and less costly health care, in the most appropriate settings, and delivered by the most appropriate health care providers. This will have direct effects on population health and well-being and the capacity of individuals to lead healthy and productive lives.Read moreRead less
Modelling health: Reporting behaviour and misclassification using survey data. Empirical models based on large scale survey data sets are used by health economists to inform policymakers. However, in the case of sensitive topics, a potential for survey misreporting may lead to inaccurate estimates of aberrant behaviours. To date, little work has been done analysing the extent and consequences of inaccurate reporting, especially within health economics. By addressing areas where potential for mis ....Modelling health: Reporting behaviour and misclassification using survey data. Empirical models based on large scale survey data sets are used by health economists to inform policymakers. However, in the case of sensitive topics, a potential for survey misreporting may lead to inaccurate estimates of aberrant behaviours. To date, little work has been done analysing the extent and consequences of inaccurate reporting, especially within health economics. By addressing areas where potential for misinformation is high, the overall quality of results will be enhanced. This research will be submitted to highly ranked health economics and econometrics journals to be made available to relevant policymakers intent on ensuring a healthy society.Read moreRead less
Modelling Inequalities in Health in Australia in the Area of Obesity. This research will contribute to a body of knowledge that informs government policy and falls under a National Research Priority - Promoting and Maintaining Good Health. Obesity is a serious health problem among adult Australians and the situation is likely to worsen if left unchecked. The first task in addressing this issue is to identify who is at risk. In this project we will use multiple and robust techniques to examine t ....Modelling Inequalities in Health in Australia in the Area of Obesity. This research will contribute to a body of knowledge that informs government policy and falls under a National Research Priority - Promoting and Maintaining Good Health. Obesity is a serious health problem among adult Australians and the situation is likely to worsen if left unchecked. The first task in addressing this issue is to identify who is at risk. In this project we will use multiple and robust techniques to examine this issue. Our research will therefore help in targeting public resources to those that can really benefit, as we hypothesise markets in health do not clear efficiently for a multitude of reasons. Read moreRead less
Development of a Value of Life Framework to Assist Priority Setting Decision Making Across Sectors. The techniques used to evaluate life-saving interventions differ between health and other sectors. In health cost-effectiveness or cost-utility anlaysis is common, avoiding specification of a value for life. In contrast the transport and environment sectors use cost-benefit analysis and value life in monetary terms. This duality of approaches has resulted in a lower implicit value of life in th ....Development of a Value of Life Framework to Assist Priority Setting Decision Making Across Sectors. The techniques used to evaluate life-saving interventions differ between health and other sectors. In health cost-effectiveness or cost-utility anlaysis is common, avoiding specification of a value for life. In contrast the transport and environment sectors use cost-benefit analysis and value life in monetary terms. This duality of approaches has resulted in a lower implicit value of life in the health sector. The research will explore these differences and attempt to identify key attributes that influence how life is valued, to provide a framework for a single approach to the valuation of life, and the more efficient allocation of resources cross-sectorally.Read moreRead less