Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting ....Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting the health system to focus more on prevention and health promotion, improving current approaches of consumer participation in prevention and chronic disease management, tackling broader issues in public policy trade-offs between health and non-health, diversifying workforce roles and involving health professionals in prevention and promotion.Read moreRead less
A mental health "thermometer" to monitor and prevent adverse treatment outcomes and self-harm among psychiatric inpatients. Our project stands to prevent adverse outcomes in psychiatric patients. An estimated 660 000 people are admitted to psychiatric hospitals each year; 99 000 of these people are worse off following treatment (assuming a deterioration rate of 15 per cent). Since monitoring can halve that rate, if this project can halve the deterioration rate again, then 24 750 inpatients acr ....A mental health "thermometer" to monitor and prevent adverse treatment outcomes and self-harm among psychiatric inpatients. Our project stands to prevent adverse outcomes in psychiatric patients. An estimated 660 000 people are admitted to psychiatric hospitals each year; 99 000 of these people are worse off following treatment (assuming a deterioration rate of 15 per cent). Since monitoring can halve that rate, if this project can halve the deterioration rate again, then 24 750 inpatients across the nation would not be worse off after treatment representing an annual saving of nearly $19.2 million per annum and reduce the number of patients who fall into a cycle of admission and readmission. Further, although suicide occurs in less than one per cent of admissions, if this research is able to predict and then reduce the suicide rate by as little as 10 per cent, then 660 lives can be saved each year.Read moreRead less
Can and should we link data at a national level? Vaccine safety surveillance: A case study. This project provides many benefits for the community, exploring the legal and ethical issues around consent for data linkage, convening Citizens' Juries to weigh the evidence and make recommendations. It addresses National Research Priorities: Promoting and Maintaining Good Health and Safeguarding Australia as well as National Collaborative Research Infrastructure Strategy priorities. It uses vaccine sa ....Can and should we link data at a national level? Vaccine safety surveillance: A case study. This project provides many benefits for the community, exploring the legal and ethical issues around consent for data linkage, convening Citizens' Juries to weigh the evidence and make recommendations. It addresses National Research Priorities: Promoting and Maintaining Good Health and Safeguarding Australia as well as National Collaborative Research Infrastructure Strategy priorities. It uses vaccine safety surveillance as a case study to evaluate the effectiveness of data linkage (through linking Commonwealth immunisation data to state hospital data) and the methodologies and lessons learnt from cross jurisdictional data linkage can be transferred to other areas. Read moreRead less
Global Corporate Challenge Evaluation: The evaluation of a low-cost, low-impact physical-activity workplace intervention. Societal increases in obesity and physical inactivity have led to consideration of workplace interventions as a potential for improving health. However, long-term evaluations of such interventions are rare. Here we will evaluate the Global Corporate Challenge (GCC), which engages employees to participate in a four month pedometer-based program aimed at increasing their physic ....Global Corporate Challenge Evaluation: The evaluation of a low-cost, low-impact physical-activity workplace intervention. Societal increases in obesity and physical inactivity have led to consideration of workplace interventions as a potential for improving health. However, long-term evaluations of such interventions are rare. Here we will evaluate the Global Corporate Challenge (GCC), which engages employees to participate in a four month pedometer-based program aimed at increasing their physical activity levels. We will follow 1000 participants for two years to determine the short and long-term health benefits of the program and to provide insight into factors that may improve the success of such programs. Such findings are essential for appropriate government and industry policy decisions in this area of chronic disease prevention. Read moreRead less
Planning female and male vaccination and cervical screening strategies to achieve optimal prevention of HPV-related disease. The findings from this research will inform the development of public health policy on the most cost-effective utilisation of resources for preventing cervical, anogenital and head/neck cancers, and genital warts, in women and men, due to human papillomavirus (HPV). We will evaluate strategies for using emerging screening and vaccine technologies to prevent HPV-related dis ....Planning female and male vaccination and cervical screening strategies to achieve optimal prevention of HPV-related disease. The findings from this research will inform the development of public health policy on the most cost-effective utilisation of resources for preventing cervical, anogenital and head/neck cancers, and genital warts, in women and men, due to human papillomavirus (HPV). We will evaluate strategies for using emerging screening and vaccine technologies to prevent HPV-related disease, and assess potential adverse outcomes of vaccination. Men are currently not covered by routine vaccination or screening programs; this research will assess the benefit to men of vaccinating women only, and will consider the impact of vaccination and other interventions targeted towards men.Read moreRead less
After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, ....After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, early childhood, mental health and drug and alcohol services operated by NSW Health. The research will be the first study of its size to consider the outcomes of routine screening for domestic violence in public health settings in the Australian context.Read moreRead less
The use of social marketing strategies and adult education principles to improve asthma self management in older people. Asthma is estimated to affect up to 10 per cent of people aged 65+ some of whom experience the condition for the first time later in life. Mortality rates from asthma in Australia are highest in the older population and statistics show that older people are most likely to be admitted to hospital following attendance at an Emergency Department for asthma. Older people lack aw ....The use of social marketing strategies and adult education principles to improve asthma self management in older people. Asthma is estimated to affect up to 10 per cent of people aged 65+ some of whom experience the condition for the first time later in life. Mortality rates from asthma in Australia are highest in the older population and statistics show that older people are most likely to be admitted to hospital following attendance at an Emergency Department for asthma. Older people lack awareness about asthma, often manage it poorly, and their health related quality of life is impacted by asthma. There is disparity in asthma information, management and service provision targeted specifically to the needs of the elderly. This project will provide much-needed evidence on the effectiveness of carefully researched and targeted programs for older asthmatics.Read 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
The effect of a practice change intervention in increasing, on a network-wide basis, the provision of preventive care by community health clinicians. Community health services do not routinely deliver care that aims to decrease client health risk behaviours. The effectiveness of an intervention designed to enhance the delivery of such care will be examined.
Preventing Adverse Events in Hospitals. Our research will construct strategies and tools for preventing hospital adverse events and should develop knowledge and expertise about reducing care complications in high risk patients.This research has collaborating partners which are hospitals in Victoria, South Australia and Queensland. These form part of the preventative healthcare network with implications for the nation's social and economic fabric through their role in reducing morbidity, mortali ....Preventing Adverse Events in Hospitals. Our research will construct strategies and tools for preventing hospital adverse events and should develop knowledge and expertise about reducing care complications in high risk patients.This research has collaborating partners which are hospitals in Victoria, South Australia and Queensland. These form part of the preventative healthcare network with implications for the nation's social and economic fabric through their role in reducing morbidity, mortality and supporting the health of all Australians. Since acquired complications have comparable costs to the healthcare system as that of all other forms of injury combined, there will be substantial benefits to hospitals through reduced costs.Read moreRead less