ORCID Profile
0000-0003-2829-7195
Current Organisation
The University of Notre Dame Australia - Sydney Campus Broadway
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Publisher: Informa UK Limited
Date: 19-02-2021
Publisher: Springer Science and Business Media LLC
Date: 09-04-2009
Abstract: Government anticipates that health economic analysis will contribute to evidence-based policy development. Early ex les in Australia where this expectation has been met include the economic evaluations of breast and cervical screening. However, the level of integration of health economics within health services that require this advice appears uneven. We sought to describe how government health departments in Australia use specialist health economic advice to inform policy and planning and the mechanisms through which they access this advice. Information describing the arrangements for gaining health economics input into health decision-making was sought through interviews with a purposeful s le of economists and non-economists employed by all departments of health in Australia (state, territories and national). The survey was undertaken in August 2004. To aid interpretation of the results eight health economic functions were identified. As a comparison, four other government departments in NSW provided information about their access to economic advice. All health departments except one reported being current users of health economics expertise. A variety of arrangements were described to source this, from building organisational capacity with self-sufficient in-house units to forging links with external sources. However, specialist positions for economists or health economists employed within health were few. A framework mapping these arrangements for sourcing advice with the eight common health economic functions to be met is presented. All other non-health government departments approached accessed economic advice, with three having in-house units. A small health economics capacity in Australia has been established over the past 30 years through a variety of structural and strategic mechanisms. Health departments value health economic advice and use a variety of arrangements to obtain this. These arrangements have strengths and weaknesses depending upon the task to be undertaken. The lack of uniformity of approach suggests that health departments are still seeking the best ways to incorporate this form of specialist advice into mainstream decision-making. Summarises ways that governments source specialist services. Demonstrates how to describe an organisation's need for specialist services as a set of functions. This approach could be applied to assessing need for other specialist areas of advice.
Publisher: Elsevier BV
Date: 08-1995
DOI: 10.1016/0168-8510(95)93676-R
Abstract: In the wake of the reforms of the UK National Health Service there has been increased interest in 'getting it right' with respect to priority setting in health care. This article examines the way in which programme budgeting and marginal analysis (PBMA) were introduced into North Mersey. It provides a very practical introduction to the topic and indicates the actual processes that were gone through. It is suggested that, in terms of getting participants in the PBMA exercise to think through what programmes comprise, what they cost, what they are trying to achieve and to focus on relevant possible changes, there was considerable merit in the approach. However there are problems, particularly at the level of determining the costs of different programmes.
Publisher: Informa UK Limited
Date: 24-07-2020
Publisher: AMPCo
Date: 04-2018
DOI: 10.5694/MJA17.01172
Publisher: Springer Science and Business Media LLC
Date: 24-04-2009
Publisher: Wiley
Date: 16-04-2020
DOI: 10.5694/MJA2.50585
Abstract: Retraction: Madden DL, Horton GL and McLean M. Preparing Australasian medical students to practise environmentally sustainable health care. Med J Aust 2020 0.5694/mja2.50585. The above article, published online on 16 April 2020 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the authors, the journal's Editor-in-Chief, Professor Nick Talley, the Australasian Medical Publishing Company, and John Wiley & Sons Australia, Ltd. The retraction has been agreed as the proposed graduate outcome statements and learning objectives described are presented in such a way that readers could interpret them as representing the policy of Medical Deans Australia and New Zealand, which they do not.
Publisher: Wiley
Date: 08-2019
DOI: 10.1111/IMJ.14380
Abstract: The visit to Australia by Dr David Pencheon, Founding Director of the National Health Service (NHS) Sustainable Development Unit, in April-May 2018 generated considerable interest and engagement. Dr Pencheon's overarching messages were that climate change is a health issue and that doctors and health systems have an opportunity, and responsibility, to lead climate action. This article distils Dr Pencheon's presentations into three themes: (i) carbon accounting (ii) transformational change in our systems of healthcare and (iii) a health system fit for the future. For each theme, we highlight promising initiatives that are already underway in Australia that are starting to transform our health system into one fit for a future environmentally sustainable world. We suggest practical ways in which doctors can lead the transformation through personal action and influence broader systems.
Publisher: The Sax Institute
Date: 2003
DOI: 10.1071/NB03015
Publisher: AMPCo
Date: 18-04-2020
DOI: 10.5694/MJA2.50586
Publisher: Wiley
Date: 13-11-2019
DOI: 10.5694/MJA2.50405
Abstract: The MJA-Lancet Countdown on health and climate change was established in 2017 and produced its first Australian national assessment in 2018. It examined 41 indicators across five broad domains: climate change impacts, exposures and vulnerability adaptation, planning and resilience for health mitigation actions and health co-benefits economics and finance and public and political engagement. It found that, overall, Australia is vulnerable to the impacts of climate change on health, and that policy inaction in this regard threatens Australian lives. In this report we present the 2019 update. We track progress on health and climate change in Australia across the same five broad domains and many of the same indicators as in 2018. A number of new indicators are introduced this year, including one focused on wildfire exposure, and another on engagement in health and climate change in the corporate sector. Several of the previously reported indicators are not included this year, either due to their discontinuation by the parent project, the Lancet Countdown, or because insufficient new data were available for us to meaningfully provide an update to the indicator. In a year marked by an Australian federal election in which climate change featured prominently, we find mixed progress on health and climate change in this country. There has been progress in renewable energy generation, including substantial employment increases in this sector. There has also been some progress at state and local government level. However, there continues to be no engagement on health and climate change in the Australian federal Parliament, and Australia performs poorly across many of the indicators in comparison to other developed countries for ex le, it is one of the world's largest net exporters of coal and its electricity generation from low carbon sources is low. We also find significantly increasing exposure of Australians to heatwaves and, in most states and territories, continuing elevated suicide rates at higher temperatures. We conclude that Australia remains at significant risk of declines in health due to climate change, and that substantial and sustained national action is urgently required in order to prevent this.
Publisher: AMPCo
Date: 21-10-2020
DOI: 10.5694/MJA2.50825
Publisher: Elsevier BV
Date: 11-2020
Location: Australia
No related grants have been discovered for Diana Lynne Madden.