Developing and Enhancing the Quality of National Injury-Related Hospital Morbidity Data. The annual direct cost of treatment of injuries is estimated to be $2.6 billion across health sectors and $1.6 billion for hospitals alone. Quality data on the circumstances surrounding hospitalised injuries are vital for determining injury risk factors, allocating resources appropriately, and evaluating injury prevention strategies. This research firstly assesses the specificity of coded data for external ....Developing and Enhancing the Quality of National Injury-Related Hospital Morbidity Data. The annual direct cost of treatment of injuries is estimated to be $2.6 billion across health sectors and $1.6 billion for hospitals alone. Quality data on the circumstances surrounding hospitalised injuries are vital for determining injury risk factors, allocating resources appropriately, and evaluating injury prevention strategies. This research firstly assesses the specificity of coded data for external causes of injury and identifies the reasons for a lack of quality in coded data. Based on these findings, a targeted educational program will be implemented for clinicians, coders, and injury researchers, to ultimately enhance the quality of national injury-related hospital morbidity data.Read moreRead less
Emergency Health Services: Demand and service delivery models. Congestion of emergency health services is causing considerable community concern regarding Australia's capacity to manage daily health emergencies and to respond to major incidents and disasters. The service models developed in this project will provide the basis for policy and service initiatives which will address the growing demand for emergency health services more efficiently and effectively and thus meet community expectations ....Emergency Health Services: Demand and service delivery models. Congestion of emergency health services is causing considerable community concern regarding Australia's capacity to manage daily health emergencies and to respond to major incidents and disasters. The service models developed in this project will provide the basis for policy and service initiatives which will address the growing demand for emergency health services more efficiently and effectively and thus meet community expectations. Improved services will result in improved community health and wellbeing. This project will also develop the research capacity of Australia through training of key individuals who will lead future research and development of emergency health services in Australia.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
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
Developing new methods for building health policy capacity in Australia. This project will contribute to improving the capacity for policy analysis, development and evaluation in the health policy workforce and state health jurisdictions in this country. Building health policy capacity will enable the Australian health system to more effectively address current and emerging challenges including an ageing population, increasing incidence of chronic disease, pressures for cost containment, continu ....Developing new methods for building health policy capacity in Australia. This project will contribute to improving the capacity for policy analysis, development and evaluation in the health policy workforce and state health jurisdictions in this country. Building health policy capacity will enable the Australian health system to more effectively address current and emerging challenges including an ageing population, increasing incidence of chronic disease, pressures for cost containment, continuing poor Aboriginal health and emerging threats to Australia's public health, health security and National Health Strategy.Read moreRead less
Organisational change in healthcare: Determinants of effective clinical networks. This research will be internationally leading and place Australia at the forefront of research into organisational change in health care. Developing innovative health care organisational structures, such as clinical networks, has the potential to improve the effectiveness of health care and to reduce costs. Benefits for the community will flow from this project through informed decision making about the best ways t ....Organisational change in healthcare: Determinants of effective clinical networks. This research will be internationally leading and place Australia at the forefront of research into organisational change in health care. Developing innovative health care organisational structures, such as clinical networks, has the potential to improve the effectiveness of health care and to reduce costs. Benefits for the community will flow from this project through informed decision making about the best ways to bring about organisational change in health care. The results of this study will have immediate application to the organisational strategies of the Greater Metropolitan Clinical Taskforce and other national government health care agencies that implement organisational change through clinical networks. Read moreRead less
When informed consent goes poorly: A descriptive study of health care complaints and medical negligence claims. To correct process failures effectively, one must understand them. This project will improve knowledge of problems and disputes that arise when patients are 'consented' for medical treatment -- an enterprise in which thousands of Australians, many at very vulnerable stages of their lives, are engaged daily. Study findings will advance understanding of breakdowns in the informed conse ....When informed consent goes poorly: A descriptive study of health care complaints and medical negligence claims. To correct process failures effectively, one must understand them. This project will improve knowledge of problems and disputes that arise when patients are 'consented' for medical treatment -- an enterprise in which thousands of Australians, many at very vulnerable stages of their lives, are engaged daily. Study findings will advance understanding of breakdowns in the informed consent process and help shape strategies for reducing them. Our partner organisations are extraordinarily well-placed to carry insights from this work to health professionals in the field, enhancing opportunities for real benefits to patients from the research. The project fits with the national research priority of promoting and maintaining good health.Read moreRead less
Agreements as a mechanism for community participation in health policy: Understanding process and evaluating effectiveness. Improving the health of Indigenous people requires health policy that is inclusive and proactive rather than crisis driven. Formal agreements outline responsibilities and accountabilities in a shared framework that respects the rights of the parties involved. This project will evaluate the quality and effectiveness of agreements in Indigenous health by assessing their abil ....Agreements as a mechanism for community participation in health policy: Understanding process and evaluating effectiveness. Improving the health of Indigenous people requires health policy that is inclusive and proactive rather than crisis driven. Formal agreements outline responsibilities and accountabilities in a shared framework that respects the rights of the parties involved. This project will evaluate the quality and effectiveness of agreements in Indigenous health by assessing their ability to change the way governments and communities work together to improve health. The project will help ensure that future agreements reflect shared solutions for improving the health of Indigenous people in a respectful and effective way. It will also determine whether agreements work to bring community and government together to reduce inequalities in health.Read moreRead less
Preventive health care: how compatible are clinicians' identity and practice with transition to the new roles that health reform requires? This project is designed to assess how health care workers cope with the various impacts of health reform and to explore ways of enhancing their preparedness for and commitment to these reforms, particularly as these reforms herald new roles, responsibilities and expectations. The significance of the project lies in the way it links reform to the in situ enac ....Preventive health care: how compatible are clinicians' identity and practice with transition to the new roles that health reform requires? This project is designed to assess how health care workers cope with the various impacts of health reform and to explore ways of enhancing their preparedness for and commitment to these reforms, particularly as these reforms herald new roles, responsibilities and expectations. The significance of the project lies in the way it links reform to the in situ enactment of clinical practice and reflection through video-recording and practitioner auto-review. The project's outcomes include increased understanding of: the tension between situated practice and reform; employee commitment to the interactive implications of reform, and video-based research as individual and organizational change methodology.Read moreRead less
Citizens' juries: enabling effective influenza pandemic policy through engagement with the community. The project will provide information and practical guidance to assist with South Australian pandemic management specifically and will have implications for the state and national disaster planning generally. The project will provide resources for both state and national policy makers in the form of technical reports and comprehensive public health information modules appropriate for disseminatio ....Citizens' juries: enabling effective influenza pandemic policy through engagement with the community. The project will provide information and practical guidance to assist with South Australian pandemic management specifically and will have implications for the state and national disaster planning generally. The project will provide resources for both state and national policy makers in the form of technical reports and comprehensive public health information modules appropriate for dissemination to the wider Australian community. The project will contribute to increased community awareness of pandemic influenza and enhanced community acceptance of (and cooperation with) pandemic management plans while establishing a mechanism for future pandemic and disaster policy planning and evaluation.Read moreRead less