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
Response of Proteins to External Non-Ionising Radiation: an Experimental and Computer Modelling Investigation. The expanding use of digital technologies such as mobile phones has led to major health concerns about the effects of non-ionising pulsed radiation exposure which has been shown to produce instantaneous temperature rises undetectable by normal thermometry. The health implications of exposure are not understandable without establishing molecular mechanisms by which pulsed microwaves can ....Response of Proteins to External Non-Ionising Radiation: an Experimental and Computer Modelling Investigation. The expanding use of digital technologies such as mobile phones has led to major health concerns about the effects of non-ionising pulsed radiation exposure which has been shown to produce instantaneous temperature rises undetectable by normal thermometry. The health implications of exposure are not understandable without establishing molecular mechanisms by which pulsed microwaves can cause biological effects. We aim to establish methods for studying the molecular mechanisms of protein structural and energetic changes occurring due to non-ionising radiation. The results will help our industry partner to design specific drugs as well as formulate a scientifically based standard for microwave utilisation.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
An action research project to strengthen inter-professional learning and practice across the ACT health system. There are 14 beneficial reasons why this project is vital to the fabric of our nation. These include: the economic benefits of a more efficient health-care system; the social benefits of more responsive and resilient workplaces; the research benefits of better knowledge about how professionals can work together effectively; the consumer benefits of improved patient care; health sector ....An action research project to strengthen inter-professional learning and practice across the ACT health system. There are 14 beneficial reasons why this project is vital to the fabric of our nation. These include: the economic benefits of a more efficient health-care system; the social benefits of more responsive and resilient workplaces; the research benefits of better knowledge about how professionals can work together effectively; the consumer benefits of improved patient care; health sector benefits in assisting health reforms to be more effective; and education sector benefits in understanding how professionals from different disciplines can learn together more collaboratively. The benefits are transferable to other industries and professional groups, as well as to Australia's international partners.Read moreRead less
Modelling patient flows through hospitals: optimizing effective use of resources. Hospitals are complex, dynamic systems confronted by increased demand in the face of shrinking real capacity. Managing such systems is currently undertaken with sub-optimal analytical support, particularly when demand and capacity are changing and resources must be manipulated to respond to such changes. In this project, the investigators will apply a mathematical modelling approach to the analysis of hospital pati ....Modelling patient flows through hospitals: optimizing effective use of resources. Hospitals are complex, dynamic systems confronted by increased demand in the face of shrinking real capacity. Managing such systems is currently undertaken with sub-optimal analytical support, particularly when demand and capacity are changing and resources must be manipulated to respond to such changes. In this project, the investigators will apply a mathematical modelling approach to the analysis of hospital patient flows. Furthermore, they will employ statistical process control methodologies to the problem of recognising and responding to changes in the flows, so that performance objectives are met. In doing this, they will give health service managers and clinicians a significant advantage in deciding how best to manage a constrained resource to maximize access, throughput and patient outcomes.Read moreRead less