The effectiveness of health impact assessments conducted in Australia and New Zealand. Health impact assessment (HIA) has been internationally recognised as one of a limited number of preventive interventions that can be used to enhance the health benefits of health and other sector activities - policies, programs and projects - before they are implemented. The issue of how effective HIA is in changing decision-making and implementation remains largely unresolved however. This study will exami ....The effectiveness of health impact assessments conducted in Australia and New Zealand. Health impact assessment (HIA) has been internationally recognised as one of a limited number of preventive interventions that can be used to enhance the health benefits of health and other sector activities - policies, programs and projects - before they are implemented. The issue of how effective HIA is in changing decision-making and implementation remains largely unresolved however. This study will examine the effectiveness HIAs that have been completed in Australia and New Zealand between 2005 and 2009. The findings will guide the use of HIA by the public and private sectors in Australia and internationally, and improve HIA's ability to strengthen Australia's social and economic fabric.Read moreRead less
Resolving patients' complaints about hospitals: Responsive regulation by health ombudsmen. Ombudsmen help ensure integrity and accountability in societal institutions. This study of patients' complaints about hospitals to health ombudsmen in two states, and the responses of hospitals, will produce evidence on strategies for making hospitals more responsive to the public and more accountable for the quality of their care. Australia was a world leader in establishing health ombudsmen and this stud ....Resolving patients' complaints about hospitals: Responsive regulation by health ombudsmen. Ombudsmen help ensure integrity and accountability in societal institutions. This study of patients' complaints about hospitals to health ombudsmen in two states, and the responses of hospitals, will produce evidence on strategies for making hospitals more responsive to the public and more accountable for the quality of their care. Australia was a world leader in establishing health ombudsmen and this study will explore their impact upon the hospital system. Evidence-based strategies are needed to improve the accountability of service providers and regulators. Social and economic benefits flow from empowering patients and from improving hospital performance.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
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
Community preferences for organ donation and allocation in Australia. This work will provide vital information on the Australian public's attitudes and preferences towards organ donation and allocation strategies, and inform the development of a national organ donation strategy that considers the public's preferences for different policies to increase organ donor rates. This project will directly address the National Research Priority of 'promoting and maintaining good health'; increasing the a ....Community preferences for organ donation and allocation in Australia. This work will provide vital information on the Australian public's attitudes and preferences towards organ donation and allocation strategies, and inform the development of a national organ donation strategy that considers the public's preferences for different policies to increase organ donor rates. This project will directly address the National Research Priority of 'promoting and maintaining good health'; increasing the availability of donor organs, and improving the equity and transparency of organ allocation in Australia will lead to improved health outcomes for patients on transplant waiting lists around Australia, and improved health outcomes for patients not previously eligible for transplant (e.g. some dialysis patients)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
Statistical Inference for Probability-Linked Longitudinal Data. The Strategic Roadmap for the Australian Government's National Collaborative Research Infrastructure Strategy states that analysis of linked data, and particularly linked longitudinal data, has the potential to revolutionise Australian public health research. Similar benefits should flow from analysis of linked datasets in other areas, e.g. the Statistical Longitudinal Census Dataset that the Australian Bureau of Statistics intends ....Statistical Inference for Probability-Linked Longitudinal Data. The Strategic Roadmap for the Australian Government's National Collaborative Research Infrastructure Strategy states that analysis of linked data, and particularly linked longitudinal data, has the potential to revolutionise Australian public health research. Similar benefits should flow from analysis of linked datasets in other areas, e.g. the Statistical Longitudinal Census Dataset that the Australian Bureau of Statistics intends to create by linking individual records across censuses. These benefits will be maximised by controlling the impact of linkage error when analysing these datasets. This proposal will develop the statistical theory and related methodology to solve this problem in a statistically efficient manner.Read moreRead less
Human Oöcytes for Stem Cell Research: donation and regulation in Australia. This study will contribute to the development of workable, ethical guidelines and practices for Australian research oöcyte donation. It will contribute to the protection of women's health and autonomy and the design of sound donation practices and support services. It will contribute to the national and international debate about the ethics of stem cell research, and improve the knowledge base available to regulators and ....Human Oöcytes for Stem Cell Research: donation and regulation in Australia. This study will contribute to the development of workable, ethical guidelines and practices for Australian research oöcyte donation. It will contribute to the protection of women's health and autonomy and the design of sound donation practices and support services. It will contribute to the national and international debate about the ethics of stem cell research, and improve the knowledge base available to regulators and other stakeholders to frame adequate and comprehensive regulation.Read moreRead less