A new quality of life instrument with older people for economic evaluation. This project aims to develop and validate a new preference-based quality-of-life instrument with applications in aged-care. The new instrument will be developed with older people receiving aged care services, and will focus upon incorporating their values into the measurement and valuation of quality of life for economic evaluation. The new instrument will have immediate applications in quality assessment and economic ev ....A new quality of life instrument with older people for economic evaluation. This project aims to develop and validate a new preference-based quality-of-life instrument with applications in aged-care. The new instrument will be developed with older people receiving aged care services, and will focus upon incorporating their values into the measurement and valuation of quality of life for economic evaluation. The new instrument will have immediate applications in quality assessment and economic evaluation, improving the quality of life and wellbeing of older Australians, and will assist in determining the relative cost effectiveness of new and existing services.
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Discovery Early Career Researcher Award - Grant ID: DE220100663
Funder
Australian Research Council
Funding Amount
$440,850.00
Summary
The Real Price of Health: Experiences of Out-of-Pocket Costs in Australia. This project aims to investigate the experiences and preferences of Australian families and individuals on low, middle, and high incomes in managing the out-of-pocket costs of chronic disease. This project aspires to ensure outcomes that are relevant to the public and patients through involving people living with chronic disease in the research team. The project expects to generate a discrete choice model that describes p ....The Real Price of Health: Experiences of Out-of-Pocket Costs in Australia. This project aims to investigate the experiences and preferences of Australian families and individuals on low, middle, and high incomes in managing the out-of-pocket costs of chronic disease. This project aspires to ensure outcomes that are relevant to the public and patients through involving people living with chronic disease in the research team. The project expects to generate a discrete choice model that describes people with chronic diseases’ preferences, and the trade-offs that they are faced with when deciding how to manage out-of-pocket health costs. The evidence arising from this innovative study will be used to directly inform Australian health policy, leading to wide-ranging health and economic benefits for the whole community.Read moreRead less
Rural General Practitioners in Australia: Costs, Returns and Relative Work Value of Rural Compared with Urban Private General Practitioners. Aims:
* To conduct a rurally focused study of GPs in Australia, to address rural GPs' concerns about remuneration, and consumers' concerns about access to rural GPs.
* To examine costs, prices, returns and work value differentials between rural and urban GPs.
Significance:
* The first systematic economic evaluation of rural GP remuneration and work valu ....Rural General Practitioners in Australia: Costs, Returns and Relative Work Value of Rural Compared with Urban Private General Practitioners. Aims:
* To conduct a rurally focused study of GPs in Australia, to address rural GPs' concerns about remuneration, and consumers' concerns about access to rural GPs.
* To examine costs, prices, returns and work value differentials between rural and urban GPs.
Significance:
* The first systematic economic evaluation of rural GP remuneration and work value in Australia.
* Reflection of the profession's geographical heterogeneity in policy recommendations.
Expected outcomes:
* Improved measurements of effects of geographcial location on costs, remuneration and relative work value of rural GPs.
* Improved understanding of effects of differential rates of GP bulk-billing.Read moreRead less
Development And Valuation Of Cancer-specific Multi-attribute Health States For Use In Economic Evaluation
Funder
National Health and Medical Research Council
Funding Amount
$707,671.00
Summary
Economic evaluation is used by the Australian government in deciding which medical services and pharmaceuticals should be funded. This study will develop quality of life utility measures for use in economic evaluation of cancer interventions in Australia and internationally. This represents a significant methodological contribution to the assessment of quality of life, effectiveness and efficiency in cancer, in one of Australia's national health priority areas.
Modelling community preferences for health policy: how choice experiments can inform the organisation of acute health services for older Australians. This work will provide vital information on community preferences to inform health policy regarding how we should best organise acute healthcare for older Australians. It addresses one of the most pressing health policy issues in Australia: how to maintain a sustainable, equitable and responsive health care system, in the face of an ageing populati ....Modelling community preferences for health policy: how choice experiments can inform the organisation of acute health services for older Australians. This work will provide vital information on community preferences to inform health policy regarding how we should best organise acute healthcare for older Australians. It addresses one of the most pressing health policy issues in Australia: how to maintain a sustainable, equitable and responsive health care system, in the face of an ageing population.Read moreRead less
Application Of Discrete Choice Experiments To Value Multi-attribute Health States For Use In Economic Evaluation
Funder
National Health and Medical Research Council
Funding Amount
$450,369.00
Summary
Economic evaluation is used increasingly by health care decision makers to decide which health care programs provide the best value for money, in terms of improving health and quality of life outcomes for the population. It is used by the Australian government in deciding which medical services and pharmaceuticals should be funded. This requires measurement of quality of life in a way that allows comparison across treatments, and a means of quantifying community preferences for different health ....Economic evaluation is used increasingly by health care decision makers to decide which health care programs provide the best value for money, in terms of improving health and quality of life outcomes for the population. It is used by the Australian government in deciding which medical services and pharmaceuticals should be funded. This requires measurement of quality of life in a way that allows comparison across treatments, and a means of quantifying community preferences for different health states (that is, how we value health outcomes). Health outcomes are often valued using the quality adjusted life year (QALY) which combines length and quality of life in a single measure. To compare across diseases and treatments, quality of life must be measured in the same way. This can be done by using a standard set of questions that cover the different aspects of quality of life (eg pain, mobility, emotional state). In this way, a single survey instrument can be used for any disease or outcome of treatment. We can also use the same instrument to ask members of the public to provide information about their preferences for different health states (that is how they value health outcomes). However, obtaining this information from respondents is complex, and there is debate about which are the best instruments, and the best methods to value health outcomes. In this research, we propose a new approach to valuing health states, which is easier to administer and which allows for more detailed and rigorous analysis of the responses people give, to provide better models of how the different aspects of quality of life are combined in valuing health outcomes. We will compare the new method with the main existing methods. We will compare these methods for two standard quality of life instruments that are widely used in health care research. The research will also provide valuations of health states from the Australian population that can then be used in economic evaluation.Read moreRead less
Developing methods for benefit measurement in health-related economic analyses and their use in selecting public health promotional programs. The program involves the creation, validation and use of a suite of instruments for evaluating outcomes of health promotional programs, including adult and childhood obesity, depression and smoking - areas that are universally recognised as being of importance for the Australian community. The program will provide multiple scoring algorithms for each of th ....Developing methods for benefit measurement in health-related economic analyses and their use in selecting public health promotional programs. The program involves the creation, validation and use of a suite of instruments for evaluating outcomes of health promotional programs, including adult and childhood obesity, depression and smoking - areas that are universally recognised as being of importance for the Australian community. The program will provide multiple scoring algorithms for each of the instruments in order to test the sensitivity of results to assumptions made about social values, and will produce Australian estimates of the person trade-off weights used in the Australian and Victorian Burden of Disease studies (which presently use Dutch PTO weights). Read moreRead less
Explaining Social Preferences For Priority Setting In The Health Sector
Funder
National Health and Medical Research Council
Funding Amount
$235,218.00
Summary
This project looks at whether the views of the public regarding the allocation of society's limited health care resources are well-informed and carefully considered. A series of focus groups will be conducted where members of the public can think about the ethical issues involved, discuss them with others, and ask questions. This approach has the potential to improve the legitimacy of health policy decisions by contributing to a better understanding of the values of the public.
Motor vehicle injuries: economic evaluation of a new treatment modality. The management of injured persons following motor vehicle accidents is a serious health issue in Australia, with over 60,000 minor injuries and 20,000 major injuries occurring annually. This project will provide a cost-effectiveness analysis of a new multidisciplinary approach to managing minor injuries by utilising data from the Accident Care Evaluation (ACE) trial of a new clinic being tested for this purpose.
Modelling the lifetime social and economic impacts of fragile x syndrome and the benefits of early diagnosis and intervention. This project falls within the National Research Priority, promoting and maintaining good health, through a healthy start to life and strengthening of social and economic outcomes over the course of life. Fragile X is a group of associated genetic disorders affecting individuals across generations. It is the most common identifiable cause of inherited intellectual disabil ....Modelling the lifetime social and economic impacts of fragile x syndrome and the benefits of early diagnosis and intervention. This project falls within the National Research Priority, promoting and maintaining good health, through a healthy start to life and strengthening of social and economic outcomes over the course of life. Fragile X is a group of associated genetic disorders affecting individuals across generations. It is the most common identifiable cause of inherited intellectual disability. About 1 in 4000 males and 1 in 8000 females have Fragile X, but up to 1 in 250 females are carriers. For the first time in Australia, this study will reveal the social and economic impacts on the individual, on their family members who are often the lifelong carers, and on the Australian community, and show how these impacts may be minimised through early intervention.Read moreRead less