A novel cooperative global information system for healthcare. This project will develop a global model for healthcare based on the groundbreaking Protocol Hypothesis Testing (PHT) system, allowing expert groups of clinicians to create and share knowledge across organizations. The PHT is a unique functioning knowledge management system that allows clinicians to record patient and treatment data as it is generated in clinical practice and applies scientific methods to generate clinical knowledge, ....A novel cooperative global information system for healthcare. This project will develop a global model for healthcare based on the groundbreaking Protocol Hypothesis Testing (PHT) system, allowing expert groups of clinicians to create and share knowledge across organizations. The PHT is a unique functioning knowledge management system that allows clinicians to record patient and treatment data as it is generated in clinical practice and applies scientific methods to generate clinical knowledge, all in real-time. The project will develop and test a framework for the PHT system to be used cooperatively by expert groups across virtual organizations, refining the PHT system in the process.Read moreRead less
Chronic Disease Outcomes And Enhanced Primary Care In Seniors: A Cross-Jurisdictional Linkage Project
Funder
National Health and Medical Research Council
Funding Amount
$1,077,766.00
Summary
This project will provide evidence on how best to use the efforts of Australian GPs to obtain better outcomes in patients aged 65+ years who suffer from chronic diseases such as diabetes, heart disease and high blood pressure, asthma and emphysema, seizures and stomach disorders. It will also examine the best way that GP visits can promote healthier ageing in all older seniors, aged 75+ years. For each disease and in older seniors, the study will be able to detect which of the following factors ....This project will provide evidence on how best to use the efforts of Australian GPs to obtain better outcomes in patients aged 65+ years who suffer from chronic diseases such as diabetes, heart disease and high blood pressure, asthma and emphysema, seizures and stomach disorders. It will also examine the best way that GP visits can promote healthier ageing in all older seniors, aged 75+ years. For each disease and in older seniors, the study will be able to detect which of the following factors are the most important for better patient health: (i) seeing a GP more times, (ii) seeing a GP at more even intervals, (iii) seeing the same GP, or (iv) seeing a GP with a lot of experience in chronic diseases. Separate investigations will be made in older people living in hostels and nursing homes, because their needs may be different. The study will also evaluate the benefits of a major change that occurred to Medicare in 1999, when GPs were paid to perform health assessments and to prepare health plans (with other health workers) for patients with chronic health problems. The results will enable this important initiative to be further improved. The study will use a unique and new Australian research facility, which has brought together health data on the entire population of WA from both the State and Commonwealth levels, including information on Medicare use, pharmaceuticals, hospital stays and deaths. The facility works in such a way as to preserve patient and GP privacy. A strong feature of this research will be the degree of involvement of a representative and voluntary group of older Australian patients who attend GP clinics, and the GPs themselves, in advising the researchers on what's important to consumers and GPs.Read moreRead less
Improving external validity of stated choice experiments. This project aims to deliver more accurate estimates of choice behaviour by reducing biases due to choice task complexity in surveys as well as design artefacts. Extracting 'true' preferences is challenging, not only due to possible hypothetical bias, but also due to increasingly complex choice tasks and the existence of design artefacts. This project will investigate the latter two in the context of marketing, transport, health, and envi ....Improving external validity of stated choice experiments. This project aims to deliver more accurate estimates of choice behaviour by reducing biases due to choice task complexity in surveys as well as design artefacts. Extracting 'true' preferences is challenging, not only due to possible hypothetical bias, but also due to increasingly complex choice tasks and the existence of design artefacts. This project will investigate the latter two in the context of marketing, transport, health, and environmental economics, and proposes new methodologies to extract preferences that more closely reflect true behaviour in real markets.Read moreRead less
Predictive analytics from at home telemonitoring of vital signs. Predictive analytics from at home telemonitoring of vital signs. This project aims to reduce unscheduled admissions to hospital, by developing statistical models of people’s health using longitudinal measurements of vital signs and questionnaires. Hospital costs are becoming unsustainable and will overwhelm state budgets within thirty years. Telehealth monitoring to manage chronic disease is becoming increasingly routine internatio ....Predictive analytics from at home telemonitoring of vital signs. Predictive analytics from at home telemonitoring of vital signs. This project aims to reduce unscheduled admissions to hospital, by developing statistical models of people’s health using longitudinal measurements of vital signs and questionnaires. Hospital costs are becoming unsustainable and will overwhelm state budgets within thirty years. Telehealth monitoring to manage chronic disease is becoming increasingly routine internationally and should reduce unnecessary hospital admissions and health service costs. To scale up telehealth services nationally, automated means of assessing changes in an individual health status are needed. This project’s automated risk assessment models are expected to identify exacerbations and orchestrate an optimal response from health services to reduce unscheduled admissions to hospital.Read moreRead less
Improving Medication Safety In Seniors: A Cross-Jurisdictional Linkage Project
Funder
National Health and Medical Research Council
Funding Amount
$636,717.00
Summary
The project will identify priorities for tackling the current epidemic of hospitalisation of Australians aged 65+ years due to side effects of their medications. Two different groups of medications will be investigated. The first will be the prescribed drugs most often recorded as causes of hospital stay, including those taken to stop blood clotting, for high blood pressure and other cardiovascular problems, for rheumatism or strong pain relief, anti-cancer drugs and steroids. The study will exa ....The project will identify priorities for tackling the current epidemic of hospitalisation of Australians aged 65+ years due to side effects of their medications. Two different groups of medications will be investigated. The first will be the prescribed drugs most often recorded as causes of hospital stay, including those taken to stop blood clotting, for high blood pressure and other cardiovascular problems, for rheumatism or strong pain relief, anti-cancer drugs and steroids. The study will examine which of these drugs taken under what circumstances has the highest risk, so prevention can be better targeted. The study will investigate if adequate laboratory monitoring of the anti- clotting drugs is taking place and whether the guidelines should be updated. The second group will be 68 medications that should be avoided in seniors according to an international expert panel. The research will see how often these 'inappropriate medications' are still prescribed in the Australian setting, and the size of their contributions to unplanned hospital stays. The researchers suspect that this problem is much larger than immediately apparent from routine statistics, because many of the side effects of inappropriate medications are non-specific, such as confusion, drowsiness or difficulty standing up, thus putting seniors at risk of falls and neglect of other aspects of their health. The study will use a unique and new Australian research facility, which has brought together health data on the entire population of WA from both the State and Commonwealth levels, including information on pharmaceuticals, Medicare use, hospital stays and deaths. The facility works in such a way as to preserve patient and GP privacy. A strong feature of this research will be the degree of involvement of a representative and voluntary group of older Australian patients who attend GP clinics, and the GPs themselves, in advising the researchers on what's important to consumers and GPs.Read moreRead less
Productivity and work-life balance in technology-enabled virtual work environments. This project examines the impact of technology-enabled virtual work environments on the productivity and work-life balance of professional knowledge workers. Guidelines will be developed that improve organisational and individual outcomes for professional knowledge workers who use technology extensively in their interactions with others.
Practicing Aquatic Animal Welfare: Identifying And Mitigating Obstacles To Uptake And Adoption By The Australian Fishing Industry
Funder
Fisheries Research and Development Corporation
Funding Amount
$100,100.00
Summary
Recent research shows general public support for Australia’s fishing industry (Sparks 2017; Voyer et al 2016) that depends on people’s assessments of industry’s commitment to implement best practice and demonstration of being effective environmental stewards (Mazur et al 2014). The FRDC has recognised external pressure for the fishing industry to move beyond compliance with environmental and other regulations and improve its performance in key areas, including animal welfare. As noted above, th ....Recent research shows general public support for Australia’s fishing industry (Sparks 2017; Voyer et al 2016) that depends on people’s assessments of industry’s commitment to implement best practice and demonstration of being effective environmental stewards (Mazur et al 2014). The FRDC has recognised external pressure for the fishing industry to move beyond compliance with environmental and other regulations and improve its performance in key areas, including animal welfare. As noted above, the FRDC has provided support for a range of research and industry initiatives to achieve positive aquatic animal welfare outcomes. The FRDC also recognises that further improvement to the seafood industry’s aquatic animal welfare practices are required.
Recent FRDC project investments has produced valuable knowledge about how when change is called for it is very important to recognise that multiple factors influence – positively and/or negatively - people’s decisions to take up those new, innovative, and/or different practices (i.e. 2017-133, 2017-046, 2017-221). These factors typically include personal values and belief systems, access to different kinds of resources required to make changes, particular features of the recommended practices, as well as a range of macro-levels factors that while they may be outside of people’s direct control still affect their choices. FRDC Project 2017-133 generated important insights about how and to what extent these kinds of factors have been keeping the seafood industry from making more substantive progress towards building greater stakeholder and community trust (Mazur & Brooks 2018).
Further work of this nature is now needed to shed greater light on aquatic animal welfare in the seafood industry (FRDC 2017-221). In particular the research should be focused on identifying the particular features of ‘best care’ for aquatic animals, the range of factors that may be obstructing industry members’ use of those practices, and examples of recent (extension) initiatives used to encourage better aquatic animal welfare.
Objectives: 1. Identifying best practice in (aquatic) animal welfare. 2. Identify the extent to which fishers and finfish aquaculture farms are applying best practice in Australia 3. Identify factors impeding the uptake and adoption of a selection of recommended aquatic animal welfare practices in wild-catch commercial fishing and finfish aquaculture 4. Identify appropriate strategies to mitigate obstacles to improved uptake and adoption of those recommended practices 5. Help build the Australian fishing industry's capacity to design and implement extension programs, especially those targeting increased uptake and adoption of recommended aquatic animal welfare practices 6. Contribute to increased likelihood of more widespread and enduring practice-change in the seafood industry's aquatic animal welfare practices in wild-catch commercial fishing and finfish aquaculture Read moreRead less
Diseases of the 21st century are complex with environmental and genetic causes. At the interface of these is Epigenetics - factors not specified by DNA sequence that control genes. Recent data show much of the risk associated with disease is set early in life, even during the time in the womb. The MCRI CDDE laboratory has assembled teams of researchers of diverse expertise investigating epigenetics of human development and complex disease to hopefully prevent or reverse them early in life.
Context-aware mobile decision support systems for medical emergency management in mass gatherings. This project contributes to gaining a clearer understanding of the nature and requirements of medical emergency during mass gathering events. We will build and test a mobile real time decision support tool for improving efficiency of medical decisions to strengthen Australia's ability to manage potential health- related hazards. This project addresses research priorities of promoting and maintainin ....Context-aware mobile decision support systems for medical emergency management in mass gatherings. This project contributes to gaining a clearer understanding of the nature and requirements of medical emergency during mass gathering events. We will build and test a mobile real time decision support tool for improving efficiency of medical decisions to strengthen Australia's ability to manage potential health- related hazards. This project addresses research priorities of promoting and maintaining good health. It capitalizes on smart information use and will be of great benefit to mass gatherings emergency management. This project will also train highly qualified IT specialists critical to Australia's scientific and industrial development, thus increasing our competitiveness in information technology R&D. Read moreRead less
Our Pledge: Australian Seafood Industry Response To Community Values And Expectations
Funder
Fisheries Research and Development Corporation
Funding Amount
$153,484.97
Summary
Despite considerable investment in RD&E to understand why the Australian seafood industry has been experiencing diminished levels of socio-political and community acceptability, there is still uncertainty regarding the significant values of different segments of the Australian community for coastal and marine systems, their management and industry (Essence Communications 2015). Further, there is evidence these values and associated expectations are highly changeable and can have significant indi ....Despite considerable investment in RD&E to understand why the Australian seafood industry has been experiencing diminished levels of socio-political and community acceptability, there is still uncertainty regarding the significant values of different segments of the Australian community for coastal and marine systems, their management and industry (Essence Communications 2015). Further, there is evidence these values and associated expectations are highly changeable and can have significant individual, business and national repercussions. While the seafood industry already operates from a strong values-based position of its own - ‘sustainability’, there is evidence the community's concerns have expanded to include animal welfare, supply chain integrity, modern slavery for example.
Understanding community values and expectations is important but not enough. Industry must articulate and demonstrate its commitments to addressing kncommunity expectations. This is critical to breaking the reactive negative cycle that threatens resource access, mental health and viability of our industry. A means of monitoring and tracking industry's success in responding to the community's changing expectations and values must also be developed.
Seafood Industry Australia's (SIA) members have identified social licence. This project is a tangible commitment to a national conversation and action to address community values. It is an opportunity to build seafood industry unity on the basis of a set of shared values and supporting practices.
Australian Council of Prawn Fisheries (ACPF) has initiated a lot of this listening and values-related work relevant to wild catch prawns. ACPF is ready to design, implement and evaluate activities that embed these values as messages and convey the supporting or changing behaviours as proof. ACPF needs to ensure that its outputs reflect the direction of the Australia seafood industry and sees advantages in liaising with SIA as it produces outputs at sector level. In doing so, it will provide a test case for how other seafood industry sectors can undertake to acknowledge and respond to community values and expectations, and make a national set of shared industry-community values their own. Objectives: 1. Identify values of major segments of the Australian community for fisheries resources and seafood industries, and expectations of industry behaviours that support those values 2. Identify values of the Australian seafood industry that are common across the industry at national and sector/regional scales 3. Establish industry response to community values and expectations, including measurable benchmarks of industry behaviours and performance that demonstrate commitment 4. Demonstrate and evaluate the effectiveness of a community engagement and communication strategy that is built on recognised shared values and committment to supporting industry behaviours (Extension proof of concept – Prawns) 5. Increase capacity of industry's current and emerging leaders to engage in values-and-behaviours conversations with community leaders on an ongoing basis Read moreRead less