Primary Health Care Errors Study: Qualification And Quantification Of Errors Occurring In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$191,000.00
Summary
The General Practice Errors Study (GPES) is a project that aims to examine errors that GPs notice in their daily practice, that affect patient well-being or care. Very little work has been done on this subject in General Practice in any other country, and Australia is the only country with previous research that has attempted to describe GP errors with the Quality in Australia Health Care Study (QAHCS). However, we have so far not had any research that has been done on a representative sample of ....The General Practice Errors Study (GPES) is a project that aims to examine errors that GPs notice in their daily practice, that affect patient well-being or care. Very little work has been done on this subject in General Practice in any other country, and Australia is the only country with previous research that has attempted to describe GP errors with the Quality in Australia Health Care Study (QAHCS). However, we have so far not had any research that has been done on a representative sample of GPs, or been able to quantify the frequency with which different types of errors occur. This study plans to ask a representative sample of GPs in both urban and rural areas to report their errors, so that we can try to quantify the incidence and prevalence of these different error types. No previous work has been done in Primary care which has attempted to determine the rate of recognized errors that occur in the community. In addition, since the last major work on this topic was done between 1993 and 1998, there have been many changes to General Practice, especially in the area of computerisation, and the types of problems that GPs face now may have changed significantly. Anonymous reporting is very important in order to encourage health professionals to admit to their mistakes, and in the past, projects have used paper based reporting forms, making it difficult to offer anonymity and requiring protection for participants under a Commonwealth Act of Parliament. However the GPES project will be the first major study of General Practice errors that uses an on-line anonymous reporting form, and high level encryption, located on a secure web-site, to encourage honest reporting. The reporting form was trialled in the 2001 pilot study. By analysing the types of errors occurring, and their contributing factors, we can target at-risk population groups and develop strategies to improve patient care and prevent future harm.Read moreRead less
Long-term Health Effects Of Low-carbohydrate Diets In Obese Subjects With The Metabolic Syndrome
Funder
National Health and Medical Research Council
Funding Amount
$497,716.00
Summary
The prevalence of obesity and its associated physiological and psychological comorbidities is increasing dramatically in Australia and throughout the developed world. Governing public health bodies recommend lifestyle changes of energy restriction combined with increasing physical activity for the treatment of obesity. In response to the increasing concerns about the rising level of obesity, there has been a multitude of fad diets developed outside the medical and nutritional recommendations for ....The prevalence of obesity and its associated physiological and psychological comorbidities is increasing dramatically in Australia and throughout the developed world. Governing public health bodies recommend lifestyle changes of energy restriction combined with increasing physical activity for the treatment of obesity. In response to the increasing concerns about the rising level of obesity, there has been a multitude of fad diets developed outside the medical and nutritional recommendations for healthy eating and with this an increased popularity of dietary regimens with severe restriction of carbohydrate, such as the Dr. Atkins diet. But although adopted by millions worldwide yearly and the release of a range of low-carbohydrate products into the food market, there is minimal scientific evidence available for the long-term efficacy and safety of low-carbohydrate diets, including their impact on risk factors for cardiovascular disease, diabetes, cancer, kidney function, bone health, psychosocial function and the capacity to undertake concurrent physical activity and daily living activities. Consequently, there is a lack of evidenced-based public health recommendations and policy regarding these dietary practices. In this project we will compare the long-term nutritional adequacy and effects of a very low-carbohydrate, weight loss diet to a conventional high-carbohydrate, low fat weight loss diet on cardiovascular health, exercise tolerance, mood state, bone health, renal function, bowel health and cancer risk in obese people with risk factors for cardiovascular disease in order to develop appropriate public health guidelines to counsel obese patients.Read moreRead less
Health insurance design: choices, consumer behavior and policy challenges . Rising health costs is a global challenge. Creating an efficient health insurance system is a key policy concern in all developed countries. This project aims to study choices, consumer behaviors, and policy challenges in two health insurance markets: Australian private health insurance (PHI) and US Medicare prescription drug insurance.
Expected outcomes include new evidence needed to develop a new framework for PHI, ne ....Health insurance design: choices, consumer behavior and policy challenges . Rising health costs is a global challenge. Creating an efficient health insurance system is a key policy concern in all developed countries. This project aims to study choices, consumer behaviors, and policy challenges in two health insurance markets: Australian private health insurance (PHI) and US Medicare prescription drug insurance.
Expected outcomes include new evidence needed to develop a new framework for PHI, new knowledge on how consumers respond to complex pricing structures, and new policy proposals to improve the overall efficiency of the health system. The research will benefit the re-design of PHI and the health system to improve Australians’ health while saving health costs.
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Food and beverage price promotions: An untapped policy target . We aim to generate evidence on the influence of price promotions on foods and beverages considered to be of concern for human and planetary health. We further aim to identify if, and how, policies can be designed to reduce these types of price promotions and understand the feasibility and acceptability of doing so, from a range of perspectives.The significance of this project is substantial - unhealthy diets are the leading cause of ....Food and beverage price promotions: An untapped policy target . We aim to generate evidence on the influence of price promotions on foods and beverages considered to be of concern for human and planetary health. We further aim to identify if, and how, policies can be designed to reduce these types of price promotions and understand the feasibility and acceptability of doing so, from a range of perspectives.The significance of this project is substantial - unhealthy diets are the leading cause of disease and death and unhealthy foods account for >30% of the food-related environmental footprint. By understanding if, and how, this novel policy target can be designed to improve population food choices, this project will ultimately deliver benefits for human and planetary through improved dietary choices.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE240100616
Funder
Australian Research Council
Funding Amount
$411,500.00
Summary
Sustained innovations to promote healthier food in the retail environment. This project aims to provide empirical evidence to drive sustained retailer change in favour of healthier food offerings. Australian food environments drive unhealthy diets and are a major cause of social, productivity and wellbeing loss. Using implementation science methods applied to rigorous real-world trials and policy collaborations, the project will test the effectiveness of innovative methods for sustaining organis ....Sustained innovations to promote healthier food in the retail environment. This project aims to provide empirical evidence to drive sustained retailer change in favour of healthier food offerings. Australian food environments drive unhealthy diets and are a major cause of social, productivity and wellbeing loss. Using implementation science methods applied to rigorous real-world trials and policy collaborations, the project will test the effectiveness of innovative methods for sustaining organisational change across a range of retail settings. Outcomes would deliver significant benefits by enabling retailers, governments, and public health advocates nationally and internationally to make the lasting changes to retail environments needed to improve productivity and population wellbeing.Read moreRead less
Assessing the national productivity impacts of chronic ill health. The project aims to address one of the biggest gaps in health and productivity research by designing a novel composite national metric that will rank lost productivity due to chronic illness The project brings together tax/transfer modelling, health modelling and epidemiological modelling specialists to develop a highly innovative microsimulation model: Health&WorkMOD to then quantify the costs of health-related productivity loss ....Assessing the national productivity impacts of chronic ill health. The project aims to address one of the biggest gaps in health and productivity research by designing a novel composite national metric that will rank lost productivity due to chronic illness The project brings together tax/transfer modelling, health modelling and epidemiological modelling specialists to develop a highly innovative microsimulation model: Health&WorkMOD to then quantify the costs of health-related productivity loss. The proposed model, an international first, will be a powerful tool to comprehensively model the cost impacts of illness and simulate policy options related to health and productivity. This will provide answers to critical policy questions for government with potential significant economic benefits.Read moreRead less
Child Dental Benefit Policies and the Health of Australian Children. This project aims to examine the early effects of two recent initiatives by the Australian government to improve children’s dental health by providing funds to cover essential dental services for children from disadvantaged families. It explores the factors affecting eligible children’s access to benefits from these initiatives and identifies the causal impacts of these changed health care financing arrangements on children’s c ....Child Dental Benefit Policies and the Health of Australian Children. This project aims to examine the early effects of two recent initiatives by the Australian government to improve children’s dental health by providing funds to cover essential dental services for children from disadvantaged families. It explores the factors affecting eligible children’s access to benefits from these initiatives and identifies the causal impacts of these changed health care financing arrangements on children’s consumption of dental services, indicators of oral health and general health, and other indicators of cognitive and non-cognitive development. Using advanced econometric techniques and panel datasets, this project is expected to contribute to the development of effective policies for promoting health and wellbeing.Read moreRead less
Can E-Health Improve Post-marketing Surveillance Of Drugs And Vaccines? The Stimulated Telephone Assisted Rapid Safety Surveillance (STARSS) Randomised Controlled Trial.
Funder
National Health and Medical Research Council
Funding Amount
$445,368.00
Summary
Despite the considerable benefits of vaccination there is public concern about the safety of newly introduced or seasonal influenza vaccines. Loss of confidence in vaccine safety can result in decreased vaccine coverage and resurgence of disease. The current system of monitoring vaccines after licensure is unable to detect all important adverse events following immunisation. The proposed study evaluates web based communication and mobile phone text messaging to identify adverse events following ....Despite the considerable benefits of vaccination there is public concern about the safety of newly introduced or seasonal influenza vaccines. Loss of confidence in vaccine safety can result in decreased vaccine coverage and resurgence of disease. The current system of monitoring vaccines after licensure is unable to detect all important adverse events following immunisation. The proposed study evaluates web based communication and mobile phone text messaging to identify adverse events following immunisation.Read moreRead less
Mis-reporting, adaptation and anchoring: the implications for self assessed health. In terms of targeting scarce public health resources, information concerning the true health status of different social groups is important. This project will provide more accurate information on the health of the Australian population using data already collected on a routine basis. Resources can then be targeted to reduce health inequalities.
Understanding recent Australian trends in alcohol consumption and harms. This project aims to provide critical insight into recent trends in alcohol consumption and related harm in Australia. Many indicators of harm from alcohol have increased dramatically in the past decade, while drinking behaviours appear largely unchanged. This project aims to investigate two potential explanations for these trends: that apparent increases in rates of alcohol-related harm are driven by operational or adminis ....Understanding recent Australian trends in alcohol consumption and harms. This project aims to provide critical insight into recent trends in alcohol consumption and related harm in Australia. Many indicators of harm from alcohol have increased dramatically in the past decade, while drinking behaviours appear largely unchanged. This project aims to investigate two potential explanations for these trends: that apparent increases in rates of alcohol-related harm are driven by operational or administrative practices rather than by increases in actual harm; and that stable per-capita consumption data obscures divergent drinking behaviours, with increases among heavy drinkers driving increasing harm rates. The project aims to inform alcohol policy debates, which rely on robust trend data.Read moreRead less