Supply, Demand And The Distribution Of Health Services In Australia
Funder
National Health and Medical Research Council
Funding Amount
$308,038.00
Summary
The distribution of medical services and its impact on access and equity is widely recognised as a key concern of the Australian community. Access and equity are key indicators to the public of the performance of a health system. These concerns have led to the adoption of major policy goals under Medicare relating to equitable access to medical services for the population as a whole. Furthermore, both the community and policy makers have expressed high levels of concern over the distribution of ....The distribution of medical services and its impact on access and equity is widely recognised as a key concern of the Australian community. Access and equity are key indicators to the public of the performance of a health system. These concerns have led to the adoption of major policy goals under Medicare relating to equitable access to medical services for the population as a whole. Furthermore, both the community and policy makers have expressed high levels of concern over the distribution of medical services between sub-markets and sub-populations, in particular, in the distribution of medical services between urban and rural-remote areas. This project, for the first time, comprehensively examines the performance of Medicare in terms of access to medical services over time. Australian data sets, largely untapped by economic modelling, will be used for analysis of the relationships between the distribution of, access to, and demand and fees for Australian medical services and their impact upon mortality over time. The study will result in the first comprehensive Australian description of access and supply of different medical services by social group and by geographic location over time. Furthermore it will provide evidence on the key determinants of distribution and changes in the distribution of medical services and estimates the likely effects of policy instruments designed to address the distribution of, and access to, medical services.Read moreRead less
Molecular Mechanism And Novel Activators Of Amino Acid And Calcium-sensing Class 3 G-protein Coupled Receptors
Funder
National Health and Medical Research Council
Funding Amount
$519,715.00
Summary
When we eat protein-containing foods, our bodies extract twenty different amino acids for growth and tissue regeneration. Broad-spectrum amino acid sensing receptors detect the increases in blood amino acid levels and respond by triggering the release of biochemical signals. This project will establish the molecular rules by which these receptors work and identify novel activators with potential therapeutic application for the control of growth, tissue regeneration and calcium metabolism.
Impact Of Genetic Testing For Breast Cancer Predisposition On Psychological Adjustment And Related Health Behaviours.
Funder
National Health and Medical Research Council
Funding Amount
$96,897.00
Summary
This Australia-wide, longitudinal study will examine the psychological effects of testing for breast cancer predisposing genes in women with a strong family history of breast cancer. Mutation detection carries with it the possibility of improving survival through increased emphasis on screening and prevention, while those found to be non-carriers can return to population screening levels, alleviating both their anxiety and the costs associated with greater vigilance. Preventative surgery is now ....This Australia-wide, longitudinal study will examine the psychological effects of testing for breast cancer predisposing genes in women with a strong family history of breast cancer. Mutation detection carries with it the possibility of improving survival through increased emphasis on screening and prevention, while those found to be non-carriers can return to population screening levels, alleviating both their anxiety and the costs associated with greater vigilance. Preventative surgery is now known to significantly reduce risk in women with a strong family history of breast cancer. Whether these potential benefits are realised in practice needs to be evaluated, as do potential psychological harms, if any. Predictive genetic testing for hereditary breast cancer has become technically possible before its impact on psychological outcomes has been evaluated. As yet there are no Australian data on the impact of predisposition testing in any potentially treatable adult onset conditions and only preliminary overseas data. Results from this study may therefore have application to other potentially treatable adult onset conditions. Changes before and after testing in psychological status will be studied (using established methodology) over a 2-year period to identify when negative outcomes are most likely to occur. In addition, this study aims to identify factors that facilitate or hinder psychological adjustment so as to inform clinical decisions about testing and to allow appropriate interventions to be devised. Assessment of individual's preferences for the amount of information they receive will allow tailoring of information to maximise the benefit of educational materials and potentially minimise distress. Factors which influence women's decisions to undertake prophylactic surgery and their satisfaction with those procedures will be assessed.Read moreRead less
What Characterises Influential Population-oriented Public Health Policy Research In Australia?
Funder
National Health and Medical Research Council
Funding Amount
$447,174.00
Summary
This project examines the characteristics of Australian research and researchers whose work is judged to be influential in influencing public health policy in 6 areas: tobacco control, cancer screening, injury prevention, cardiovascular disease prevention, illicit drugs and alcohol control. The project involves work with both researchers and those who are in positions to advocate and enact policy (politicians, government officials, journalists, public health agencies).
Assessment Of The Impact Of Climate Variability On The Transmission Of Ross River Virus Disease
Funder
National Health and Medical Research Council
Funding Amount
$168,125.00
Summary
It is a significant scientific and public health issue to assess the potential impact of climate change on population health. As human-induced global climate change continues, questions about its possible consequences command increasing attention. Australia has a great level of climate variability. Climate zones extend from temperate areas into the tropics and the climate fluctuates over time. Also, it is predicted that Australia lies in the region where the climate pattern will be affected most ....It is a significant scientific and public health issue to assess the potential impact of climate change on population health. As human-induced global climate change continues, questions about its possible consequences command increasing attention. Australia has a great level of climate variability. Climate zones extend from temperate areas into the tropics and the climate fluctuates over time. Also, it is predicted that Australia lies in the region where the climate pattern will be affected most in the 21th century. However, little research has to date been conducted on the potential public health impact of climate variability and change in Australia. This project aims to assess the effect of climate variability on the transmission of Ross River virus infection and other vector-borne diseases which may yield important insights into the potential public health consequences of climate change.Read moreRead less
A Randomised Controlled Trial Of Iodine Supplementation In Pregnancy To Enhance Neurodevelopment In Children
Funder
National Health and Medical Research Council
Funding Amount
$2,032,008.00
Summary
The mild iodine deficiency common among people living in South Eastern Australia is of sufficient concern for the government to order that all bread be fortified with low dose iodine. This fortification falls well short of the amount health workers think is required by pregnant women and this could prove harmful to their children. This trial will determine if a daily iodine tablet taken during pregnancy improves the development of children.
Early Regular Egg Exposure During Infancy To Prevent Egg Allergy: A Randomised Controlled Trial.
Funder
National Health and Medical Research Council
Funding Amount
$2,304,911.00
Summary
Food allergies are common and result in a significant burden to families and the health care system. One approach to prevent food allergies may be to introduce specific foods earlier than currently recommended. The study will compare early regular introduction of egg from 4-6 months compared to the more common practice of egg avoidance until 10 months of age. If successful at reducing egg allergy, this approach will have a significant impact on reducing the burden of allergic disease.