Equitable funding for health care: integrating social outcomes. This project will develop an innovative method for decision makers to achieve more equitable allocation of scarce health care resources. Health programs and treatments affect not just health (survival & health related quality of life) but also broader aspects of well-being (e.g. dignity, autonomy, safety). Our current methods for evaluating value for money in health do not capture these aspects. The project will provide benefit by a ....Equitable funding for health care: integrating social outcomes. This project will develop an innovative method for decision makers to achieve more equitable allocation of scarce health care resources. Health programs and treatments affect not just health (survival & health related quality of life) but also broader aspects of well-being (e.g. dignity, autonomy, safety). Our current methods for evaluating value for money in health do not capture these aspects. The project will provide benefit by allowing health system decision makers to achieve fairer allocation of resources across diverse health conditions, interventions and patient populations. Expected outcomes include a new tool for assessing interventions and measuring population health incorporating both health and social outcomes. Read moreRead less
Developing An Australian Valuation For The EQ-5D-5L Quality Of Life Instrument
Funder
National Health and Medical Research Council
Funding Amount
$348,357.00
Summary
In the assessment of gains resulting from a health technology, it is standard to consider both mortality and quality of life effects. This project explores how Australians value different components of quality of life. To do this, we are running an online survey called a discrete choice experiment, and analysing the data using a range of cutting-edge econometric techniques. This will allow policy-makers to better reflect people's preferences when making decisions about new technologies.
Nanny state or good public policy: Do the benefits of mandatory health programs justify the loss of consumer choice? Governments are increasingly turning to mandatory programs to improve health. Such programs are appealing because there are high health benefits from universal participation and low costs for promotion and monitoring the program. However, this apparent benefit relies on restriction of personal choice, which may impose welfare losses on consumers. Evaluations generally ignore loss ....Nanny state or good public policy: Do the benefits of mandatory health programs justify the loss of consumer choice? Governments are increasingly turning to mandatory programs to improve health. Such programs are appealing because there are high health benefits from universal participation and low costs for promotion and monitoring the program. However, this apparent benefit relies on restriction of personal choice, which may impose welfare losses on consumers. Evaluations generally ignore loss of choice, despite evidence suggesting consumers value the ability to choose. This study will estimate the impact and value this loss of consumer choice, explore program specific factors and consumer characteristics influencing the valuation, and determine whether and how restricted choice should be explicitly considered when evaluating public health programs.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
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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The Medicare Safety Net and its effect on efficiency, equity and welfare. This project aims to measure the welfare implications of social health insurance reforms. It will use the introduction of the Extended Medicare Safety Net to examine the effect of social insurance reforms on the efficiency and equity of Australia's health care system. The project expects to produce evidence on the partial and aggregate effects of the Medicare Safety Net and knowledge on the relationship between social insu ....The Medicare Safety Net and its effect on efficiency, equity and welfare. This project aims to measure the welfare implications of social health insurance reforms. It will use the introduction of the Extended Medicare Safety Net to examine the effect of social insurance reforms on the efficiency and equity of Australia's health care system. The project expects to produce evidence on the partial and aggregate effects of the Medicare Safety Net and knowledge on the relationship between social insurance and health system performance. In doing so, the research seeks to help policy makers to improve the design of social health insurance programmes to make the system more sustainable and equitable.Read moreRead less
Patient waiting times at public hospitals and the demand for private care. Public hospital waiting times compromise the objective of accessible health care for all Australians. Past policy focused on private insurance incentives to ease pressure on public hospitals. Current policy focuses on extra public provision. This will be the first Australian research to model the impact of waiting times on private health insurance and the choice between private and public hospital treatment. We will analy ....Patient waiting times at public hospitals and the demand for private care. Public hospital waiting times compromise the objective of accessible health care for all Australians. Past policy focused on private insurance incentives to ease pressure on public hospitals. Current policy focuses on extra public provision. This will be the first Australian research to model the impact of waiting times on private health insurance and the choice between private and public hospital treatment. We will analyse how waiting times differ by income, medical procedure and region, and quantify the benefits associated with different ways of reducing waiting lists. This research will provide an evidence base for effective policy design and lead to better targeting of health care investments.Read moreRead less
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
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
The effect of competition and doctor heterogeneity on prices charged by doctors. Prices charged by doctors can have important effects on health care costs, access to health care and health status. This research will examine the determinants of prices charged by doctors. The results will be important in understanding the pricing practices of doctors and their impact on health care costs.