Pursuing Health Equity Through The Implementation Of Public Policy: Making The National Disability Scheme Equitable
Funder
National Health and Medical Research Council
Funding Amount
$314,644.00
Summary
Health policies and programs often provide the greatest benefit to those who are well-off, creating greater disparities in health outcomes between different population groups. This study examines how health equity is pursued within the National Disability Insurance Scheme. Using the NDIS as a case study, it will identify ways to support health equity during the implementation of national public policies, thereby contributing to better health outcomes.
INVESTIGATING MORTALITY AMONG EX-PRISONERS IN QUEENSLAND: A DATA LINKAGE STUDY
Funder
National Health and Medical Research Council
Funding Amount
$716,801.00
Summary
NOTE: At the time of submitting the NOI for this project we had not yet received feedback from a submission to a parallel NHMRC funding round concerned with social disadvantage. We have since received very positive reviews for the trial foreshadowed in our NOI, and consistent with the recommendations of one reviewer, we have modified our application to complement the proposed trial by conducting a record linkage study. The content area and ethical issues associated with the proposed project rema ....NOTE: At the time of submitting the NOI for this project we had not yet received feedback from a submission to a parallel NHMRC funding round concerned with social disadvantage. We have since received very positive reviews for the trial foreshadowed in our NOI, and consistent with the recommendations of one reviewer, we have modified our application to complement the proposed trial by conducting a record linkage study. The content area and ethical issues associated with the proposed project remain largely unchanged. Studies in Australia and elsewhere have identified a heightened risk of death among ex-prisoners, with drug overdose, suicide and 'accidents' three major causes. Many deaths occur soon after release. Although the high incidence of 'overdose' among ex-prisoners is often attributed to reduced tolerance,most fatal drug overdoses are due to the combined effects of multiple drugs. A detailed understanding of deaths among ex-prisoners is a prerequisite for evidence-based preventive strategies. The proposed study will: (a) Link the identities of prisoners released from custody in QLD between 1994 and 2006, with the National Death Index (NDI). The linked database will permit exploration of the incidence, timing, causes and risk factors for death among ex-prisoners. (b) Compare correctional records of deceased ex-prisoners and a random sample of ex-prisoners known to be alive, focussing on suspected risk factors including criminal history, behaviour in custody, health status, psychosocial adjustment, socio-economic status, and history and treatment for drug use. This will allow more detailed analysis of risk factors for death post-release. (c) Conduct in-depth analysis of causes of death among ex-prisoners, using the National Coroners Information System (NCIS). Information regarding cause and context of death will be coded by a research assistant and analysed to identify group differences (e.g., between ATSI and non-ATSI ex-prisoners).Read moreRead less
Consumer Directed Care: Understanding And Promoting Participation And Care Outcomes For People Living With Dementia In Receipt Of A Home Care Package
Funder
National Health and Medical Research Council
Funding Amount
$571,648.00
Summary
This research will develop tools and assess the impact of the delivery of Consumer Directed Care for people living with dementia in receipt of a Home Care Package. It will also translate the findings into an intervention aimed at building the capacity of service providers and consumers to work together to improve care outcomes for people with dementia.
Preventing Chronic Disease In Australia Through Applied Intervention Research
Funder
National Health and Medical Research Council
Funding Amount
$415,218.00
Summary
Research supported by this fellowship will help to identify programs which are effective in reducing chronic disease risks such as tobacco use, and obesity. Furthermore, it will examine ways in which such programs can be implemented in health services and community organisations so that the community can benefit from evidence based initiatives. In doing so, the fellowship will contribute to reducing the death and disability associated with chronic disease in Australia.
The Physiology Of Health Systems: Port Lincoln As A Case Study
Funder
National Health and Medical Research Council
Funding Amount
$2,228,073.00
Summary
No health system in Australia has a complete, population-wide view of how they are used, by whom, and with what effect on health. Our plan is to capture and describe comprehensively all health system activity relating to a sizeable and carefully-defined Australian population and to complement this with a population-wide census of health status. Such 'intelligence' is fundamental to evaluating the current performance of health systems and to planning changes to them.
Identifying Factors That Improve The Health Of Prisoners Who Inject Drugs
Funder
National Health and Medical Research Council
Funding Amount
$376,658.00
Summary
Prisoners who inject drugs are highly marginalised with high rates of unresolved health and social issues and high rates of return to prison. Little is known, however, about how this group manages after release from prison. This qualitative project will allow ex-prisoners to tell their own stories of the challenges they have had and what strategies (formal and informal) they have used with the aim of informing responses in prisons and in the community setting.
Pathways, policies and prevention: better outcomes for western Australian children. This project will provide new knowledge to inform and enable future policy and prevention strategies for improving child health and wellbeing. The collaboration between researchers and policy makers across 11 government departments will deliver a new evidence base for understanding child, family and community level factors that increase or reduce vulnerability to poor outcomes through the utilisation of cross-sec ....Pathways, policies and prevention: better outcomes for western Australian children. This project will provide new knowledge to inform and enable future policy and prevention strategies for improving child health and wellbeing. The collaboration between researchers and policy makers across 11 government departments will deliver a new evidence base for understanding child, family and community level factors that increase or reduce vulnerability to poor outcomes through the utilisation of cross-sectoral population data. This collaboration will inform whole of government intervention and prevention strategies to improve outcomes, as well as evaluate and monitor existing initiatives. This project will provide a model for population-based research and policy development both nationally and internationally.Read moreRead less
The impact of insecure residency on adaptation of refugees in Australia. The impact of insecure residency on adaptation of refugees in Australia. This project will conduct a longitudinal investigation of the psychosocial adaptation of refugees with insecure and secure residency over a period of three years. This project will identify longitudinal trajectories of adaptation in refugees with insecure and secure residency, investigate flashpoints where refugees’ psychological adaptation deteriorate ....The impact of insecure residency on adaptation of refugees in Australia. The impact of insecure residency on adaptation of refugees in Australia. This project will conduct a longitudinal investigation of the psychosocial adaptation of refugees with insecure and secure residency over a period of three years. This project will identify longitudinal trajectories of adaptation in refugees with insecure and secure residency, investigate flashpoints where refugees’ psychological adaptation deteriorates or improves, and investigate psychological mechanisms underpinning adaptation pathways. Findings could significantly advance knowledge about the adaptation of refugees and help refugees to make a positive social and economic contribution to Australia.Read moreRead less
Understanding pathways to adaptive settlement for displaced refugees. This project aims to conduct a longitudinal investigation of the adaptation of refugees, following them over four years as they are further displaced or resettled. The project will identify longitudinal adaptation pathways during different phases of displacement, and investigate the psychological processes underpinning those pathways. Findings from this project regarding different pathways of adaptation for displaced refugees ....Understanding pathways to adaptive settlement for displaced refugees. This project aims to conduct a longitudinal investigation of the adaptation of refugees, following them over four years as they are further displaced or resettled. The project will identify longitudinal adaptation pathways during different phases of displacement, and investigate the psychological processes underpinning those pathways. Findings from this project regarding different pathways of adaptation for displaced refugees and underlying mechanisms are expected to significantly advance understanding of the psychosocial impact of displacement and inform service provision in supporting the tens of millions of refugees exposed to sustained displacement worldwide.Read moreRead less
Engaging the public in healthcare decision making: quantifying preferences for healthcare through Citizens’ Juries. This project promotes public engagement and quantifies preferences in key areas of relevance to the industry partners Queensland Health and South Australia Health. These areas identified are elective surgery priorities, optimising appropriate use of emergency care, and interventions for obesity. A series of choice experiments and citizens' juries will be used. The project will f ....Engaging the public in healthcare decision making: quantifying preferences for healthcare through Citizens’ Juries. This project promotes public engagement and quantifies preferences in key areas of relevance to the industry partners Queensland Health and South Australia Health. These areas identified are elective surgery priorities, optimising appropriate use of emergency care, and interventions for obesity. A series of choice experiments and citizens' juries will be used. The project will facilitate identification and application of optimal methods for engaging the public in healthcare decision-making, provide guidance on the appropriate population groups to consider when eliciting consumer preferences, and provide direct public input to guide health policy. The approach will be able to be applied to different policy areas.Read moreRead less