Barriers And Disparities In Access To Living Donor Kidney Transplantation
Funder
National Health and Medical Research Council
Funding Amount
$57,140.00
Summary
The wide variation in living kidney donation rates across Australia remains unexplained. This study will identify a range of barriers and reasons for the disparities in the rates of living donor kidney transplantation. National surveys will be administered to adults eligible for kidney transplantation, qualitative interviews will be conducted with potential transplant recipients and clinicians, and transplant centres will be surveyed.
Discovery Early Career Researcher Award - Grant ID: DE150100637
Funder
Australian Research Council
Funding Amount
$322,534.00
Summary
Finding the Path: Service access and navigation for serious mental illness. This project aims to inform health system change to ensure people with serious mental illness can access quality services. While improved access to quality mental health services has been a key target in Australian health policy for over 20 years, people with mental illness continue to report problems accessing and navigating the complex service system. The project aims to study consumers' mental health service experienc ....Finding the Path: Service access and navigation for serious mental illness. This project aims to inform health system change to ensure people with serious mental illness can access quality services. While improved access to quality mental health services has been a key target in Australian health policy for over 20 years, people with mental illness continue to report problems accessing and navigating the complex service system. The project aims to study consumers' mental health service experiences using policy, qualitative, quantitative and geographic analysis to identify systemic problems. Mental health consumers and service providers will be actively involved in developing final policy recommendations to ensure system change reflects their knowledge.Read moreRead less
Creating and sustaining a strong future for volunteering in Australia. This project seeks to answer the question of how to increase social participation by converting non-volunteers to the benefits of volunteering. In Australia today, communities and governments are increasingly dependent on volunteers to build social capital and deliver an increasing range of services. A world first, this project aims to create new theory by examining three levels of analysis: the micro level of the individual ....Creating and sustaining a strong future for volunteering in Australia. This project seeks to answer the question of how to increase social participation by converting non-volunteers to the benefits of volunteering. In Australia today, communities and governments are increasingly dependent on volunteers to build social capital and deliver an increasing range of services. A world first, this project aims to create new theory by examining three levels of analysis: the micro level of the individual volunteer or non-volunteer; the mezzo level of the volunteer-involving organisation; and the macro level of society. This innovative approach aims to identify, analyse and develop a tool to help organisations build Australia’s civil society and develop policy to create a sustainable volunteer sector into the future.Read moreRead less
Optimising intersectoral collaboration between the health and education sectors. The Australian Government has a clear commitment to improving the health of all Australians. In the face of rising rates of chronic illness and attendant unsustainable high medical costs, optimising outcomes for public health initiatives, such as school based immunisation programs, is of the utmost importance. The recent H1N1 (Swine Flu) epidemic school closures highlight the need for a more effective, efficient and ....Optimising intersectoral collaboration between the health and education sectors. The Australian Government has a clear commitment to improving the health of all Australians. In the face of rising rates of chronic illness and attendant unsustainable high medical costs, optimising outcomes for public health initiatives, such as school based immunisation programs, is of the utmost importance. The recent H1N1 (Swine Flu) epidemic school closures highlight the need for a more effective, efficient and flexible intersection between education and health. This project offers the opportunity for the public health and education sectors to work closely together to identify how they can best configure future collaborations to maximise outcomes for all Australians.Read moreRead less
Consumer Co-payments For Subsidised Medicines: Impact On Access And Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$465,838.00
Summary
Expenditure on pharmaceuticals subsidised under the Pharmaceutical Benefits Scheme (PBS) in Australia was >$6.5b in 2003-04. In efforts to ensure that medicine costs remain affordable, the government instituted cost-effectiveness assessments for listing, brand premium policies and generic substitution and consumer copayments. International research suggests copayments may affect vulnerable populations(1-4) and impact adversely on medicine use(10). In Australia, dispensings of essential and di ....Expenditure on pharmaceuticals subsidised under the Pharmaceutical Benefits Scheme (PBS) in Australia was >$6.5b in 2003-04. In efforts to ensure that medicine costs remain affordable, the government instituted cost-effectiveness assessments for listing, brand premium policies and generic substitution and consumer copayments. International research suggests copayments may affect vulnerable populations(1-4) and impact adversely on medicine use(10). In Australia, dispensings of essential and discretionary medicines fell immediately after the introduction of copayments for concessional card holders in 1991(5). Subsequent analysis found that low income general beneficiaries bore the greatest burden of copayments, with PBS expenditure accounting for 7.4% of their income, compared with 2.4% for those with high incomes(6). Costs appear to be becoming a barrier to medicine use in Australia, with a 2005 survey of 702 Australian adults who required regular medications finding 22% did not fill a prescription because of cost in the last 2 years(7). Similar results were reported in 2002 for 23% of 844 sicker Australian adults(8). A regional survey of 420 households found 20% reported they did not purchase all of their prescription medicines due to costs(9). Apart from the initial analysis of medication changes in 1991 as a result of copayment introduction(5), no Australian study has assessed the impact of these on medication use, nor on the impact of any changes in medication use on health outcomes. While copayments may effectively reduce the cost burden of the PBS to government, they may have an unintended negative effect if costs are generated elsewhere in the health system through increased hospitalisations or emergency department attendances as a result of omission of medicines. This research will explore the association between increasing copayments, medication and health service utilisation, information critical for informing policy on increasing consumer copayments.Read moreRead less
Improving cancer treatment systems: a randomised controlled trial of a consumer action model for cancer patients receiving chemotherapy. The project aims to assess the effectiveness of a model for improving cancer treatment systems, which emphasises meaningful engagement of cancer consumers in identifying, implementing and evaluating strategies of change. System changes are expected to reduce patients' unmet supportive care needs and improve overall quality of life.
Psychosocial and economic impacts of rare diseases on Australian children, families and health professionals. Rare childhood diseases have enormous impacts on children and families; health services, and health professionals. This project will enable Australia to lead the international research effort by using a coordinated approach to study the impacts of rare diseases in order to improve psychosocial, health and economic outcomes for children and families.
Development of an evaluation model for assessing the effectiveness of ICT to integrate services and improve service performance and client experience. This research will deliver a new evaluation model for assessing how best to use information technology in service organisations to improve service co-ordination, performance and clients’ experiences. It focuses on information technology use in the aged and community care sector which is critically in need of these benefits.
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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Organisational change in healthcare: Determinants of effective clinical networks. This research will be internationally leading and place Australia at the forefront of research into organisational change in health care. Developing innovative health care organisational structures, such as clinical networks, has the potential to improve the effectiveness of health care and to reduce costs. Benefits for the community will flow from this project through informed decision making about the best ways t ....Organisational change in healthcare: Determinants of effective clinical networks. This research will be internationally leading and place Australia at the forefront of research into organisational change in health care. Developing innovative health care organisational structures, such as clinical networks, has the potential to improve the effectiveness of health care and to reduce costs. Benefits for the community will flow from this project through informed decision making about the best ways to bring about organisational change in health care. The results of this study will have immediate application to the organisational strategies of the Greater Metropolitan Clinical Taskforce and other national government health care agencies that implement organisational change through clinical networks. Read moreRead less