Understanding The Dynamics Of The Medical Workforce To Improve Population Health And Equity Of Access: The Australian Lo
Funder
National Health and Medical Research Council
Funding Amount
$2,278,544.00
Summary
The health workforce is now a key area of government policy. The ageing of the medical workforce, combined with more women entering medicine and changes in doctors preferences over their work-life balance, are all likely to have important effects on the ability of health care system to provide good quality and accessible health care. However, there is little knowledge or understanding of how and why doctors make decisions on how many hours they work, their location of work, including working in ....The health workforce is now a key area of government policy. The ageing of the medical workforce, combined with more women entering medicine and changes in doctors preferences over their work-life balance, are all likely to have important effects on the ability of health care system to provide good quality and accessible health care. However, there is little knowledge or understanding of how and why doctors make decisions on how many hours they work, their location of work, including working in rural and remote areas, and decisions to leave the medical workforce and retire. These decisions have important effects on the population�s access to health care and therefore on their health status and quality of care received. The aim of this research is to examine those factors influencing doctors� labour supply decisions through the establishment of the Australian Longitudinal Survey of Doctors (ALSD). The survey will track 5,500 doctors over an initial four year period. The research will provide a rigorous analysis of medical workforce decisions that underpin workforce distribution and the working patterns of doctors. The survey will be used to evaluate and simulate policy changes and provide important evidence to support future policy developments.Read moreRead less
Retention of the Aboriginal health and disability workforce. This project aims to develop evidence-based retention strategies for the Indigenous frontline health and disability workforces. Indigenous people in these roles are critical to improving access to culturally safe and effective services and support for Indigenous Australians. The availability of culturally safe services, interventions and support will assist in closing the gap in health, education and socio-economic outcomes between Ind ....Retention of the Aboriginal health and disability workforce. This project aims to develop evidence-based retention strategies for the Indigenous frontline health and disability workforces. Indigenous people in these roles are critical to improving access to culturally safe and effective services and support for Indigenous Australians. The availability of culturally safe services, interventions and support will assist in closing the gap in health, education and socio-economic outcomes between Indigenous and non-Indigenous Australians. This project aims to uncover the factors that influence Indigenous front line workers to stay in their crucial roles. The findings will be translated into culturally-appropriate workforce retention strategies.Read moreRead less
Early Intervention To Prevent Childhood Obesity Among A Disadvantaged Population: A Home-based Randomised Controlled Tri
Funder
National Health and Medical Research Council
Funding Amount
$675,082.00
Summary
This intervention research will conduct a randomised controlled trial, of a community-based early childhood home visiting intervention designed to improve family and behavioural risk factors for childhood obesity and overweight. This intervention which will be developed in collaboration with the Health Promotion Unit, Child and Family Health Nurses, university academic experts and mothers in the community promises to deliver significant health and social benefits, in particular, preventing early ....This intervention research will conduct a randomised controlled trial, of a community-based early childhood home visiting intervention designed to improve family and behavioural risk factors for childhood obesity and overweight. This intervention which will be developed in collaboration with the Health Promotion Unit, Child and Family Health Nurses, university academic experts and mothers in the community promises to deliver significant health and social benefits, in particular, preventing early onset of childhood obesity. It will result in a series of recommendations for policies and practical methods for promoting healthy feeding and physical activity of infants under two years of age with particular application to families who are socially and economically disadvantaged. These policies and practical methods for preventing childhood obesity could be used across Australia.Read moreRead less
Optimising the residential and community aged care workforce: the evidence-based development of clinical leadership in middle managers in aged care. 1.4% of the Australian workforce is employed in the aged care sector, making a significant contribution to the economy. This study provides evidence-based tools to build management capacity and leadership in aged care, which in turn will improve the quality and effectiveness of the care that has a crucial bearing on the lives of vulnerable older peo ....Optimising the residential and community aged care workforce: the evidence-based development of clinical leadership in middle managers in aged care. 1.4% of the Australian workforce is employed in the aged care sector, making a significant contribution to the economy. This study provides evidence-based tools to build management capacity and leadership in aged care, which in turn will improve the quality and effectiveness of the care that has a crucial bearing on the lives of vulnerable older people in community and residential care. The findings will identify ways to improve aged care workforce retention; and enhance key factors leading to quality care and improved well being of care staff and recipients. This knowledge will contribute to improving the status of aged care related employment; and yield future policy directions that promote effective clinical leadership in aged care. Read moreRead less
Examining A Core Assumption Of Policy And Services For Older Indigenous Australians
Funder
National Health and Medical Research Council
Funding Amount
$133,387.00
Summary
In aged care service planning, the age 50 years or over is used for the Indigenous Australian population in the same way as the age 70 years is used for the non-Indigenous population. This is based on the lower life expectancy of the Indigenous population which is presumed to result in a need for aged care services at younger ages. The underlying assumption is that Australia's Indigenous population aged over 50 has the same set of age-associated conditions and care needs as the non-Indigenous po ....In aged care service planning, the age 50 years or over is used for the Indigenous Australian population in the same way as the age 70 years is used for the non-Indigenous population. This is based on the lower life expectancy of the Indigenous population which is presumed to result in a need for aged care services at younger ages. The underlying assumption is that Australia's Indigenous population aged over 50 has the same set of age-associated conditions and care needs as the non-Indigenous population aged over 70. The evidence for this assumption is not established. It is well documented that the Indigenous population has worse health outcomes across all age groups relative to non-Indigenous Australians. However, our understanding of the details of the observed pattern is far from complete. This project seeks to compare the health status of the Indigenous population aged 50 years or over to the health status of the non-Indigenous population aged 70 years or over. The project will analyse a number of data sets to inform future directions in policy and service provision. A better understanding of these issues is fundamental to informed planning and allocation of resources, to identification of areas amenable to prevention strategies and to the development of approaches to care that meet the needs of Indigenous people.Read moreRead less
Improving Identification And Treatment Of Early-onset Behaviour Disorders In Children
Funder
National Health and Medical Research Council
Funding Amount
$498,869.00
Summary
Most mental health problems begin in childhood and adolescence. Of these, oppositional-defiant and conduct problems in childhood are the most common precursor of all types of adult mental health problems. These children are the most common referral to child mental health clinics but little is known about which of these children will go in which direction i.e., good health, chronic antisocial behaviour, depression and anxiety, substance abuse, the psychoses. Progress in more accurately defining s ....Most mental health problems begin in childhood and adolescence. Of these, oppositional-defiant and conduct problems in childhood are the most common precursor of all types of adult mental health problems. These children are the most common referral to child mental health clinics but little is known about which of these children will go in which direction i.e., good health, chronic antisocial behaviour, depression and anxiety, substance abuse, the psychoses. Progress in more accurately defining subgroups of these children would have huge implications for early intervention for mental health problems in our community. This project proposes the first large scale analysis of genetic distributions through to behavioural and treatment factors that characterise and differentiate a large representative sample of children with conduct problems. The project will test a model of child psychopathology that links genotype, via environmental risk and emotion processing problems, to an improved diagnostic-phenotypic model for treatment of the major childhood disorder. Clinical research activities will be structured into three intersecting arms: first, identifying the genetic and behavioural subtypes of early-onset conduct problems; second, innovative treatments for these children, and third, the dissemination of findings to these children and their families via the health care system. The research will build new collaborations between established and internationally recognised clinical research teams in childhood mental health, biological psychiatry, genetics and the Child and Adolescent Mental Health Statewide Network (CAMHSNET). CAMHSNET have specific responsibilities to NSW Health for expert advice and input on the development of child mental health services directions, dissemination, training, and effectiveness research.Read moreRead less
Understanding Foster Carers' Motivations: Personal, Political & Historical Perspectives on Care Provision in Australia. Due to the increasing number of children in care nationally, and the declining number of available foster care placements, there is current considerable interest in understanding the most appropriate means to recruit and retain foster carers. This project involves a national interview study of carers from several Australian States to understand the factors that most strongly mo ....Understanding Foster Carers' Motivations: Personal, Political & Historical Perspectives on Care Provision in Australia. Due to the increasing number of children in care nationally, and the declining number of available foster care placements, there is current considerable interest in understanding the most appropriate means to recruit and retain foster carers. This project involves a national interview study of carers from several Australian States to understand the factors that most strongly motivate people to become carers. Based on interviews with carers and other important stakeholders, the results will help us to understand the nature of the foster-carer role within the current political and social climate and help inform future national recruitment strategies.
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Working Longer: Policy Reforms And Practice Innovations
Funder
National Health and Medical Research Council
Funding Amount
$2,162,805.00
Summary
A popular response to increased longevity is to suggest that older workers should work longer. But working longer involves changes to established policies, practices, and institutions, which are currently built around retiring earlier. The project will forecast demographic and health transition in Australia and develop capacity to analyze the likely economic and workplace adjustments that population ageing will generate. It will examine the extent to which ñworking longerî is an appropriate resp ....A popular response to increased longevity is to suggest that older workers should work longer. But working longer involves changes to established policies, practices, and institutions, which are currently built around retiring earlier. The project will forecast demographic and health transition in Australia and develop capacity to analyze the likely economic and workplace adjustments that population ageing will generate. It will examine the extent to which ñworking longerî is an appropriate response to this transition, and analyze how the labour market for older workers might evolve, taking account of individual circumstances (health, financial status, dependant care) and institutional practices (age discrimination, employment conditions, work organization), as well as regulatory and policy impacts. The overall objective of the program is to develop a multi-disciplinary knowledge base to inform integrated policy and institutional (or practice) improvement in the labour market for the elderly. Its contribution will be to improve the institutional and policy framework within which households and firms operate, with the aim of modifying workplace practices and policy and institutional constraints to encourage a more vibrant labour market for older workers. Specifically the program of research will: Assess the demographic and economic impacts of working longer under alternative policy and institutional (practice) scenarios; Provide alternative pension, superannuation, finance and taxation designs to encourage labour force participation of older people; Identify employment strategies to enhance the health and safety of older workers; Develop strategies to facilitate workforce re-entry of older workers, including gender-specific considerations; and Provide an integrated set of recommendations to create policy and practice partnerships which facilitate a labour market conducive to increased mature-age participation.Read moreRead less
Cultural Diversity, Community and Family Services: Experiences among Culturally and Linguistically Diverse parents of local early childhood services. The evidence is clear that strong communities and effective early intervention strategies play a key role in preventing social disadvantage later in a child's life. Through the provision of high quality training to a doctoral student, this project will have significant benefits at many levels of policy and government. Local, state and federal gover ....Cultural Diversity, Community and Family Services: Experiences among Culturally and Linguistically Diverse parents of local early childhood services. The evidence is clear that strong communities and effective early intervention strategies play a key role in preventing social disadvantage later in a child's life. Through the provision of high quality training to a doctoral student, this project will have significant benefits at many levels of policy and government. Local, state and federal governments and family service providers will have the opportunity to see the effectiveness of their services on parents over an extended period of time and to learn from the project about new strategies that may be deployed to assist culturally diverse families in their communities. Read moreRead less