Which Heart Failure Intervention Is Most Cost-effective And Consumer Friendly In Reducing Hospital Care: The Which
Funder
National Health and Medical Research Council
Funding Amount
$921,640.00
Summary
Chronic heart failure (CHF) is a costly, debilitating and deadly condition that has reached near epidemic proportions in Australia. In the absence of a permanent cure for CHF, the number of people affected by CHF has risen beyond 350,000 and is expected to increase by 20-30% in the next 20 years. We recently reviewed the benefits of applying nurse-led, CHF management programs (CHF-MPs) to typically old and fragile patients, in whom recurrent hospital admissions and a premature death are common. ....Chronic heart failure (CHF) is a costly, debilitating and deadly condition that has reached near epidemic proportions in Australia. In the absence of a permanent cure for CHF, the number of people affected by CHF has risen beyond 350,000 and is expected to increase by 20-30% in the next 20 years. We recently reviewed the benefits of applying nurse-led, CHF management programs (CHF-MPs) to typically old and fragile patients, in whom recurrent hospital admissions and a premature death are common. We confirmed the results of pioneering Australian research that CHF-MPs dramatically improve health outcomes in CHF. CHF-MPs now form part of the recommended gold-standard management of CHF. However, we also have evidence that only a small proportion of patients are exposed to a CHF-MP in Australia. Residual issues such as consumer preference and the cost of applying these programs are hindering their wide-spread application. The WHICH? Study addresses this _road block� to implementing a potentially valuable health care service by tackling a number of critical issues: which form of CHF-MP (home or specialist clinic-based follow-up), will produce the best health outcomes, save the most money and meet the needs of consumers at the same time? To answer this question, we will undertake a randomised, head-to-head study of a home versus clinic-based CHF-MP, in 1000 recently hospitalised CHF patients recruited from SA, VIC, NSW and QLD. Patterns and of health care and consumer preferences and quality of life will then be compared for these two different forms of CHF-MP from a combined health economic, health policy and consumer perspective to determine the best form of CHF-MP to be applied. A _consensus� vision for applying an Australia-wide service will then be developed. The potential impact of the results of the study will then be modelled on the status of Australian CHF-MPs in the year 2010 and a blue-print for action devised.Read moreRead less
Involving children in social research: balancing the risks and benefits. There is a growing consensus that children's involvement in social research is important, but considerable uncertainty remains around children's inclusion in research on 'sensitive' issues, reflecting concerns about how to balance children's protection with their participation. Key to this are deeply embedded assumptions and beliefs about children and childhood, especially concerning notions of capacity, agency, vulnerabili ....Involving children in social research: balancing the risks and benefits. There is a growing consensus that children's involvement in social research is important, but considerable uncertainty remains around children's inclusion in research on 'sensitive' issues, reflecting concerns about how to balance children's protection with their participation. Key to this are deeply embedded assumptions and beliefs about children and childhood, especially concerning notions of capacity, agency, vulnerability, dependency and the like. This project aims to better understand and address the tensions between the protection of children and their participation in research, and to explore how ethics committees, parents, other gatekeepers and children themselves manage and navigate these tensions.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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Emerging from the shadows: the evaluation of intervention strategies to reduce social isolation amongst the aged. Social isolation imposes a high cost on affected individuals and the community at large. This project will determine what interventions work in addressing social isolation amongst the older population.
Cycle Aware: Driving with Bikes. This project focuses on the education and training required by drivers to interact safely with cyclists. It uses two ontologically diverse methodologies to examine how Australian drivers become cyclist aware and the education and training necessary to foster safe driver–cyclist interactions. The project aims to provide a critical knowledge base for state and territory driver education policies and a cycle-aware module for learner drivers. These outcomes are inten ....Cycle Aware: Driving with Bikes. This project focuses on the education and training required by drivers to interact safely with cyclists. It uses two ontologically diverse methodologies to examine how Australian drivers become cyclist aware and the education and training necessary to foster safe driver–cyclist interactions. The project aims to provide a critical knowledge base for state and territory driver education policies and a cycle-aware module for learner drivers. These outcomes are intended to reduce cyclist road trauma and on-road tensions between cyclists and drivers, and to improve opportunities for active travel to tackle the growing issue of inactivity.Read moreRead less
Protecting while they prosper? Organisational responses to whistleblowing. This project aims to examine the adequacy of organisational responses to whistleblowing (employee reporting of wrongdoing). So far, research into public-interest whistleblowing has revealed much about the incidence, significance and experience of whistleblowers. This project now extends the research to the other side of the issue — the organisations. By comparing employee and managerial experience in multiple public and p ....Protecting while they prosper? Organisational responses to whistleblowing. This project aims to examine the adequacy of organisational responses to whistleblowing (employee reporting of wrongdoing). So far, research into public-interest whistleblowing has revealed much about the incidence, significance and experience of whistleblowers. This project now extends the research to the other side of the issue — the organisations. By comparing employee and managerial experience in multiple public and private sector organisations in Australia and New Zealand, the project intends to identify the factors that influence good and bad responses across a range of institutions; provide a clearer basis for reform of policies, procedures and law; and set benchmarks for comparative research worldwide.Read moreRead less
Innovative Health Programs To Reduce Inequality In Heart Disease
Funder
National Health and Medical Research Council
Funding Amount
$876,005.00
Summary
As part of his Senior NHMRC Fellowship, Prof Simon Stewart, a world-renowned health services researcher, will lead an internationally linked team of researchers from a broad range of health disciplines to undertake a program of research designed to improve the lives of those most vulnerable to heart disease and poor health outcomes. His program of research will focus on Indigenous Australians, patients with complex forms of heart disease and urban African communities in economic transition.
Local Government and Housing in Australia for the 21st Century. This project plans to analyse survey data, qualitative interviews and detailed case studies to investigate and theorise trends in the relationship between local government and housing supply and demand. It aims to answer a number of questions: What is the role of local government in housing Australians in the 21st century? How have changing economic, social, demographic and political processes affected the interaction between local ....Local Government and Housing in Australia for the 21st Century. This project plans to analyse survey data, qualitative interviews and detailed case studies to investigate and theorise trends in the relationship between local government and housing supply and demand. It aims to answer a number of questions: What is the role of local government in housing Australians in the 21st century? How have changing economic, social, demographic and political processes affected the interaction between local government and housing over the past decades, and what are the likely impacts in the future? How might a reshaped Australian Federation recast the role of local government in this area of social and economic policy? The research aims to consider inner urban, suburban and regional and rural areas; and to contribute to a healthier and more productive Australia by providing local governments with evidence on their role in the housing market and how they can prepare for the future.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE160100213
Funder
Australian Research Council
Funding Amount
$335,000.00
Summary
Optimising the National Benefits From Restoring Environmental Water Flows. The project plans to evaluate strategies that may maximise the national benefits from restoring environmental flows in Australia’s Murray–Darling Basin (MDB). MDB water supply is characterised by prolonged droughts and flood events, and future climatic projections anticipate that these water supply events will intensify. As the uncertainty of future water supply increases, it is important that the volume of water provided ....Optimising the National Benefits From Restoring Environmental Water Flows. The project plans to evaluate strategies that may maximise the national benefits from restoring environmental flows in Australia’s Murray–Darling Basin (MDB). MDB water supply is characterised by prolonged droughts and flood events, and future climatic projections anticipate that these water supply events will intensify. As the uncertainty of future water supply increases, it is important that the volume of water provided by the portfolio of water rights is known. By examining how decision-makers adapt to water supply uncertainty, optimal management strategies could be determined for watering key ecological assets, trading water between irrigators and the government; and private and public investments.Read moreRead less
The Kids in Communities Study: national investigation of community level effects on children's developmental outcomes. This project (a cross-disciplinary collaboration) will investigate community level factors influencing early childhood developmental outcomes using a mixed methods approach in up to 10 communities across Australia. This will result in a potential set of measures or indicators that reflect communities that are good for children.