Genetic Identity Testing and the Family: the articulation between biotechnology and family relationships, politics and policy. Genetic identity testing cuts to the very nature of the family itself. For the first time in human history, it is possible to identify paternity - and misattributed paternity - with reasonable certainty. Parentage testing has become a vehicle for the fathers? rights movement, and is influencing the management of child support policy. Governments are currently developing ....Genetic Identity Testing and the Family: the articulation between biotechnology and family relationships, politics and policy. Genetic identity testing cuts to the very nature of the family itself. For the first time in human history, it is possible to identify paternity - and misattributed paternity - with reasonable certainty. Parentage testing has become a vehicle for the fathers? rights movement, and is influencing the management of child support policy. Governments are currently developing broad policy frameworks on this issue. Yet there is almost no social research on parentage testing. This study will provide scope for Australian leadership in an area of study that will become progressively more important with the rapid development of DNA chip technology. Read moreRead less
Financing aged care in Australia: Mitigating fiscal gaps and maintaining intergenerational equity. Aged care has been identified as a significant contributor to the growing fiscal problems predicted for Australian government finances during the next 10 to 20 years. This project will develop the cutting-edge modelling tools needed to allow Australia to make informed decisions about possible reforms in aged care financing. It will create significant national benefits by allowing detailed assessmen ....Financing aged care in Australia: Mitigating fiscal gaps and maintaining intergenerational equity. Aged care has been identified as a significant contributor to the growing fiscal problems predicted for Australian government finances during the next 10 to 20 years. This project will develop the cutting-edge modelling tools needed to allow Australia to make informed decisions about possible reforms in aged care financing. It will create significant national benefits by allowing detailed assessment of the distributional impact of a wide range of possible reforms, including how the outcomes of any policy change will affect disadvantaged sections of our society, whether different generations will be fairly treated, and the impact by gender.Read moreRead less
Coverage with Evidence Development: Application to pharmaceutical reimbursement decisions. Some new medicines produce only a small improvement in health but have considerable costs. When these medicines are trialled on only small numbers of people, uncertainty results about the value of the medicine, which can create problems for decision makers. Funding medicines where there is uncertainty may lead to harm when medicines are later found to be unsafe, or waste millions of dollars when they are ....Coverage with Evidence Development: Application to pharmaceutical reimbursement decisions. Some new medicines produce only a small improvement in health but have considerable costs. When these medicines are trialled on only small numbers of people, uncertainty results about the value of the medicine, which can create problems for decision makers. Funding medicines where there is uncertainty may lead to harm when medicines are later found to be unsafe, or waste millions of dollars when they are overpriced relative to effectiveness. Not funding medicines may disadvantage patients in whom the medicines are effective. Methods to enable access to medicines while reducing uncertainty will offer significant benefit to patients, clinicians and taxpayers. Read moreRead less
Resolving patients' complaints about hospitals: Responsive regulation by health ombudsmen. Ombudsmen help ensure integrity and accountability in societal institutions. This study of patients' complaints about hospitals to health ombudsmen in two states, and the responses of hospitals, will produce evidence on strategies for making hospitals more responsive to the public and more accountable for the quality of their care. Australia was a world leader in establishing health ombudsmen and this stud ....Resolving patients' complaints about hospitals: Responsive regulation by health ombudsmen. Ombudsmen help ensure integrity and accountability in societal institutions. This study of patients' complaints about hospitals to health ombudsmen in two states, and the responses of hospitals, will produce evidence on strategies for making hospitals more responsive to the public and more accountable for the quality of their care. Australia was a world leader in establishing health ombudsmen and this study will explore their impact upon the hospital system. Evidence-based strategies are needed to improve the accountability of service providers and regulators. Social and economic benefits flow from empowering patients and from improving hospital performance.Read moreRead less
COMMUNITY BASED COALITIONS FOR HEALTH, SAFETY AND WELLBEING: DEVELOPMENT OF A BEST PRACTICE MODEL. In recent years, governmental and non-governmental organisations have developed coalitions of professionals and community groups to advance health, safety and wellbeing. These coalitions in the fields of prevention, public health, community psychology and community development have to be evaluated and refined in order to maximize their potential. As a result, our project has two main aims: (1) To d ....COMMUNITY BASED COALITIONS FOR HEALTH, SAFETY AND WELLBEING: DEVELOPMENT OF A BEST PRACTICE MODEL. In recent years, governmental and non-governmental organisations have developed coalitions of professionals and community groups to advance health, safety and wellbeing. These coalitions in the fields of prevention, public health, community psychology and community development have to be evaluated and refined in order to maximize their potential. As a result, our project has two main aims: (1) To develop a framework for the evaluation of community-based coalitions for health, safety, and wellbeing, and (2) To develop a best-practice model for the effective creation and functioning of community-based coalitions for health, safety, and wellbeing.Read moreRead less
Knowledge and attitudes about life extension technology: public and stakeholder perspectives. This comprehensive investigation will contribute new knowledge that will help Australians to better cope with the social and economic consequences of an ageing population. New developments in the biosciences promise the possibility of extending human life past 120 years. This study will assist government, healthcare providers and researchers to understand the public reaction to such developments and en ....Knowledge and attitudes about life extension technology: public and stakeholder perspectives. This comprehensive investigation will contribute new knowledge that will help Australians to better cope with the social and economic consequences of an ageing population. New developments in the biosciences promise the possibility of extending human life past 120 years. This study will assist government, healthcare providers and researchers to understand the public reaction to such developments and enable them to plan for the future. The study will contribute to future strategic research and train a future researcher in the priority health goal of ageing well, ageing productively.Read moreRead less
Evaluating the long-term costs and benefits of community-based initiatives. The ultimate benefit from the research is a more efficient allocation of public funds to provide public services, i.e. an increase in the gain derived from the government budget. The relative advantages of alternative methods of delivering government services are subject to significant uncertainty, which means that policy decisions are often poorly informed. Improvements in the accuracy of predicting the costs and benefi ....Evaluating the long-term costs and benefits of community-based initiatives. The ultimate benefit from the research is a more efficient allocation of public funds to provide public services, i.e. an increase in the gain derived from the government budget. The relative advantages of alternative methods of delivering government services are subject to significant uncertainty, which means that policy decisions are often poorly informed. Improvements in the accuracy of predicting the costs and benefits of complex community-based initiatives will help policymakers identify the set of initiatives that provide the best outcomes for the community they serve, as well as informing the optimal specification of the individual initiatives.Read moreRead less
The Distributional Impact of Health Outlays: Developing the Research and Modelling Infrastructure for Policy Makers. The Commonwealth recently concluded that the projected increase in health outlays over the next few decades is unaffordable. Policy makers are therefore going to face difficult decisions about health funding, the balance between government and consumer contributions to health costs, and about taxes (which fund public health outlays). They do not currently have adequate modelling t ....The Distributional Impact of Health Outlays: Developing the Research and Modelling Infrastructure for Policy Makers. The Commonwealth recently concluded that the projected increase in health outlays over the next few decades is unaffordable. Policy makers are therefore going to face difficult decisions about health funding, the balance between government and consumer contributions to health costs, and about taxes (which fund public health outlays). They do not currently have adequate modelling tools to help them make sound decisions. This project aims to redress this situation, by constructing a microsimulation model of the health sector, with a capacity to assess the likely distributional impact of possible policy changes and their revenue or expenditure implications.Read moreRead less
Blended payment systems for doctors: evaluation of an experiment. The results of the study will provide new evidence for health care policy makers in Australia (and internationally) on the effects of changing the remuneration system for GPs on the costs and quality of health care provided. The study will examine effects in the national priority and national health priority areas of preventive health care and chronic disease. The results will be relevant to other countries, such as the US and U ....Blended payment systems for doctors: evaluation of an experiment. The results of the study will provide new evidence for health care policy makers in Australia (and internationally) on the effects of changing the remuneration system for GPs on the costs and quality of health care provided. The study will examine effects in the national priority and national health priority areas of preventive health care and chronic disease. The results will be relevant to other countries, such as the US and UK, where blended payments schemes exist for GPs but have not been evaluated. Read moreRead less
After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, ....After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, early childhood, mental health and drug and alcohol services operated by NSW Health. The research will be the first study of its size to consider the outcomes of routine screening for domestic violence in public health settings in the Australian context.Read moreRead less