Showing papers by "Jane Hall published in 2009"
TL;DR: It is argued that it is premature for the health services community to privilege any particular model of partnership between researchers and decision-makers and rather a diversity of models should be conceptualized, explored in theory and practice, and evaluated.
Abstract: Within the health services research community there is a growing strength of feeling that ongoing partnerships between researchers and decision-makers are critically important to effective transfer and exchange of knowledge generated from health services research. A body of literature is emerging around this idea that favours a particular model of partnership based on decision-maker involvement in research. This model is also gaining favour among health research funding bodies internationally. We argue that it is premature for the health services community to privilege any particular model of partnership between researchers and decision-makers. Rather a diversity of models should be conceptualized, explored in theory and practice, and evaluated. We identify seven dimensions that could be used to describe and differentiate models of partnerships for knowledge exchange and illustrate how these dimensions could be applied to analysing partnerships, using three case studies from recent and ongoing health services research partnerships in Australia.
83 citations
TL;DR: There was substantial variability in costs between individuals but relatively little within-person change over time for the majority, and co-payments for the middle-income groups and those living outside major cities should be reduced to improve equity in the use of services.
Abstract: ObjectivesIndividuals with chronic conditions, such as asthma, on average incur high health care costs, though good control can reduce costs and improve health outcomes. However, there may be substantial variation between patients in their use of services and therefore costs. Our objective was to investigate the sources of such variation in health system and out-of-pocket costs for people with asthma.MethodsA longitudinal observational study of 252 people with asthma in New South Wales, Australia, followed for three years, using six-monthly postal surveys and individual administrative data. Factors associated with costs were investigated using generalized linear mixed models.ResultsThere was substantial variability in costs between individuals but relatively little within-person change over time for the majority. Costs to the health system and out-of-pocket costs were higher with increasing asthma-related health problems and increasing age. Health system costs were less for patients living outside the sta...
4 citations
01 Jan 2009
TL;DR: Evidence from the published literature on potential interventions to enhance access to ‘best practice’ PHC suitable for implementation in the Australian PHC system is examined.
Abstract: Ensuring that Australians have access to health care is an integral component of Australian health care policy. Growing awareness of the importance of primary health care (PHC) in delivering equitable and cost-effective care is creating interest in better understanding and addressing access to best practice PHC. This review examines evidence from the published literature on potential interventions to enhance access to ‘best practice’ PHC suitable for implementation in the Australian PHC system.
2 citations
01 Jan 2009
TL;DR: The Centre for Health Economics Research and Evaluation (CHERE) as mentioned in this paper is a centre of excellence in health economics and health services research, which is a joint Centre of the Faculties of Business and Nursing, Midwifery and Health at the University of Technology, Sydney, and Central Sydney Area Health Service.
Abstract: The Centre for Health Economics Research and Evaluation (CHERE) was established in 1991. CHERE is a centre of excellence in health economics and health services research. It is a joint Centre of the Faculties of Business and Nursing, Midwifery and Health at the University of Technology, Sydney, in collaboration with Central Sydney Area Health Service. It was established as a UTS Centre in February, 2002. The Centre aims to contribute to the development and application of health economics and health services research through research, teaching and policy support. CHERE’s research program encompasses both the theory and application of health economics. The main theoretical research theme pursues valuing benefits, including understanding what individuals value from health and health care, how such values should be measured, and exploring the social values attached to these benefits. The applied research focuses on economic and the appraisal of new programs or new ways of delivering and/or funding services. CHERE’s teaching includes introducing clinicians, health services managers, public health professionals and others to health economic principles. Training programs aim to develop practical skills in health economics and health services research. Policy support is provided at all levels of the health care system by undertaking commissioned projects, through the provision of formal and informal advice as well as participation in working parties and committees.
1 citations
Posted Content•
TL;DR: What evidence is available regarding the effectiveness and efficiency of funding, organisation and delivery of services directed at preventing and managing chronic conditions, and what further information is required is set out.
Abstract: This paper is designed as an issues paper Its aim is to set out what evidence is available regarding the effectiveness and efficiency of funding, organisation and delivery of services directed at preventing and managing chronic conditions, and identify what further information is required The latter will then be used as a means of identifying gaps in information which can be addressed by research The information is not presented as a comprehensive review of all available evidence but as a preliminary scoping of the results of the most recent literature