Research Insights SEPTEMBER 2017 2 Australian Institute of Health Innovation Research Insights
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AUSTRALIAN INSTITUTE OF HEALTH INNOVATION Faculty of Medicine and Health Sciences Research Insights SEPTEMBER 2017 2 Australian INSTITUTE OF Health Innovation RESEARCH INSIGHts JOIN OUR TEAM We welcome policy-makers, researchers, clinicians, information technologists, economists, computer engineers, students, government and industry who share our vision of health system sustainability to join our team. For more information on current research opportunities at AIHI visit aihi.mq.edu.au/study-at-aihi Australian INSTITUTE OF Health Innovation RESEARCH INSIGHts 3 NHMRC Partnership Centre for Health System Sustainability Professor Jeffrey Braithwaite, Director of community. The areas of research for the Ms Kim McClymont the Australian Institute of Health Innovation Centre which address these interconnected NSW Ministry of Health (AIHI), with Professor Enrico Coiera and components of health system sustainability are: Mr Babu Simon Professor Johanna Westbrook have been • Using analytics, technology and shared data Department of Health Western Australia awarded a grant of $5.25 million to lead • Reducing waste and low-value care Ms Annette Schmiede and administer the Partnership Centre for • Promoting better value for the health dollar Bupa Health Foundation Health System Sustainability (“the Centre”). Professor Christine Bennett AO The Centre is jointly governed and funded to COLLABorators University of Notre Dame Australia the value of $10.75 million over five years by The Centre will harness the expertise of NHMRC, Bupa Health Foundation, NSW subject matter experts from the public, private OUR FIRST SYMPOSIUM Ministry of Health, Department of Health and non-government sectors and is based An inaugural symposium was held in Sydney Western Australia and the University of at Macquarie University, Sydney. The team on 16 March 2017 to showcase the proposed Notre Dame Australia. The Centre will of investigators on the project are: research to be conducted and stimulate critical support the implementation of research- discussion and involvement in formulating informed improvements in healthcare Professor Jeffrey Braithwaite (CI) Macquarie University the vision and future work of the Centre. system performance sustainability. It will commence in mid-2017 and will take a Professor Enrico Coiera Over 120 people attended the Symposium, co-production approach to research design and Macquarie University representing a broad range of sectors: health implementation. This research collaborative Professor Johanna Westbrook departments and government health agencies, comprises seventeen outstanding academic Macquarie University research institutions, health insurers, private health services, professional and peak bodies, and health system investigators, and a range Professor Paul Glasziou of health service providers, system managers, Bond University Local Health Districts and Primary Health policy-makers, consumers, professional Networks, hospitals, consumers and industry Professor Anthony Scott experts. Feedback was both constructive bodies and insurers from across Australia. University of Melbourne and positive, particularly from consumers The objective of the Centre is to investigate Professor Jonathan Karnon who also attended a separate symposium and create interventions to improve health University of Adelaide the following day designed to better harness system performance sustainability. The Centre Professor Rachelle Buchbinder consumer input into AIHI’s research agenda. will explore the issues impacting healthcare Monash University system sustainability and develop and evaluate The feedback received from the audience can Professor Robyn Ward AM be read in conjunction with the presentations a set of implementable interventions that University of Queensland are appropriate from a clinical, patient and given by all Lead Investigators available at: Dr Teresa Anderson healthsystemsustainability.com.au/ economic perspective. The outcomes of this Sydney Local Health District work will be practical in nature and relevant news-events-and-participation/ to governments at all levels. Professor Leonard Gray event-outcomes/ University of Queensland RESEARCH THEMES Professor Helena Teede Health system sustainability requires an Monash Partners Contact the Centre Coordinator at alignment of funding, strategy, delivery, Ms Leanne Wells [email protected] to performance management and information Consumers Health Forum of Australia register your interest in the Centre's to achieve optimal health outcomes, patient Ms Jennifer Nobbs research program. experience and value for money for the Independent Hospital Pricing Authority 4 Australian INSTITUTE OF Health Innovation RESEARCH INSIGHts Childhood injury Traumatic injury is the leading cause of death Fall-related injuries, poisoning and burns and and is a leading cause of hospitalisation and scalds were common among 0-5 year olds, falls long-term disability among children aged from playground equipment common among 1 to 16 years in Australia. Many of the serious 6-10 year olds and falls and road transport injuries sustained by children can have injuries were common among children aged long-term implications, such as physical 11-16 years. Children under 10 were identified disabilities and chronic pain. to be at a higher risk of mortality within “Medical and safety advances, pre-hospital 30 days after the injury. Children who sustained interventions, legislative change and the head injuries, who resided in regional Australia introduction of safety initiatives have all or who were injured following road transport contributed to increasing the survival of incidents or drowning or submersion all had children following an injury and reducing a higher risk of mortality. Associate Professor the severity of injuries sustained. Yet, in Although childhood injury has been a national Rebecca Mitchell Australia there has been no comprehensive public health priority in Australia for 30 years, E: [email protected] examination of injury characteristics and the results indicate that childhood injury has survival over time for injured children.” not significantly decreased over this 10-year “Having accurate and timely information on period, with hospital treatment cost estimated child injury hospitalisations is essential for to be $2.1 billion over this period. identifying the injury burden, determining “Childhood injury is preventable. If it does not healthcare costs and evaluating the impact reduce, it will continue to remain a burden to of injury prevention measures” explains the Australian community. The development Associate Professor Rebecca Mitchell. of a national multi-sectorial childhood injury A recent research study funded by the Day prevention strategy in Australia is long of Difference Foundation aimed to examine overdue.” Associate Professor Mitchell says. patterns of injury and hospitalisation costs in children between 2002 and 2012. Australian INSTITUTE OF Health Innovation RESEARCH INSIGHts 5 6 Australian INSTITUTE OF Health Innovation RESEARCH INSIGHts Australian INSTITUTE OF Health Innovation RESEARCH INSIGHts 7 Identification and surgical intervention for refractory epilepsy Epilepsy is the most common serious outcomes for refractory epilepsy brain disorder in the world. Refractory patients currently being assessed for epilepsy is a complex type of epilepsy that surgery. This will provide a comprehensive leads to high rates of co-morbidity, decreased understanding of epilepsy patient health life expectancy, stigmatisation, reduced service use, a review of health data, and quality of life and extensive psychosocial most importantly, in-depth insights into the problems. One third of all refractory reported outcomes of patients and healthcare patients may be eligible for resective surgical professionals who work closely with them,” intervention, which removes part of the brain. says Professor Rapport. This can lead to positive clinical outcomes if “We hope to examine the implications efficiently managed. of delay in identifying and treating In Australia, however, a critical gap of refractory epilepsy patients who may Professor between six months to two years or more be eligible for surgical intervention. Frances Rapport exists between the initial assessment for This will better inform the rationale for E: [email protected] surgery and the surgical procedure, leading more effective referral and treatment in to extensive impact on the burden of disease the future, and guide the development and on hospital service use, in-patient of a clinical support resource toolkit treatments and costs, patient contacts and for use in the wider Australian context interpersonal relationships. that will benefit patients and healthcare Professor Frances Rapport and her team are professionals alike”. conducting a staged study in collaboration Professor Rapport says this will be the with neurology clinicians at Westmead, Royal first Australian study examining delays in North Shore, and Royal Prince Alfred Hospitals early identification, surgical assessment, in an innovative mixed-methods approach to and treatment of refractory epilepsy assessing gaps in treatment, clinical practices patients. This will provide important for refractory epilepsy patients and patient detailed understanding of challenges facing and healthcare professional experience during practitioners working in complex epilepsy. the period of initial patient assessments. The study has a unique combination of an This will be accompanied by a retrospective