Menzies Centre for Health Policy - University of Sydney · • Dr Fred Hersch has been awarded an...

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Menzies Centre for Health Policy Directors’ Report July - October 2010 Professor Stephen Leeder, University of Sydney Mr Robert Wells, Australian National University

Transcript of Menzies Centre for Health Policy - University of Sydney · • Dr Fred Hersch has been awarded an...

Page 1: Menzies Centre for Health Policy - University of Sydney · • Dr Fred Hersch has been awarded an honorary associate title at the Menzies Centre (Sydney). Dr

Menzies Centre for

HealthPolicy

Directors’ Report

July - October 2010

Professor Stephen Leeder, University of Sydney

Mr Robert Wells, Australian National University

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Table of contents

What’s New 1

Research 2Chronic Disease and Aged Care 3

Global Health 9

Health Care Financing 11

Health Reform 12

Health Surveys 12

Prevention and Primary Care 12

Sensory Impairment 13

Research Students 14

Academic and Student Visitors 16

Education 17

Publications and Presentations 18

Events 22

Staff List 24

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What’s New

• TheUniversityofSydneyVice-ChancellorhascommittedstrategicfundstoenabletheMenziesCentreforHealthPolicy(Sydney)tofosterandpromotetheformationandfunctionoftheSydneyHealthPolicyNetworkduring2010and2011.TheSydneyHealthPolicyNetworkwillharnessrelevantintellectualresourcesfromacrosstheUniversityandprovideastructuretopromotecross-disciplinaryhealthpolicyresearch,educationandadvocacy.ThisisinlinewiththeUniversity’sstrategicplantodevelopasmallnumberofmajorcross-disciplinaryinitiativesinresearchandeducationthatwillhavevisibleimpactinaddressingthecomplexproblemsfacingournationandourworld.

• ThesecondMenzies-NousSurveyonAttitudestotheHealthCareSystemwenttothefieldinJuly2010.Itfocusedontheexperienceofprimaryandagedcare,andwillprovideanearlyviewofattitudestoproposednationalhealthcarereforms.Analysisoftheresultshasbeencompleted,andthetworeports–ongeneralattitudesandonagedcare–willbelaunchedinCanberraon23November,withpresentationsofresultsthefollowingweekinSydney,MelbourneandAdelaide.

• DrLesleyRussellcompletedheremploymentattheMenziesCentreinAugust2010andhassincebeenawardedanhonoraryappointmentattheUniversityofSydney.

• DrJenniferSmith-MerryhasbeenappointedasvisitingscholarattheMenziesCentre(Sydney).DrSmith-MerryisapostdoctoralfellowattheUniversityofEdinburghandplanstoprogressherresearchonpublicmentalhealthpolicy.

• DrFredHerschhasbeenawardedanhonoraryassociatetitleattheMenziesCentre(Sydney).DrHerschwillcontinuehishonoursresearchprojectlookingatcardiovasculardiseasepreventioninresourcepoorsettingsandmorebroadlyexploretheresponsetothechallengeofnoncommunicablediseasefromaglobalhealthperspective.

• JeanieMcKenziecommencedinOctoberasSeniorResearchFellow,Health&Sustainability.JeaniewillcoordinatetheMedicalFoundationfundedprogram,‘PreventingCardiovascularDiseaseinPacificIslandCountries:AnEnvironmentalApproach’.

• TwonewPhDstudentscommencedinSemester2underthesupervisionofStephenLeeder.AshleyMcAllisterisinvestigatingwhywelfare-to-workpolicieshavebeenunsuccessfulamongthosewithchronicdisease–specificallymentalillness.ShaunaDownshasbeenawardedaUniversityofSydneyInternationalPostgraduateResearchScholarshipandwillresearchchronicdiseaseinthedevelopingworld.ShaunaDownsislookingattherelationshipbetweenthefoodsupplyandthenutritiontransitioninIndia,identifyingpotentialfoodpoliciestoimprovedietsandreducechronicdisease.

• AnEOIsubmittedbytheMenziesCentre(Sydney)fortheNSWHealthpreferredsupplierpaneltenderwassuccessful.TheapplicationdetailedtheMenziesCentre’sstrengthsinqualitativeresearchandhealthpolicyservices.TheMenziesCentrewillbeonapreferredpanelofsuppliersuntilSeptember2013andmayberecruitedtoassistwiththeevaluationoftheDepartment’sactivities.

• StephenLeederhasbeenappointedThemeLeaderoftheSydneyMedicalSchool’sChronicDiseaseResearchTheme.

• TwoUniversityofSydneyInternationalProgramDevelopmentFundgrantshavebeenawardedtotheMenziesCentre.TheHealthandSustainabilityUnitwillfurtherdeveloparesearchnetworkfollowingtheinauguralWUNPublicHealthandClimateChangeWorkshophostedbytheUniversityofBristolinFebruary2010,byholdingafollow-upworkshopinSydneyinearly2011.Theotherawardwillsupportaprocessevaluationandpolicystudyofacommunitybasedcardiovasculardisease(CVD)reductionprograminruralChina.

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Research is a core activity of the Menzies Centre for Health Policy. Menzies Centre staff collaborate extensively with government agencies, area health services, non-government organisations, independent institutes and with industry, locally and internationally, on a wide range of research and consultancy projects. Staff at the Menzies Centre mentor and supervise research students enrolled at both The Australian National University and the University of Sydney. The Menzies Centre also hosts academic and student visitors pursuing projects that align with the research strengths and interests of Menzies Centre staff.

Research

Researchisgroupedintothefollowingworkareas.Currentprojectsforeachworkareaarelistedbelowandupdatedindetailonthefollowingpages.WorkinareaswithoutspecificprojectsiscapturedinPublicationsandEvents.Pleaseseerelevantsectionslaterinthisreport.

• Chronic Disease and Aged Care

• SeriousandContinuingIllnessPolicyandPracticeStudy• HealthandSustainabilityUnit(formerlyTheDiabetesUnit)• TheChildhoodAsthmaPreventionStudy• HealthEconomicsCapacityBuildingGrant• ImprovingHealthLiteracyinSeniorswithChronicIllness• CalvaryHealthCareBethlehemPalliativeCareStudy• PreventingPoorOutcomesforPeoplewithChronicIllness

• Dental and Oral Health

• e-Health

• Global Health

• InitiativeforCardiovascularHealthResearchintheDevelopingCountries• FordFoundationprojectsinIndonesia• HealthpolicydevelopmentinthePacific• OxfordHealthAllianceAsiaPacificRegionalCentre• HealthSectorAidEffectivenessinthePacific• SecuritisationandMulti-drugResistantTuberculosis:GlobalandAustralianPerspectives• USA/AustralianHealthIssues

• Health Care Financing

• ImpactofthecostofmedicinesGPsurvey

• Health Reform

• Health Surveys

• SurveyonAttitudestowardstheAustralianhealthsystem• Whatisinfluentialpublichealthresearch?

• Indigenous Health

• Mental Health

• Obesity and Nutrition

• Prevention and Primary Care

• Sensory Impairment

• BlueMountainsEyeandHearingStudy

• Sustainability

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Researchcontinued

Chronic Disease and Aged Care

Serious and Continuing Illness Policy and Practice StudyWork in Progress

Evaluation of the Blue Mountains GP Network Chronic Disease Self-Management Project

SCIPPSSydneyagreedtopartnerwiththeBlueMountainsGPNetworktoconductanevaluationoftheChronicDiseaseSelfManagementProject(includingevaluatingMoving On,achronicdiseaseself-managementprogram)fundedbytheDepartmentofHealthandAgeing.

ADraftReportoftheevaluationwassubmittedtotheBlueMountainsGPNetworkandtheDepartmentofHealthandAgeinginMay2010.Asixmonthfollow-upfocusgroupwasconductedwithMoving OnparticipantsinOctober2010.AdditionalmaterialwasalsocollectedfromlocalGPsbytheProjectatthistime.AFinalReportincorporatingadditionalGPandfollow-upfocusgroupmaterialwillnowbeproduced.

Evaluation of HealthOne Mt Druitt

HealthOneMtDruitt(HOMD)isasystemofmanagingpeoplewithchronicillnessthatintegratesbothprimaryandcommunityhealthservices.

SCIPPSSydneyhasbeenworkinginclosecollaborationwiththeMountDruittCommunityHealthCentreandHealthOnestafftoconductamixedmethodevaluationofHOMD.Thequalitativecomponentisprogressingonschedule.JustinMcNabhascompletedinterviewswithSWAHSmanagersandstaffwhoareHOMDsteeringcommitteemembers.JimGillespieisinterviewingrelevantNSWHealthandSWAHSpolicymakers.InterviewswithHOMDpatientsandtheircarersarescheduledforNov/Dec2010.AdetailedplanforthequantitativeanalysishasbeendesignedincollaborationwithaSWAHSstaffmember.Datacollectionandanalysisisscheduledforearly2011.

Care Navigation

TheaimoftheRCTistodetermineifthereisanydifferencebetweenstandardcareandCareNavigation(anewmodelforthemanagementforindividualswithchronicillness)forindividualswithchronicillnesswhopresenttoNepeanHopsitalemergencydepartment.

TheCareNavigationRCTcommencedatNepeanHospitalinmid-May.NataliePlanthasbeenworkingatNepeanHospitalrecruitingpatientstothestudy.AsatMonday18October,332peoplehavebeenrecruitedtothestudy,providingananticipatedcompletiondatefortherecruitmentphaseofthestudyof18thJanuary,2011.

NepeanHospital’sHumanResourcesandEthicsCommittee(HREC)haveagreedtoallowconcurrentCareNavigationtobeprovidedoff-studyforpatientswho,formedicalreasons(e.g.dementia),willneverbecomeeligiblefortheRCT.NataliewillbesubmittingarequesttoNepeanHospital’sHRECforCareNavigationtobeavailabletoallpatients(excludingthoserandomisedto‘standardcare’)oncetherecruitmenttargetof500participantshasbeenachieved.

Recruitment of additional Aboriginal patients and carers to SCIPPS

AnalysisoftheinterviewsundertakenwithIndigenouspeoplehasbeencompletedandfourpapershaveresulted:onepaperisreadyforpublication,onepaperisatfinaldraftstage,andtheothertwopapersareindraftform.

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45 and up data-linkage study

The45+datalinkagestudyhasnowcommenced,andthefirstpaperisadescriptivepaperoutliningthecharacteristicsofpeoplefromthestudyidentifyingthemselvesashavingoneofthethreesentinelconditions-heartdisease,diabetesorrespiratorydisease-whoseGPhassubmittedaMedicareclaimforitemsrelatedtochronicillnessmanagement.TheinitialworkwillbereportedattheSaxInstititeusersconferencesattheendofOctober,anditisanticipatedthatthispaperwillbesubmittedattheendofNovember.

Impact of chronic illness on socio-economic well being of senior Australians

Thefindingsfromthisstudyhavebeensubmittedforpublicationintwopapers:oneonthecostsofchronicillnessfollowingapresentationattheAHESconferenceearlyinOctober;andthesecondontheimpactofchronicillnessonworkforceparticipationandtheneedforassistancewithhouseholdtasksandpersonalcarebyolderAustralians.Thereareanumberofotherpapersthatwouldbevaluabletodrawfromthisstudythatwouldinformpolicyandhealthsystemdesign.ThestudyhasleadtothedesignfortheSCIPPSsurveyonTimeUseandCo-ordinationforpeoplewithchronicillness.

GP Survey

DatacollectionhasbeencompletedforthesurveystudyofGPstoexplorethe‘nosymptoms-nodisease’hypothesis.Practiceexperiencesuggeststhatformanypatientsthelackoffranksymptomsofthediseaseleadstoabeliefthatthediseasehas‘goneaway’andmayleadtolessthanoptimalmanagement.Dataanalysisisunderway.

Publications

Published Papers

1. YenL,GillespieJ,JeonY-H,KljakovicM,BrienJ,JanS,LehnbomE,Pearce-BrownC,UsherwoodT.Healthprofessionals,patientsandchronicillnesspolicy:aqualitativestudy(2010).Health ExpectationsJun9.[Epubaheadofprint].

2. AspinC,JowseyT,GlasgowN,DugdaleP,NolteE,LeederS.Healthpolicyresponsestorisingratesofmulti-morbidchronicillnessinAustraliaandNewZealand.Aust N Z J Public Health.2010Aug;34(4):386-93.

Papers in Press

1. EssueB,JowseyT,JeonY-H,MirzaeiM,Pearce-BrownC,AspinC,UsherwoodT,andtheSCIPPSTeam.Informalcareandtheself-managementpartnership:implicationsforAustralianhealthpolicyandpractice.Australian Health Review

Papers Accepted for Publication

1. JowseyT,GillespieJ,AspinC.Effectivecommunicationiscrucialtoself-management:TheexperiencesofimmigrantstoAustralialivingwithdiabetes,Chronic illness-November2011edition

2. CheungKK,MirzaeiM,LeederS.Healthpolicyanalysis:atooltoevaluateinpolicydocumentsthealignmentbetweenpolicystatementsandintendedoutcomes.Australian Health Review

Papers in Submission

1. JowseyT,YenL,WellsR.NationalHealthandHospitalReformCommissionFinalReportandpatient-centredsuggestionsforreform.MJA(submittedDec2009)

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2. MirzaeiM,AspinC,EssueB,DugdaleP,JeonY-H,DugdaleP,UsherwoodT,LeederS.Apatient-centredapproachtohealthservicedelivery:Improvinghealthoutcomesforpeoplewithchronicillness.Australian Journal of Primary Health(submittedOct2010)

3. EssueB,KellyPJ,LeederSR,JanS.Wecan’taffordmychronicillness!ThehouseholdeconomicimpactofchronicobstructivepulmonarydiseaseandcomorbidityinWesternSydney,Australia.MJA

Health and Sustainability Unit (formerly The Diabetes Unit) The Health and Sustainability Unit is dedicated to policy development and implementation; strategic planning for population health; health services research and development; chronic disease prevention and sustainability and health – particularly the influence of the way we live and manage our societies now on climate change and the unprecedented growth in obesity and chronic diseases.

The Health and Sustainability Unit sees its role as a conduit between theory and practice, and works as a bridge between academia, the broader chronic disease community and the general population. It employs a pragmatic approach and is mindful of the diverse needs, perspectives and prevailing forces that affect health across all levels of society.

What’s New

HighlightswithintheHealthandSustainabilityUnit(HSU)include:

• ThecommencementofJeanieMcKenzieasSeniorResearchFellow,Health&Sustainability,whowillcoordinatetheMedicalFoundationfundedprogram,‘PreventingCardiovascularDiseaseinPacificIslandCountries:AnEnvironmentalApproach’.

Grant Applications - Success

International Development Program Funding (IDPF)

HSU’ssubmission“WUNPublicHealth&ClimateChangeNetwork:CombiningClimateChange&ChronicDiseasePrevention”totheUniversityofSydney’sInternationalProgramDevelopmentFund(IPDF)for2011hasbeensuccessful.

TheproposalseekstofurtherdeveloptheresearchnetworkfollowingtheinauguralWUNPublicHealthandClimateChangeWorkshophostedbytheUniversityofBristolinFebruary2010,byholdingafollow-upworkshopinSydney,early2011.Theobjectivesofthe2011workshoparetoprogressthePH&CCagendabyidentifyingdiscreteresearchopportunitiesandprioritiesandpossiblefundingsourcesforjointresearchprojects.

Grant Applications - Submitted

World Universities Network (WUN) Research Development Fund

AnapplicationentitledWUNGlobalHealthJusticeNetwork:PublicHealthandClimateChange-CombiningClimateChangeandChronicDiseasePreventionwillbesubmittedshortly.

ThisprogramarisesfromandisanextensionoftheWUNGlobalHealthJusticeNetwork,ledoutoftheUniversityofBristol.ItbuildsanewdirectionandresearchfocusforthisnetworkbasedonrelationshipsalreadyfosteredbyaBristol-fundedinternationalworkshophostedinFebruary2010,whilesimultaneouslybolsteringtheactivityandoutputofthenetwork.

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WHO Collaborating Centre

AnapplicationledbyProfessorAdrianBaumanwassubmittedfortheWorldHealthOrganisation(WHO)CollaboratingCentreforPhysicalActivityNutritionandObesity(PANO).AssociateProfessorRuthColagiuriisnamedasanAssociateDirectorontheapplication.

Current Projects

Theteamcontinuestoworkincollaborationwithinternalandexternalorganisationsonkeyprojectssuchas:

Systematic Review of Health Urbanisation

WorkiscontinuingonthissystematicreviewincollaborationwithSydneySouthWestAreaHealthServicetoidentifyeffectiveinterventionsthathavebeentestedtoevaluatetheimpactoftransportandurbandesignonhealthoutcomesandidentifythegapsinresearch.

SCIPPS Transport Review

TheobjectiveoftheprojectistoaddtothepoolofknowledgeabouthealthservicebarriersforpeoplewithchronicdiseasesandinformhealthpolicydevelopmentaimedatreducingthesebarriersinAustraliabyundertakingastructuredreviewofthepeer-reviewedliterature.Areportonthisreviewiscurrentlybeingfinalisedforsubmissiontoapeerreviewedhealthjournal.

ADS Guideline for Type 1 Diabetes

TheHSUhasbeensub-contractedbytheAustralianDiabetesSociety(ADS)toassistwiththedevelopmentofanNHMRCGuidelineonType1Diabetesinchildren,adolescents,andtheextensionoftheseguidelinesintoadulthood

ADS Position Statement for Diabetes and Driving

HSUhasbeensub-contractedbytheAustralianDiabetesSociety(ADS)todevelopapositionstatementforhealthprofessionalsondrivinganddiabetesencompassingatargetedsystematicliteraturereview,internationalguidelinecomparisonandcoronerscases.Theliteraturereviewhasbeencompletedandareportandapositionstatementarebeingfinalised.ThepositionstatementwillbesubmittedforpublicationintheMedicalJournalofAustralia.

National Diabetes Programmes

TheGuidetoNationalDiabetesProgrammeshasbeencompletedandwillbepublishedbytheInternationalDiabetesFederationshortly.InadditionaltothetraditionalapproachtodiabetesandrelatedNCDpreventionandcare,thishandbookincludesadvocacy,policyandpublichealthconsiderationsforamore‘ecological’approachtoprimarypreventionandhighlightsthelinkbetweenchronicdiseasesandeconomicandenvironmentalsustainability.

Teaching

In2010,forthefirsttimetheUniversityofSydneyofferedaMasterofSustainability.TheHSUiscoordinatingtheHealthandPopulationsUnitofStudy(SUST5004)whichwasofferedasfourintensiveworkshopsduringSemester22010.

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Publications

Peer Reviewed:

• ColagiuriR,ShortR,BuckleyA.Thestatusofnationaldiabetesprogrammes:AglobalsurveyofIDFmemberassociations.Diabetes Research and Clinical Practice.2010,87:137-142.

• ColagiuriS&ColagiuriR(2010).Howevidence-basedmedicinehasshapedinternationalguidelinesoverthepast25years.Medicographia.June2010,(Accepted).

Invited Presentations

AssociateProfessorRuthColagiuripresentedatthefollowingmeetings:

• 27-28Jul2010,“TradeandNCDs”.Law&Non-communicableDiseasesWorkshop,UniversityofMelbourne.

• 18Aug2010,“Knowledgeandskills:MakingDiabetesEducationMoreSystematicandAccountable”.SymposiumforBehaviouralandSocialResearchinDiabetes,inMelbourne.

• 30Aug2010,DiabetesandPoverty:DeterminingAchievementoftheMDGsWorkshop,The63rdAnnualUnitedNationsDepartmentofPublicInformation/Non-GovernmentalOrganisationsConference,Melbourne.

• 7Sept2010,“PublicHealth&UrbanPolicy”.UniversityofSydney,SPHPublicHealthConnectionsSeminarSeries.

• 25Aug2010,“PlanningandPublicHealth”andRoundtableon“transformingcitiestocaterorpopulationgrowth”.ShanghaiExpo,AustralianPavilion,Shanghai,China.

• 1Sept2010,“Patientcentredcare:asurveyofIDFmembersassociation”.ADS-ADEAConference,Sydney.

• 16-20Oct2010,“SustainingDiabetesPreventionandCareinUncertainTimes”,IntlDiabetesFederation,WesternPacificRegionConference,Korea.

Future Events

Thinker in Residence

ProfStigPrammingwillbejoiningHSUinDecembertoconducta“ThinkerinResidence”programonhealthandsustainability.

The Childhood Asthma Prevention StudyTheChildhoodAsthmaPreventionStudy(CAPS)isthefirstandonlyAustralianrandomisedcontrolledtrialoftheeffectivenessofbothhousedustmiteavoidanceandmodificationofdietaryintakeoffattyacids,bothimplementedfrombirth,forthepreventionofasthmaandotherallergicdiseaseduringchildhood.Thestudystartedin1997andrecruitmentof616subjectswascompletedinJanuary,2000.

Thecohortages111/2and14yearsarecurrentlybeingfollowed-up.Thispartofthestudywilllookatlongertermoutcomesoftheinterventionsaswellasexaminingsex-specificdifferencesinthenaturalhistoryofasthmaandallergicdiseaseduringthetransitionthroughpuberty.Datacollectionisproceedingonschedule.

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Health Economics Capacity Building GrantStephenLeederisaChiefInvestigatorona5yearNHMRCCapacityBuildinggrantthatwillprovidetraininganddevelopmentforateamofhealtheconomiststoresearchchronicdiseases.Theprogram,HealthEconomicsResearch,Modelling,EvaluationandStrategy(HERMES)‘Usinghealtheconomicstostrengthentiesbetweenevidence,policyandpracticeinchronicdisease’,isacollaborationbetweentheGeorgeInstitute,SchoolofPublichealthandtheMenziesCentreforHealthPolicy.Itwilladdressissuessuchas:Whatisthevalueformoneyfrominvestmentindifferenttreatments?Howdosuchdiseasesaffecttheeconomiccircumstancesoffamilies?Howdoweensurethatstrategiestoaddressillnessworkinpracticeandcanbesustained?Howdotheseissuesgetputonthepolicyagenda?

BeverleyEssueandJoelNeginareTeamInvestigatorsonthegrantanditisprogressingwell.Thefollowingachievementsandoutputsarenotedforthisreportingperiod:

Publications:

• NeginJ,CummingR.QuantifyingHIVprevalenceinolderadultsinsub-SaharanAfrica:extrapolatingfromexistingdata.BulletinoftheWorldHealthOrganizationForthcoming.

• NeginJ,WarieroJ,CummingR,MutuoP,PronykP.HighratesofAIDS-relatedmortalityamongolderadultsinruralKenya.JournalofAcquiredImmuneDeficiencySyndromesForthcoming.

• NeginJ,RobertsG,LingamD.TheEvolutionofPrimaryHeathCareinFiji:Past,PresentandFuture.PacificHealthDialogueForthcoming.

• SnowdonW,NeginJ,MoodieM.BuildinganeconomiccaseforfoodinterventionsinthePacific.PacificHealthDialogueForthcoming.

Awards:

• CanadianInstitutesofHealthResearch-DoctoralResearchAward(2010-2013),‘Theeconomicimpactofchronicillnessonhouseholdsandtheimplicationsforhealthandsocialpolicydevelopment.’

Conference presentations:

• Householdeconomichardshipandchronicillness:aqualitativeinquiry.EmergingHealthPolicyResearchConference–Sydney.11August2010–oralpresentation.

• Measuringthehouseholdeconomicimpactofillness:adiscussionofmethods.AustralianHealthEconomicsSocietyConference(AHES)–Sydney.30September-1October2010–oralpresentation.

Improving Health Literacy in Seniors with Chronic IllnessJimGillespie,CliveAspinandSteveLeederreceivedagrantfromNationalSeniorsAustralia.Thestudyaimstogainanunderstandingofhowseniorslivingwithchronicillnessnavigatethehealthsystemandgainaccesstoinformationaboutavailablecareandmanagementoptionstoassisttheminmanagingtheirconditions.Thestudywillapproachtheissueofpatientcareandqualityoflifefromthepatient’sperspective,givingavoicetoindividualswhooftenaredisenfranchisedinthedevelopmentofcareplans.TheSCIPPSdatahasbeenreanalysedtoidentifystrategiestoimprovehealthliteracy.Theresultswillbediscussedwithpatients,carersandhealthprofessionalsenrolledinHealthOneMtDruitt.Areportandseminarswillbeheldtopresenttheresultsinthefirsthalfof2011.

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Calvary Health Care Bethlehem Palliative Care StudyJimGillespie,AngelaBeaton,CathieHullandBeverleyEssuehavebeencommissionedtoprovideCalvaryHealthCareBethlehem(CHCB)withadescriptiveanalysisoftheirspecialistmodelofpalliativecare.TheprojectwilltrackthepatientjourneythroughtheCHCBcommunity-basedandhospital-basedpalliativecareservice,andprovideadescriptiveanalysisoftheinterplaybetweenmultidisciplinaryservicesandtheircosts.Thisprojectaimstomakeimportantcontributionstonationalpolicyinthisarea.Thefirstphaseoftheproject(literaturereviewandpreparation)isunderway.Theprojectisnowintherecruitmentphase.

Preventing Poor Outcomes for People with Chronic IllnessThisprojectisbeingfundedbyatwo-yeargrantfromtheIanPotterFoundation.Aone-yearprojectwillbedeliveredbytheANUteamandtheUSydteamwillcommenceaone-yearprojectinmid-2011.

WorkontheCanberraprojecthascommenced.BobWells,IanMcRae,JimGillespieandLaurannYenareworkingwithtwopart-timeresearchfellows,MichelleBanfieldandKarenGardnerontheproject.MichelleandKarenarecurrentlyengagedontheinitialpolicysearch,tounderstandhowissuesofco-ordinationhavebeenaddressedfromapolicyperspective.WehavedecidedtoconcentrateoninformationfromtheCommonwealthandthreestates,NSW,VictoriaandQueensland.Theinitialworkwillprovideachronologyandamapofpolicyinitiativeswhichwillbeusedtosetupkeyinformantinterviews.

Global Health

Initiative for Cardiovascular Health Research in the Developing CountriesAstudyconductedinChina,India,ArgentinaandZambia,estimatingthecoststofamiliesofheartdiseaseandstrokesufferedbyonemember,isinthefinalwrite-upstage.ThisstudyhasbeencoordinatedfromDelhiandStephenLeederhaschairedtheoverseeingcommittee.Itcomplementshisworkin2003-4examiningthemacroeconomiceffectsofCVD.SeveralkeypublicationsarecurrentlybeingpreparedandinsightsfromthisstudymayleadtoarevisionofpolicyforfinancinghealthcareandsocialsupportforpeoplewithCVDindevelopingcountries.TheUniversityofSydneyhostedavisitorfromtheIndiancentreofthestudy,DrHarikrishnan,fortwoweeksinJune.DrHarikrishnanisworkingonarevisionofthemonographA Race Against Time,firstpublishedin2004.

Ford Foundation projects in IndonesiaProfessorPeterHeywoodreceivedfundingin2008fromtheFordFoundationtoconductanumberofstudies.Allprojectshaveconcludedwiththeexceptionof:Design and preparation of a pilot project to reduce maternal and neonatal mortality through demand side interventions in West Java Province, Indonesia

ConsiderableprogresscontinuestobemadewiththisprojectanditisexpectedtoconcludeinNovember2010.Recentpublicationsarelistedbelow:

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• TitaleyCR,HunterCL,HeywoodP,DibleyMJ.Whydon’tsomewomenattendantenatalandpostnatalcareservices?:aqualitativestudyofcommunitymembers’perspectivesinGarut,SukabumiandCiamisdistrictsofWestJavaProvince,Indonesia,BMC Pregnancy and Childbirth2010,10:61doi:10.1186/1471-2393-10-61

• TitaleyDR,HunterCL,DibleyMJ,HeywoodP.Whydosomewomenstillprefertraditionalbirthattendantsandhomedelivery?:aqualitativestudyondeliverycareservicesinWestJavaProvince,Indonesia,BMC Pregnancy and Childbirth2010,10:43

Health Sector Aid Effectiveness in the PacificJoelNeginisconductingresearchfundedbytheKnowledgeHubonHealthPolicy&FinanceattheNossalInstituteforGlobalHealthonhealthsectoraideffectivenessinthePacific.

The2009projectsfocusedonsectorwideapproachesinSamoaandtheSolomonIslandsandtrackingoffundingflowsfornon-communicablediseaseandHIV/AIDS.Theworkhasbeenextendedin2010toinvestigateregionalhealthsectorgovernancemechanisms.TheresearchisbeingdoneincollaborationwiththeWorldBankandSecretariatofthePacificCommunitypartners.

Publications

• NeginJ,RobinsonHM.FundingforHIVandNon-CommunicableDiseases:ImplicationsforPrioritySettinginthePacificRegion,HealthPolicyandHealthFinanceKnowledgeHubWorkingPaperSeries,Nossal Institute for Global HealthattheUniversityofMelbourne,Australia,Number1,March2010.

• NeginJ.Sector-WideApproachesforhealth:anintroductiontoSWApsandtheirimplementationinthePacificregion,HealthPolicyandHealthFinanceKnowledgeHubWorkingPaperSeries,Nossal Institute for Global HealthattheUniversityofMelbourne,Australia,Number2,March2010.

• NeginJ.Sector-WideApproachesforhealth:acomparativestudyofexperiencesinSamoaandtheSolomonIslands,HealthPolicyandHealthFinanceKnowledgeHubWorkingPaperSeries,Nossal Institute for Global HealthattheUniversityofMelbourne,Australia,Number3,March2010.

• NeginJ.Sector-WideApproachesforhealth:lessonsfromSamoaandtheSolomonIslands,HealthPolicyandHealthFinanceKnowledgeHubWorkingPaperSeries,Nossal Institute for Global HealthattheUniversityofMelbourne,Australia,Number4,March2010.

Securitisation and Multi-drug Resistant Tuberculosis: Global and Australian PerspectivesJimGillespieandJoelNeginarelookingatnewissuesaroundanolddiseasethathasre-emergedinanewandlesstreatableform.Multi-drugresistantTuberculosis(MDRTB)–amorevirulentvariantwithhighermortalityrates–hasemergedrecentlyasaresultofinadequatelyadministeredtreatmentprogramsforTB.ItiscloselylinkedtotheprevalenceofHIVandAIDSand‘lowqualitytreatmentprograms’.TheprojectislookingatthepolicycontextofWHO’sTBDOTSpolicyandtheemergenceofMDRTBasapolicyproblemonAustralia’sborderstoidentifyproductiveresponses.SeveralpublicationsarebeingpreparedonthedevelopmentoftheDOTSprogram,borderprotectionandMDRTBintheTorresStraitandacommissionedbookchapteron‘securitization’ofillness.

Researchcontinued

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Process Evaluation of Cardiovascular Disease Interventions in Anhui Province ChinaTheMenziesCentreforHealthPolicyhasbeenawarded$16,000undertheUniversityofSydneyIPDFprogramtoundertakeaprocessevaluationandpolicystudyofacommunitybasedcardiovascular(CVD)reductionprograminruralChina.TheprojectwillbeconductedincollaborationwithLanzhouUniversity,GansuProvince,China.CVDisaserioushealth,economicandsocialissueinruralChinaandanareaofincreasingneedandresearchinvestment.TheMenziesCentrehasexpertiseinprocessevaluationandaknowledgeexchangeinthisareawillbeoftremendousbenefittobothLanzhouandSydneyUniversities.

ThiscollaborationwillprovideexcellentopportunitiesforstaffandstudentexchangebetweentheMenziesCentreforHealthPolicyandLanzhouUniversity.Thisone-yearprojectisexpectedtocommenceinMay2011andpreparationsfortheprojectareunderway.

USA/Australian Health Issues DrLesleyRussell,HonoraryAssociate,SydneyMedicalSchool,UniversityofSydneyandformerMenziesFoundationFellow,hasspentthepast18monthsinWashingtonDCwhereshehascombinedherAustralianwork(teaching,researchintotheimpactofout-of-pocketcostsonpatients’health,policyanalysesandcommentary)withworkonUShealthcarereformandotherhealthissues,primarilyobesityandthepublichealtheffectsoftheGulfoilspill.

SeethePublicationssectionlaterinthisreportforalistofDrRussell’swritings.

Health Care Financing

Impact of the cost of medicines GP survey LesleyRussell,AngelaBeatonandTimUsherwoodareworkingonaresearchprojectinvestigatinghowgeneralpractitionershelptheirpatientsinseverefinancialstressmanagetreatmentcosts.GPsintheBlueMountainsDivisionofGeneralPracticeandWentWestweresurveyedbetweenJanuaryandMarch2010.AspectsofthisworkwerepresentedattheEmergingHealthPolicyConference(Beaton)andwillbepresentedattheupcomingtheSydneySchoolofPublicHealthResearchConference(Beaton).Amanuscriptreportingtheresultsofthisworkiscurrentlyunderpreparation.

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Health Reform

New advisory role for MCHPTheMenziesCentrehasbeenengagedbyNSWHealthoverthenext13monthstoprovideindependentpolicyadviceonkeysignificantareasofworkrequiredduringtherolloutoftheCOAGNationalHealthandHospitalsNetworkAgreementinNSW.TheMenziesCentrewill:adviseonnewgovernancestructuressuchasLocalHospitalNetworks;developevidencebasedengagementandconsensusapproacheswhichwillfacilitateeffectivepolicyandprogramtransitionandreformimplementation;deliverconsultationforumsaroundthehealthreformprocessandassistinboththedevelopmentofdecisionsandinimplementation;andconductcomparativejurisdictionalanalysisoneffectivegovernanceandotherhealthservicedeliverystructures.AworkshoptoaddresstheseissueswithseniorNSWHealthstaffwillbeheldinearlyNovember.

Health Surveys

Survey on Attitudes towards the Australian health systemThesecondMenzies-NousSurveyonAttitudestotheHealthCareSystemwenttothefieldinJuly2010.Itfocusedontheexperienceofprimaryandagedcare,andwillprovideanearlyviewofattitudestoproposednationalhealthcarereforms.Analysisoftheresultshasbeencompleted,andthetworeports–ongeneralattitudesandonagedcare–willbelaunchedinCanberraon23November,withpresentationsofresultsthefollowingweekinSydney,MelbourneandAdelaide.

What is influential public health research? StephenLeederandJamesGillespieareChiefInvestigatorsonanNHMRCProjectgrantthatislookingathowpopulationhealthresearchworkersandpolicymakerscommunicate.Thestudyaddressesthequestionastowhatthecharacteristicsareofpublichealthresearchthatleadstopolicychange.Theprojectcommencedinearly2009.Interviewswithresearchersandmostofthepolicymakershavebeencompletedandtheprojecthasasubstantialnumberofpublicationsacceptedandunderreview.

Prevention and Primary Care

Grant application

AnapplicationwassubmittedintheAPHCRI-CentreofExcellenceinPrimaryHealthCareResearchgrantround,‘WesternSydneyCentreforExcellenceinChronicDiseaseandPrimaryCareResearch-Towardseffectiveandequitablechronicdiseasepreventionandmanagementinmarginalisedcommunities’.IfsuccessfulthisfundingapplicationwillbringtogetherestablishedresearchersfromtheUniversitiesofSydneyandWesternSydney,theMenziesCentreforHealthPolicyandtheGeorgeInstituteforGlobalHealth,alongwithkeyserviceprovidersingreaterwesternSydneyincludingWentWestLtd,localdivisionsofgeneralpractice,communityhealthservices,RefugeeHealthandNSWJusticeHealth.TheaimoftheproposedCentreistodevelop,trialandrigorouslyevaluatesolutionsforthesafe,effective,costeffectiveandequitablepreventionandmanagementofchronicdiseaseinpartnershipwithdisadvantagedandmarginalisedcommunities.TheCentrewillbebasedingreaterwesternSydney.

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TheCentre’scoreresearchprogramduringthefirstfouryearswillbeinthreephases.PhaseonewillestablishsixtosevenCommunityResearchPartnershipGroups(CRPGs)inmarginalisedcommunities,includingpartnershipswithlocalAboriginalCommunityControlledHealthServicesandwithJusticeHealth.EachCRPGwillworktogethertoidentifyhealthcareprioritiesanddevelopsolutionsfortheircommunity.PhasetwowillsynthesisetheworkoftheCRPGsintoanIntegratedChronicDiseasePreventionandManagementSystem(ICDPMS)andwillevaluatetheICDPMSacrossgreaterwesternSydneyinaclusterrandomisedcontrolledtrialmeasuringeffectivenessaswellasserviceuseandcost.AprocessevaluationwillexploretheviewsofconsumersandhealthcareprovidersaboutthebenefitsandproblemsencounteredwiththeModel,andtheirsuggestionsforimprovement.PhasethreewillrefinetheModelinlightoftheprocessandoutcomefindingsoftheRCTanddisseminatetheModelandresearchfindingsnationallyandinternationally.TheCentrewillalsohaveastrongfocusonbuildingresearchcapacitybyengagingdoctoralstudentsandpostdoctoralresearchers.

Sensory Impairment

Blue Mountains Eye and Hearing StudyTheVision-Hearingproject,anewNHMRCPartnershipgrantthatpilotsascreeningmodelforthedetectionofdualsensoryimpairmentamongclientspresentingtolowvisionservices,hasbeenunderwaysinceApril2010.Theproject,ledbyStephenLeeder(CIA)andJulieSchneider,received$318,000inNHMRCfundsinadditiontofinancialandin-kindsupportfrompartnerorganisations,VisionAustraliaandtheAudiologicalSocietyofAustralia.

JulieSchneiderismanagingtheprojectfromtheMenziesCentre.RecruitmentofparticipantscommencedfromAugust2010followingemploymentofaresearchaudiologistatVisionAustraliainJune.

Todate,75clientshavebeenrecruitedtothestudy.Allhavepresentedwithsomehearinglossbasedonthestudyscreeningcriteria(≥25dBhearinglossatoneormoreoctavefrequenciesbetween500and8000Hz).Thirtyparticipants(40%)reportedtohavepreviouslyaccessedhearingservicesandtocurrentlyownhearingaids.However,40%ofthesereportednottousetheiraids.Theremaining45participantshavebeenrecommendedforafullhearingassessmentandwillbefollowedupaspartofthestudy.Fifteenhearingserviceproviders,includingeightAustralianHearingofficesandsevenprivatepractitionershaveregisteredwiththeproject,indicatingtheirwillingnesstoreceiveclientsforcompleteassessmentandprovidedatabacktothestudyonhearingrehabilitationoutcomes.

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Research StudentsAnne Marie ThowUsing trade and tax policy to improve population nutrition: global agendas, politics and policy making

AnneMariesubmittedherPhDthesisforreviewinAugust.Anutritionistwithamastersinpublicpolicy,sheinvestigatedtheimplicationsofglobalmacro-economicpolicyfordiets,andthepotentialtousetradeandtaxpolicytoimprovepopulationnutritioninthePacific.PriortobeginningherPhD,AnneMarieworkedattheAustralianInstituteofHealthandWelfare,andattheFijiNationalFoodandNutritionCentre.ShehasalsocompletedinternshipsattheWorldHealthOrganizationandInternationalFoodPolicyResearchInstitute.AnneMarienowworksasanAssociateLecturerfortheGraduatePrograminHealthPolicyattheUniversityofSydney.

Surianti SukeriHeavy Heart: the untold tale of economic and psychosocial impact of CVD on patients and their families in Malaysia

Suriantiisconductingacross-sectionalstudyoftheeconomicimpactofCVDonpatientsandtheirfamiliesinMalaysia.Thisstudyfoundthataround1in5individualswithIHDinMalaysiareportfinanciallycatastrophiclevelsofhealthcarespending.However,theextenttowhichthistranslatesintofinancialstressandeconomichardshipislow.Itislikelythatthisisduenotonlytothefinancialprotectionfromthecostsofhealthcareaffordedbythehighlysubsidisedhealthcaresystembutalsotothenon-refusalpolicythatallowseverypatienttobetreatedregardlessoftheirabilitytopay.Theseinitiativesshouldbeseenasanexemplarforotherdevelopingcountries.

Jennifer HunterDeveloping a minimum dataset for use in an Australian integrative medicine clinic

Jenniferhasundertakenasystematicliteraturereviewofpatientquestionnairesforuseinprimarycareintegrativemedicineclinics.Fromover2000questionnaires,412potentialquestionnaireswereidentifiedandafinalshortlist42robusttoolsarerecommended.

In-depthinterviewsarebeingconductedataprimarycareintegrativemedicineclinicinSydney.Theaimistoexplorepractitioners’andpatients’viewsabouttheuseofquestionnairestomeasureholistichealth.

Basedonthesefindingsaminimumdatasetwillbeproposedthataimstomeasureabroadspectrumofdomainsincludinghealthcareuse,physicalhealthoutcomes,diseaseprevention,qualityoflifeandpositivedefinitionsofhealthandwellbeing.

Fromthisproject,thelong-termaimistodevelopastandardisedonlinedatabasethatisabletomonitorhealthserviceuseandpatientoutcomes.ThedatabasewillprovideapracticaltooltosupporturgentlyneededevaluationsofmultidisciplinaryprimarycareandintegrativemedicineclinicsinAustralia.Jennifer’sprojectissupportedbyaNationalInstituteofComplementaryMedicineseedfundinggrant.

Ashley McAllisterThis wall is too tall: why welfare-to-work policies do not work for those with chronic illness

Ashleyisinvestigatingwhywelfare-to-workpolicieshavebeenunsuccessfulamongthosewithchronicdisease–specificallymentalillness.Sheisinterestedinidentifyingpossiblepolicyresponsestoincreasethesocialandeconomicparticipationofthosewithmentalillness.

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Researchcontinued

Shauna DownsFood policies to reduce chronic disease in India

ShaunaDownsislookingattherelationshipbetweenthefoodsupplyandthenutritiontransitioninIndia,identifyingpotentialfoodpoliciestoimprovedietsandreducechronicdisease.Hermaininterestisintherelationshipbetweenthefoodenvironment,thenutritiontransitionandchronicdisease.

Adam CaponThe development of an environmental health policy for nanotechnology in Australia

AdamisbeingsponsoredbyNSWHealthtocompletethefirstmajorAustralianstudyofthepolicyimplicationsofthedevelopmentofnanotechnologies.HehasundertakenthefirstcomprehensivereviewofthecurrentregulatoryandpolicystructuresaroundpublichealthchemicalspolicyinAustraliaandhasplannedquantitativeandqualitativeresearcharoundpublichealthimplicationsofnanotechnology.AdamwillconsultcloselywiththedifferentAustralianjurisdictionstodevelopworkablepolicies.

Angela LittlefordNSW models of care that reflect innovation in ageing and chronic disease management and their links to policy

Angelahasinterviewed30healthleadersfromNSWandAustraliatogaintheirviewsonthemodelsofcarethataredeliveringinnovationintheareasofchronicdiseasemanagementforolderpeople.Thesemodelsarethendiscussedinrelationtopolicy.Datacollectioniscompleteandanalysisofthedataisunderwayusinggroundedtheorymethodology.Fromtheseinterviews,innovativemodelsofcarehavebeenidentified.OnesuchinnovativemodelisIntegratedCommunityCareforOlderPeopleandAngelahaspublishedthemodelinaninternationaljournalandwillpresentthemodelattheAustralianAssociationGerontologyConferenceinNovember.Shehasalsoco-authoredabookchapteroninnovationusingvideo-phonetechnology.Herstudyisinitsthirdyear.

John HallThe global politics of Tuberculosis control: an analysis and critique of the international Tuberculosis Directly Observed Short Course (TB DOTS) policy, its development, and transfer to low income countries

JohnHallisapublichealthphysicianwithlongexperienceofworkinginthePacificIslandsandotherlowresourcesettings.Heisexaminingthereasonsforwidespreadfailuresinhealthsurveillanceandimplementationofexternallyfundedprograms.Hismaininterestisthetroubledrelationshipsbetweenglobalpoliciesdevisedwithlittleregardforlocalrealitiesandthedifficultyofimplementingtheseinterventionsinsettingwithpoorresources,inadequatetrainedworkersandfragilegovernancestructures.

Deborah SchalerPatient complaint policy: improving the quality and safety of health systems

Deborahisundertakingacomparativestudyofpatientcomplaintpolicythatseeksevidencethatpolicyimplementationleadstomeasureableimprovementinthequalityorsafetyofthehealthsystem.ThestudyaimstobetterunderstandthelimitationsofcurrentcomplaintpolicyinAustralia,andidentifyareaswherethepolicyanditsplaceinaclinicalgovernanceframeworkcanbestrengthenedtomoreeffectivelyandefficientlyimprovepatientsafetyandquality.

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Thestudywilldevelop,trialandevaluateanewpolicyandmodelofcomplaintmanagementforACTHealth(Canberra).FollowinginvestigationinherfirstyearofstudyDeborahproposesthatthemodelincludeaprocessforintegratedanalysisofcomplaintandincidentdata,takesaclinicalriskmanagementapproachtocomplaints,andestablisheslinkstoqualityimprovementprocessesthroughanappropriateclinicalgovernanceframework.

Andrey ZhelukHIV advocacy in the former USSR

TheHIVepidemicintheRussianFederationhasbeendrivenbyinjectingdrugusesincethelate1990s.Duringthe2000s,theRussiangovernmentmaintainedastrongdrugprohibitionistandantiharmreductionstance.DespiteinternationalfundingforHIVharmreductionprogramsoverthecourseofthedecade,therewasalmostnochangeinthecentralgovernmentcommitmentofresourcesrequiredtoscaleupHIVpreventionandtreatmentprogramsforinjectingdrugusers.Whereaseachsuccessivedonorprogramsoughttoengagefederal,provincialandlocaltiersofgovernmenttosupportofharmreduction,policychangeshavethusfarbeeninsufficienttoinfluencethecourseoftheinjectingdrugusedrivenepidemicacrossRussia.

Andreyisinvestigatingtheroleofprojectperformancedatacollectedduringtheimplementationofafive-yearGlobalFundtofightAIDS,TuberculosisandMalaria(GFATM)projecttoinfluenceHIVanddrugpolicylocallyandnationallyinRussia.

Heiscurrentlyconductingfieldresearchonthefollowingthemes:

1. WhatistheprioritisationofHIVanddruguserelativetootherhealthproblemsinRussia?

2. WhatistheinfluenceofinformalinstitutionsonHIVanddrugpolicychange?

3. IsthemunicipaltierofgovernmentthemostimportantinfluenceonhealthpolicychangeinRussia?

4. Howmuchhas“AIDSexceptionalism”influencedexpectationsofHIVanddrugpolicyreforminRussia?

Academic and Student VisitorsXiaohui Wang - SCIPPS Visiting Fellow

WangXiaohui,aVisitingFellowfromChina,hasspentthelast9monthsworkingonavarietyofprojectsattheCentrewithJimGillespieandSteveLeeder.AtthesametimeshehasattendedanumberofworkshopsonhealthpolicyheldbytheSchoolofPublicHealthatSydneyUniversity.InAugust,WangandSteveLeedersubmittedanInternationalProgramDevelopmentFund(IPDF)grantapplicationontheevaluationofahealthpromotionprojectinHefeiintheprovinceofAnhuiinEasternChinainlandfromShanghai.Thisapplicationwassuccessfulandtheywereawarded$16000inSeptemberofthisyear.WangwillcontinuedevelopingtheevaluationplanfortheIPDFgrantoverthenext3monthsandwillreturntoChinainJanuary2011.

Nursing Policy and Outcome Center, Faculty of Nursing, Chiang Mai University

TheMenziesCentre(USyd)hostedavisitingdelegationfromtheNursingPolicyandOutcomeCenter,FacultyofNursing,ChiangMaiUniversity.ThedelegationmetMenziesCentreandUniversitystaffandpresentedattheEmergingHealthPolicyResearchConferenceoncurrentnursingworkforceprojectswhicharecriticalinThailand.Thedelegationweremostinterestedinresearchandpolicyeducation,includingtheUniversity’spostgraduatehealthpolicyteachingprograms.

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Education

One of the principal objectives of the Centre includes training researchers to such a level that they will have the capacity to participate meaningfully in national and international research programs on health policy and to undertake research training activities and programs that are consistent with these objectives. The Menzies Centre has provided a focus for expanding postgraduate programs in health policy at the University of Sydney and a new Master of Public Health program at the Australian National University.

The University of Sydney

TheMasterofHealthPolicyofferedthreeunitsinsecondsemester,againrelyingonstafffromtheMenziesCentre,theSchoolofPublicHealth,withthegenerousparticipationofpolicypractitioners.

HPOL5003 Analysing Health Policy (J Gillespie, S Leeder, Bev Essue, Christine Giles – enrolment: 35)

Thisunitlooksatthewidevarietyofformsofevidencethatistakenupinhealthpolicyformation.Thefirstworkshop,ledbySteveLeeder,givesanintroductiontocriticalappraisaltechniquesandformalmethodsofevaluatingthequalityandappropriatenessofhealthandmedicalresearch.TherewasavaluablecontributionfromMasoudMirzaei,nowanhonoraryassociateoftheCentre,visitingfromhispostatUniversityofYazd,Iran.ThesecondWorkshoplookedatpublicpolicy/politicalaspectsofpolicyanalysis,andstartedwithathoughtprovokingsessionfromTheHonCraigKnowles,formerNSWhealthministerandcurrentlychairoftheAsthmaFoundation.ChristineGiles,generalmanageroftheNationalBreastandOvarianCancerCentre,ranaparticularlyvaluableworkshoponthetheoryandpracticeofpolicyevaluation.

HPOL5007 Global Health Policy (J Gillespie and Anne Marie Thow – enrolment: 30)

ThetwoGlobalHealthpolicyworkshopsaretaughtincloseconjunctionwiththeMasterofInternationalPublicHealthProgram.Weusedavarietyofacademicandinsiderpresenterstolookatthemaininstitutionsandprocessesofglobalhealthpolicy,thenfocusedonthepoliticsofprioritysettinginthecurrentglobalfinancialcrisis.Thesecondworkshopincludedanextendedsessiononissuesofgovernanceinglobalhealthinstitutions,ledbyDrCarmenHuckelSchneider,fromtheSaxInstitute.

HPOL5009 Health Policy Project (Steve Leeder, Cathie Hull, Bev Essue, Amanda Dominello – enrolment: 5)

Thisisalimitedenrolment‘capstone’researchunitthatdrawstogetheralltheearlierunitsofthehealthpolicyprogram.ItsenrolmentwillriseslowlyasstudentsworktheirwaythroughtheprerequisiteHPOLcoreunits.TheHonCraigKnowlesledastimulatingdiscussiononpolitics,evidenceandpolicythathelpedstudentsfocustheirpolicyanalysistaskonrealisticissues.

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Publications and Presentations

Peer Reviewed• TitaleyCR,HunterCL,HeywoodP,DibleyMJ.Whydon’tsomewomenattendantenatal

andpostnatalcareservices?:aqualitativestudyofcommunitymembers’perspectivesinGarut,SukabumiandCiamisdistrictsofWestJavaProvince,Indonesia,BMC Pregnancy and Childbirth2010,10:61doi:10.1186/1471-2393-10-61

• SchneiderJ,LeederSR,GopinathB,WangJJ,MitchellP.Frequency,Course,andImpactofCorrectableVisualImpairment(UncorrectedRefractiveError),Surv Ophthalmol.2010Sep16.[Epubaheadofprint]

• ThowAM,HeywoodP,LeederS,BurnsL.Theglobalcontextforpublichealthnutritiontaxation,Public Health Nutr. 2010Aug16:1-11.[Epubaheadofprint]

• ThowAM,JanS,LeederS,SwinburnB.Theeffectoffiscalpolicyondiet,obesityandchronicdisease:asystematicreview.Bull World Health Organ. 2010Aug1;88(8):609-14.Epub2010Feb22.

• TitaleyDR,HunterCL,DibleyMJ,HeywoodP.Whydosomewomenstillprefertraditionalbirthattendantsandhomedelivery?:aqualitativestudyondeliverycareservicesinWestJavaProvince,Indonesia,BMC Pregnancy and Childbirth2010,10:43

• WilsonLA,QuineS,LewisM.2010Hidingundertheblankets:reasonswhyparentscoverinfants’strollersandpramswithblankets.Neonatal Paediatric and Child Health Nursing.13:2.July2010

Papers in Press

1. EssueB,JowseyT,JeonY-H,MirzaeiM,Pearce-BrownC,AspinC,UsherwoodT,andtheSCIPPSTeam.Informalcareandtheself-managementpartnership:implicationsforAustralianhealthpolicyandpractice.Australian Health Review

Papers Accepted for Publication

1. JowseyT,GillespieJ,AspinC.Effectivecommunicationiscrucialtoself-management:TheexperiencesofimmigrantstoAustralialivingwithdiabetes,Chronic illness-November2011edition

2. CheungKK,MirzaeiM,LeederS.Healthpolicyanalysis:atooltoevaluateinpolicydocumentsthealignmentbetweenpolicystatementsandintendedoutcomes.Australian Health Review

Papers in Submission

1. JowseyT,YenL,WellsR.NationalHealthandHospitalReformCommissionFinalReportandpatient-centredsuggestionsforreform.MJA(submittedDec2009)

2. MirzaeiM,AspinC,EssueB,DugdaleP,JeonY-H,DugdaleP,UsherwoodT,LeederS.Apatient-centredapproachtohealthservicedelivery:Improvinghealthoutcomesforpeoplewithchronicillness.Australian Journal of Primary Health(submittedOct2010)

3. EssueB,KellyPJ,LeederSR,JanS.Wecan’taffordmychronicillness!ThehouseholdeconomicimpactofchronicobstructivepulmonarydiseaseandcomorbidityinWesternSydney,Australia.MJA

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Industry• LeederS,BeatonA.Makinghealthcarecountuntildeathdouspart,Australian Doctor,22

October2010.

• LeederS.Harnessingthegoodwillofalltoachievebetterglobalhealth,Australian Medicine,October2010.

• RussellL.Slowprogresstowardsclosingthegap,Australian Medicine,September2010.

• LeederS.PHAALifeMemberProfile,intouch,August2010

• LeederS.Whenthingsgowrong,Australian Medicine,August2010.

• LeederS.Whilewe’rehanging,let’sfocusonhealthreform,Australian Doctor,August2010.

• LeederS.Chronicdiseases...comingtoaplacenearyou,Radius,July2010.

• LeederS.Primarycare:honouredintheorybuthardtopractise,Australian Doctor,29July2010.

Media - Print• RussellL.JudgmentofanAmericanpresident,Canberra Times,23October2010

• RussellL.MoneytalksinthemillionairedashforUSvotes,Canberra Times,18October2010.

• RussellL.It›sdejavuforbothparties,Canberra Times,28September2010.

• RussellL.USinsorrystatewhenitcomestoabjectpoverty,Canberra Times,22September2010.

• LeederS.Roxonmustrecalibratepriorities,The Australian,18September2010.

• LeederS.Dog›sbreakfastonhealth,The Age,19August2010.

• RussellL.Coalition›sstanceonIThasseriousconsequences,The Canberra Times,16August2010.

• LeederS.Co-paymentskeeppatientsatbay:healthcarereform,The Australian,7August2010.

• RussellL.Healthreformmustincludeout-of-pocketexpenses,Canberra Times,28July2010.

Media - Interviews & Quotes 2010• Canweaffordtocuretheincurable?,The Sydney Morning Herald,23October2010,1542

words,(English).Professor Stephen Leedercontributestothisarticle.

• Feldhoff,S.Circumcisiondiscussion,ABC 891 Adelaide,20September2010.Professor Stephen Leederisquotedinthisstory.

• DaytonL.Ageingpopulationwon›tburdensystem:healthcaresystem,The Australian,11September2010.Professor Stephen Leederisquotedinthisarticle.

• Brettingham-MooreC.USexperiencebodeswellforsuperclinics:academic,Medical Observer, 24August2010.Dr Lesley Russell isquotedinthisarticle.

PublicationsandPresentationscontinued

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PublicationsandPresentationscontinued

• Cresswell,A.DeadlockbadnewsforLaborreformplansinhealth,The Australian,23August2010.Professor Stephen Leederisquotedinthisarticle.

• Cresswell,A,BerkovicN.TonyAbbottnurseshealthvision,The Australian,6August2010.Professor Stephen Leederisquotedinthisarticle.

• BurnsL.Drive,ABC 774 Melbourne,5August2010.InterviewwithProfessor Stephen LeedertodiscusstheFederalGovernmentandOpposition›scontrastinghealthpolicies

• CresswellA,BerkovicN.Nurses,reformerssparenomercyonan'unfortunaterethink',The Australian,6August2010. Professor Stephen Leederisquotedinthisarticle.

• EcclesK.Moneywellspent?MentalHealthUncovered,Medical Observer,23July2010.Dr Lesley Russellisquotedinthisarticle.

Online• RussellL.Howresearchersandjournalsfailtodiscloseconflictsofinterest,Croakey,22

September2010.

• RussellL.Campaignmode, Inside Story,15September2010.

• SweetM.Onpoetryandhealth,Croakey,10September2010.Professor Stephen Leederisquotedinthisarticle.

• RussellL.SomecleverideasweshouldstealfromtheUS,Croakey,19August2010.

• Youmayaswellkissgoodbyetorealhealthreform,whoeverwins,Croakey,17August2010.Professor Stephen Leedercontributestothisarticle.

• RussellL.Gillard’splansforcompulsorychildhealthchecksslammed,Crikey,12August2010.

• RussellL.Medicaldevicecompaniesfightbackagainstdamningresultsforspinalprocedure,Croakey,7August2010.

• RussellL.Istheobesityfocuscostingtobaccocontrol?,Croakey,30July2010.

• RussellL.HowtheUSiscrackingdownonindustryrelationships,Pharma-in-Focus,26July2010.

• RussellL.WhattheUSisdoingaboutconflictsofinterestinhealthandmedicine,Croakey,21July2010.

Reports• EssueB,GillespieJ,LeederS.CaringforolderAustralians:ProductivityCommission

Submission,Menzies Centre for Health Policy,August2010.

• RussellL.ClosingtheGaponIndigenousDisadvantage:Progresstowardsthisimportantgoal,Menzies Centre for Health Policy,July2010.

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PublicationsandPresentationscontinued

Conference Presentations• LeederS.Debator(Affirmative),Translatingresearchintopractice:Epidemiologistsshould

leaveittothepolicymakers,AEA Annual Conference 2010,1stOctober2010,Sydney.

• LeederS.ConnectingCareCommunities:sustainablehealthinformationmodels;changemanagementandhealthworkforce,CHIK Services› Health-e-Nation 2010,9September2010,Sydney.

• LeederS.Whatisalifeworth?Centre for Continuing Education,28August2010,Sydney.

• LeederS.Panellist-Primarycareandprevention,Financial Review National Health Conference 2010,17August2010,Sydney.

• RussellL.WhattheAustralianGovernmentcanlearnfromhealthreformintheUS,Financial Review National Health Conference 2010,17August2010,Sydney.

• LeederS.HospitalNetworksandsustainableservicedelivery,Hospital Reform Summit 2010,16August2010,Melbourne.

• BeatonA.Death:Noco-paymentrequired,Emerging Health Policy Research Conference,11August2010,Sydney.

• LeederS.Preparingposterpresentations, Sydney School of Public Health,9August2010,Sydney.

• LeederS.TheFutureofResearchinWesternSydney,Westmead Week,6August2010,Sydney.

• LeederS.HowPolicyWorks,SEISMIC Policy Forum,4August2010,Sydney.

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Events

The Menzies Centre for Health Policy delivers regular seminars that address contemporary health policy issues. The Menzies Oration and Emerging Health Policy Researchers Conference are regular features of the events program and attract widespread interest. The 2nd S T Lee Lecture was also be held in Sydney.

Past EventsGlobal Response To Chronic Disease: From Apathy To Action

Thursday,7October2010,UniversityofSydney

TheMenziesCentreforHealthPolicyheldthe2ndS.T.LeeLectureonThursday,7October.

The University of Sydney, by way of a gift, established the S.T. Lee Lecture Fund in 2008 to invite a distinguished scholar and/or practitioner on the subject of contemporary health policy to deliver an annual lecture. The S.T. Lee Lecture is named for Seng Tee Lee, a business executive and noted philanthropist. Dr Lee is director of the Lee group of companies in Singapore and of the Lee Foundation.

GuestSpeaker:Prof. K. Srinath Reddy,President,PublicHealthFoundationofIndia

Emerging Health Policy Research Conference

Wednesday,11August2010,UniversityofSydney

TheMenziesCentreforHealthPolicyheldits5thannualEmergingHealthPolicyResearchConference.Theconferenceshowcasedtheworkinprogressofcurrentdoctoralandearlycareerresearchworkers.

OpeningKeynoteSpeaker:Professor John Shine FAA AO,ExecutiveDirector,GarvanInstituteofMedicalResearch

Conference Sessions:

• TranslatingKnowledgeintoPolicyandPractice• ClinicalSafety• Women’sHealth• ImprovingCareDelivery• Inequalities• RegulateorReform?• IdentifyingInfluentialActorsinPolicyMaking• HealthEconomics(Evaluations)• WorkforceManagement

Panel: Health Policy in Action: taking advantage of international opportunities.

• JoelNegin,Lecturer,SydneySchoolofPublicHealth• AnneMarieThow,AssociateLecturer,MenziesCentreforHealthPolicy• DrCarmenHuckel-Schneider,SeniorAnalyst,KnowledgeTransferProgram,SaxInstitute

Evening Panel and Workshop:Researchtodayimprovinghealthcaretomorrow.Translatingresearchandshapingpolicyforanagileself-improvinghealthsystem(sponsoredbyIndustry&InvestmentNSW).

PanelChair:Professor Mary O’Kane,NSWChiefScientistandScientificEngineer

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Eventscontinued

Upcoming EventsLarge System Transformation: What Is It and Can It Be Done?

Tuesday,2November2010,UniversityofSydney

ThispresentationwillreportthepreliminaryresultsfromaCanadianstudythatbothreviewedtheliteratureandobtainedexpertinternationalopiniononthelessonslearnedtodateaboutlargesystemtransformation.Itwilldiscussbothpoliticalandtechnicalissuesandproposeanumberofcoreelementsthatappeartobeessentialtochange.

Guest Speaker: Professor Steven Lewis**

Panel Discussion:

• Dr Paul Gross,HealthGroupStrategiesPtyLtd,AustraliaandGreaterChina

• Dr Richard Matthews AM,DeputyDirector-General,StrategicDevelopment,NSWHealth

• Professor Cliff Hughes AO,ChiefExecutiveOfficer,ClinicalExcellenceCommission

• Professor Steven Lewis

DiscussionModerator:Professor Stephen Leeder,Director,MenziesCentreforHealthPolicy.

MCHP Oration 2010

Value for Money in Health Care: Why It’s So Hard to Achieve and What to Do About it

Wednesday,10November2010,AustralianNationalUniversity

Thispresentationwillexplorethereasonswhydiminishingmarginalreturnsarethenorminhealthcare.Itwillexaminehowscientificevidence,price,volumes,andincentivesaffectcostsandmarginalreturns,andhighlightareasthatareparticularlypronetohighcostsandlowreturns.Drawingonlessonsfrompopulationhealth,healthservicesresearch,andqualityimprovement,itwillconcludewithpotentialstrategiestoimprovevalueformoneyinhealthcare,recognizingthepoliticalandinterest-basedrealitiesofcontemporarysystemsandtheneedtobuildprofessionalandpublicsupportforchange.

Guest Speaker: Professor Steven Lewis**

** Steven Lewis is a health policy and research consultant based in Saskatoon, and Adjunct Professor of Health Policy at the University of Calgary and Simon Fraser University. Prior to resuming a full-time consulting practice he headed a health research granting agency and spent 7 years as CEO of the Health Services Utilization and Research Commis¬sion in Saskatchewan. He has served on various boards and committees, including the Governing Council of the Canadian Institutes of Health Research, the Saskatchewan Health Quality Council, the Health Council of Canada, and the editorial boards of several journals, including Open Medicine. He writes frequently on topics such as reforming and strengthening medicare, improving health care quality, primary health care, regionalization, and health policy and politics.

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• DeputyDirector:DrJamesGillespie

• Manager:AmandaDominello

• AdministrativeandResearchOfficer:YvonneInall

• EventsandCommunicationOfficer:DianaFreeman

• ResearchFellow(HealthPolicy)andIanPotterFellow:DrAngelaBeaton

• ResearchFellow:JoelNegin

ResearchStudents:

• PhDStudent:AnneMarieThow

• PhDStudent:SuriantiSukeri

• PhDStudent:JenniferHunter

• PhDStudent:AdamCapon

• PhDStudent:AngelaLittleford

• PhDStudent:JohnHall

• PhDStudent:AndreyZheluk

• PhDStudent:AshleyMcAllister

• PhDStudent:ShaunaDowns

• PhDStudent:DeborahSchaler

Visitor:

• SCIPPSVisitingFellow:XiaohuiWang

HealthandSustainabilityUnit:

• Director:AssociateProfessorRuthColagiuri

• ActingExecutiveAssistantandProgramManager:FaithPapuni

• SeniorResearchFellow:JeanieMcKenzie

• SeniorResearchandEvidenceManager:DrSehamGirgis

• ResearchandProjectOfficer:MariaGomez

SeriousandContinuingIllnessPolicyandPracticeStudy:

• ResearchFellow,SCIPPS:JustinMcNab

• ResearchOfficer,SCIPPS:NataliePlant

• ProgramSupportOfficer,SCIPPS:KateCorcoran

BlueMountainsEyeandHearingStudy:

• PostdoctoralResearcher:JulieSchneider

Staff List

• AssociateDirector:MsLaurannYen

• BusinessManager:MsMarionEluga

SeriousandContinuingIllnessPolicyandPracticeStudy

• SeniorResearchOfficer:MsTanishaJowsey

Directors

• ProfessorStephenLeeder,TheUniversityofSydney

• MrRobertWells,TheAustralianNationalUniversity

University of Sydney

Australian National University

Menzies Centre for

HealthPolicy

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Menzies Centre for

HealthPolicy

For more informationMenzies Centre for Health PolicyD02 Victor Coppleson BuildingUniversity of SydneyPhone: +61 2 9036 5412Fax:+61 2 9351 5204Email: [email protected]: http://www.menzieshealthpolicy.edu.au/

The Menzies Centre for Health Policy is a collaborative Centre between The Australian National University and the University of Sydney. It aims to provide the Australian people with a better understanding of their health system and what it provides for them. The Centre encourages informed debate about how Australians can influence health policy to ensure that it is consistent with their values and priorities and is able to deliver safe, high quality health care that is sustainable in the long term.

The Menzies Centre:

• produces and publishes high-quality analyses of current health policy issues;

• delivers public seminars and education programs on a wide variety of health policy topics;

• undertakes comprehensive research projects on health policy issues.

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