Australian health policy research and development

Hall, Jane

doi:10.5694/j.1326-5377.2003.tb05237.x

Cited by 3 publications

(5 citation statements)

References 1 publication

(1 reference statement)

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“…Given this problem, it is vital to know which rural and remote health services ‘work well, where and why’ as the basis for delivering quality health care equitably 3 . In Australia, relevant health services research compares poorly in financial support and development against trials of clinical interventions 4 and is characterised by a paucity of rigorous evaluations of rural health services that demonstrate their ability to provide sustainable, high‐quality care 5 . The 2009 National Health and Hospitals Reform Commission Strategy 6 highlights the need to redress this situation, calling for rigorous health service evaluations based on robust indicators by which to monitor health service performance.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the impact of sustainable comprehensive primary health care on rural health

Tham¹,

Humphreys²,

Kinsman³

et al. 2010

Australian J Rural Health

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Inadequate health services limit access to health care, delay use at times of need and result in poor health outcomes. Currently, there is a lack of evidence from rigorous health service evaluations to indicate which rural health services work well, where and why that could inform rural health policies and funding. Although the nature of health service models will vary across communities in order to meet their differing geographic circumstances, there is considerable scope for the translation and generalisation of evidence gained from health service models that are shown to be sustainable, responsive and able to deliver local quality health care. This framework can guide future health service evaluation research and thereby provide a better understanding of a health service's impact on the health of the community and its residents.

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Section: Introductionmentioning

confidence: 99%

Evaluating the impact of sustainable comprehensive primary health care on rural health

Tham¹,

Humphreys²,

Kinsman³

et al. 2010

Australian J Rural Health

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“…A difficulty for Australian nursing practice has been the lack of quality research that sits high up the evidential ladder. Hall (2003) argues that although much health policy is frequently borrowed from around the world, health services research can only be transferred after taking into account the characteristics of each country's unique system. Hence, much of our professional wisdom in the past was based on personal experience and local opinion leaders rather than rigorous research that tested the effectiveness of interventions.…”

Section: The Nature Of Evidencementioning

confidence: 99%

“…Although government funding for health research has recently increased, limited funds are available for health services research. According to Hall (2003), Australian health services research funding is currently about 5% or less compared with 20% for public health. Clearly, this potentially hampers the scientific advancement required for evidence‐based practice to become a reality.…”

Section: Research Practice Nexusmentioning

confidence: 99%

Evidence‐Based Practice in Australia: An Unremitting Challenge for Quality!

Bucknall

2004

Worldviews Ev Based Nurs

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“…Health services research took longer to 'get off the ground' as a coherent discipline here, but similar demands for high quality interventions delivered at the most reasonable cost have led to a greater reliance on evidence from health services research [8]. With the advent of the Health Services Research Association of Australia and New Zealand (HSRAANZ) in 1999, there is now a growing community of health services researchers in these countries [9,10] – in 2004, the HSRAANZ had 112 individual members and 14 corporate members. However, as is the case elsewhere, health services research has remained largely neglected by key granting bodies, such as the National Health and Medical Research Council (NHMRC, Australia) and the Health Research Council (HRC, New Zealand).…”

Section: Introductionmentioning

confidence: 99%

“…With the exception of some attempts to quantify the inputs to and outputs of health services research in these countries [9-11], there has been no scientific attempt to assess the capacity of the health services research community in Australia and New Zealand. Indeed, little work of this kind has been done internationally.…”

Section: Introductionmentioning

confidence: 99%

Assessing the capacity of the health services research community in Australia and New Zealand

Pirkis

Goldfeld

Peacock

et al. 2005

Aust N Z Health Policy

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Background In order to profile the health services research community in Australia and New Zealand and describe its capacity, a web-based survey was administered to members of the Health Services Research Association of Australia and New Zealand (HSRAANZ) and delegates of the HSRAANZ's Third Health Services Research and Policy Conference. Results Responses were received from 191 individuals (68%). The responses of the 165 (86%) who conducted or managed health services research indicated that the health services research community in Australia and New Zealand is characterised by highly qualified professionals who have come to health services research via a range of academic and professional routes (including clinical backgrounds), the majority of whom are women aged between 35 and 54 who have mid- to senior- level appointments. They are primarily employed in universities and, to a lesser extent, government departments and health services. Although most are employed in full time positions, many are only able to devote part of their time to health services research, often juggling this with other professional roles. They rely heavily on external funding, as only half have core funding from their employing institution and around one third have employment contracts of one year or less. Many view issues around building the capacity of the health services research community and addressing funding deficits as crucial if health services research is to be translated into policy and practice. Despite the difficulties they face, most are positive about the support and advice available from peers in their work settings, and many are actively contributing to knowledge through academic and other written outputs. Conclusion If health services research is to achieve its potential in Australia and New Zealand, policy-makers and funders must take the concerns of the health services research community seriously, foster its development, and contribute to maximising its capacity through a sustainable approach to funding. There is a clear need for a strategic approach, where the health services research community collaborates with competitive granting bodies and government departments to define and fund a research agenda that balances priority-driven and investigator-driven research and which provides support for training and career development.

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Australian health policy research and development

Cited by 3 publications

References 1 publication

Evaluating the impact of sustainable comprehensive primary health care on rural health

Evaluating the impact of sustainable comprehensive primary health care on rural health

Evidence‐Based Practice in Australia: An Unremitting Challenge for Quality!

Assessing the capacity of the health services research community in Australia and New Zealand

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