National health reform needs strategic investment in health services research

Hall, Jane; Viney, Rosalie

doi:10.5694/j.1326-5377.2008.tb01502.x

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Australia does not have a specific funding agency or specific research funding programs responsible for commissioning research to support the operational needs of the health system 21 , 22 . Internationally, there has been significant targeted investment in health services research, for example, through the Service Delivery and Organisation Programme in the United Kingdom, the Canadian Health Services Research Foundation and the Institute of Health Services and Policy Research in Canada, and the Department of Health and Human Services Agency for Healthcare Research and Quality in the US.…”

Section: Discussionmentioning

confidence: 99%

Putting science to work for health care reform: how much research is available to support improvements to our hospitals?

Haines

Redman

Jorm

et al. 2010

Medical Journal of Australia

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Objective: To assess how much Australian research is available to inform reform of hospital services. Design: Bibliographic analysis using a MEDLINE search to locate all research publications focused on the organisation and delivery of Australian hospital services for the period 1996 through 2007. Main outcome measures: Number of peer‐reviewed articles published by year and categorised by: study design (descriptive, methodological, intervention); type of intervention; clinical focus; and funding source. Results: 679 articles on the organisation and delivery of Australian hospital services were published in peer‐reviewed journals from 1 January 1996 to 31 December 2007. Of these, 57% were empirical research reports and 43% were commentaries. There were, on average, 32 empirical research articles per annum. Of the empirical research articles, 70% were descriptive, 23% tested an intervention, and 7% were methodological. Research output increased over time with increases in commentary and descriptive research being the main contributors to this trend. The main funding bodies for this research were universities and government departments. Conclusion: A small but growing amount of local research is available to support reform of Australian hospital services. To boost the amount of relevant research evidence, we need to: build formal partnerships between researchers, policymakers, clinicians and health service managers; make targeted investment in health systems and services research; and increase the use of routinely collected data for research.

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Section: Discussionmentioning

confidence: 99%

Putting science to work for health care reform: how much research is available to support improvements to our hospitals?

Haines

Redman

Jorm

et al. 2010

Medical Journal of Australia

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“…A number of preconditions are necessary to influence policy: political will, sustained funding to encourage methodological rigour and build decision makers' confidence, and the development of sufficient capacity and skills (Hall & Viney 2008).…”

Section: Conclusion: Lessons Learnedmentioning

confidence: 99%

“…Another critical precondition is that there should be sufficient capacity among independent academic researchers to provide the evidencebase that supports and informs the policy initiatives of government (Hall & Viney 2008). From our long years of experience, we know that if a regional healthcare plan consists of good evidence-based research and is supported by validated data analysis, decision makers are more likely to support the plan.…”

Section: Conclusion: Lessons Learnedmentioning

confidence: 99%

Healthcare Strategic Planning as Part of National and Regional Development in the Israeli Galilee: A Case Study of the Planning Process

Peled

Schenirer²

2009

HIM J

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This article describes a systematic process of geographic and strategic planning for healthcare services as a part of a regional development plan in the Israeli Galilee. The planning process consisted of three stages: (a) assessment of needs, demand and existing resources; (b) prioritisation of initiatives; and (c) scheduling of theoretical priorities. For many years the region has suffered from inequities and inequalities regarding the availability and accessibility of a regional healthcare system, resulting in high mortality and morbidity rates and low quality of life. The aim of the healthcare strategic plan was to suggest initiatives and actions to be taken in order to improve healthcare provision and the health and wellbeing of local residents.

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“…This research explores the timing and number of GP trainees in the RACGP Objective Structured Clinical Examination (OSCE). Forecasting OSCE candidates contributes to resource planning (Hall and Viney 2008) and may reduce potential workforce delays.…”

Section: Introductionmentioning

confidence: 99%

Using Time Series Analysis to forecast future RACGP OSCE capacity

Buljan¹

2015

Weber, T., McPhee, M.J. And Anderssen, R.S. (Eds) MODSIM2015, 21st International Congress on Modelling and Simulation

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Problem: The Australian government increased the number of first year general practice (GP) trainee places from 600 in 2010 to 1,200 in 2014 and again to 1,500 in 2015. No extra funding was provided to assess the clinical competency of the trainees to ensure they meet unsupervised Australian General Practice standards, that is, for trainees to be workforce ready. Objective: To forecast the timing and number of GP trainees requiring clinical assessment. The focus is the Objective Structured Clinical Examination (OSCE) at the Royal Australian College of General Practitioners (RACGP). This research will encourage a proactive approach to capacity planning and reduce potential GP workforce delays. Participants/Data: Historical aggregate RACGP and General Practice Education and Training (GPET) data were linked for the first time to produce time-series forecasts. Ethics approval was not required. Individuals could not be identified as only aggregate data was used. Results: The best forecast model from over 30 models was adjusted using GPET data. Based on two OSCEs a year, figures suggest a potential steady increase of candidates from 2014 semester 2 (2014.2) to 2016.2, with figures expected to reach about 900 and 1,100 respectively. In 2018.2, candidates are expected to peak to approximately 1,200 per semester. For perspective, to assess 600 candidates, around 1,000 FRACGP GPs are required as examiners in a day. Current capacity is stretched to assess 800 candidates. More needs to be done to meet future expected candidates. Conclusion: The forecasts show how many candidates are expected to present for future OSCEs and their respective timing. This forecast can enhance current and future education and training capacity planning by planning additional exams, updating policies and continuing collaboration between organisations. Benefits of this research extend beyond the RACGP, medical workforce planning and continual professional development bodies. These forecasts could be applied in other health areas other than education. For example modelling patients, hospital resources required costs of services over time, etc.

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National health reform needs strategic investment in health services research

Cited by 6 publications

References 12 publications

Putting science to work for health care reform: how much research is available to support improvements to our hospitals?

Putting science to work for health care reform: how much research is available to support improvements to our hospitals?

Healthcare Strategic Planning as Part of National and Regional Development in the Israeli Galilee: A Case Study of the Planning Process

Using Time Series Analysis to forecast future RACGP OSCE capacity

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