Living a healthy life means more than just the absence of disease – it encompasses our physical, mental and social wellbeing. And while many Australians enjoy good health, there is still an unacceptable divide in health inequalities.
The difference can be measured in the people who don’t fill prescription medication because it costs too much – which doubles when comparing Australia’s wealthiest individuals and the most disadvantaged. The higher rate of disease for Australians living in remote and rural locations than people living in major cities. And the 8.6 years lower life expectancy for Aboriginal and Torres Strait Islander males (and 7.8 years for females) than non-Indigenous Australians.
Our research is committed to understanding the effects of people’s circumstances on their health to inform future research and evaluate and develop policies to improve health – especially for those who need it most.
We are passionate about better understanding and responding to the health needs of Aboriginal and Torres Strait Islander people. Our research identifies and seeks to address the disconnect between health services and health promotion programs that are currently available and those that are specifically designed for and working for Aboriginal and Torres Strait Islander people.
One example is existing fall prevention programs for older people. Injuries and hospitalisation caused by falls is an issue as we age. However, there is little known about how existing fall prevention programs are accepted or effectively assist older Aboriginal people. Through collaborative research with older people in Aboriginal communities, new co-designed programs are receiving significantly higher uptake. Research continues to evaluate and extend the reach of these community-based and Aboriginal-focused fall prevention programs. This collaborative approach is utilised across our diverse research in this area.
Flinders is not only committed to research in medical diagnosis and treatments but improving the organisation and delivery of these health services. We are conducting research to ensure primary care is provided more effectively so we can extend the health benefits to more people.
Our research evaluates and develops a wide range of health service models and programs. One recent application is our research looking at incentives for GPs to provide longer consultations. There is growing evidence overseas supporting longer GP consultations and proactive patient follow-up for better health outcomes. Our research is testing whether these can also be generalised to an Australian context to help inform public policy. Understanding interventions in relation to Australian communities is an important step forward to improve the organisation and delivery of health services and is one part of our research in this area.
Seven million Australians (29% of the population) live in rural or remote communities. Health indicators for these communities are consistently lower than their metropolitan counterparts, and we are conducting research to address this. We are looking at the full range of health challenges facing Australians and investigating the relevance and effectiveness of existing services and programs for remote and rural communities.
One area of research is dementia care in the country. Our researchers are working with five aged care homes in rural locations in South Australia and Far North Queensland to implement and evaluate a music and art therapy program based on individual preferences and personalised care. This program was created with co-design principles to support ageing Australians and provide useful tools to help rural aged care workers who face unique challenges in providing care.
Public Health research is diverse. As a result, the Public Health research program in FHMRI includes a number of research groups, centres and projects covering a range of topics and fields. The ultimate goal of public health research is to improve the health of populations by generating knowledge that can be used to inform policies, programs, and interventions aimed at preventing disease, promoting health, and reducing health disparities.
Our Public health research involves a wide range of methods, including observational studies, clinical trials, surveys, and qualitative research. It is highly collaborative and applied – we work in partnership with other researchers, healthcare providers, policymakers, and community members.
Our Public Health researchers are world’s best. There are a wide range of MRFF, NHMRC and ARC funded ongoing research projects focusing on solving our greatest health challenges.
Our researchers are using health data to minimise and prevent injury and disease and promote better health. We are building baseline data and analysing data linkages to better understand health and the effectiveness of health services and programs.
One such application is our research looking at the costs of injury, surveying causes of injury and looking at methods to measure the severity of injury from administration data. We are building understanding about injury and looking to enhance data linkage capabilities to improve injury research outcomes and techniques for injury prevention in a healthcare setting.
Professor Jonathan Karnon
FHMRI Deputy Director (Theme Lead, Healthy Communities)
Jonathan is a health economics expert with extensive experience in health data analysis for economic evaluations in primary care, inpatient and outpatient hospital settings, residential care and community pharmacies. He has published more than 200 publications which have helped inform decision-making and quality improvement in Australian healthcare using health service data.
His research in cost-effectiveness models and hospital performance and cost analysis has assisted funding decisions for new pharmaceuticals for heart disease and breast cancers, new patient safety programs and screening programs for cervical cancer, colorectal cancer and antenatal conditions.
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