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Centre of Research Excellence in the Finance and Economics of Primary Care

Project Member(s): Hall, J., Haas, M., Goodall, S., Van Gool, K.

Funding or Partner Organisation: Australian National University (Australian Primary Health Care Research Institute - Centre of Research Excellence)

Start year: 2012

Summary: There has been little in-depth study of the economics of primary care. The effect of single payment mechanisms on utilisation and costs is well known, and as a result there is increasing interest, in Australia as in other countries, in the use of blended payment systems, to improve quality and efficiency. But as yet little is known about how to set levels of payments, and the subsequent impact on utilisation, costs, quality, health outcomes, and overall health system performance. This research will address these gaps, studying Australian primary care, and build a base of evidence to inform policy development. While the primary end-users of this research are policy makers, our research program will also investigate how consumers and patients perceive quality of primary care; the results will be incorporated into our assessments of quality and performance. In addition, we will provide evidence for the development of `Health Communities¿ reports; and develop and disseminate a users¿ guide to facilitate understanding of quality and choice of providers by consumers.

Publications:

McRae, I, Van Gool, K, Hall, J, Yen, L & Wright, M 2020, 'Failure to access prescribed pharmaceuticals by older patients with chronic conditions', Australian Health Review.
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Mu, C & Hall, J 2020, 'What explains the regional variation in the use of general practitioners in Australia', BMC Health Services Research.
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Wright, M, Hall, J, Haas, M, Van Gool, K & Yu, S 2019, 'The relationship between continuity of care and cervical cancer screening', North American Primary Care Research Conference, Toronto, Canada.

Longden, T, Hall, J & Van Gool, K 2018, 'Supplier-induced demand for urgent after-hours primary care services', Health Economics, vol. 27, no. 10, pp. 1594-1608.
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Longden, T, Wong, C, Haywood, P, Hall, J & Van Gool, K 2018, 'The prevalence of persistence and related health status: An analysis of persistently high healthcare costs in the short term and medium term', Social Science and Medicine, vol. 211, pp. 147-156.
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Mu, C, De Abreu Lourenco, R, van Gool, K & Hall, J 2018, 'Is low priced primary care bad for quality? Evidence from Australian general practice', Applied Economics, vol. 50, no. 5, pp. 475-491.
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Wong, C & Hall, J 2018, 'Does patients’ experience of general practice affect the use of emergency departments? Evidence from Australia', Health Policy, vol. 122, no. 2, pp. 126-133.
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De Abreu Lourenco, R, Kenny, P, Haas, MR & Hall, J 2017, 'Factors affecting general practitioner charges and Medicare bulk-billing: results of a survey of Australians - erratum.', Med J Aust, vol. 206, no. 7, pp. 326-326.

Johar, M, Mu, C, van Gool, K & Wong, CY 2017, 'Bleeding hearts, profiteers, or both specialist physician fees in an unregulated market', Health Economics, vol. 26, no. 4, pp. 528-535.
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Kenny, PM, Goodall, S, Street, D & Greene, J 2017, 'Choosing a Doctor: Does presentation format affect the way consumers use health care performance information?', The Patient: Patient Centered Outcomes Research, vol. 10, no. 6, pp. 739-751.
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McRae, I & Van Gool, K 2017, 'Variation in fees of medical specialists: problems, causes and solutions', Medical Journal of Australia, vol. 206, no. 4, pp. 162-163.
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McRae, I, Van Gool, K, Hall, J & Yen, L 2017, 'The role of cost on failure to access prescribed pharmaceuticals – the case of statins', Applied Health Economics and Health Policy, vol. 15, no. 5, pp. 625-634.
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Wong, C, Greene, J, Dolja-Gore, X & van Gool, K 2017, 'The rise and fall in out-of-pocket costs in Australia: An analysis of the Strengthening Medicare Reforms', Health Economics, vol. 26, no. 8, pp. 962-979.
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Goodall, S, Kenny, P, Mu, C, Hall, JP, Norman, R, Cumming, J, Street, D, Greene, J & REFinE Team Australian National University 2016, REFinE-PHC: Preferences and choice in primary care Consumers and providers, Canberra.

Haas, MR & de Abreu Lourenco, R Australian National University 2016, The REFinE-PHC Report on Patient Experiences of Primary Care, Canberra.

Hall, JP, van Gool, K & Refine Team Australian National University 2016, REFinE-PHC Paying for Primary Health Care Financial incentives for efficiency, equity and sustainability, Canberra.

van Gool, K, Hall, JP & REFinE Team Australian National University 2016, The REFinE-PHC Report Primary Health Care in Australia: towards a more sustainable and equitable health care system, Canberra.

De Abreu Lourenco, R & Hall, JP 2015, 'Paying for the expanding role of primary care in cancer control', Lancet Oncology, vol. 16, no. 12, pp. 1228-1229.
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Goodall, S, Kenny, P & Mu, C 2015, 'What influences the choice of General Practitioners? Evidence from a Discrete Choice Experiment in Australia and New Zealand', CAER Workshop.

Goodall, S, Kenny, P & Mu, C 2015, 'What influences the choice of General Practitioners? Evidence from a Discrete Choice Experiment in Australia and New Zealand', Primary Health Care Research Conference, Adelaide.

Wong, C & Hall, J 2015, 'Does the quality of general practitioners affect the use of emergency departments? Evidence from a survey of Australian adults', Primary Health Care Research Conference, Adelaide.

Wright, MC & van Gool, K 2015, 'Trends in primary care use in Australia and challenges in designing payment systems', iIHEA, 11th World Congress on Health Economics, Milan, Italy.

FOR Codes: Health Policy, Health Policy Economic Outcomes, Health Economics, Primary Health Care, Health Policy Evaluation