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:

Bates, S, Harris‐Roxas, B & Wright, M 2023, 'Understanding the costs of co‐commissioning: Early experiences with co‐commissioning in Australia', Australian Journal of Public Administration, vol. 82, no. 4, pp. 462-487.
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Meldrum, H, Wright, M & Versteeg, R 2023, 'LETTERS', Australian Journal of General Practice, vol. 52, no. 4, pp. 169-170.

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, vol. 44, no. 2, pp. 270-270.
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Mu, C & Hall, J 2020, 'What Explains the Regional Variation in the Use of General Practitioners in Australia?', Springer Science and Business Media LLC, BioMed Central.
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Wright, M, Hall, J, Haas, M, Van Gool, K & Yu, S 1970, '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, CY, 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 & 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, CY & 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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Saing, S, van der Linden, N, Hayward, CS & Goodall, S 2018, 'PMD108 - COST-EFFECTIVENESS OF LEFT VENTRICULAR ASSIST DEVICES IN END STAGE HEART FAILURE USING STATE TRANSITION MODELLING BASED ON REGISTRY DATA', Elsevier BV, pp. S261-S261.
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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, P, Goodall, S, Street, DJ & 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, Hall, J & Yen, L 2017, '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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De Abreu Lourenco, R, Kenny, P, Haas, MR & Hall, JP 2017, 'Factors affecting general practitioner charges and Medicare bulk‐billing: results of a survey of Australians — erratum', AMPCo, pp. 326-326.
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McRae, IS & Gool, KC 2017, 'Variation in the fees of medical specialists: problems, causes, solutions', AMPCo, pp. 162-163.
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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.

Goodall, S, Kenny, P & Mu, C 1970, '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 1970, '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 1970, '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 1970, 'Trends in primary care use in Australia and challenges in designing payment systems', iIHEA, 11th World Congress on Health Economics, Milan, Italy.

Lourenco, RDA & Hall, J 2015, 'Paying for the expanding role of primary care in cancer control', Elsevier: Lancet, pp. 1228-1229.
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FOR Codes: Health Policy, Health Policy Economic Outcomes, Health Economics, Primary Health Care, Health Policy Evaluation, Health economics , Evaluation of health and support services not elsewhere classified

Acknowledgement of Country

UTS acknowledges the Gadigal people of the Eora Nation, the Boorooberongal people of the Dharug Nation, the Bidiagal people and the Gamaygal people, upon whose ancestral lands our university stands. We would also like to pay respect to the Elders both past and present, acknowledging them as the traditional custodians of knowledge for these lands.