Our Centre received the following comments from "End Users", following a recent review:

"CAHE is in the top 10% of providers in the economics areas of HTA in Australia. Internationally, CAHE would be in the top 20%."

"CAHE has a strong standing in economic assessment of health interventions, where their robust analysis ensures it stands up to scrutiny from Government and industry players such as big Pharma. This is a crucial aspect of their work."

"It has the ability ot translate academic research findings into real world solutions/applications."

"Has an extensive network, strong relationships with clinicians, and has the ability to build strong relationships quickly with key stakeholders."

"CAHE is very good on the quality of research, the standing of researchers, the breadth of research expertise and understanding of the research needs of end user organisations."

"CAHE consistently delivers on time, are reliable, do customised work and provide a responsive 'thinking persons' assessment. Their analysis is thoughtful - it is not just boilerplate economic modelling. It goes well beyond just building the model and running spreadsheets."

 


List of Current & Recent Projects

Below are outlines of a selection of current and past projects - for more information on what projects CAHE does, please contact the Centre or search here.

 

A Selection of Current and Recent Projects


Impact of Population-Based Disease Management Services on Cost and Hospitalisation for Privately Insured Australians with Selected Chronic Conditions

CAHE Lead Paul Scuffham (CI-A)
Other Investigators Venator B, Goldstein S, Pollicino C, Veroff D
Funding Source BUPA Health Foundation

A prospective study of 45,000 subjects will be undertaken to assess the impact of a chronic disease management services encompassing population analytics and telephone health coaching on health service utilisation and costs. Identification and predictive models based on health fund administrative data will be used to identify subjects with selected chronic conditions (congestive heart failure, coronary artery disease, diabetes, low back pain, coronary obstructive pulmonary disease) who have high likelihood of future health utilisation and costs in the subsequent twelve months.

Read More (External Link)

 

 

Which Heart Failure Intervention is Most Cost Effective in Reducing Hospital Care (WHICH? 2 Trial)

CAHE Lead Paul Scuffham
Other Investigators Stewart S (CI-A), Marwick T, Horowitz J, Krum H, Davidson P, Macdonald P, Reid C, Wong C, Newton P, Rischbieth A
Funding Source Centre for Research Excellence to Reduce Inequality in Heart Disease, NHMRC
   
Project Website (External Link)

 

External Evaluations of Submissions to the Pharmaceutical Benefits Advisory Committee (PBAC)

CAHE Leads Paul Scuffham, Martin Downes
Funding Source

Department of Health, Canberra

We provide expert assessments on submissions from pharmaceutical companies seeking government subsidy of a pharmaceutical or vaccine through listing on the Pharmaceutical Benefits Schedule (PBS). The submissions need to demonstrate that the product is cost-effective, i.e. provides value for money. The submissions are critically appraised including a judgment on their indicated use, target population, the adequacy of patient information provided, the clinical efficacy, and the statistical analyses of clinical and economic value. The economic evidence that needs to be analysed usually involves a detailed review of the economic models presented (including the structure of the model, clinical pathway, errors in data entry or in variables).

Publications

Project Website (External Link)

 

Panel Provider of Services to the Medical Services Advisory Committee (MSAC)

CAHE Lead Paul Scuffham
Funding Source

Australian Government, Department of Health and Ageing

CAHE has a contract with the Department of Health and Ageing for the various services for submissions to list services on the MSAC. CAHE Researchers apply their research skills in epidemiology, biostatistics, and health economics to evaluate and prepare high quality protocols and submission-based assessments. Each output involves analysis and review of complex efficacy, safety and cost-effectiveness data. The reports prepared by CAHE aid decisions regarding whether services and tests should be funded by the Medicare Benefits Scheme.

 

The Centre of Research Excellence in Telehealth

CAHE Lead Paul Scuffham
Other Investigators Gray L (CI-A), Theodoros D, Smith A, Russell T, Soyer P, Hayman N
Funding Source NHMRC, Centre of Research Excellence

The aim of this CRE is to accelerate the research agenda in telehealth using a dual approach: first, to examine the effectiveness and cost-effectiveness of telehealth strategies in a variety of clinical settings, and, second, to secure a better understanding of the enablers and barriers to telehealth implementation. The health economic  components, led by Dr Whitty, will include assessing the comparative costs and benefits of telehealth interventions alongside clinical trials, and undertaking studies to evaluate preferences, acceptability and uptake of telehealth interventions from the perspective of health consumers  and clinicians. 

 

Transcatheter Aortic Valve Implantation (TAVI)

CAHE Lead Paul Scuffham
Funding Source Edwards Life Sciences

The aim of this research is to estimate the treatment and follow-up costs to the Australian health care system for transcatheter aortic valve replacement.
The specific objectives of this project are to:
  1. Provide advice on the data to collect during the SOLACE AU trial;
  2. Undertake an economic evaluation of TAVI. Specifically, the evaluation will comprise of:
  • quantifying health system costs for patients undertaking TAVI via the transfemoral and the transapical approaches;
  • estimating changes in quality of life for patients undertaking TAVI; and
  • comparing the costs and outcomes to patients undertaking surgical aortic valve replacement and with medical management for those deemed inoperable.

 

A Selection of PhD Projects - Past and Present

Understanding the publics preferences for emergency care and the role of attitudes towards responsibilities for health, experiences of health care and sociodemographic factors

Lead Paul Harris
Other Investigators Whitty J, Kendall E
Funding Source

APAI Scholarship, ARC Linkage Grant

This project sought to respond to identified needs to understand the role of underpinning values and attitudes in shaping the publics preferences and consider the impact of different contexts and individual characteristics on preference heterogeneity. Attitudinal measures including personal health consciousness, social responsibility and awareness of social disadvantage were included in a discrete choice experiment to elicit the general publics preferences for emergency care. Measures of different health care experiences and sociodemographic characteristics were also included in the survey. Preferences were elicited in the context of hypothetical scenarios involving an urgent presentation following a fall, and less urgent asthma related presentations involving the self or a child.

 

Health State Valuation for Sri Lanka

Lead Sanjeewa Kularatna
Other CAHE Researchers

Scuffham P, Whitty J

Funding Sources

Griffith University Postgraduate Research Scholarship 2011- 2014

Griffith University International Postgraduate Research Scholarship in 2011-2014

 

Health State valuation for Sri Lanka using health states of generic EQ-5D and disease specific EORTC-8D multi attribute utility instruments

Publications

  • Kularatna S, Whitty JA, Johnson NW, Scuffham PA (2013) Study protocol for valuing EQ-5D-3L and EORTC-8D health states in a representative population sample in Sri Lanka. Health and Quality of Life, 11:149
  • Kularatna S, Whitty JA, Johnson NW, Scuffham PA (2013) Health state valuation in low- and middle-income countries: A systematic review of the literature. Value in Health. 16(6):1091-1099
  • Kularatna S, Whitty JA, Scuffham PA (2012) Comments on the use of vignettes and the EQ-5D to value disease specific health states. Value in Health. 15(3):591-592

  

Value of Information Analysis in Health Care Interventions

Lead Haitham Tuffaha
Other CAHE Researchers Scuffham P, Gordon L
Funding Source National Centre for Research Excellence in Nursing (NCREN)

This project investigated the application of the novel approach of value of information analysis in health care interventions to inform decision making, optimal trial design and research prioritisation.

Publication
  • Tuffaha HW, Gordon LG, Scuffham PA (2014) Value of Information Analysis in Oncology: The Value of Evidence and Evidence of Value. Journal of Oncology Practice. 10(2):e55-e62

 

A Selection of Completed Projects

The Financial Implications for Treatment of Prostate Cancer

CAHE Lead Louisa Gordon
Other Researchers Mervin C, Reinking S
Funding Source Prostate Cancer Foundation of Australia
Publication

"Cancer Costs" interview (External Link)

 

Engaging the Public in Healthcare Decision Making: Quantifying Preferences for Healthcare through Citizens' Juries

CAHE Lead Paul Scuffham
Other Invesitgators Kendall E, Burton P, Ratcliffe J, Wilson D, Whitty J
Funding Source ARC Linkage Grant
   
This project studied the use of Citizens' Juries (CJs) to facilitate consumer input in healthcare decision-making. The project used  Discrete Choice Experiments (DCE) to elicit the relative strength of preference of the 'jurors' for:
  1. The provision of Emergency Care Services and
  2. Surgical Management of Obesity.

The project also conducted DCEs with the general public, clinicians and healthcare decision makers to help determine if there are similarities in preferences between these groups of people.

Read About the Emergency Care CJ
Read about the Obesity Surgery CJ
Read More

 

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