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Health Economics and Social Policy Group 

With more than $100 billion spent in the Australian health sector each year, health economics is an increasingly important field of research used to inform policy makers on how best to spend the health dollar to improve services and health outcomes.

Established at the University of South Australia in 2007, the Health Economics and Social Policy Group (HESPG) conducts research, exploring how to effectively allocate resources to improve the health and wellbeing of the community.

Under the leadership of Professor Leonie Segal, the HESPG is working closely with State government agencies, including health, education and children's services, child and adolescent mental health services, Departments of Families & Communities and Premier & Cabinet, to enhance health economics informed decision making, increase health economics capacity in South Australia and improve the health of the community.

Professor Segal is a leading health economist in the areas of health system reform, priority setting and the evaluation of complex health policy initiatives. Professor Segal has an enviable reputation in evidence-policy translational research, reflected in her membership on important policy committees including the Minister's Prevention Health Task Force.

The group's research can be classified into three areas:

HESPG staff actively support postgraduate research, currently supervising six PhD candidates and one honours candidate.
 

People

Staff
Professor Leonie Segal - Founding Research Chair
Dr Kim Dalziel - Senior Research Fellow
Ms Elena Gospodarevskaya - Senior Research Fellow
Dr Matthew Leach - Research Fellow
Dr Gareth Furber - Post Doctoral Fellow
Mr James Doidge - Research Associate
Mr Dale Halliday - Research Assistant
Judith Burgemeister - Administration Assistant/PA to Professor Segal

Research students
PhD Students:
Anna Gregory
Dr Jacqueline Amos
Odette Gibson
Tamara Agnew
Ying Chen
Heidi Silverston

Honours Student:
Caitlin Dowell


Collaborators

Department of Health SA
Department of Families & Communities SA
Child, Youth & Women’s Health Service SA
Premier & Cabinet, Social Inclusion Unit
Department of Education SA
Australian Centre for Child Protection, University of South Australia
Australian Research Alliance for Children & Youth
Precedence Healthcare (Health IT)
Department of Psychology, Adelaide University
Department of General Practice, Melbourne University
Accident Research Centre, Monash University
Faculty of Business and Economics, Monash University
Public Health Information Development Unit, Adelaide University


Projects

Current research projects involving members of the Health Economics and Policy Group:

Recently completed research projects:

Improving chronic disease outcomes for Indigenous Australians: Causes, Interventions, System Change
Researchers: Prof Kerin O’Dea, Prof Robyn McDermott, Dr Kevin Rowley, Prof J Lynch, Prof Leonie Segal
Funding: National Health and Medical Research Council (Program Grant)
Diabetes and cardiovascular diseases occur in epidemic proportions among Indigenous Australians, with very early age of onset and high rates of preventable complications. This Program will bring together a multi skilled team of researchers with Indigenous partners to better understand the development of these conditions and to guide the development of diet, lifestyle, clinical and health system interventions in order to minimise their adverse impact and improve health overall.

"Getting better at chronic care" in north Queensland: A cluster randomized trial of patient-centred care delivered by Indigenous health professionals to Indigenous clients
Researchers: Prof Robyn McDermott, Dr Mark Wenitong (Apunipima Cape York Health Council), Prof Wendy Hoy (University of Queensland), Prof Leonie Segal, Prof Adrian Esterman
Funding: National Health and Medical Research Council (Partnership Grant), Queensland Health, Apunipima Cape York Health Council.
The life expectancy gap for Indigenous people in Australia is 13-17 years and most of this gap is due to preventable chronic disease (diabetes, heart, lung and renal problems) in adults. Once people have these conditions, many complications can be prevented with good primary-level chronic care. This project will trial an intervention of intensive chronic care management delivered by Indigenous health workers to Indigenous adults with diabetes in 12 rural communities in north Queensland.

Circuit class therapy for rehabilitation clients. A pragmatic randomised controlled trial of therapy intensity (CIRCIT)
Researchers: Dr Susan Hillier, Dr Coralie English, Dr Maria Crotty, Prof Leonie Segal, Dr Julie Bernhardt, Prof Adrian Esterman
Funding: National Health and Medical Research Council (Project Grant)
Loss of independence is common after stroke, and may lead to reduced quality of life and admission to nursing home care. The project will investigate of an increased amount of rehabilitation following stroke leads to improved mobility. Two ways of delivering more intense rehabilitation will be compared with usual care to find out which leads to improved physical mobility, and how they compare economically. This will allow health service providers to optimise services and will benefit people with stroke.

Priority Setting in Child Protection: developing an evidence-based strategy to reduce child abuse and neglect and associated harms
Researchers: Prof Leonie Segal, Prof Dorothy Scott (Australian Centre for Child Protection UniSA) and Dr Paul Delfabbro (Adelaide University)
Funding: Australian Research Council; SA Dept of Families and Communities; Child, Youth and Women’s Health Service SA; SA Dept of Education; Premier and Cabinet; Social Inclusion Unit; SA Dept of Health
This project aims to inform state and national child protection policies by applying an evidence-based priority setting model to child maltreatment. Cost-benefit analysis will be applied to 30 interventions across education, health including mental health, child protection, drug and alcohol, justice and community renewal to determine where investment will yield greatest returns for society. An investment strategy will be developed with governments based on the results of the cost-benefit analysis and additional budget modelling. The methodology will be highly applicable to other complex social problems requiring whole of government strategies.

Development and implementation of an evidence-based primary healthcare workforce planning model to support best practice chronic disease management
Researchers: Prof Leonie Segal, Dr Mathew Leach, Prof Esther May, Prof Robyn McDermott, Dr John Glover (Adelaide University)
Funding: ARC Linkage Grant, SA Dept of Health
This project will apply an evidence-based health workforce-planning model to support best practice care delivery for people with chronic diseases. The model will be applied people with Type 2 Diabetes in Adelaide and Whyalla. It will inform government health workforce and health services planning, with the promise of improving access to best practice care for people with diabetes, and potentially other chronic conditions. It will also inform education and training of health professionals and support a more flexible response to health workforce needs.

Briefing paper 1: sub-populations with diabetes mellitus (PDF, 166kb)

Building a cohort of Indigenous research leaders in community health development
Researchers: Prof Robyn McDermott, Prof Adrian Esterman, Prof John Buckley, A/Prof P d’Abbs, Dr K. Tsey, Prof Leonie Segal
Funding: NHMRC Capacity Building in Population Health Research
The project brings together a team of experienced health researchers supporting six indigenous health scholars to complete PhDs in areas of strategic importance for Indigenous health at the community level. Training received by the PhD students will provide them with the skills to address some of the most pressing Indigenous health issues and equip them to lead the next generation of health research and policy development.

Citizen Engagement: Listening to citizens views about Australia’s health system and prevention
Researchers: Prof B Oldenberg, V Lin, C Joyce, L Segal (associate investigator)
Funding: Queensland Department of Health, ACT Department of Health, SA Department of Health
The project will apply and evaluate innovative methods for engaging citizens in public policy debate. The project will use new methods to identify community perspectives about the future directions of the Australian health system. It will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies.

Tai Chi for independent living: RCT of efficacy of Tai Chi in delaying disability among older people
Researchers: Dr Lesley Day, Prof Leon Flicker, A/Prof Keith Hill, A/Prof Damian Jolley, Prof Leonie Segal
Funding: NHMRC Project Grant
This project has three aims: to test the efficacy of Tai Chi in delaying disability among older people; to investigate the mechanisms by which Tai Chi intervenes in the disability pathway; and to determine the cost-effectiveness and cost-utility of the benefits of Tai Chi for older people. The primary outcome (disability) is being measured with the Late-Life Function and Disability Instrument. Secondary outcome measures include joint pain, stiffness and function, muscle strength, static and dynamic balance, life satisfaction, concentration and memory, falls and fear of falling, and anthropometric measures.

Modelling cost effectiveness of falls interventions in the elderly to inform a national falls strategy
Researchers: Dr Lesley Day, Prof Leonie Segal, James Harrison, Soufiane Boufous, Wendy Watson, Pam Albany, Caroline Finch
Funding: Commonwealth Govt contract, Falls Prevention & Injury Prevention Community Grants Program
This project will model the population level image in Australia of seven proven falls-prevention programs for community dwelling older people, incorporating costs and cost-effectiveness. It will also design and test formats for conveying model findings to policy officers and practitioners.

CDM-Net – A Broadband Health Network for Transforming Chronic Disease Management
Researchers: Prof Mike Georgeff, Prof Leonie Segal, Prof Leon Piterman, Monash University, Prof John Catford, Prof Trisha Dunning (Deakin University), Prof Bruce Rasmussen (Victoria University), Prof Colin Chapman (Victorian College of Pharmacy), et al.
Funding: Precedence Health Care, Australian Govt, Dept of Communications, IT & the Arts; Dept of Human Services, Victoria
This project is developing and implementing a broadband-based care planning tool to support best practice care in chronic disease management, applied as a case study to people with type 2 diabetes in the Barwon Region of Victoria. The health economic evaluation is designed to establish the performance of the CDM Net initiative in terms of 'value for money' - patient outcomes per additional cost - adjusting for any expected cost savings. The aim is also to estimate the impact of roll out beyond the trial population to the region, state or nation.

PEACH study - Patient Engagement and Coaching for health: An intensive treatment intervention for patients with type 2 diabetes in disadvantaged communities
Researchers: Prof Doris Young, Prof James Best, Dr Margaite Vale, Dr John Furler, Prof Leonie Segal, Prof Trisha Dunning
Funding: NHMRC GP Program Project Grant
This project will evaluate the effectiveness of a patient-focussed method for chronic disease self-management method (COACH program) for intensive diabetes treatment on health outcome measures in patients with type 2 diabetes, compared with usual care only, in order to achieve intensive treatment goals for T2D in a General Practice setting.

Methodological advancement in economic evaluation for the area of child protection
Researchers: Prof Leonie Segal, Ms Kim Dalziel
Funding: Australian Research Alliance for Children & Youth (2008)
This project brought together economic evaluation experts from around Australia to discuss methodological issues arising in child protection. Issues explored include measuring quality of life, intergenerational effects, benefits beyond individuals, combining disparate outcomes, evaluating complex interventions and use of cost benefit analyses. The project commenced dialogue and collaborative work between researchers of different disciplines and engaged methodologists in economic evaluations which has set a trajectory through research grants and joint publications that will advance the methods and make an impact on policy for child protection interventions.

Estimating the cost-effectiveness of alternative strategies to prevent neural tube defects
Researchers: Prof Leonie Segal, Kim Dalziel
Funding: Food Standards Australia & New Zealand
This research provided a framework for comparing the performance of alternative strategies to increase folate consumption and reduce the rate of neural tube defects. It provided cost-effectiveness input into Australian and New Zealand Government decision-making regarding an optimal strategy to reduce the rate of NTDs.

Developing a common outcome for priority setting in Health: Validation of the ‘Transfer to Utility’ technique’ for mapping health status onto a utility score
Researchers: Prof Leonie Segal, A/P Graeme Hawthorne, A/P Anthony Harris, Dr Jonathon Sturm
Funding: NHMRC Project Grant
This research explored the TTU technique to i) establish the best method for estimating the regression equation between common health outcome measures and a utility score and validating that method; ii) test generalisability to other disease areas, for which quality of life is the primary objective of management (in stroke, drug dependence and depression); iii) develop and validate a method of translating the most commonly used measure of general health status, the SF-36, into a utility score, and iv) illustrate the application of the TTU in comparing interventions for the prevention and management of depression. The results will be of value to decision makers comparing the performance of medical/health care interventions across a range of diseases and modalities and to clinicians who practicing evidenced based health care. The potential health gains for the community are substantial, in supporting the redirection of resources to more effective and cost-effective.

Priority setting: How to reduce disease burden from: physical inactivity, poor nutrition, tobacco smoking, alcohol abuse and physical activity
Researchers: Prof Leonie Segal, Duncan Mortimer, Kim Dalziel
Funding: Commonwealth Department of Health & Ageing, Canberra
This research examined how best to reduce the burden of harm on the Australian community attributable to the four target lifestyle behaviours of physical inactivity, poor nutrition, alcohol misuse and tobacco smoking risk factors, by determining which interventions are most effective and cost effective.

Development of a value of life framework to assist priority setting decision making across sectors
Researchers: Prof Leonie Segal
Funding: ARC Discovery Grant
This research developed a framework for the adoption of a single value, or more realistically a single equation, for the value of life. It compared the value of life now incorporated into decision-making across several sectors, explicitly or implicitly, for which interventions are designed to reduce risk of death, and explored factors that might influence community views of the value of life. The research contributes to an understanding of how to incorporate risk of death into program and policy evaluation and provide evaluators with a consistent approach to be used across-sectors; as well as strengthening collaboration between various industry groups/government agencies, and exchange research skills and knowledge base..



Seminars and events

 

Publications

Below is a list of selected research publications involving members of the Health Economics & Social Policy Group (UniSA researchers are indicated in bold)

Peer reviewed publications

Published/in press

  1. Leach MJ, Segal L, ‘Patient attributes warranting consideration in clinical practice guidelines, health workforce planning and policy’, BMC Health Services Research 11:221, 2011
  2. Furber G, Segal L, ‘Give your child and adolescent mental health service a health economics makeover’, Children and Youth Services, accepted 23 August 2011 (Ms: CYSR-D-11-00160)
  3. Segal L, Dalziel K, Donato R, ‘Economics informed policy can drive better health; but there will be few gains without structural change’, Dialogue, the Academy of the Social Sciences in Australia journal, for Issue: “A Healthy Society: How do we get it? How do we keep it?”, accepted 9 August 2011
  4. Segal L, Leach M, ‘An evidence-based health workforce model for primary and community care’, Implementation Science 6:93, doi:10.1186/1748-5908-6-93 published 6 August 2011
  5. Amos, J Furber G, Segal L, ‘Understanding Maltreating Mothers: A Synthesis of Relational Trauma, Attachment Disorganization, Structural Dissociation of the Personality and Experiential Avoidance’, Journal of Trauma & Dissociation 12 (5), DOI: 10.1080/15299732.2011.593259, 2011
  6. Segal L and Dalziel K, ‘Investing to protect our children: Using economics to derive an evidence-based strategy’, Child Abuse Review 20:274-289, DOI: 10.1002/car.1192, 2011
  7. Hillier S, English C, Crotty M, Segal L, Bernhardt J, Esterman A, ‘Circuit class therapy for increasing intensity of rehabilitation after stroke. Protocol of the CIRCIT trial’, International Journal of Stroke, accepted 5 Mar 2011
  8. Gospodarevskaya E, Churilov, L, ‘Process performance indicators in redesigning the patient care process, Business Process Management Journal 17(6), 2011
  9. Loveman E, Gospodarevskaya E, Clegg A, Bryant J, Harris P, Scott D, Davidson P, Little P, Coppin R, ‘Ear wax removal interventions: a systematic review and economic evaluation’, British Journal of General Practice, accepted Feb 2011
  10. Furber G, Brann P, Allison S, Skene C, ‘Benchmarking the cost efficiency of community care in Australian child and adolescent mental health services: Implications for future benchmarking’, Australasian Psychiatry, 19(3):226-231, June 2011
  11. Thakkor V, Leach MJ, Gillham D, Esterman A, ‘The quality of information on websites selling St. John's wort’, Complementary Therapies in Medicine 19(3):155-160, 2011
  12. Leach MJ, Gillham D, 2011, ‘Are complementary medicine practitioners implementing evidence based practice?’, Complementary Therapies in Medicine 19(3):128-136, 2011
  13. Leach M, Segal L, 'The new national health and hospitals network - building Australia's health workforce: where is the evidence?', Economic Papers 229 (4):483-489, 2010
  14. Leach MJ, Segal L, ‘Commentary on “A scheme to support the recruitment and retention of allied health professionals too hard to fill posts in rural areas”’, International Journal of Therapy and Rehabilitation 17(10):545-555, 2010
  15. Donato R, Segal L, ‘The economics of primary healthcare reform in Australia – towards single fundholding through development of primary care organisations’, ANZ Journal of Public Health 34(6):613-619, 2010
  16. Gibson K, Day L, Jolley D, Hill K, Newstead S, Flicker L, Segal L, Cicuttini F, ‘Screening for pre-clinical disability in different residential settings’, BMC Geriatrics 10:52, 2010
  17. Day L, Finch C, Harrison J, Hoareau E, Segal L, Ullah S, ‘Modelling the population level impact of Tai-Chi on falls and fall-related injury among community dwelling older people’, Injury Prevention 16(5):321-326, 2010
  18.  Leach M, Segal L, May E, ‘Lost opportunities with Australia’s health workforce?’, Medical Journal of Australia 193(3):167-172, 2010
  19. Leach M, Segal L, ‘Are clinical practical guidelines (CPGs) useful for health services and health workforce planning? A critique of diabetes CPGs, Diabetic Medicine 27(5: 570-577, 2010
  20. Segal L, ‘The role of government in preventative health: ‘nanny state’ or redressing market and policy distortions’, Australian Medicine 22(4):32-33, 2010
  21. Segal L, Dalziel K, Katz R, ‘Cost effectiveness of mandatory folate fortification versus other options for the prevention of neural tube defects: results from Australia and New Zealand’, Public Health Nutrition 13(4), 566-578, 2010
  22. Segal L, Dalziel K, Mortimer D, ‘Fixing the game: Are between-silo differences in funding arrangements handicapping some interventions and giving others a head-start?’, Health Economics 19(4):449-465, 2010
  23.  Mortimer D, Segal L, Sturm J, ‘Can we derive an ‘exchange rate’ between descriptive and preference-based outcome measures for stroke? Results from the transfer to utility (TTU) technique’, Health and Quality of Life Outcomes 7(33), 2009
  24. Finch C, Day L, Donaldson A, Segal L, ‘Determining Policy - relevant formats for the presentation of falls research evidence’, Health Policy 93(2-3):207-213, December 2009.
  25. Gibson O, Segal L, 'Avoidable hospitalisation in Aboriginal and non-Aboriginal people in the Northern Territory', Medical Journal of Australia, Letter, October 2009.
  26. Watts J, Segal L, ‘Market failure, policy failure and other distortions in chronic disease markets’, BMC Health Services Research 9(102), June 2009.
  27. Segal L, Bolton T, ‘Issues Facing the Healthcare Workforce: the importance of demand modelling’, ANZ Journal of Health Policy 6(12), May 2009
  28. Segal L, ‘The Place of Prevention in the Health Care System’, Public Health Bulletin 6(1):22-26, March 2009
  29. Day L, C Finch, Segal L, ‘Reducing injuries from falls’, New England Journal of Medicine 359(15):1626, October 2008
  30. Hawthorne G, Densley K, Pallant J, Mortimer D, Segal L, ‘Deriving utility scores from the SF-36 health instrument using Rasch analysis’, Quality of Life Research 17:1183-1193, September 2008
  31. Watts J, Segal L, ‘Vouchers for chronic disease care’, Australian Health Review 32(3):451-458, August 2008
  32. Segal L, Dalziel K, 'A Workforce model to support the adoption of best practice care in Chronic Diseases - A missing piece in clinical guidelines implementation', Implementation Science 3(35), June 2008
  33. Dalziel K, Segal L, Mortimer D, ‘Review of Australian health economic evaluation - 245 interventions: What can we say about cost-effectiveness?’, Cost Effectiveness and Resource Allocation 6(9), May 2008
  34. Mortimer, D, Segal, L, ‘Is the value of a life or life-year saved context specific? Further evidence from a discrete choice experiment’, Cost Effectiveness and Resource Allocation 6(8), May 2008
  35. Mortimer D, Segal L, ‘Comparing the Incomparable? A systematic review of competing techniques for converting descriptive measures of health status into QALY-weights’, Medical Decision Making 28(1):66-89, February 2008
  36. Mortimer D, French S, McKenzie J, O’Connor D, Green S, on behalf of the IMPLEMENT study group, ‘Protocol for economic evaluation alongside the IMPLEMENT cluster randomised controlled trial’, Implementation Science 3(12), 2008
  37. Mortimer D, French S, McKenzie J, O’Connor D, Green S, on behalf of the IMPLEMENT study group, ‘IMPlementing a clinical practice guideline for acute Lower back pain Evidence based management in general practice (IMPLEMENT): cluster randomised controlled trial study protocol’, Implementation Science 3(11), 2008
  38.  Leach MJ, Gillham D, ‘Evaluation of the Evidence-Based practice Attitude and utilization SurvEy (EBASE) for complementary and alternative medicine practitioners’, Journal of Evaluation in Clinical Practice 14(5), October 2008.
  39. Leach MJ, ‘Planning: a necessary step in clinical care’, Journal of Clinical Nursing 17(3):1728-1734, 2008.
  40. Leach MJ, ‘Calendula officinalis for wound healing: a systematic review’, WOUNDS 20(8):236-243, 2008.
  41. Leach MJ. Kumar, S, ‘The clinical effectiveness of Ginger (Zingiber officinale) in adults with osteoarthritis’, International Journal of Evidence-based Healthcare 6(3):311-320, 2008,
  42.  Leach MJ, ‘The naturopathic process: a framework for naturopathic practice’, Journal of the Australian Traditional Medicine Society 14(1):7-10, 2008
  43. Leach MJ, ‘Natural wound care’, Journal of Complementary Medicine 7: 32-35,65, 2008
  44. Mortimer D, Segal L. Hawthorne G, Harris A, ‘Item-based versus subscale-based mappings from the SF-36 to a preference-based quality of life measure’, Value in Health 10(5):398-407, November 2007
  45. Dalziel K, Segal L, ‘Time to give nutrition interventions a higher profile: Cost-utility analysis of 10 nutrition interventions’, Health Promotion International 22(4):271-283,October 2007
  46. Segal L, ‘Multidisciplinary care plans improve care for patients with type 2 diabetes: Is it the care plans or the multi-disciplinary care?’, Comment Australian Family Physician 36(9):679, May 2007
  47. Young D, Furler J, Vale M, Walker C, Segal L, Dunning P, Best J, Blackberry I, Audehm R, Sulaman N, Dunbar J, Chondros P, ‘Patient Engagement and Coaching for Health: The PEACH study - A cluster randomised controlled trial using the telephone to coach people with type 2 diabetes to engage with their GPs to improve diabetes care: A Study Protocol’, BMC Family Practice 8(20) (open access journal), April 2007
  48. Segal L, Dalziel K, ‘Economic evaluation of obesity interventions in children and adults’, International Journal of Obesity vol 31:1183-1184, March 2007
  49. Segal L, Dalziel K, ‘Analysis and interpretation of child protection data: a comment on Ainsworth and Hansen (2006;11:33-41)’, Child and Family Social Work 12(4):434-35, 2007
  50. Hollingsworth BA, Harris A, Mortimer D, ‘The cost-effectiveness of intracytoplasmic sperm injection (ICSI)’, Journal of Assisted Reproduction and Genetics 24(12):571-577, 2007
  51. Leach MJ, ‘Gymnema sylvestre for diabetes mellitus: a systematic review’, Journal of Alternative and Complementary Medicine13(9):977-984, 2007
  52. Leach MJ, ‘Revisiting the evaluation of clinical practice’, International Journal of Nursing Practice 13(2):70-74, 2007
  53. Leach MJ, ‘Orthodox use, or misuse, of complementary and alternative medicine?’, Journal of Complementary & Integrative Medicine, 4(1):1-5, 2007
  54. Dalziel K, Segal L, ‘Short Communication- Uncertainty in economic analysis of school based interventions to prevent obesity,’ Obesity Research 14(9):1481-1484, September 2006
  55. Gospodarevskaya E, Goergen S, Harris A, Chan T, deCampo J, Wolfe R, Gan E, Wheeler M, McKay J. ‘Economic evaluation of a clinical protocol for diagnosing emergency patients with suspected pulmonary embolism’, Cost Effectiveness and Resource Allocation (12), 27 June 2006, http://www.resource-allocation.com/content/4/1/12
  56. McDermott R, Segal L., ‘Cost impact of improved primary level diabetes care in remote Australian Indigenous communities’, Australian Journal of Primary Health 12(2):134-140, 2006
  57. Dalziel K, Segal L, ‘A Mediterranean diet is cost-effective for those with previous myocardial infarction’, Journal of Nutrition 136, 1879-1885, 2006
  58. Segal L, Mortimer D, ’A population-based model for priority setting across the care continuum and across modalities’, Cost Effectiveness and Resource Allocation 4(6), March 2006
  59. Mortimer D, Segal L, ‘Economic Evaluation of Interventions for Problem Drinking and alcohol dependence: do within-family external effects make a difference? Alcohol and Alcoholism 41(1): 92-98, 2006
  60. Dalziel K, Segal L, Elley R, ‘Cost utility analysis of physical activity counselling in general practice’, ANZ Journal of Public Health 30(1) 57-63, 2006
  61. Whitfield K, Buchbinder R, Segal L, Osborne R., ‘Parsimonious and Efficient Assessment of Health-related Quality of Life in Osteoarthritis: Validation of the Assessment of Quality of Life (AQoL) Instrument’, Health and Quality of Life Outcomes 4(19), March 2006
  62. Dalziel K, Stein K, Round A, Garside R, Royle P, ‘Endoscopic Sinus Surgery for The Excision of Nasal Polyps: A Systematic Review of Effectiveness and Safety’, American Journal of Rhinology 20(5): 506-519, 2006
  63. Goergen SK, Fong C, Dalziel K, Fennessy G, ‘Can an evidence-based guideline reduce unnecessary imaging of road trauma patients with cervical spine injury in the emergency department?’, Australasian Radiology 50:563-569, 2006
  64. Mortimer D, ‘The value of thinly-spread QALYs’, Pharmacoeconomics 24(9):845-853, 2006
  65. Mortimer D, Kelly J, ‘Economic evaluation of the Good Life Club intervention for diabetes self-management’, Australian Journal of Primary Health 12(1): 92-101, 2006
  66. Mortimer D, French S, ‘Can dissenting findings with respect to the comparative effectiveness of ICSI and IVF be explained by a learning curve?’ Journal of Assisted Reproduction & Genetics 23(1): 33-36, 2006
  67. Richardson J, Peacock S, Mortimer D, ‘Does an increase in the Doctor Supply Reduce Medical Fees? An Econometric Analysis of Medical Fees across Australia’, Applied Economics 38(1): 253-266, 2006
  68. Leach MJ, ‘Evidence-based practice: a framework for clinical practice and research design’. International Journal of Nursing Practice 12(5): 248-51, 2006
  69. Leach MJ, ‘Wound management: using Levine's conservation model to guide practice’. Ostomy Wound Management 52(8): 74-80, 2006,
  70. Leach MJ. Pincombe J. Foster G, ‘Using Horsechestnut Seed Extract in the treatment of venous leg ulceration: a cost-benefit analysis’, Ostomy/Wound Management 52(4): 68-78, 2006
  71. Leach MJ, Pincombe J, Foster G, ‘Clinical efficacy of horsechestnut seed extract in the treatment of venous ulceration’ Journal of Wound Care 15(4): 159-167, 2006
  72. Leach MJ. ‘Integrative health care: a need for change’. Journal of Complementary & Integrative Medicine 3(1): 1-11, 2006
  73. Dalziel K, Segal L, ‘Overstated cost effectiveness – comment on the Victorian Active Script Programme’ letter, British Journal of Sports Medicine Online, (comment on article by Sims et al BJSM 2004 (38):19-25), February 2005
  74. Mortimer D, Segal L, ‘Economic Evaluation of Interventions for Problem Drinking and alcohol dependence cost/QALY estimates’, Alcohol and Alcoholism 40(6) 549-555, 2005
  75. Leach MJ, ‘Rapport: a key to treatment success’, Complementary Therapies in Clinical Practice 11(4): 262-265, 2005

Book

  1. Leach MJ, Clinical decision making in complementary and alternative medicine, Churchill Livingstone Australia:Sydney, ISBN: 9780729539333, 2010

Edited publications including book chapters

  1. Leach MJ, Integumentary system, In: Clinical naturopathic medicine, L Hechtman (ed), Churchill Livingstone Australia:Sydney, ISBN: 9780729538855, 2011
  2. Segal L, Doidge J, Amos J, ‘Determining the determinants: Is child abuse and neglect the underlying cause of the socio-economic gradient in health?’, In: Determining the Future: A Fair Go and Health for All, Eds Martin Laverty and Liz Callaghan. Connor Court Publishing, Ballan, Victoria, 2011.
  3. Segal L, Dalziel K, ‘Cost effectiveness of the Mediterranean diet for persons after a heart attack. In: Nutrients, Dietary Supplements and Nutriceuticals: Cost analysis versus clinical benefits, RR Watson, JK Gerald, VR Preedy (eds), Springer:New York: 349-363, ISBN: 9781607613077, 2011
  4. Leach MJ, Chronic venous insufficiency, In: Clinical naturopathy: an evidence based guide to practice, J Wardle, J Sarris (eds.), Churchill Livingstone Australia:Sydney: 203-214. ISBN: 9780729539265, 2010
  5. Dalziel K, Segal L, ‘Economic Evaluation in Child Protection: What are the Special Challenges?’, In: Economic Evaluation in Child Health, Edited by Wendy Ungar, published September 2009.
  6. Segal L, 'Health levy change was badly needed', An Opinion article on "changes to the eligibility for private health insurance rebates and the Medicare levy surcharge in the budget", The Australian Financial Review, 18 May 2009.
  7. Segal L, ‘A vision for Primary Care: Funding and other system factors for optimising the Primary Care contribution to the community’s health’, A paper for the National Health and Hospital Reform Commission (NHHRC), September 2008, www.nhhrc.org.au
  8. Day L, Hoareau E, Finch C, Harrison J, Segal L, Bolton T, Bradley C, Boufous S, ‘Modelling the impacts costs and benefits of falls prevention measures to support policy-makers and program planners, Ullah and National Injury Prevention Injury Working Group, Report to Department Health and Ageing, September 2008
  9. Dalziel K, Segal L, Ratcliffe J, ‘Economic evaluation in child protection – Past, Present and Future’, ARACY Briefing paper, April 2008.
  10. Segal L, Dalziel K, Katz R, ‘Informing a Strategy to Increase Folate Levels to prevent Neural Tube defects: A Cost-effectiveness Analysis of Options’, A Report to FSANZ (Food Standards Australia & New Zealand), May 2007, www.foodstandards.gov.au
  11. Gospodarevskaya E, Churilov L. ‘Linking the “social” and the “technological” together: a case study of a nursing information flow in the neurosciences ward of a public hospital’, Proceedings of the ISOneWorld 2007 Annual Conference, Las Vegas, NV, 11-13 April, 2007
    (PDF, 212kb)
  12. Gospodarevskaya E, Churilov L. and Wallace L. ‘Modelling the patient care process of an acute care ward in a public hospital’, Proceedings of the Thirty-Eighth Annual Hawaii International Conference on System Sciences (HICSS-38), Hawaii, 3-6 January, 2005. (ISBN 0-76952268-8; ISSN 1530-1605)


 

Contact

Health Economics and Social Policy Group
Phone: 61-8-8302 1422
Fax: 61-8-8302 2337
Email: judith.burgemeister@unisa.edu.au

 

 

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