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May 2011
Quality indicators: are we on the right track?
Around the world, quality indicators in health – that is, data comparing everything from mortality rates in different hospitals to the efficacy of prescribing practices – are becoming increasingly accessible to everyone from patients to policy makers and insurers.

While greater transparency and accountability in health care seem worthy enough goals, the question of whether quality indicators actually help achieve this – and, ultimately whether they result in better health outcomes – was raised by visiting researcher Professor Flora Haaijer-Ruskamp at a recent Sansom Institute Seminar.

A professor in Drug Utilization Studies at the University of Groningen, Haaijer-Ruskamp visited UniSA as a special guest of the Institute’s Quality Use of Medicines and Pharmacy Research Centre (QUMPRC).

Discussing numerous international examples highlighting some of the benefits – and unintended consequences – of the use of quality indicators, Prof Haaijer-Ruskamp argued for ongoing critical scrutiny to ensure that QIs actually support better health outcomes.

Citing a major US study from 2010, she said that while the impact of publicly-available data comparing hospitals found that greater scrutiny did help lift some standards in low-performing areas, that one of the unintended consequences of public reporting was health care providers refusing to care for high risk patients.

Meanwhile a recent UK study cited by Prof Haaijer-Ruskamp found that while a pay-for-performance scheme resulted in improvements in two out of three chronic conditions examined, such improvements may have come at the expense of other areas where quality of care had actually decreased.
“There’s a high investment in using these new quality indicators, but limited evidence surrounding their effect on patient outcomes,” Haaijer-Ruskamp said.

“However, there is a lot of evidence for educational PI’s [performance indicators] working, so I don’t think we should throw the baby out with the bathwater.”

Professor Haaijer-Ruskamp made the point that policy makers and researchers should be aware of the limitations of QIs and work to refine them so that they take into account elements that are currently missing, such as patient preferences, or complex patients with multi-morbidity.

April 2011
New expertise welcomed

In line with our mission to support research with a purpose linked to better health outcomes, the Sansom Institute has welcomed a host of established research talent to the fold. 

Researchers that have recently joined the Institute are engaged in an exciting range of cutting edge studies looking at areas ranging from opioids to lung physiology and health and use of time.

The Health and Use of Time concentration brings to the Sansom a diverse group of scientists to look at how factors such as physical activity, sleep and screen time affect our physical, mental and social health.

Joining the Institute as part of the Therapeutics and Pharmaceutical Science concentration, the Drugs of Dependence research group conducts trials examining the effects of a wide range of drugs, particularly opioids, stimulants and drugs that work on the central nervous system.

Meanwhile, the Molecular and Evolutionary Physiology of the Lung Laboratory is working towards achieving a wide range of important health care goals, from better care for premature babies and their mothers, to improved treatments for respiratory disease, and preventing the spread of infectious diseases such as avian flu.

Watch this space: new pages coming soon on nursing, midwifery and mental health.

March 2011
Sansom researcher Dr Craig Williams on the big screen

The Sansom’s resident mosquito expert, Dr Craig Williams, is one of a select group of academics to be featured in a new initiative highlighting the personalities and passions of some of UniSA’s research and teaching staff.

As part of the Learn from Experience initiative, short films featuring Craig and five other UniSA academics were screened as part of the recent BigPond Adelaide Film Festival. Watch the film here.

The twelve short films and associated materials will be featured in a variety of cinema, TV, print and web-based formats throughout the year.

Craig, who talks in the film about his inspiration as a teacher and researcher, says he was honoured to be part of the initiative.

“I was surprised and humbled to be asked, especially seeing as there are so many people – people who are extremely interesting and do really important work – who could have been featured,” he says.   

February 2010
UniSA wins funding to tackle Indigenous diabetes and cardiovascular epidemic

The National Health and Medical Research Council has awarded researchers at UniSA a prestigious Program Grant to support research into the causes, appropriate interventions and health system changes that will help reduce the incidence and adverse health impacts of diabetes and cardiovascular disease in Indigenous populations.

Lead investigator and Director of UniSA’s Sansom Institute for Health Research, Professor Kerin O’Dea and her UniSA colleagues Professors Robyn McDermott, John Lynch, and Leonie Segal, with Kevin Rowley from the University of Melbourne have been awarded more than $8 million over five years.
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