Journal articles on the topic 'Decision making Australia'
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Ervin, Kaye E., Irene Blackberry, and Helen Haines. "Implementation of Shared Decision-Making in Australia." Asia Pacific Journal of Health Management 11, no. 2 (July 1, 2016): 10–11. http://dx.doi.org/10.24083/apjhm.v11i2.177.
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Shared decision-making (SDM) is the process of clinicians and patients participating jointly in making healthcare decisions, having discussed evidence-based treatment options and the potential risks and benefits of each option, taking into consideration the patient’s individual preferences and values. SDM is ubiquitous in Australian healthcare policy. While there is good evidence for utilising SDM, clinicians’ knowledge of SDM, the current uptake, effectiveness and acceptability of SDM in Australia is largely unknown. The challenges perceived by clinicians to implementing SDM in clinical practice and potential moral, legal and ethical dilemmas require further debate and consideration.
Abbreviations: SDM – Shared Decision-Making.
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McCaffery, Kirsten J., Heather L. Shepherd, Lyndal Trevena, Ilona Juraskova, Alexandra Barratt, Phyllis N. Butow, Karen Carey Hazell, and Martin HN Tattersall. "Shared decision-making in Australia." Zeitschrift für ärztliche Fortbildung und Qualität im Gesundheitswesen - German Journal for Quality in Health Care 101, no. 4 (May 2007): 205–11. http://dx.doi.org/10.1016/j.zgesun.2007.02.025.
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Moritz, Dominique. "Children’s Developmental (Im)maturity: Aligning Conflicting Decisional Capacity Assessment Approaches in Australia." Laws 12, no. 1 (January 13, 2023): 10. http://dx.doi.org/10.3390/laws12010010.
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Children’s decision-making is complex. There are many factors that contribute to children’s decisional capacity including cognitive reasoning, developmental maturity, upbringing and circumstances. For healthcare decisions, Australian law acknowledges children’s autonomy, and permits mature children to consent to beneficial healthcare. Yet, it also protects them from making life-changing decisions that could contravene their best interests. The criminal law approaches to children’s decision-making in Australia’s jurisdictions involves holding older children fully responsible for their decision-making, regardless of circumstances or maturity. The two approaches conflict because health law offers a protective mechanism for children yet criminal law imposes a punitive approach to children’s decision-making. This article considers whether the dichotomous approaches for children’s capacity assessments in Australian law can be reconciled.
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Zhao, Shuming, Cathy Sheehan, Helen De Cieri, and Brian Cooper. "A comparative study of HR involvement in strategic decision-making in China and Australia." Chinese Management Studies 13, no. 2 (June 3, 2019): 258–75. http://dx.doi.org/10.1108/cms-08-2018-0643.
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Purpose The purpose of this paper is to address gaps in the knowledge about human resource (HR) professional involvement in strategic decision-making in China compared with that in Australia. Design/methodology/approach First, the authors compare the strategic involvement of Chinese and Australian HR professionals. Second, based on the upper echelon theory, the authors compare the impact of chief executive officer (CEO) and top management team (TMT) between both countries on HR involvement in strategic decision-making. Data were collected from matched pairs of HR and TMT executives in China (n = 168) and in Australia (n = 102). Findings Results indicate a difference, despite of no statistical significance, in HR involvement in strategic decision-making between Chinese and Australian samples. TMT behavioural integration was positively related to HR involvement in strategic decision-making in a collectivistic culture (i.e. in China), but not in an individualistic culture (i.e. in Australia). However, CEO support for HRM was positively related to HR involvement in strategic decision-making in Australia, whereas it is not related in China. Originality/value The paper conducts a comparative study and practical, and research implications are discussed at the end.
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McCaffery, Kirsten J., Sian Smith, Heather L. Shepherd, Ming Sze, Haryana Dhillon, Jesse Jansen, Ilona Juraskova, et al. "Shared decision making in Australia in 2011." Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 105, no. 4 (January 2011): 234–39. http://dx.doi.org/10.1016/j.zefq.2011.04.010.
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Trevena, Lyndal, Heather L. Shepherd, Carissa Bonner, Jesse Jansen, Anne E. Cust, Julie Leask, Narelle Shadbolt, Chris Del Mar, Kirsten McCaffery, and Tammy Hoffmann. "Shared decision making in Australia in 2017." Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 123-124 (June 2017): 17–20. http://dx.doi.org/10.1016/j.zefq.2017.05.011.
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Reddy, Wejendra, David Higgins, and Ron Wakefield. "An investigation of property-related decision practice of Australian fund managers." Journal of Property Investment & Finance 32, no. 3 (April 1, 2014): 282–305. http://dx.doi.org/10.1108/jpif-02-2014-0014.
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Purpose – In Australia, the A$2.2 trillion managed funds industry including the large pension funds (known locally as superannuation funds) are the dominant institutional property investors. While statistical information on the level of Australian managed fund investments in property assets is widely available, comprehensive practical evidence on property asset allocation decision-making process is underdeveloped. The purpose of this research is to identify Australian fund manager's property asset allocation strategies and decision-making frameworks at strategic level. Design/methodology/approach – The research was undertaken in May-August 2011 using an in-depth semi-structured questionnaire administered by mail. The survey was targeted at 130 leading managed funds and asset consultants within Australia. Findings – The evaluation of the 79 survey respondents indicated that Australian fund manager's property allocation decision-making process is an interactive, sequential and continuous process involving multiple decision-makers (internal and external) complete with feedback loops. It involves a combination of quantitative analysis (mainly mean-variance analysis) and qualitative overlay (mainly judgement, or “gut-feeling”, and experience). In addition, the research provided evidence that the property allocation decision-making process varies depending on the size and type of managed fund. Practical implications – This research makes important contributions to both practical and academic fields. Information on strategic property allocation models and variables is not widely available, and there is little guiding theory related to the subject. Therefore, the conceptual frameworks developed from the research will help enhance academic theory and understanding in the area of property allocation decision making. Furthermore, the research provides small fund managers and industry practitioners with a platform from which to improve their own property allocation processes. Originality/value – In contrast to previous property decision-making research in Australia which has mainly focused on strategies at the property fund investment level, this research investigates the institutional property allocation decision-making process from a strategic position involving all major groups in the Australian managed funds industry.
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Rashidi, Taha H., and Milad Ghasri. "A competing survival analysis for housing relocation behaviour and risk aversion in a resilient housing market." Environment and Planning B: Urban Analytics and City Science 46, no. 1 (April 20, 2017): 122–42. http://dx.doi.org/10.1177/2399808317703381.
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Residential relocation decision making is a complicated process, and modelling this complex course of actions requires careful scrutinisation of different aspects. The relocation decision comprises several different decisions, including the reason for the relocation, relocation timing, and attributes of the desired residence. Among these decisions needing to be taken, the reason for relocation and its timing are decided earlier than others. Depending on the variant reasons and motivations for relocating, its timing may be accelerated or decelerated. Relocation usually occurs because of a multiplicity of reasons, which necessitates using a multivariate model for relocation decision making that is jointly modelled with the timing decision. A competing accelerated failure model to jointly formulate these decisions. The housing search literature emphasizes on the importance of considering financial risk acceptance level of decision makers in residential relocation decision models. Therefore, a binary logit model is used to model whether the decision maker is financially risk averse or not. This paper used longitudinal data collected in Australia from the Household, Income, and Labour Dynamics in Australia Survey. Further, the impact of group decision making on residential relocation is captured in this paper through the information provided in Household, Income, and Labour Dynamics in Australia Survey regarding the manner in which decisions are made within households.
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Lindsay, Michael J. "Involving young people in decision–making." Children Australia 20, no. 1 (1995): 39–42. http://dx.doi.org/10.1017/s1035077200004387.
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The following two papers, which were provided to Children Australia by Meredith Kiraly. were given at a one-day Conference in London on 12 July 1994 entitled Residential Child Care: Into the Next Century. The Conference was convened by the National Children's Bureau of the United Kingdom.
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Williams, Peter. "The ‘Panelization’ of Planning Decision-Making in Australia." Planning Practice & Research 29, no. 4 (March 4, 2014): 426–47. http://dx.doi.org/10.1080/02697459.2014.893677.
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Moshi, Magdalena, Rebecca Tooher, and Tracy Merlin. "OP144 mHealth App Evaluation Framework For Reimbursement Decision-making." International Journal of Technology Assessment in Health Care 35, S1 (2019): 33. http://dx.doi.org/10.1017/s0266462319001703.
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IntroductionMobile health (mHealth) applications (app) are being integrated into healthcare by patients and practitioners in Australia. However, there are currently no policies or frameworks available that can be used to conduct a health technology assessment (HTA) on mHealth apps for reimbursement purposes. The aim of the study was to determine what policy changes and assessment criteria are needed to facilitate the development of a system that evaluates mobile medical apps for regulatory and reimbursement purposes in Australia.MethodsTo obtain the information to determine what policy changes are needed and create an evidence-based framework that can evaluate mHealth apps for reimbursement decision-making, four studies were conducted. This research included (i) a policy analysis on international mHealth app regulation; (ii) a case study on American and Australian app regulation; (iii) a methodological systematic review on the suitability of current mHealth evaluation frameworks for reimbursement purposes; and (iv) the identification of HTA pathways and impediments to app reimbursement through stakeholder interviews. An evaluation framework for apps was created by combining and synthesizing the results.ResultsSoftware changes, connectivity, and cybersecurity need to be considered when evaluating mHealth apps for reimbursement purposes. Additionally, the potential dangers of apps providing misinformation, and poor software reliability in current regulation must be considered. Stakeholders indicated that they trust how traditional medical devices are currently appraised for reimbursement in Australia. They expressed caution around the lack of clarity regarding who is responsible for app quality as well as concerns about the digital literacy of medical practitioners and their patients.ConclusionsSince stakeholder trust in the current HTA process for medical devices in Australia is high, the process was adapted to create an evaluation framework for mHealth apps. The adaptations included making provisions for cybersecurity, software updates, and compatibility issues. Provisions to address concerns around practitioner responsibility and misinformation were incorporated into the framework.
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Dolan, Hankiz, Dana L. Alden, John M. Friend, Ping Yein Lee, Yew Kong Lee, Chirk Jenn Ng, Khatijah Lim Abdullah, and Lyndal Trevena. "Culture, Self, and Medical Decision Making in Australia and China: A Structural Model Analysis." MDM Policy & Practice 4, no. 2 (July 2019): 238146831987101. http://dx.doi.org/10.1177/2381468319871018.
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Objective. To explore and compare the influences of individual-level cultural values and personal attitudinal values on the desire for medical information and self-involvement in decision making in Australia and China. Methods. A total of 288 and 291 middle-aged adults from Australia and China, respectively, completed an online survey examining cultural and personal values, and their desired level of self-influence on medical decision making. Structural equation modeling was used to test 15 hypotheses relating to the effects of cultural and personal antecedents on the individual desire for influence over medical decision making. Results. Similar factors in both Australia and China (total variance explained: Australia 29%; China 35%) predicted desire for medical information, with interdependence (unstandardized path coefficient βAustralia = 0.102, P = 0.014; βChina = 0.215, P = 0.001), independence (βAustralia = 0.244, P < 0.001; βChina = 0.123, P = 0.037), and health locus of control (βAustralia = −0.140, P = 0.018; βChina = −0.138, P = 0.007) being significant and positive predictors. A desire for involvement in decisions was only predicted by power distance, which had an opposite effect of being negative for Australia and positive for China (total variance explained: Australia 11%; China 5%; βAustralia = 0.294, P < 0.001; China: βChina = −0.190, P = 0.043). National culture moderated the effect of independence on desire for medical information, which was stronger in Australia than China ( Z score = 1.687, P < 0.05). Conclusions. Study results demonstrate that in both countries, desire for medical information can be influenced by individual-level cultural and personal values, suggesting potential benefits of tailoring health communication to personal mindsets to foster informed decision making. The desired level of self-involvement in decision making was relatively independent of other cultural and personal values in both countries, suggesting caution against cultural stereotypes. Study findings also suggest that involvement preferences in decision making should be considered separately from information needs at the clinical encounter.
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Gallego, Gisselle, Kees van Gool, and Dianne Kelleher. "Resource allocation and health technology assessment in Australia: Views from the local level." International Journal of Technology Assessment in Health Care 25, no. 02 (March 31, 2009): 134–40. http://dx.doi.org/10.1017/s0266462309090187.
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Objectives:Several studies have shown that a key determinant of successful health technology assessment (HTA) uptake is a clear, fair, and consistent decision-making process for the approval and introduction of health technologies. The aim of this study was to gauge healthcare providers' and managers' perceptions of local level decision making and determine whether these processes offer a conducive environment for HTA. An Area Health Service (AHS) aimed to use the results of this study to help design a new process of technology assessment and decision making.Methods:An online survey was sent to all health service managers and healthcare providers working in one AHS in Sydney, Australia. Questions related to perceptions of current health technology decisions in participants' own institution/facility and opinions on key criteria for successful decision-making processes.Results:Less than a third of participants agreed with the statements that local decision-making processes were appropriate, easy to understand, evidence-based, fair, or consistently applied. Decisions were reportedly largely influenced by total cost considerations as well as by the central state health departments and the Area executive.Conclusions:Although there are renewed initiatives in HTA in Australia, there is a risk that such investments will not be productive unless policy makers also examine the decision-making contexts within which HTA can successfully be implemented. The results of this survey show that this is especially true at the local level and that any HTA initiative should be accompanied by efforts to improve decision-making processes.
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Fernandes, Venesser. "Exploring leadership influence within data-informed decision-making practices in Australian independent schools." Studia paedagogica 26, no. 4 (February 14, 2022): 139–59. http://dx.doi.org/10.5817/sp2021-4-7.
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There is increasingly strong pressure on schools to use data within their decision-making processes; the pressure comes not just from high-stakes testing but also from the subsequent comparative analysis conducted in the international, national, state, and local jurisdictions that represent the educational systems responsible for ensuring that students continue to receive quality education (Harris & Jones, 2017). There is paucity in empirical research within Australia on the practice of data use within schools; research is lacking on data interactions among school leaders in their workplace settings (Coburn & Turner, 2012). This study contributes toward this identified gap in Australian research literature on the practice of data-informed decision making (DIDM) in schools. Using a case-study approach at two K-12 independent schools in Victoria, Australia, the study sought to understand the "how" and "why" of DIDM systems that are currently in use within Australian independent schools in order to better understand what data-informed school improvement processes are being used in practice in this sector of Australian schooling. Based on the findings, we offer recommendations for developing improved system capabilities that make schools data literate and numerate and identify the important transformational role that senior and middle-level school leaders play in building up data-informed collaborative school cultures within their schools.
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Cuesta-Briand, Beatriz, Mathew Coleman, Rebekah Ledingham, Sarah Moore, Helen Wright, David Oldham, and Denese Playford. "Extending a Conceptual Framework for Junior Doctors’ Career Decision Making and Rural Careers: Explorers versus Planners and Finding the ‘Right Fit’." International Journal of Environmental Research and Public Health 17, no. 4 (February 20, 2020): 1352. http://dx.doi.org/10.3390/ijerph17041352.
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This study uses data from a Rural Clinical School of Western Australia (RCSWA) and WA Country Health (WACHS) study on rural work intentions among junior doctors to explore their internal decision-making processes and gain a better understanding of how junior doctors make decisions along their career pathway. This was a qualitative study involving junior doctor participants in postgraduate years (PGY) 1 to 5 undergoing training in Western Australia (WA). Data was collected through semi-structured telephone interviews. Two main themes were identified: career decision-making as an on-going process; and early career doctors’ internal decision-making process, which fell broadly into two groups (‘explorers’ and ‘planners’). Both groups of junior doctors require ongoing personalised career advice, training pathways, and career development opportunities that best “fit” their internal decision-making processes for the purposes of enhancing rural workforce outcomes.
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Goggin, Gerard, and Karen Soldatić. "Automated decision-making, digital inclusion and intersectional disabilities." New Media & Society 24, no. 2 (February 2022): 384–400. http://dx.doi.org/10.1177/14614448211063173.
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Disability is a long-standing area of digital inclusion finally emerging out of the shadows. In this article, we argue that a critical understanding of digital media from the perspectives of disability and intersectionality will offer generative insights for framing the terms and agenda of digital inclusion in the next decade. With a focus on the area of automated decision-making (ADM) in social and welfare services, we reflect upon the controversial 2015–2020 Australian government programme widely known as ‘Robodebt’ that recovers putative debts from support recipients – and we discuss implications for Indigenous Australians with disabilities in particular. We contrast the ‘Robodebt’ programme with explicit digital inclusion policy on disability in Australia, noting that such digital inclusion policy does not specifically acknowledge yet alone address ADM or other aspects of automation. Here, there is a major opportunity for overdue acknowledgement of disability and intersectionality to spur and shape an affirmative and just agenda on people with disabilities’ digital inclusion, ADM and other associated areas of automated technologies.
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Kraatz, J. A., S. Reid, L. Rowlinson, and S. Caldera. "Housing as critical social and economic infrastructure: A decision-making framework." IOP Conference Series: Earth and Environmental Science 1101, no. 4 (November 1, 2022): 042023. http://dx.doi.org/10.1088/1755-1315/1101/4/042023.
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Abstract Housing is an important social and economic asset for society. However, increasing costs of living and demand for affordable housing is outpacing supply in Australia. Governments and housing providers, particularly community housing providers, are grappling with these challenges. This paper discusses steps towards building a more rigorous, evidence-based approach for social and affordable housing provision in Australia. It is proposed that housing be considered like other critical social and economic infrastructure such as schools, hospitals and civil infrastructure (i.e., roadways). The paper presents findings of Australian industry-led social and affordable housing research undertaken between 2014 to 2020. Past and current research findings inform the decision-making framework, including: (i) a productivity-based conceptual framework; (ii) the establishment of nine impact domains including meaningful and measurable outcomes and indicators; (iii) a composite return on investment approach which addresses the broader benefits of access to safe and secure housing; and (iv) thirteen elements being used to map the complex and integrated social and affordable housing network. The emergent decision-making framework resulting from this longitudinal study will be a critical tool for government and social and affordable housing providers to achieve economically and socially sustainable outcomes.
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Onwuteaka-Philipsen, Bregje D. "End-of-Life Decision Making in Europe and Australia." Archives of Internal Medicine 166, no. 8 (April 24, 2006): 921. http://dx.doi.org/10.1001/archinte.166.8.921.
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Hesketh, Beryl. "Careers Advice and Tertiary Decision-Making “Downunder” in Australia." Journal of Vocational Behavior 52, no. 3 (June 1998): 396–408. http://dx.doi.org/10.1006/jvbe.1997.1633.
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Healey, Deborah J. "Strange Bedfellows or Soulmates: A Comparison of Merger Regulation in China and Australia." Asian Journal of Comparative Law 7 (2012): 1–40. http://dx.doi.org/10.1017/s219460780000065x.
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AbstractChina and Australia are extremely significant trade partners and investors. Australia has a very well established competition law, now called the Competition and Consumer Law 2010, with a well-established merger regime. China has a relatively new competition law, the Anti-Monopoly Law 2007. This article compares merger control in the two jurisdictions. The Ministry of Commerce (MOFCOM) has already referred to an Australian decision in rejecting a merger, the only reference to a foreign decision to date, which confirms the utility of the comparison. This article critically evaluates the determinations of MOFCOM and compares the approach of the Australian Competition and Consumer Commission (ACCC), the Australian regulator. It assesses the transparency and predictability of procedures and decision-making in the two jurisdictions.
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Gao, Jia. "The Role of Primary Social Groups in Migration Decision-Making: A Case Study of Chinese Students in Australia." Asian and Pacific Migration Journal 11, no. 3 (September 2002): 375–98. http://dx.doi.org/10.1177/011719680201100305.
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This article sought to analyze the role of primary social groups on the migration decision-making process of on-shore asylum seekers. Previous research on migration decision-making had been dominated by an individual-family-community analysis, and failed to consider the role of other social groups. This article is based on research on the Chinese students living in Australia at the time of the June 4, 1989 event in Beijing. Their experience was used to conceptualize the role of the migrants' primary social groups in migration decisions. The article addressed several themes of group-based migration decision-making and outlined the basic characteristics of the primary social group as a decision-making unit.
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Li, Hui, and Petros Stathis. "Determinants of capital structure in Australia: an analysis of important factors." Managerial Finance 43, no. 8 (August 14, 2017): 881–97. http://dx.doi.org/10.1108/mf-02-2017-0030.
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Purpose The purpose of this paper is to examine the many factors that affect the leverage decisions of publicly traded Australian companies, and tests to see whether these factors are reliably important. The relationship between these factors and the leverage decision is examined. Design/methodology/approach This study uses a multiple linear panel regressions to study the relationship between the factors and leverage. Findings The authors find a set of eight factors which are reliably important for capital structure decision making. These factors include: profitability, log of assets, median industry leverage, industry growth, market to book ratio, tangibility, capital expenditure, and investment tax credits. The empirical evidence indicates weakening support for the pecking order hypothesis and increasing support for the trade-off theory in Australia. Originality/value This paper examines the determinants of capital structure using Australian firms and provides a comprehensive empirical support for the capital structure theories.
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Dwyer, Peter D., and Monica Minnegal. "The Good, the Bad and the Ugly: Risk, Uncertainty and Decision-Making by Victorian Fishers." Journal of Political Ecology 13, no. 1 (December 1, 2006): 1. http://dx.doi.org/10.2458/v13i1.21675.
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In this paper, decision-making by Australian commercial fishers is explored with reference to aspects of risk or uncertainty that characterize their experience of the physical and biological environment, the socioeconomic environment and the environment of management. In these environments decisions are grounded in, respectively and particularly, skill, strategy and (often) recklessness. In a broader frame it is argued that ways in which fishers ‘place’ themselves in these distinct environments with respect to certainty, social identity, personhood, agency and temporal orientation have parallels with conventional anthropological and sociological representations of ‘premodern’, ‘modern’ and ‘late modern’ societies respectively. Our argument directs attention to the multidimensional life-worlds of fishers and serves as an ethnographically-based critique of the universalizing and essentializing themes of some recent approaches in social theory.Key Words: risk, uncertainty, decision-making, commercial fishing, management, late modernity, Australia.
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Ban, Paul, and Phillip Swain. "Family Group Conferences, part two: Putting the ‘family’ back into child protection." Children Australia 19, no. 4 (1994): 11–14. http://dx.doi.org/10.1017/s103507720000417x.
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This is the second of two articles examining the establishment of Family Decision Making in Victoria. The first ‘Family Group Conferences – Part One: Australia's first Project in Child Protection’ was presented in the previous edition of Children Australia. This article builds upon the first by presenting an overview of the evaluation of the Victorian Family Decision Making Project, and pointing to practice and other implications of the development of this Project for child welfare services generally.
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McDonald, Peter, and Helen Moyle. "Women as Agents in Fertility Decision-making: Australia, 1870-1910." Population and Development Review 44, no. 2 (April 10, 2018): 203–30. http://dx.doi.org/10.1111/padr.12140.
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MARTINSON, I. "Initiating decision-making research in Hong Kong and Australia*1." Journal of Pediatric Oncology Nursing 15, no. 3 (July 1998): 18–23. http://dx.doi.org/10.1016/s1043-4542(98)90071-6.
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RASSAFIANI, Mehdi, Jenny ZIVIANI, and Sylvia RODGER. "Occupational Therapists' Decision Making in Three Therapy Settings in Australia." Asian Journal of Occupational Therapy 5, no. 1 (2006): 29–39. http://dx.doi.org/10.11596/asiajot.5.29.
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STOEGLEHNER, GERNOT, ANGUS MORRISON-SAUNDERS, and GERARD EARLY. "COMPARING LEGISLATIVE MECHANISMS FOR SEA SCREENING AND DECISION-MAKING: AUSTRIAN AND AUSTRALIAN EXPERIENCES." Journal of Environmental Assessment Policy and Management 12, no. 04 (December 2010): 399–423. http://dx.doi.org/10.1142/s1464333210003711.
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Austrian and Australian approaches to strategic environmental assessment (SEA) are compared with particular emphasis upon the legal basis for the initial phase of agreement/screening and the final stage of SEA decision-making and implementation. In Austrian SEA, screening is compulsory and the outcome leads only to recommendations, meaning that the SEA results have to be considered, but are not binding for the approval decision. In Australia engagement in SEA is largely voluntary but the process results in legally binding conditions of approval that can be applied to relevant actions arising from an assessed policy, plan or programme; the incentive for proponents to participate voluntarily is that subsequent project level activities may be exempt from further assessment processes. Compulsory SEA in Australia also provides a legally certain outcome, a factor of benefit to proponents. Examples of SEAs are provided to demonstrate the operation of the respective stages in the two countries. In Austria compulsory screening results in a lot of energy being spent avoiding triggering a full SEA. Although Australian proponents have been somewhat cautious in volunteering for SEA of their activities, there are signs that this is changing. We argue that the regulatory framework characteristics are a key determinant of the behaviour of proponents and the competent authority in practice and subsequently of SEA potential and outcomes. Consideration of the construct of the regulatory framework for SEA screening and decision-making provides a useful point of reflection for practitioners attempting to understand the effectiveness of SEA processes in a given jurisdiction.
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Meddin, Barbara J. "The Future of Decision Making in Child Welfare Practice: The Development of an Explicit Criteria Model for Decision Making." Children Australia 9, no. 4 (1985): 3–6. http://dx.doi.org/10.1017/s0312897000007451.
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AbstractThe paper examines the impact that a decision making model can have on child placement decisions. Using a pre and post test design with three different conditions, the research investigated the ability to increase the consistency of the placement decision by the use of a decision making model that includes explicit criteria.The study found that consistency of decision making was enhanced by the provision of the decision making model and that consistency could be further enhanced by the provision of training in the model. Implications for training of new workers and reduction of worker stress and burnout are discussed.The incident of child abuse and neglect continues to rise. The National Centre on Child Abuse and Neglect estimates that approximately one million children will be abused or neglected this year in the United States. In the State of Illinois alone, during fiscal year 1981 nearly 80,000 reports of abuse or neglect were received. Almost 50% of those reports were found to be actual cases of abuse or neglect.Whether the incident in Australia of child abuse and neglect is increasing or not is difficult to assess, since currently there is no standardised way of collecting data. However, from all indicators a similar increase is indeed occurring. Boss in his book, “On the Side of the Child”, reports that the number of cases seen by the Western Australian Department of Community Welfare has steadily increased. This is corroborated by statistics compiled by that State’s Advisory and Consultative Committee in Child Abuse (ACCCA). Their Statistical Information Report for July-December 1983 indicates an 86% increase in reports of sexual abuse and 12.5% increase in physical abuse. In Queensland the number of child abuse and/or neglect case investigations went from 1 095 in 1981 to 1 631 in 1982 – an increase of more than one third. In Tasmania between 1980 to 1982 the number of reports increased by nearly one-third, from 228-302. The Montrose Child Protection and Family Crisis Unit of the Department of Youth and Community Services in New South Wales report similar increases.On almost a daily basis, social workers are called upon to make far reaching decisions that have the potential to be a life consequential both for the child who is the victim of abuse and/or neglect and that child’s family. Because these decisions, especially the placement decision, have such great ramifications, social workers should be expected to make decisions with great care, consideration and consistency. This may be due, in part because agencies have been slow to explicate, empirically validate, and systematically apply decision making criteria that assist workers in making case decisions.While research indicates that criteria do exist and are used by child welfare workers, the research also indicates that they are not used in any systematic fashion. The result is that idiosyncratic decisions are invited and the potential spectre of gross inequities in the delivery of social services exists. Unless asystematic, consensually based decision making model is used that explicates both the decisions that need to be made along with a specific set of criteria for making these decisions, it is impossible for the child welfare agency to guarantee a minimum level of service delivery.
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Keller, Brad S., Annette J. Raynor, Fiona Iredale, and Lyndell Bruce. "Tactical skill in Australian youth soccer: Does it discriminate age-match skill levels?" International Journal of Sports Science & Coaching 13, no. 6 (February 26, 2018): 1057–63. http://dx.doi.org/10.1177/1747954118760778.
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Objectives Football Federation Australia (FFA) has identified that Australian athletes are proficient physically, however often lack the technical and tactical skills to excel internationally. The aim of the current study was to assess if a video-based decision-making test could discriminate different age-matched skill levels of talent in Australian soccer. Design Cross-sectional observational. Methods Sixty-two youth male soccer players completed a video-based decision-making test. Results An ANOVA test showed that the video-based test significantly discriminated between all three groups, with the national elite athletes selecting more correct responses than the state elite (65.3 ± 8.1%; 56.0 ± 9.1%, respectively). The state elite were more accurate than the sub-elite (45.9 ± 8.8%). Conclusions Results suggest that a video-based test may be a suitable tool to use in the selection of athletes as a measure of decision-making skill. The low accuracy scores, even for the national elite cohort, suggest that decision-making skill at the youth level has room for improvement and should be prioritised as an area for development.
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Mihalopoulos, Cathrine, Mary Lou Chatterton, Lidia Engel, Long Khanh-Dao Le, and Yong Yi Lee. "Whither economic evaluation in the case of COVID-19: What can the field of mental health economics contribute within the Australian context?" Australian & New Zealand Journal of Psychiatry 54, no. 12 (October 2, 2020): 1157–61. http://dx.doi.org/10.1177/0004867420963724.
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COVID-19 has resulted in broad impacts on the economy and aspects of daily life including our collective mental health and well-being. The Australian health care system already faces limitations in its ability to treat people with mental health diagnoses. Australia has responded to the COVID-19 outbreak by, among other initiatives, providing reimbursement for telehealth services. However, it is unclear if these measures will be enough to manage the psychological distress, depression, anxiety and post-traumatic distress shown to accompany infectious disease outbreaks and economic shocks. Decision making has focused on the physical health ramifications of COVID-19, the avoidance of over-burdening the health care system and saving lives. We propose an alternative framework for decision making that combines life years saved with impacts on quality of life. A framework that simultaneously includes mental health and broader economic impacts into a single decision-making process would facilitate transparent and accountable decision making that can improve the overall welfare of Australian society as we continue to address the considerable challenges that the COVID-19 pandemic is creating.
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Curryer, Bernadette, Roger J. Stancliffe, Angela Dew, and Michele Y. Wiese. "Choice and Control Within Family Relationships: The Lived Experience of Adults With Intellectual Disability." Intellectual and Developmental Disabilities 56, no. 3 (June 1, 2018): 188–201. http://dx.doi.org/10.1352/1934-9556-56.3.188.
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Abstract Increased choice and control is a driving force of current disability policy in Australia for people with disability and their families. Yet little is known of how adults with intellectual disability (ID) actually experience choice and control within their family relationships. We used interpretative phenomenological analysis of individual, semistructured interviews conducted with 8 Australian adults with ID to understand the meaning given to their experience of family support received around choice and decision making. Three themes were identified: (1) centrality of family, (2) experience of self-determination, and (3) limitations to choice and control. The participants identified trusted family members from whom guidance around choice and decision making was both sought and received, often involving mutual decision making and limitations to control.
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Schepen, Andrew, Tongtiegang Zhao, Q. J. Wang, Senlin Zhou, and Paul Feikema. "Optimising seasonal streamflow forecast lead time for operational decision making in Australia." Hydrology and Earth System Sciences 20, no. 10 (October 10, 2016): 4117–28. http://dx.doi.org/10.5194/hess-20-4117-2016.
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Abstract. Statistical seasonal forecasts of 3-month streamflow totals are released in Australia by the Bureau of Meteorology and updated on a monthly basis. The forecasts are often released in the second week of the forecast period, due to the onerous forecast production process. The current service relies on models built using data for complete calendar months, meaning the forecast production process cannot begin until the first day of the forecast period. Somehow, the bureau needs to transition to a service that provides forecasts before the beginning of the forecast period; timelier forecast release will become critical as sub-seasonal (monthly) forecasts are developed. Increasing the forecast lead time to one month ahead is not considered a viable option for Australian catchments that typically lack any predictability associated with snowmelt. The bureau's forecasts are built around Bayesian joint probability models that have antecedent streamflow, rainfall and climate indices as predictors. In this study, we adapt the modelling approach so that forecasts have any number of days of lead time. Daily streamflow and sea surface temperatures are used to develop predictors based on 28-day sliding windows. Forecasts are produced for 23 forecast locations with 0–14- and 21-day lead time. The forecasts are assessed in terms of continuous ranked probability score (CRPS) skill score and reliability metrics. CRPS skill scores, on average, reduce monotonically with increase in days of lead time, although both positive and negative differences are observed. Considering only skilful forecast locations, CRPS skill scores at 7-day lead time are reduced on average by 4 percentage points, with differences largely contained within +5 to −15 percentage points. A flexible forecasting system that allows for any number of days of lead time could benefit Australian seasonal streamflow forecast users by allowing more time for forecasts to be disseminated, comprehended and made use of prior to the commencement of a forecast season. The system would allow for forecasts to be updated if necessary.
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Hodge, Robert L. "How Are Drugs Made Available in Australia?" International Journal of Technology Assessment in Health Care 2, no. 4 (October 1986): 683–90. http://dx.doi.org/10.1017/s0266462300003524.
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The release of prescription drugs in Australia for use by the medical profession is complicated because in practice there is a two-tier system determining availability. The first tier, for new drugs, involves evaluation for safety and efficacy prior to marketing. The final decision is made by the Australian Drug Evaluation Committee (ADEC) serviced by the Department of Health. In the second, much more unusual step, a decision is made by a different committee on whether the now-approved drug is to be included on the government-subsidized drug list (Pharmaceutical Benefits Scheme—PBS). Because the PBS list is unusually extensive for a country without a nationalized health service (1,184 items, including all forms and strengths of over 600 drugs) and because a large proportion of prescriptions are written for drugs on the PBS, the PBS Committee making the listing decisions has a major influence on prescribing patterns. In addition, the government is able to exert considerable pressure on drug prices.
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Pagliano, P. J. "Current Trends in the Education of Children with Visual Impairments in Australia." Journal of Visual Impairment & Blindness 83, no. 1 (January 1989): 35–39. http://dx.doi.org/10.1177/0145482x8908300111.
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The education of children with visual impairments in Australia has a long history of innovations which have been at the forefront of special education. Educators in Australia and the United States often face similar philosophical concerns and issues. Differences which do occur in Australia appear to be mainly owing to the lack of national legislation and the absence of a strong research base. Decision-making in Australia has tended to be regional and primarily determined by a combination of demand, availability of human and material resources, and international trends. Support for these observations has been found by examining recent Australian developments, especially those relating to integration.
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Chipman, Nick, and Rob Gray. "Oil and gas investment decision making—what's at risk?" APPEA Journal 52, no. 2 (2012): 679. http://dx.doi.org/10.1071/aj11093.
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When considering oil and gas developments in Australia, it is worthwhile to consider what's at risk. This extended abstract considers oil and gas investment decision-making from a first-principles basis, introducing case studies and learnings from past projects. Additionally, investment decisions can examined from the following perspectives: Setting the mould—decisions crystalise risk; therefore, decision quality is paramount. How do investment decisions serve as expression of corporate risk appetite? What is observable at the time versus what may lay silent? Too big to fail—can the organisation withstand the risk profile of its chosen investment slate? Is the owner or joint-venture structure sufficiently resilient to undertake the set of activities in question (e.g. deep-water drilling or LNG project developments)? Management charge—leadership and management motivations may drive projects into risky territory; are the appropriate feedback mechanisms in place? Dealing with complexity—project execution plans, layers and sub-contracting require formal and informal communication and governance to ensure successful delivery. Has complexity been dealt with? Or does structure mask hidden risk? Addressing human factors—human interaction and project organisational structures may drive perverse outcomes. What allowance and process reviews and assures against human motivation and influence? This extended abstract frames investment decision-making and project execution using practical examples, and shows how investment-decision quality is a primary driver of shareholder wealth creation. This has implications for the stage-gate capital processes, governance structures, and investment review practices presently in place in the industry.
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Caball, Remy, and Shirin Malekpour. "Decision making under crisis: Lessons from the Millennium Drought in Australia." International Journal of Disaster Risk Reduction 34 (March 2019): 387–96. http://dx.doi.org/10.1016/j.ijdrr.2018.12.008.
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Jagtenberg, Hanna. "Afrikaner Émigrés in Australia: Perception vs. Reality in Human Decision-Making." Australasian Review of African Studies 38, no. 1 (June 1, 2017): 86–104. http://dx.doi.org/10.22160/22035184/aras-2017-38-1/86-104.
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Evenhuis, M. "Child-Proofing Asylum: Separated Children and Refugee Decision Making in Australia." International Journal of Refugee Law 25, no. 3 (October 1, 2013): 535–73. http://dx.doi.org/10.1093/ijrl/eet037.
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Wang, G., N. Karimi, J. Descallar, K. O’Connor, J. Pipicella, L. Willmann, A. Williams, and V. W. Huang. "A170 A NOVEL DECISION AID IMPROVES KNOWLEDGE AND QUALITY OF PREGNANCY-RELATED DECISION-MAKING IN IBD." Journal of the Canadian Association of Gastroenterology 4, Supplement_1 (March 1, 2021): 180–82. http://dx.doi.org/10.1093/jcag/gwab002.168.
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Abstract Background Women with inflammatory bowel disease (IBD) with poor IBD-specific reproductive knowledge experience more voluntary childlessness. Poor knowledge is associated with fear of IBD medications in pregnancy; this must be addressed as active IBD at preconception (PC) correlates with worse intrapartum disease and poor fetal outcomes. The Pregnancy IBD Decision Aid (PIDA), developed by an international multidisciplinary team following International Patient Decision Aids Standards, is an interactive online tool that offers personalised decision support on fertility, pregnancy, and medications in IBD (Fig). Aims To assess PIDA’s impact on knowledge and quality of decision-making among PC and pregnant patients with IBD, and to evaluate its feasibility as a tool for patients and clinicians. Methods PC and pregnant women aged 18–45 with IBD, recruited in Canada and Australia, completed questionnaires pre and post PIDA to assess quality of decision-making (Decisional Conflict Scale, DCS; Self-Efficacy Score, SES) and IBD in pregnancy knowledge (Crohn’s and Colitis Pregnancy Knowledge Score, CCPKnow). DCS assesses if a decision is informed, aligned with personal values, and would be implemented. SES measures belief in one’s ability to make informed decisions. Patients and clinicians (gastroenterology, obstetrics, primary care) also completed feasibility surveys. Paired t-test assessed for differences pre and post PIDA. Results DCS and SES were completed by 74 patients (42 Crohn’s disease, 32 ulcerative colitis); 41 PC and 33 pregnant. DCS improved significantly post PIDA (effect size 0.44, p<0.0001); this was observed in PC patients regarding pregnancy planning with IBD, and in pregnant patients regarding peripartum IBD medication management. SES of PC but not pregnant patients improved significantly post PIDA (effect size 0.32 vs 0.24, p=0.0001 vs 0.0525). In both cohorts, CCPKnow improved significantly post PIDA (n=76, effect size 0.66, p<0.0001). Patients (n=73) assessed PIDA feasibility. Mean scores for length (3.05±0.44), readability (3.09±0.5), and content amount (2.91±0.81) were perceived as appropriate (1=limited, 5=excessive). Perceived usefulness of PIDA was high among all patients (4.09±0.93; 5=most useful). Clinicians (n=14) believed PIDA had appropriate length, readability, and content amount, and deemed PIDA useful to patients (4.6±0.8) and themselves (4.8±0.8) for clinical practice. Conclusions PIDA improved knowledge and quality of decision-making in PC and pregnant patients with IBD. Patients developed a strengthened belief in their ability to make informed, effective decisions, and both patients and clinicians found PIDA feasible. PIDA is an accessible tool that can empower women with IBD to make evidence-based decisions about pregnancy and may ultimately reduce voluntary childlessness. Funding Agencies Mount Sinai Hospital Resident Research Grant; Gastroenterological Society of Australia Rose Amarant Grant; Women and Children’s Health Research Institute (WCHRI); Clinical/Community Research Integration Support Program (CRISP); Merck Better Care, Healthy Communities Funding Program
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Gurdon, Michael A. "Divergent Paths: Civil Service Employment Relations in Australia and Canada." Articles 42, no. 3 (April 12, 2005): 566–76. http://dx.doi.org/10.7202/050336ar.
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This article describes the legislated strengthening of employee involvement in decision-making within the federal civil service in Australia. While the quite distinct differences between the two industrial relations Systems must be recognized, particularly the resulting distribution of power between the government as employer and its employees, aspects of the general philosophy underlying the Australian model may find some useful applications as the Canadian public sector Systems continues to evolve.
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Skyring, Timothy A., Kylie J. Mansfield, and Judy R. Mullan. "Factors Affecting Satisfaction with the Decision-Making Process and Decision Regret for Men with a New Diagnosis of Prostate Cancer." American Journal of Men's Health 15, no. 4 (July 2021): 155798832110268. http://dx.doi.org/10.1177/15579883211026812.
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For men with newly diagnosed prostate cancer the decisions about treatment options are complex and difficult. The aim of this study was to investigate any association between the extent to which men wanted to be involved in the decision making process, their satisfaction with that process, and their levels of decision regret after treatment. The study population consisted of men diagnosed with prostate cancer at a regional center in Australia. Men ( n = 324) were invited to complete a mail out survey which included demographic questions, the treatment chosen, and three validated tools: The Control Preference Scale to measure the degree of control assumed when making decisions about medical interventions; the Treatment Decision-Making Satisfaction Scale (TDM- SAT) to assess satisfaction with the treatment decision making process; and the Decision Regret Scale to assess the level of regret after treatment. The majority of the 151 respondents (47% response rate) expressed an active decision control preference. There was no correlation between age and the treatment chosen or the degree of control men exerted over the decision-making process. Men who preferred a passive role were less satisfied with the decision-making process than were those who took an active or collaborative approach. A strong inverse correlation was demonstrated between regret experienced and satisfaction with the decision-making process. In conclusion, for men newly diagnosed with prostate cancer, taking an active role in the treatment decision making process led to greater satisfaction with that process, which in turn reduced their chances of experiencing regret following treatment.
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Goela, Neelam, and Jayne E. Bisman. "A MODEL AND RESEARCH AGENDA FOR LEASE DECISION MAKING." Indonesian Management and Accounting Research 12, no. 1 (January 3, 2013): 95. http://dx.doi.org/10.25105/imar.v12i1.1175.
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<p>Internationally, the accounting and finance literature provides a basis for identifying a range of rationales used in lease decision-making, and a number of accounting and financial factors purported to influence the lease versus borrow and buy decision, particularly with respect to finance leases, has been identified. In this paper the lease versus borrow and buy decision is characterised as multidimensional and multi-factorial. A simple trend analysis of archival, statistical data of leasing in Australia over sixteen financial years (1985-86 to 2000-01) is presented to form a basis for examining and discussing these factors within the context of the international literature on leasing. The trend analysis and literature review provided evidence to suggest that much of the conventional, theoretical wisdom concerning the factors important in lease versus borrow and buy decisions may be overemphasised, particularly that related to the influence of accounting treatments and the impact of tax regimes on leasing. Based on the review we develop and describe a constituted, multi-dimensional model of lease decision-making and offer suggestions for the development of improved lease or purchase decision frameworks and for further research in the area that will be more capable of handling this multi-dimensionality. Application of this knowledge will advance the research agenda, improve the decisions of lessees, benefit lessors who provide lease finance, and direct accounting policy makers.</p>
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Measham, Penelope F., Audrey G. Quentin, and Nicholas MacNair. "Climate, Winter Chill, and Decision-making in Sweet Cherry Production." HortScience 49, no. 3 (March 2014): 254–59. http://dx.doi.org/10.21273/hortsci.49.3.254.
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Growers naturally adapt and manage production for unpredictable and variable seasonal climates; however, the projected changes in climate introduce a new concern with increased variability in the frequency and severity of extreme climatic events and sustained changes in temperature. This study addresses the complexity of providing clear winter chill information in a form that facilitates grower assimilation and application of that information, ultimately to assist decision-making around variety selection and management. This study established the chill requirement for two commonly grown sweet cherry (Prunus avium L.) varieties: ‘Kordia’ and ‘Sweetheart’, and explored the uniformity of bud burst in each. It was found that varieties required different chill hours and that ‘Sweetheart’ reached mean time to, and maximum total bud burst, faster than ‘Kordia’, but no subsequent impact on uniformity of maturity at harvest. There was no significant difference in uniformity of burst between the two varieties. The results obtained by matching chill accumulation to tree phenology showed that cherry-producing regions in Australia will experience sufficient chill to support the production of the variety ‘Sweetheart’ with an increase in mean winter temperature of 1 °C. Regions in Western Australia and Queensland will become marginal, or not suitable, for ‘Kordia’.
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WILLMOTT, Lindy, Ben WHITE, Christopher STACKPOOLE, Shih-Ning THEN, Hongjie MAN, Mei YU, and Weixing SHEN. "Guardianship and Health Decisions in China and Australia: A Comparative Analysis." Asian Journal of Comparative Law 12, no. 2 (July 13, 2017): 371–400. http://dx.doi.org/10.1017/asjcl.2017.16.
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AbstractThis article compares the Australian and Chinese adult guardianship systems, and considers whether there is potential for drawing on some (or many) aspects of the Australian model for the Chinese legal framework. Australia has a well-developed guardianship framework that provides mechanisms for making healthcare decisions when an adult is no longer able to do so. This framework has evolved over many years and, in some cases, individuals can decide about medical treatment in advance of the situation arising, or who should be the decision-maker if he or she later loses capacity. The current Chinese legal framework, on the other hand, is a fragmented one and comprises laws that were not designed to deal with how healthcare decisions can be made for a person without capacity. This article outlines the legal framework in both jurisdictions and considers whether, having regard to the fact that these two countries have different values and cultures, there are features of the Australian guardianship system that could inform the development of Chinese law.
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Danesh, Darius, Michael J. Ryan, and Alireza Abbasi. "A Novel Integrated Strategic Portfolio Decision-Making Model." International Journal of Strategic Decision Sciences 8, no. 3 (July 2017): 1–44. http://dx.doi.org/10.4018/ijsds.2017070101.
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This study proposes a novel method for portfolio selection/decision making that combines the Portfolio Theory (PT), Analytic Hierarchy Process (AHP) and Data Envelopment Analysis (DEA) cross-efficiency technique. It takes into account the profits, risks and proficiency of a portfolio and is shown to be useful for selecting one with positive and negative data and subsequently measuring its efficiency using AHP, with a consistency test conducted to verify the objectivity of the results. To test the applicability of the proposed model, it is used to determine the efficiency levels of ten of the largest companies in Australia for the years 2014 and 2015. Two criteria, namely, the expected return and variance, are used to identify the preference status of each company. The results indicate that the proposed model is feasible and adoptable for the contemporary industrial scenario as it simultaneously analyses profits, risks and proficiency.
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Ananthapavan, Jaithri, Gary Sacks, Marj Moodie, Phuong Nguyen, and Rob Carter. "Preventive health resource allocation decision-making processes and the use of economic evidence in an Australian state government—A mixed methods study." PLOS ONE 17, no. 9 (September 19, 2022): e0274869. http://dx.doi.org/10.1371/journal.pone.0274869.
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Context Recommended best practice for resource allocation decisions by governments include a stepwise process guided by economic evidence. However, the use of economic evidence in preventive health decision-making, which often impacts on multiple sectors of government, is under-researched. This study aimed to explore the resource allocation decision-making processes for preventive health interventions in the New South Wales (NSW) Government in Australia, and specifically examined the barriers and facilitators to the use of economic evidence from the perspective of multiple government departments. Methods This mixed methods study was conducted using semi-structured interviews with NSW Treasury representatives (n = 4), a focus group of NSW Ministry of Health representatives (n = 9), and a quantitative questionnaire of all participants. The schedule for the interviews and focus group was based on resource allocation guidance documents from Australian government agencies. Deductive content analysis was undertaken, guided by the Multiple Streams Framework. Findings NSW Treasury participants believed that decision-making processes where economic efficiency was the key guiding principle was the ideal approach. However, the NSW Ministry of Health participants identified that for preventive health decision-making, economic evidence was not used to inform their own choices but was typically only used to convince other agencies of the merits of proposed initiatives when seeking approval. The key barriers to the use of economic evidence were the lack of capacity within the NSW Ministry of Health to understand and undertake economic evaluations; a lack of collaboration between NSW Treasury and preventive health decision-makers within the NSW Ministry of Health; and deficient processes and governance mechanisms that do not facilitate or incentivise effective inter-sectoral decision-making. Conclusions Institutional structures for resource allocation decision-making regarding preventive health result in processes that contrast with best practice recommendations. The multiple challenges to collaborative decision-making across agencies require organisational change to promote a whole-of-government approach.
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Papas, Maureen. "To what extent do they sway Australian water management decision making?" Proceedings of the International Association of Hydrological Sciences 374 (October 17, 2016): 23–28. http://dx.doi.org/10.5194/piahs-374-23-2016.
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Abstract. At a time when the reliability of freshwater resources has become highly unpredictable, as a result of climate change and increased droughts frequency, the role of scientific evidence in forecasting the availability of seasonal water has become more critical. Australia is one of the driest inhabited continents. Its freshwater availability is highly variable, which poses unique problems for the management of the nation's water resources. Under Australia's federal system, water management challenges have been progressively dealt with through political institutions that rely on best available science to inform policy development. However, it could be argued that evidenced-based policy making is an impossible aim in a highly complex and uncertain political environment: that such a rational approach would be defeated by competing values and vested interests across stakeholders. This article demonstrates that, while science has a fundamental role to play in effective water resource management, the reality on the ground often diverges from the intended aim and does not always reflect efforts at reform. This article briefly reviews the Water Act 2007 (Cth) and comments on why policy makers need to manage rather than try to eliminate uncertainty to promote change.
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Burgess, Naomi, and Deborah Chen. "OP160 Enhancing Innovation Through HTA: Experience From South Australia." International Journal of Technology Assessment in Health Care 34, S1 (2018): 58. http://dx.doi.org/10.1017/s0266462318001666.
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Introduction:A statewide health technology assessment (HTA) program was implemented to increase equity of access and support robust assessment of technologies, with a focus on those that are high-cost, high-risk, or have state-wide impact.Methods:Local hospital networks and clinicians refer technologies to the South Australia Policy Advisory Committee on Technology (SAPACT) for assessment. Independently produced, comprehensive HTA reports are developed using internationally recognized evidence and critical appraisal methodologies. Clinical and economic systematic analyses are utilized, with extensive clinical consultation, to develop recommendations for new technologies and their role in models of care. Feasibility of adoption and local implementation are considered, including existing service delivery and appropriate training and credentialing. For approved technologies, SAPACT may also develop audit criteria and seek implementation reports on clinical outcomes.Results:The HTA framework has been successfully adopted across South Australia Health, increasing the incorporation of evidence-based decision making in the use of high-cost and high-risk health technologies. Over 35 evidence evaluations for high-risk and high-cost health technologies have been conducted for a broad range of treatment interventions. SAPACT develops and utilizes HTA decision-making criteria for transparency of Committee considerations. The program recommends adoption or rejection of technologies, or it may request a re-submission due to safety concerns or a lack of proven effectiveness. SAPACT has also granted temporary approval through adoption under clinical evaluation to inform investment decisions. A key component is working with clinicians to define specific treatment criteria and patient selection. SAPACT continues to strengthen relationships with all stakeholders, increase patient input through the development of public summary documents for technologies, and improve monitoring and reporting of clinical outcomes.Conclusions:The HTA program has been very productive and positively received. The success of the program is underpinned by its engagement with clinicians, hospital networks, and consumers. The completion of SAPACT HTA reviews and the publication of the SAPACT decision-making criteria have increased the credibility of decisions, supporting enhancements in patient care and cost efficiency for the state government.
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Maher, Jane Maree. "The Fertile Fields of Policy? Examining Fertility Decision-Making and Policy Settings." Social Policy and Society 7, no. 2 (April 2008): 159–72. http://dx.doi.org/10.1017/s1474746407004113.
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OECD data suggest a significant gap between desired fertility rates and the total fertility rate achieved in developed industrial nations. In a qualitative study conducted in Australia in 2002 and 2003, people were asked how family policies influenced their decisions to have children. Participants did not clearly associate their fertility choices and prevailing policy settings. But their decision-making was grounded in commonplace accounts of incompatibility in balancing work and family. This article considers how individual choices may be shaped by such social and policy discourses and what implications this has for our understanding of the relationship between fertility choices and policy settings.