Objectives and research direction
At its beginning in 1993, the CHSD focused its efforts in the areas of sub-acute and non-acute casemix classification and its implications for hospital and community care financing, resource distribution and service delivery. The focus has expanded since that time but the core of our work remains on practical and rigorous approaches to addressing questions of health equity, effectiveness and efficiency, as well as evaluation tools based on consumer outcomes.
We have been able to build these questions into our various evaluation frameworks and research and development projects – in emergency departments, mental health, community aged care and disability services, palliative care - to better understand strategies for capacity building and getting a fairer balance of care for different levels of individual need.
Over time, the research undertaken by the CHSD has consolidated into six integrated themes driven by our commitment to ‘Combine Realism with Rigour’:
- Casemix classification across settings;
- Health and community care financing;
- Care coordination and integration;
- Health care outcomes;
- Health service delivery and organisation; and
- Management decision-making.
Eighteen years after its establishment, these themes remain a good summary of our core business and the CHSD has expanded its funding and outputs and consolidated its team of researchers. The CHSD is a recognised centre of excellence in health services research and development with three well developed sub-centres - the Australian Health Outcomes Collaboration (AHOC), the Australasian Rehabilitation Outcomes Centre (AROC), and the Palliative Care Outcomes Collaboration (PCOC). In 2010 CHSD started teaching a new Graduate Program in Health Services Research and Development.