Andrew Partington

Andrew Partington
Flinders University · College of Medicine and Public Health

BCom & BHlthSci (Hons) FCHSM

About

18
Publications
4,229
Reads
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243
Citations
Citations since 2017
11 Research Items
211 Citations
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Introduction
Andrew works with the NHMRC Partnership Centre for Health System Sustainability to lead projets that improve priority setting and decision-making in health care organisations. Underpinning this is an interest in systematically reducing unwarranted variation in clinical practice. Current projects lead constructive and adaptive appraisals of the structural, operational and clinical factors that impact patient health and service costs. Previously, Andrew has worked to incorporate community expectations of equity and fairness into government policy though novel approaches to health state valuation.
Additional affiliations
February 2019 - present
Macquarie University
Position
  • Research Associate
November 2018 - present
Macquarie University
Position
  • Fellow
February 2018 - present
Flinders University
Position
  • Researcher
Description
  • Within the National Health & Medical Research Council (NHMRC) Partnership Centre in Health System Sustainability

Publications

Publications (18)
Article
Full-text available
Objective Unwarranted variation in clinical practice is a target for quality improvement in health care, but there is no consensus on how to identify such variation or to assess the potential value of initiatives to improve quality in these areas. This study illustrates the use of a triple test – the comparative analysis of processes of care, co...
Article
Full-text available
Business process analysis and process mining, particularly within the health care domain, remain underutilized. Applied research that employs such techniques to routinely collected health care data enables stakeholders to empirically investigate care as it is delivered by different health providers. However, crossorganizational mining and the compa...
Article
Full-text available
Variation in adherence to clinical guidelines, and in the organisation and delivery of health care significantly impact patient outcomes and health service costs. Despite mounting evidence of variation in clinical practice, the funds allocated to improve the quality of existing services remain small, relative to the resources allocated to new techn...
Conference Paper
Full-text available
Variations that exist in the treatment of patients (with similar symptoms) across different hospitals do substantially impact the quality and costs of healthcare. Consequently, it is important to understand the similarities and differences between the practices across different hospitals. This paper presents a case study on the application of proce...
Article
Full-text available
Cost-value analysis aims to address the limitations of the quality-adjusted life-year (QALY) by incorporating the strength of public concerns for fairness in the allocation of scarce health care resources. To date, the measurement of value has focused on equity weights to reflect societal preferences for the allocation of QALY gains. Another approa...
Article
Managing constrained healthcare resources is an important and inescapable role of healthcare decision makers. Allocative decisions are based on downstream consequences of changes to care processes: judging whether the costs involved are offset by the magnitude of the consequences, and therefore whether the change represents value for money. Process...
Article
In Australia, the US and Europe, policy makers use markets to incentivise aged care providers to produce greater quality care. The Australian Government announced in 2021 that it would further increase market forces in residential aged care to improve quality. The proposals respond to poor quality found within residential aged care, with overuse of...
Article
Full-text available
Background Increasing both the frequency and quality of social interactions within treatments for anxiety and depressive disorders in older adults may improve their mental health outcomes and quality of life. This study aims to evaluate the clinical efficacy and cost utility of an enhanced cognitive behavioural therapy (CBT) plus social participati...
Article
Full-text available
Background An increase in the number of people presenting to emergency departments (EDs) is contributing to ED overcrowding. In the early stages of the COVID-19 pandemic, there was a significant reduction in the number of ED presentations in Australia, creating an opportunity to learn from patients’ experiences of alternative management options. O...
Preprint
BACKGROUND An increase in the number of people presenting to emergency departments (EDs) is contributing to ED overcrowding. In the early stages of the COVID-19 pandemic, there was a significant reduction in the number of ED presentations in Australia, creating an opportunity to learn from patients’ experiences of alternative management options. O...
Article
Background With expected increases in the number of older adults worldwide, the delivery of stepped psychological care for depression and anxiety in older populations may improve both treatment and allocative efficiency for individual patients and the health system. Design A multisite pragmatic randomised controlled trial evaluating the clinical a...
Article
Full-text available
Introduction Value-based healthcare delivery models have emerged to address the unprecedented pressure on long-term health system performance and sustainability and to respond to the changing needs and expectations of patients. Implementing and scaling the benefits from these care delivery models to achieve large-system transformation are challengi...
Article
Objective Healthcare delivery models describe the organisation of healthcare practitioners and other resources to provide health care for a defined patient population. The organisation of health care has a predominant effect on the receipt of timely and appropriate health care. Efforts to improve healthcare delivery should be evidence informed, and...
Article
Full-text available
In a review recently published in this journal, Grutters et al outline the scope and impact of their early health economic modelling of healthcare innovations. Their reflections shed light on ways that health economists can shift-away from traditional reimbursement decision-support, towards a broader role of facilitating the exploration of existing...
Article
Objective: The aim of this review is to identify and describe the evidence base of published primary, comparative healthcare delivery model evaluations that require the employment of additional healthcare practitioners undertaken in Australia. Introduction: In Australia, formal processes are utilized in assessing the value of new pharmaceuticals...
Conference Paper
Purpose: To apply comparative effectiveness research to healthcare providers to prioritise and target health services improvement. Method: Detailed clinical and administrative data (including pathology test results) were linked for 7,950 patients presenting with chest pain at one of four emergency departments (EDs) over a one-year period. The dat...
Conference Paper
Purpose: to inform clinical and policy actions to reduce important variation in clinical practice by assessing the feasibility and value of combined analyses of costs, outcomes, and processes of care for patients presenting with chest pain at alternative hospitals. Method: a risk adjusted cost-effectiveness (RAC-E) and a process mining analysis w...

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Projects

Projects (3)
Project
To support the implementation at scale of seven promising NSW evidence-based interventions targeting high prevalence chronic conditions to improve clinical management and patient outcomes, including avoiding emergency department (ED) or hospital admissions, reducing the length of hospital stays, and enhancing patient-reported experiences and outcomes. Leveraging our deep understanding of complex adaptive healthcare systems – and our world-leading expertise in implementation science – we will deliver a new evidence-based ‘road map’ to enable local successes to be effectively replicated and translated into meaningful, systems-wide change. Such change is expected to keep many more Australians out of hospital. This proposal is about learning from things already going on – natural experiments – and leveraging the benefits country-wide.
Project
The NHMRC Partnership Centre for Health System Sustainability brings together researchers, policy-makers, providers, clinicians and consumers from across the nation to find strategies to ensure our health system delivers value-based care to our citizens well into the future.