Aims

Improve injury management within and across systems

Three key priority areas set our research, implementation and training agenda:

  1. Data to drive system change
  2. Implementing best practice models of care
  3. Reducing the impact of system factors on injured people

CRE-Compensable Injury will embrace the complexity of the influences on health outcomes after non-catastrophic road traffic injury (RTI) by extending research and implementation beyond health and clinical services to the compensation and legal systems, with a main foci on health outcomes. We aim to understand the complex interactions between systems and improve injury management within and across systems.

Through the coordination and integration of interdisciplinary research priorities identified through our partnerships with consumers and stakeholders, resources will be developed to empower injured people to make informed decisions about their recovery pathway.

Priority Area 1: Data to drive system change

Through the use of data sets established by the CI team and those available from several of the largest CTP and worker's compensation jurisdictions in Australia, CRE-Compensable Injury will generate new knowledge of the recovery processes and healthcare utilisation following RTI, particularly compensable RTI. Important questions relating to health care use patterns before and after injury and how that use is impacted by socio-demographic and socio-economic factors, and changes to CTP schemes will be investigated. Innovative modelling to determine the effects of system- and demographic-related factors will be used to facilitate more targeted treatments.

Priority Area 2: Implementing best-practice models of care

The CRE team are currently evaluating the effectiveness and cost-effectiveness of risk-stratified care for RTI in two NHMRC funded randomised implementation trials (1075736, 1141377). Nested qualitative studies in both trials explore the barriers and facilitators to uptake for patients and health care providers. Clinical decision making is compared between the care pathway and usual care.

Successful implementation of best practice models of care is influenced not only by the health system and healthcare providers but also by the policy, regulation and funding models of the compensation systems. Legal systems also exert influence on care. CRE‑Compensable Injury will undertake three programs of research to embed best practice care models in:

1. Compensation systemsInvestigate health outcomes and costs resulting from embedding new models of care into CTP injury management systems.

2. Legal systemsLegal systems play an important role in injury compensation schemes. This stream of research will identify barriers and facilitators to the uptake of evidence of RTI recovery and to the use of robust scientific methods to evaluate the impacts of legal practices on health outcomes. The aim is to develop and evaluate Best Practice Principals for Legal Practitioners.

3. Communication systemsCo-design, develop and evaluate digital interventions to improve communication between injured people, healthcare professionals, compensation, and legal systems.

Priority Area 3: Reducing the impact of system factors on injured people

Research has shown that consumer-focused (patient centred) strategies are an essential component of injury management to improve health outcomes. By empowering injured people so that they understand the systems their injury is being managed under, the motivations of actors within each system, how best to manage their conditions with support from their healthcare provider will remove the complexities of the claims process. We will develop digital support systems and evaluate peer mentoring as a way to promote self‑efficacy and confidence on injured people in their navigation of complex systems. 

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Education and training

CRE-Compensable Injury will establish a national training scheme (CREATE) for the next generation of outstanding injury researchers in RTI. The program will have three primary goals:

  1. Enhance research training through vibrant mentoring and training environments.
  2. Align training relevance to enhance career progression with essential curriculum elements including ethics and professional skills.
  3. Focus on the translational pathway from research to clinical practice and policy.

The CREATE training scheme will expand “conventional” training to include key aspects of career development including establishing collaborations to ensure translational relevance, ethics, consumer outreach, connecting to the commercial research environment, communicating results to policymakers and the public, budget management and HR. Equally important, we will train fellows to be effective teachers and mentors to succeeding generations of researchers.

Opportunities will be available for postdoctoral, PhD and clinician studies.

 

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Facilitate collaboration

The necessary additional collaborative efforts provided by the CRE-Compensable Injury will facilitate the following outcomes:

  • Creation and linkage of large national and international prospective datasets to move knowledge in this area forward.
  • Increased capacity to extend the reach of CRE research via digital resources for consumers, practitioners and insurer personnel.
  • New opportunities to link states into multi-centre and international clinical trials to increase research capacity in this area.
  • New opportunities for additional clinical, health-economic analyses, web-based databases and patient reported outcome measures of large clinical cohorts, clinical trials, epidemiological and patient datasets that will be available across our national/international networks.

 

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