The Cost of Legal Restrictions on Experience Rating

We investigate the cost of legal restrictions on experience rating in auto and home insurance. The cost is an opportunity cost as experience rating can mitigate the problems associated with unobserved heterogeneity in claim risk, including mispriced coverage and resulting demand distortions. We assess this cost through a counterfactual analysis in which we explore how risk predictions, premiums, and demand in home insurance and two lines of auto insurance would respond to unrestricted multiline experience rating. Using claims data from a large sample of households, we first estimate the variance-covariance matrix of unobserved heterogeneity in claim risk. We then show that conditioning on claims experience leads to material refinements of predicted claim rates. Lastly, we assess how the households’ demand for coverage would respond to multiline experience rating. We find that the demand response would be large

Evaluation of the Improving Social Connectedness of Older Australians project pilot: Informing future policy considerations

This report draws on findings and lessons learned through the Australian Government funded evaluation of the Improving Social Connectedness of Older Australians (ISCOA) pilot. It summarises what has worked in the context of the evaluation to help inform the Government’s future models of care and interventions for lonely and socially isolated older Australians

An Intervention to Promote Growth Mindset and STEM Self-Efficacy of High School Students: Exploring the Complexity of Beliefs

The marginalization of women in engineering is a persistent problem. The overall goal of our collaborative project was to promote interest and participation in science, technology, engineering, and mathematics (STEM), particularly for high school girls. We took an action research approach with a local high school science teacher to develop, implement, and research the impact of a classroom-based intervention designed to encourage growth mindset and STEM self-efficacy beliefs using mixed methods. We analyzed pre- and postsurvey data collected using a control-treatment design to determine the impact of the intervention on high school boys’ and girls’ self-efficacy and mindset beliefs. We also conducted semi-structured, one-on-one interviews with purposefully selected participants from the treatment group to further explore students’ mindset and STEM self-efficacy beliefs qualitatively. We found that the intervention did result in a statistically significant change towards more growth-oriented beliefs for the high school girls who received the intervention as compared to the control group. We found that the intervention did not result in any statistically significant change in the girls’ self-efficacy beliefs, the boys’ mindset beliefs, or the boys’ self-efficacy beliefs. The qualitative analysis revealed that after receiving the intervention, students held contradictory beliefs about the role of effort and the role of innate ability in STEM achievement. Further, we found that context and gender mattered in how students justified their self-efficacy: boys and girls both expressed the belief that effort would lead to their ability to succeed in science classes, but the girls were less likely than the boys to express the belief that effort would lead to their ability to succeed in the context of a science career. By connecting our findings to broader cultural narratives, we suggest that for the continued success of intervention efforts aimed at promoting a growth mindset and STEM self-efficacy, particularly for girls, such efforts should include opportunities for students to reflect upon and unpack the broader cultural narratives about effort, innate ability, and the gendered stereotypes about STEM ability that inform their beliefs. Finally, from the perspective of a high school science teacher, we also advocate for more representation of women among science teachers and classroom speakers and the importance of explicitly connecting class content and success in classrooms to real-world contexts

Care planning sub-program: description of projects funded to improve care planning in palliative care

This document is one of three reports for the national evaluation of the Care Planning Sub- Program of the Local Palliative Care Grants Program, a national palliative care program funded by the Australian Government between April 2006 and May 2009

Pathways to Community Living Initiative – Final Evaluation Report

The Pathways to Community Living Initiative (PCLI) is a major mental health reform program led by the NSW Ministry of Health (‘the Ministry’) in collaboration with NSW Local Health Districts (LHDs). It is a key component of the whole- of-government enhancement of mental health care under the NSW Mental Health Reform 2014-2024. The PCLI represents a transformational change in the care of people with severe and persistent mental illness (SPMI) and complex needs who are, or are at risk of becoming, long-stay inpatients in NSW hospitals. This is PCLI Evaluation Report 7, the final report of the independent evaluation conducted by the Centre for Health Service Development, University of Wollongong, between January 2017 and October 2021. The report presents the summative findings of the mixed methods evaluation activities and formative information to guide continuing reform within mental health services

HWA Expanded Scopes of Practice program evaluation: Extending the Role of Paramedics sub-project: final report

The Extending the Role of Paramedics (ERP) sub-project built on a model developed by the South Australian Ambulance Service (SAAS) which aims to provide a service that is complementary to primary health care, thus reducing emergency department presentations. The core of the model is training Extended Care Paramedics (ECPs) to treat patients in their usual place of residence, with referral to other health professionals if appropriate. ECPs manage patients with a diverse, and often ill-defined, range of signs and symptoms. Although these patients are deemed \u27low acuity\u27, these cases can be complex and require the ECP to apply advanced clinical reasoning. In many cases, the patient may have multiple chronic conditions and present as generally unwell. The published evidence to date generally supports an expansion of the role of paramedics to include the assessment and management of patients with minor illnesses and injuries to avoid transport to hospital. However, the evidence is primarily from overseas, particularly the United Kingdom, and more research is required to establish the effectiveness and safety of the model

Combining realism with rigour: evaluation of a national kitchen garden program in Australian primary schools

Overview - Background on Program - Overview of evaluation framework & methods - Findings: Outcomes - Findings: Program learning - Health Promoting Schools - Question