Project Details

Promoting effective transfer of research into practice

Quality of the plan for research translation

Testing implementation models to develop new knowledge of effective approaches

Working with the Stakeholder Advisory Council, and led by our implementation expert (Prof Gunn) and Quali-expert (Dr Ayton), the Centre’s framework for implementation will be informed by PRISM (Practical, Robust Implementation and Sustainability Model). This approach recognises the complexity of working across multidisciplinary groups and will facilitate more effective implementation and the use of knowledge translation strategies through systematic testing and shared learning.

Synergies achieved by a Centre wide approach to implementation activity

Each Workplan aims to implement new knowledge while maintaining clinical relevance and focus by ensuring shared participation between expert clinicians and specialist researchers. Our strategy of early development of translation plans, including clarity and agreement over the desired impact will help to overcome the difficulties with amalgamation of knowledge that may arise from different disciplines and stakeholder groups.

Health economics and modelling

A key component of centre is the integration of health economics into medical decision-making. This economic method will be incorporated into all stages from assisting in the design of RCTs to the evaluation and translation research findings. The centre will benefit from having access to patient level data and will use health economic modelling to extrapolate our findings to the wider Australian population so that gains in cost-effectiveness can be spread across the sector. Our health economic team is strong with a proven policy translation record supported by experienced outcomes modellers, their networks, and the experience within our Stake Holder Advisory Council. The health economic program will aim to build capacity in the health economic evaluation of TJR in Australia and to strengthen ongoing international links such as with Health Economics Research Centre at University of Oxford.

Plans for promoting the Centre’s activities to the wider community

We shall capitalise on our team’s extensive experience in networking to build a strongly connected translation community to ensure high impact interventions. This will be supported by a Stakeholder Advisory Council (SAC) who will foster a two-way exchange of information between end-users and researchers. The Centre will also engage with other CREs (TRIUMPH, MABEL, NCAS) through direct CI involvement (as CIs/AIs on these CREs) to share in translational expertise, learn from others’ experiences and to extend the reach of this Centre.

Involvement of end-users and the wider community

Orthopaedic Surgeons

Practice change in TJR must be led by orthopaedic surgeons. The Centre will leverage it’s networks with various internal and external critical players and associated existing stakeholder programs to reach surgeons and trainees.

Primary Care

As past-President, Professor Jane Gunn will facilitate the transfer of knowledge from this Centre to the primary care community through Australian Association for Academic Primary Care. Using her role as foundation Chair of Victorian Primary Care Research Network, Professor Gunn will engage general practitioners in a broad spectrum of clinical settings to test the useability of the nomogram from Workplan#1.

The Community

Community Advocacy Groups: Among others, the CEO of Arthritis & Osteoporosis Victoria (AOV) is on the Centre’s Stakeholder Advisory Council and has had considerable experience driving funding and policy changes that impact those with chronic diseases including OA.

Private Health Sector

With over 50% of TJRs performed in the private sector, it is critical to include the input of private sector funders. Dr. Linda Swan is the Chief Medical Officer of Medibank Private LTD (MPL), Australia’s largest private health fund and sits on this Centre’s Stakeholder Advisory Council. This Centre will work closely with MPL to develop methods to access, analyse and interpret private hospital data that will inform our research and evaluate the impact of interventions in that sector.

Health authorities

The Victorian Department of Health and Human Services (DHHS) has auspiced a strategic advisory group, the Musculoskeletal Clinician Leadership Group: a multidisciplinary group of medical, nursing and allied health leaders whose mandate is to identify problems and solutions to assist DHHS focus its strategic efforts when dealing with MSK issues. Professor Peter Choong through his position as inaugural chair of this group and Chair of the OA Model of Care group, is in an ideal position to engage a broad range of stakeholders at the highest levels to evaluate needs, garner support and to drive change.

Broader research world through journal editorships

All Researchers will leverage their positions on the editorial boards of 17 top ranked international journals in the fields of orthopaedics and surgery (3), physiotherapy and rehabilitation (6), speciality medicine (3) primary care (3) and health economics (2) to profile the Centre’s work and also to promote further research and dialogue in this arena.

Development of the Health and Medical Research Workforce

We are strongly committed to capacity building both for the benefit of the program itself and to that of Australian medical research now and in future generations. Future leaders in the musculoskeletal field will require strong research translational capabilities and this centre with its multidisciplinary approach is ideally placed to provide the platform and networks which will help facilitate training and advancement opportunities to new researchers, particularly those with a capacity for independent research and future leadership roles

This centre will target a broad-range of key professional groups with a specific focus on orthopaedic surgeons and early/mid-career researchers from a variety of backgrounds including universities, hospitals and community clinics. Our key trans-disciplinary hub in Melbourne interacts strongly with collaborators interstate and internationally, offering graduate students, post-doctoral early/mid-career researchers unique opportunities to extend their research experiences.

We will generate a strategy for new researcher capability, mentoring and encouragement of further career development, targeting and supporting new researchers and provide mentoring strategies to integrating new researchers into the teams. We will also help facilitate collaboration with other groups in the field of research by building smart collaborations and team cohesion.

PhD Projects

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Key Contact

For further information about this research, please contact the research group leader.

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