Degree Name

Doctor of Philosophy


Graduate School of Public Health


This introductory chapter synthesises an integrated program of research conducted over six years. It begins by placing the research into context through a discussion of the relevant literature and an analysis of the strengths and weaknesses of the studies conducted to date. This includes the identification of a set of design principles that guide casemix development. It moves on to summarise the study methodology by identifying the hypotheses to be tested and by describing the study design. The results of the study are discussed in relation to the hypotheses tested. The findings of the study are then integrated in a discussion of the results. The limitations of the study methodology are highlighted and issues requiring further research are identified. The concluding sections of this chapter summarise the research and its outcomes and acknowledge the assistance of other researchers who contributed to various aspects of the research. The final section of this chapter is a list of publications that are submitted in support of this application.

In addition to this introductory chapter, ten original publications are included assessment for the degree of Doctor of Philosophy by publication. The ten publications document an integrated program of research undertaken between 1992 and 1998, the purpose of which was to develop an Australian classification and costing system for palliative care, rehabilitation and aged care.

The research program represented by the publications submitted for assessment culminated in the development of the Australian-National Sub-Acute and Non- Acute Patient (AN-SNAP) classification. The research was undertaken in three phases. Phase 1 occurred in 1992 and involved the development of the initial conceptual framework, centred around the introduction of the concept of a 'subacute' patient. Phase 2 was undertaken in 1994 and 1995 and consisted of a research study in New South Wales to identify those patient variables that drive the cost of sub-acute and non-acute care. Phase 3, the national sub-acute and non-acute patient classification study, built on the work undertaken in Phase 2 and was undertaken in 1996 and 1997. It resulted in the development of the Australian National Sub-Acute and Non-Acute Patient (AN-SNAP) classification.

01Whole Vol I.pdf (16547 kB)
01Whole Vol II.pdf (22208 kB)