Moreharmthangood?Roundtablediscussion:Researchonthefactorsunderpinninggrowthintesting,

diagnosisandtreatmentinAustralia

Thursday10August2017,2:00-5:00pm(localtimeMelbourne,Sydney,GoldCoast)Inthisroundtablediscussion,wewillintroducetwonewnationallyfundedstudieswhichaimtoinvestigateandaddressthefactorsthatinfluencetheriseintesting,diagnosisandtreatmentinAustralia.MembersoftheNHMRC-fundedWiserHealthcareprogramandtheARC-fundedExpectationsinhealthcaretestingprojectwillgivebriefpresentationsonthesestudiesfollowedbyanopenroundtablediscussionontheissuesraisedandtheirimplicationsforresearch,policyandpractice.Venuedetails(*UPDATED):CabriniHospital-MalvernMalvernBoardroom,Level2183WattletreeRoadMalvernVIC3144Directions:PleaseaskatMainHospitalReceptionAtMainReceptiontakerightcorridortoLifts(adjacentPharmacy).TakeliftstoLevel2,crosswalkway,andfollowsignstoBoardroom.ToJoinviaWeblink:Gotohttps://monash.zoom.us/j/992212867Orgotohttps://monash.zoom.us/joinandentermeetingID:992212867**IfjoiningbyWEBLINKpleaseuseETHERNET(notWIFI)connection.ToJoinbyTelephoneJoinfromadial-inphone:Dial:+61399059666(+6139905ZOOM)or+61280152088MeetingID:992212867

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DetailedProgramTime Item Who?2:00pm Welcomeandintroductions RachelleBuchbinder&Denise

O’Connor2:15pm Expectationsinhealthcaretesting:Asociological

studyAlanPetersen,KiranPienaar&StephenDerrick

2:45pm WiserHealthcare:Aresearchcollaborationforreducingoverdiagnosisandovertreatment

PaulGlasziou&RaeThomasRachelleBuchbinderChrisMaherStacyCarterJolynHersch

3:30pm Afternoontea 3:45pm Roundtableopendiscussionontheissuesraised,

theirimplicationsforresearch,policyandpracticeandopportunitiestocollaborate

Chairs:RachelleBuchbinder&AlanPetersen

5:00pm Close OverviewofWiserHealthcareWiserHealthcareisaresearchcollaborationinvolvingTheUniversityofSydney,BondUniversity,MonashUniversityandinternationalcolleagues.FundedbytheNationalHealthandMedicalResearchCouncil(NHMRC),itaimstoconductresearchthatwillreduceover-diagnosisandover-treatmentinAustraliaandaroundtheworld.Overdiagnosisandovertreatmentoccurwhenroutinemedicaltestsandtreatmentsdomoreharmthangood.WiserHealthcarewillinvestigatethecauseandsizeoftheproblemandtestnewsolutionsintheareasofcancer,cardiovasculardiseaseandmusculoskeletaldisorders.Itwillparticularlyfocusonover-diagnosiscausedbyimaging(e.g.CTscansandMRIscans),testingbiomarkers(e.g.bloodtests),andgenetictests.

OverviewofExpectationsinhealthcaretestingprojectAustralia’soveralluseofdiagnosticimagingandtestshasincreasedsignificantlyinrecentyears,whichiscontributingtorapidlyrisinghealthcarecosts.Despitethisgrowth,weknowlittleaboutthesocioculturalfactorsthatunderpintheriseoftestingandtheoptimismforhealthcaretesting.Thisprojectaimstounderstandthesocioculturalprocessesunderpinningoptimismfortheusemedicaltestingtechnologies.FundedbyanARCDiscoverygrant,andfocussingonAustralia’snationalcancerscreeningprogramsandroutineclinicalpractice,itwilladdressquestionssuchas:- Howdoparticularsocio-culturalfactorshelptoproduceandsustainexpectationsthatmaybe

higherthanwarrantedbyscientificevidence?- Dosomefactorsplayagreaterrolethanothersand,ifso,why?- Howarescientificfactsabouttherisksandbenefitsoftestingpresentedandhowdothey

shapemedicalpractice?

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Participants1 AlexBarratt(Zoom) PopulationMedicineTheme,SydneySchoolofPublicHealth,

TheUniversityofSydney2 AllisonBourne(inperson) MonashDepartmentofClinicalEpidemiology,Cabrini

Institute;SchoolofPublicHealth&PreventiveMedicine,MonashUniversity

3 StacyCarter(Zoom) SydneyHealthEthics,SydneySchoolofPublicHealth,TheUniversityofSydney

4 JanDonovan(Zoom) ConsumersHealthForumofAustralia5 RachelleBuchbinder(inperson) MonashDepartmentofClinicalEpidemiology,Cabrini

Institute;SchoolofPublicHealth&PreventiveMedicine,MonashUniversity

6 StephenDerrick(inperson) SchoolofSocialSciences,FacultyofArts,MonashUniversity7 CaitlinFarmer(inperson) MonashDepartmentofClinicalEpidemiology,Cabrini

Institute;SchoolofPublicHealth&PreventiveMedicine,MonashUniversity

8 JohnGardner(inperson) SchoolofSocialSciences,FacultyofArts,MonashUniversity9 PaulGlasziou(Zoom) CentreforResearchinEvidence-BasedPractice,Facultyof

HealthSciencesandMedicine,BondUniversity10 JolynHersch(Zoom) SydneySchoolofPublicHealth,SydneyMedicalSchool,The

UniversityofSydney11 RitaHorvath(Zoom) TheUniversityofSydneyandUNSW12 ChrisMaher(inperson) SydneySchoolofPublicHealth,SydneyMedicalSchool,

TheUniversityofSydney13 DeniseO’Connor(inperson) MonashDepartmentofClinicalEpidemiology,Cabrini

Institute;SchoolofPublicHealth&PreventiveMedicine,MonashUniversity

14 RebeccaOlson(Zoom) SocialScienceandSociologyofHealth,UniversityofQueensland

15 AlanPetersen(inperson) SchoolofSocialSciences,FacultyofArts,MonashUniversity16 KiranPienaar(inperson) SchoolofSocialSciences,FacultyofArts,MonashUniversity17 BenReed(inperson) MonashDepartmentofClinicalEpidemiology,Cabrini

Institute;SchoolofPublicHealth&PreventiveMedicine,MonashUniversity

18 MargaretStaples(inperson) MonashDepartmentofClinicalEpidemiology,CabriniInstitute;SchoolofPublicHealth&PreventiveMedicine,MonashUniversity

19 RaeThomas(Zoom) CentreforResearchinEvidence-BasedPractice,FacultyofHealthSciencesandMedicine,BondUniversity

20 SallyWortley(Zoom) SydneySchoolofPublicHealth,SydneyMedicalSchool,TheUniversityofSydney