Jody Church is a Research Fellow (Health Economics) at CHERE. She has an Honours Bachelor degree in Management Economics in Industry and Finance from Guelph University and a Master's degree in Economics (with an emphasis in Health Economics) from McMaster University. Prior to joining CHERE she worked as a policy analyst in the health department at the Organization for Economic Co-operation and Development (OECD) in Paris, funded through Health Canada. She also gained experience in risk management while working as a business analyst for TELUS Corporation in Canada and in business development when she was nominated for an internship in México by AIESEC and the Canadian International Development Agency. She was also a research assistant for the economics department and a teaching assistant to undergraduate students while studying at McMaster University in Canada.
Saing, S., Parkinson, B., Church, J. & Goodall, S. 2018, 'Cost effectiveness of a community delivered consultation to improve infant sleep problems and maternal well-being', vol. Value in Health Regional Issues.
Atukorale, Y.N., Church, J., Hoggan, B.L., Lambert, R.S., Gurgacz, S.L., Goodall, S. & Maddern, G.J. 2016, 'Self-expanding metallic stents for the management of emergency malignant large bowel obstruction: A systematic review', Journal of Gastrointestinal Surgery, vol. 20, pp. 455-462.View/Download from: Publisher's site
Sangster, J., Church, J., Haas, M., Furber, S. & Bauman, A. 2016, 'Corrigendum to "A Comparison of the Cost-effectiveness of two Pedometer-based Telephone Coaching Programs for People with Cardiac Disease". [Heart, Lung and Circulation (2015) 24, 471-479]. DOI: 10.1016/j.hlc.2015.01.008', Heart Lung and Circulation, vol. 25, no. 4, pp. 410-411.View/Download from: Publisher's site
Cheng, Q., Church, J., Haas, M., Goodall, S., Sangster, J. & Furber, S. 2016, 'Cost-effectiveness of a population-based lifestyle intervention to promote healthy weight and physical inactivity in non-attenders of cardiac rehabilitation', Heart Lung and Circulation, vol. 25, pp. 265-274.View/Download from: Publisher's site
Church, J., Goodall, S. & Haas, M. 2015, 'Cost-effectiveness of injury and falls prevention strategies for older adults living in residential aged care facilities', PharmacoEconomics, vol. 33, no. 12, pp. 1301-1310.View/Download from: Publisher's site
Sangster, J., Church, J., Haas, M., Furber, S. & Bauman, A. 2015, 'A Comparison of the Cost-effectiveness of Two Pedometer-based Telephone Coaching Programs for People with Cardiac Disease', Heart Lung and Circulation, vol. 24, no. 5, pp. 471-479.View/Download from: Publisher's site
Introduction: Following a cardiac event it is recommended that cardiac patients participate in cardiac rehabilitation (CR) programs. However, little is known about the relative cost-effectiveness of lifestyle-related interventions for cardiac patients. This study aimed to compare the cost-effectiveness of a telephone-delivered Healthy Weight intervention to a telephone-delivered Physical Activity intervention for patients referred to CR in urban and rural Australia. Methods: A cost-utility analysis was conducted alongside a randomised controlled trial of the two interventions. Outcomes were measured as Quality Adjusted Life Years (QALYs) gained. Results: The estimated cost of delivering the interventions was $201.48 per Healthy Weight participant and $138.00 per Physical Activity participant. The average total cost (cost of health care utilisation plus patient costs) was $1,260 per Healthy Weight participant and $2,112 per Physical Activity participant, a difference of $852 in favour of the Healthy Weight intervention. Healthy Weight participants gained an average of 0.007 additional QALYs than did Physical Activity participants. Thus, overall the Healthy Weight intervention dominated the Physical Activity intervention (Healthy Weight intervention was less costly and more effective than the Physical Activity intervention). Subgroup analyses showed the Healthy Weight intervention also dominated the Physical Activity intervention for rural participants and for participants who did not attend CR. Conclusions: The low-contact pedometer-based telephone coaching Healthy Weight intervention is overall both less costly and more effective compared to the Physical Activity intervention, including for rural cardiac patients and patients that do not attend CR.
Sangster, J., Furber, S., Allman-Farinelli, M., Phongsavan, P., Redfern, J., Haas, M., Church, J., Mark, A. & Bauman, A. 2015, 'Effectiveness of a Pedometer-based Telephone Coaching Program on Weight and Physical Activity for People Referred to a Cardiac Rehabilitation Program: A Randomized Controlled Trial', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 35, no. 2, pp. 124-129.View/Download from: Publisher's site
PURPOSE: To determine the effectiveness of a pedometer-based telephone lifestyle coaching intervention on weight and physical activity.
METHODS: A randomized controlled trial was conducted with 313 patients referred to cardiac rehabilitation in rural and urban Australia. Participants were allocated to a healthy weight (HW) (4 telephone coaching sessions on weight and physical activity) or a physical activity (PA) intervention (2 telephone coaching sessions on physical activity). Weight and physical activity were assessed by self-report at baseline, short-term (6-8 weeks), and medium-term (6-8 months).
RESULTS: More than 90% of participants completed the trial. Over the medium-term, participants in the HW group decreased their weight compared with participants in the PA group (P = .005). Participants in the HW group with a body mass index of 25 kg/m2 had a mean weight loss of 1.6 kg compared with participants in the PA-only group who lost a mean of 0.4 kg (P = .015). Short-term, both groups increased their physical activity time, and the PA group maintained this increase at the medium-term.
CONCLUSIONS: Participants in the HW group achieved modest improvements in weight, and those in the PA group demonstrated increased physical activity. Low-contact, telephone-based interventions are a feasible means of delivering lifestyle interventions for underserved rural communities, for those not attending cardiac rehabilitation, or as an adjunct to cardiac rehabilitation.
Goodall, S. & Church, J. 2014, 'Cost-Effectiveness of Colonic Stents for the Management of Malignant Large Bowel Obstruction.', Value in Health, vol. 17, no. 7, pp. A630-A630.View/Download from: UTS OPUS or Publisher's site
The aim was to determine the cost-effectiveness of colonic stent insertion for the management of malignant bowel obstructions. Colonic stents are a minimally invasive alternative to open surgery for patients medically unfit for single stage surgery.
Two economic models were developed. The first compared patients who received palliative or definitive stents and were not medically fit for re-anastomosis. The second compared patients who received stents as a bridge-to-surgery and were medically fit for a second stage of two-stage surgery, this included colostomy or Hartmann's procedure. ResultsFor patients requiring palliation, the cost of colonic stent insertion was estimated to be $17,809 compared to $20,516 for palliative colostomy (a saving of $2,707). The benefits associated with both procedures were 0.099 QALYs and 0.089 QALYs gained, respectively, an incremental benefit of 0.01 QALYs per patient. For patients requiring a bridge-to-surgery, the cost of colonic stent insertion was estimated to be $29,729, compared to $30,169 for patients that received multi-stage surgery (either a colostomy or a Hartmann's procedure). This represented a cost savings of $440. The estimated average patient would gain 0.510 QALYs compared to 0.458 QALYs in the multi-stage surgery group. This yields an incremental benefit of 0.052 QALYs per patient. The main drivers of both models were the technical and clinical success of the stent insertion, and length of hospital stay following the procedures. The probability of a resection with primary anastomosis after insertion of a stent and the cost of stenting were also drivers in the bridge-to-surgery model.
In terms of cost-effectiveness, colonic stent insertion for malignant bowel obstruction in patients requiring palliation or a bridge-to-surgery dominated the current alternative surgical procedures.
Reeve, R.D., Church, J., Haas, M.R., Bradford, W. & Viney, R.C. 2014, 'Factors that drive the gap in diabetes rates between Aboriginal and non-Aboriginal people in non-remote NSW?', Australian and New Zealand Journal of Public Health, vol. 38, no. 5, pp. 459-465.View/Download from: Publisher's site
Objective: To identify factors underpinning the gap in diabetes rates between Aboriginal and non-Aboriginal people in non-remote NSW. This will indicate appropriate target areas for policy and for monitoring progress towards reducing the gap. Methods: Data from the 200405 National Health Survey and National Aboriginal and Torres Strait Islander Health Survey were used to estimate differences in self-reported diabetes rates and risk/prevention factors between Aboriginal and non-Aboriginal people in non-remote NSW. Logistic regression models were used to investigate the contribution of each factor to predicting the probability of diabetes. Results: Risk factors for diabetes are more prevalent and diabetes rates 2.5 to 4 times higher in Aboriginal compared to non-Aboriginal adults in non-remote NSW. The odds of (known) diabetes for both groups are significantly higher for older people, those with low levels of education and those who are overweight or obese. In the Aboriginal sample, the odds of diabetes are significantly higher for people reporting forced removal of their relatives. Conclusions: Differences in BMI and education appear to be driving the diabetes gap, together with onset at younger ages in the Aboriginal population. Psychological distress, indicated by removal of relatives, may contribute to increased risk of diabetes in the Aboriginal population. Implications: The results imply that improved nutrition and exercise, capacity to access and act upon health care information and early intervention are required to reduce the diabetes gap. Current strategies appear to be appropriately aligned with the evidence; however, further research is required to determine whether implementation methods are effective.
Norman, R., Church, J., Van den Berg, B. & Goodall, S. 2013, 'Australian health-related quality of life population norms derived from the SF-6D', Australian & New Zealand Journal of Public Health, vol. 37, no. 1, pp. 17-23.View/Download from: UTS OPUS or Publisher's site
Objective: To investigate population health-related quality of life norms in an Australian general sample by age, gender, BMI, education and socioeconomic status. Method: The SF-36 was included in the 2009/10 wave of the Household, Income and Labour Dynamics in Australia (HILDA) survey (n=17,630 individuals across 7,234 households), and converted into SF-6D utility scores. Trends across the various population subgroups were investigated employing population weights to ensure a balanced panel, and were all sub-stratified by gender. Results: SF-6D scores decline with age beyond 40 years, with decreasing education and by higher levels of socioeconomic disadvantage. Scores were also lower at very low and very high BMI levels. Males reported higher SF-6D scores than females across most analyses. Conclusions: This study reports Australian population utility data measured using the SF-6D, based on a national representative sample. These results can be used in a range of policy settings such as cost-utility analysis or exploration of health-related inequality. In general, the patterns are similar to those reported using other multi-attribute utility instruments and in different countries.
Cronin, P.A., Goodall, S., Lockett, T., O'Keefe, C., Norman, R. & Church, J. 2013, 'Cost-effectiveness of an advance notification letter to increase colorectal cancer screening', International Journal of Technology Assessment in Health Care, vol. 29, no. 3, pp. 261-268.View/Download from: UTS OPUS or Publisher's site
Objectives: The aim of this study is to evaluate the cost-effectiveness of a patient-direct mailed advance notification letter on participants of a National Bowel Cancer Screening Program (NBCSP) in Australia, which was launched in August 2006 and offers free fecal occult blood testing to all Australians turning 50, 55, or 65 years of age in any given year. Methods: This study followed a hypothetical cohort of 50-year-old, 55-year-old, and 65-year-old patients undergoing fecal occult blood test (FOBT) screening through a decision analytic Markov model. The intervention compared two strategies: (i) advance letter, NBCSP, and FOBT compared with (ii) NBCSP and FOBT. The main outcome measures were life-years gained (LYG), quality-adjusted life-years (QALYs) gained and incremental cost-effectiveness ratio. Results: An advance notification screening letter would yield an additional 54 per 100,000 colorectal cancer deaths avoided compared with no letter. The estimated cost-effectiveness was $3,976 per LYG and $6,976 per QALY gained. Conclusions: An advance notification letter in the NBCSP may have a significant impact on LYG and cancer deaths avoided. It is cost-effective and offers a feasible strategy that could be rolled out across other screening program at an acceptable cost.
Church, J., Goodall, S., Norman, R. & Haas, M.R. 2012, 'The cost-effectiveness of falls prevention interventions for older community-dwelling Australians', Australian and New Zealand Journal of Public Health, vol. 36, no. 3, pp. 241-248.View/Download from: UTS OPUS or Publisher's site
Objective: To evaluate the cost-effectiveness of strategies designed to prevent falls among older people. Methods: A decision analytic Markov model of interventions designed to prevent falls was developed. Incremental cost-effectiveness ratios (ICERs) using quality adjusted life year (QALYs) as the measure, were calculated for those interventions aimed at the general population (home exercise, group exercise, tai chi, multiple and multi-factorial interventions); high-risk populations (group exercise, home hazard assessment/modification and multi-factorial interventions); and specific populations (cardiac pacing, expedited cataract surgery and psychotropic medication withdrawal). Uncertainty was explored using univariate and probabilistic sensitivity analysis. Conclusion: In the general population, compared with no intervention the ICERs were tai chi ($44,205), group-based exercise ($70,834), multiple interventions ($72,306), home exercise ($93,432), multifactorial interventions with only referral ($125,868) and multifactorial interventions with an active component ($165,841). The interventions were ranked by cost in order to exclude dominated interventions (more costly, less effective) and extendedly dominated interventions (where an intervention is more costly and less effective than a combination of two other interventions). Tai chi remained the only cost-effective intervention for the general population. Implications: Interventions designed to prevent falls in older adults living in the community can be cost-effective. However, there is uncertainty around some of the model parameters which require further investigation.
Church, J., Goodall, S., Norman, R. & Haas, M.R. 2011, 'An economic evaluation of community and residential aged care falls prevention strategies in NSW', NSW Public Health Bulletin, vol. 22, no. 3-4, pp. 60-68.View/Download from: UTS OPUS or Publisher's site
Aim: To evaluate the cost-effectiveness of strategies designed to prevent falls amongst people aged 65 years and over living in the community and in residential aged-care facilities. Methods: A systematic review and meta-analysis of the literature was conducted. The pooled fall rate ratio was used in a decision analytic model that combined a Markov model and decision tree to estimate the costs and outcomes of potential interventions and/or strategies. The resulting cost per quality-adjusted life year was estimated. Results: The most cost-effective falls prevention strategy in community-dwelling older people was Tai Chi. Expedited cataract surgery and psychotropic medication withdrawal were also found to be cost-effective; however, the effectiveness of these interventions is less certain due to small numbers of trials and participants. The most costeffective falls prevention strategies in residential aged-care facilities were medication review and vitamin D supplementation.
Devaux, M., Sassi, F., Church, J., Cecchini, M. & Borgonovi, F. 2011, 'Exploring The Relationship Between Education And Obesity', OECD Journal: Economic Studies, vol. 5, no. 1, pp. 121-159.View/Download from: UTS OPUS or Publisher's site
An epidemic of obesity has been developing in virtually all OECD countries over the last 30 years. Existing evidence provides a strong suggestion that such an epidemic has affected certain social groups more than others. In particular, a better education appears to be associated with a lower likelihood of obesity, especially among women. This paper sheds light on the nature and the strength of the correlation between education and obesity. Analyses of health survey data from Australia, Canada, England, and Korea were undertaken with the aim of exploring this relationship. Social gradients in obesity were assessed across the entire education spectrum, overall and in different population sub-groups. Furthermore, investigations testing for mediation effects and for the causal nature of the links observed were undertaken to better understand the underlying mechanisms of the relationship between education and obesity.
Saing, S., Church, J., Parkinson, B. & Goodall, S. 2015, 'Cost effectiveness of a community delivered infant sleep intervention', 9th Health Services and Policy Research Conference, Health Services and Policy Research Conference, Melbourne, Victoria.
Church, J., Goodall, S., Gurgacz, S., Whiteman, D. & Lord, R. 2013, 'Cost-effectiveness of radiofrequency ablation compared to endoscopic surveillance for patients with Barrett's esophagus with low grade dysplasia', ISPOR 18th Annual International Meeting, New Orleans, USA.
Church, J., Goodall, S., Gurgacz, S., Whiteman, D. & Lord, R. 2013, 'PGI19 Cost-effectiveness of radiofrequency ablation compared to endoscopic surveillance for patients with Barrett's esophagus with low grade dysplasia [conference abstract]', Value in Health, Elsevier, New Orleans, USA, pp. 1-1.
Church, J., Reeve, R.D., Goodall, S. & Haas, M.R. 2013, 'Deconstructing the positive feedback loop between depression and obesity: can stressful life events be used as an instrument?', iHEA 9th World Congress on Health Economics, Sydney.
Goodall, S., Hou, C., Church, J. & High, H. 2013, 'Cost-effectiveness of genetic screening for Multiple Endocrine Neoplasia type 2b to prevent childhood medullary thyroid cancer', ISPOR 18th Annual International Meeting, New Orleans, USA.
Goodall, S., Hou, C., Church, J. & High, H. 2013, 'PCN83 Cost-effectiveness of genetic screening for Multiple Endocrine Neoplasia type 2b to prevent childhood medullary thyroid cancer [conference abstract]', Value in Health, Elsevier, New Orleans, USA, pp. 1-1.
Hou, C., Goodall, S., Church, J. & High, H. 2013, 'Cost-effectiveness of genetic screening for Multiple Endocrine Neoplasia Type2B to prevent childhood medullary thyroid cancer', 8th Health Services and Policy Research Conference, Wellington, New Zealand.
Reeve, R.D., Church, J., Haas, M.R., Bradford, W. & Viney, R.C. 2013, 'What factors drive the gap in diabetes rates between Aboriginal and non-Aboriginal people in non-remote New South Wales?', World Diabetes Congress 2013, Melbourne.
Cronin, P.A., Goodall, S., Lockett, T., O'Keefe, R., Norman, R. & Church, J. 2013, 'Cost-effectiveness of a mailed advance notification letter to increase colorectal cancer screening', ISPOR 18th Annual International Meeting, New Orleans, USA.
Church, J. & Goodall, S. 2011, 'Cost-Effectiveness of Radiofrequency Ablation relative to surveillance in low grade dysplastic Barrett's Oesophagus', Australian Conference of Health Economists, Melbourne.
Church, J. & Norman, R. 2010, 'Modelling the costs and benefits of interventions to prevent and reduce obesity', Emerging Health Policy Research Conference, Sydney University.
Church, J., Sassi, F., Devaux, M., Cecchini, M. & Borgonovi, F. 2009, 'Education and obesity in four OECD countries: UK, Australia, Canada and Korea', 6th Health Services and Policy Conference 2009, Brisbane.
Sangster, J., Furber, S., Allman-Farinelli, M., Phongsavan, P., Redfern, J., Haas, M.R., Church, J., Mark, A. & Bauman, A. NSW Ministry of Health 2017, A population-based lifestyle intervention to promote healthy weight and physical activity in people with cardiac disease: The PANACHE trial, Sydney.View/Download from: UTS OPUS
Church, J., Goodall, S., Norman, R. & Haas, M.R. NSW Ministry of Health 2011, An economic evaluation of community and residential aged care falls prevention strategies in NSW, Sydney.View/Download from: UTS OPUS
Cronin, P.A., Goodall, S., Norman, R. & Church, J. CHERE University of Technology, Sydney 2010, The impact of a new bowel cancer screening test on detection of colorectal cancer: Part B Replacing FOBT with new test, Sydney.
Cronin, P.A., Goodall, S., Norman, R. & Church, J. CHERE University of Technology, Sydney 2010, The impact of a new bowel cancer screening test on detection of colorectal cancer: Part B2 FOBT + New screening test in a triage model.