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Chinese beef imports have been increasing in recent years. At the same time, Chinese public sentiment toward foreign countries, including those who export beef to China, has been changing. Therefore, this research uses a discrete choice experiment (DCE) to investigate the role of ethnocentrism, country image, and product image on consumer willingness to pay for country‐of‐origin labeled beef. Results indicate, on average, Chinese consumers prefer domestic beef most, and value beef from Australia and the US somewhat similarly. Their willingness to pay varies based on their perceived image of the country that the beef originates from and based on their perception of the safety of the beef, that is, product image. The more ethnocentric consumers are, the more they prefer domestic beef and discount foreign beef. Importantly, the effects of ethnocentrism, country image, and product image are stronger on the willingness to pay for domestic beef than for imported beef. More generally, findings indicate that controlling for ethnocentrism, country image, and product image contributes to understanding consumer willingness to pay for products originating from foreign countries. Overall, findings suggest that stronger ethnocentric tendencies lead to lower willingness to pay for imported beef (with some exceptions), and positive country image and product image increase the willingness to pay for imported beef. Thus, it is important to consider these constructs when estimating consumer willingness to pay for imported products, especially for countries where public sentiment toward exporting countries may be prone to change in a dynamic global environment. [ABSTRACT FROM AUTHOR]

We investigate consumer preferences for domestically produced white wines compared to foreign wines in Australia. A discrete choice experiment was used to analyze young Australian consumers' preferences regarding white wine and a latent class model was estimated to take preference heterogeneity into account. We examine the relationship between consumers' ethnocentrism and preferences for wine from a specific origin. Highly ethnocentric Australian wine consumers are found to strongly prefer Australian wines and to a lesser extent wine from New Zealand compared to otherwise identical French wine, confirming a country-of-origin effect. Carefully considering the information to include on wine labels helps to stimulate consumer demand in certain market segments. Producers can use information regarding consumer preferences for specific wine characteristics to put an attractive and profitable product on the market. For instance, Australian wines might have a domestic advantage over similar foreign wines, if this 'country of origin' is brought to the consumers' attention. Hence, labeling wine as 'Made in Australia' is likely to increase the willingness to buy wines amongst a significant subgroup of Australian consumers aged 18–38. Adding other specific labels such as gold or silver medals to the bottle can also attract specific customer segments. [ABSTRACT FROM AUTHOR]

Background: While community pharmacies have been successful in providing harm reduction support for illicit substance consumers, little research has explored their role in addressing the needs of anabolic–androgenic steroid (AAS) consumers. Objective: This study aimed to triangulate the attitudes and experiences of AAS consumers and community pharmacist's regarding AAS harm reduction. Methods: Semi-structured interviews were conducted with AAS consumers (n = 8) and community pharmacists (n = 15) between December 2022 and August 2023 in Australia. Interview data were analysed using reflexive thematic analysis. Results: While consumers emphasised easy access to pharmacies, particularly in urban areas, challenges were noted in rural regions. AAS consumers expressed a preference for community pharmacies, perceiving them as less confronting and a feasible avenue for accessing professional advice, highlighting the potential role of pharmacists in nurturing therapeutic alliances with AAS consumers. Similarly, pharmacists expressed receptivity to providing harm reduction information but acknowledged knowledge gaps, suggesting a need for tailored education programs to support AAS consumers effectively. Conclusions: Community pharmacies can be an important environment for AAS harm reduction. Strategies include utilising private spaces for open discussions with AAS consumers and enhancing pharmacists' understanding of AAS to foster trust and support. Further research is needed to address knowledge gaps and training needs for pharmacy staff, with the aim of creating a safer environment for AAS consumers. [ABSTRACT FROM AUTHOR]

Proponents of demand-side rental subsidy programmes have argued that they enhance consumer choice while costing less than supply-side interventions. However, unanswered questions remain on the effectiveness of demand-side rental subsidies in reducing affordability stress among low-income renters. This paper analyses Australia's Commonwealth Rent Assistance (CRA) as a case study for evaluating the effectiveness of housing allowance interventions. Our evaluation exemplifies some important policy principles. First, we demonstrate that a multi-pronged package can simultaneously improve adequacy and targeting on those in greatest housing stress, while maintaining revenue neutrality. Second, whether CRA is designed as an income-oriented or housing-oriented subsidy can affect its effectiveness in improving rental affordability. Third, country-specific institutional contexts cannot be ignored. In Australia, constitutional amendments may be required if CRA is to be paid as a stand-alone housing payment rather than as a supplement to other social security payments. Furthermore, given the role of CRA in the esoteric funding structure of social housing, reforms to payment structure must incorporate meaningful measures to avoid unintended damaging consequences in this arena. Finally, any implementation of reforms should be embedded within a strong housing logic that aims to reduce affordability stress rather than as part of a fiscal cost reduction exercise. [ABSTRACT FROM AUTHOR]

OBJECTIVES AND IMPORTANCE OF STUDY The objective of this systematic review of the literature was to examine the evidence relating to consumer-directed care (CDC) in the aged care environment. CDC entails providing individuals with the option of choice and flexibility in their care, to empower aged care recipients with autonomous decisions over their healthcare choices. Additionally, the researchers found evidence relating to the vulnerability of users of aged care services and the lack of understanding towards a true consumer-oriented approach which was highlighted during the Royal Commission into Aged Care Safety and Quality. STUDY TYPE AND METHOD The research team used the PRISMA Method to review the available literature systematically. This qualitative review of the literature on consumer choice in the aged and social care sectors assessed sixteen high-quality research papers and identified themes that emerged to promote authentic consumer voice in aged care services. These articles provided insight into what aged care providers require to increase transparency and facilitate effective, meaningful consumer choice. RESULTS Six themes emerged from the literature reviewed: Informed Choice, See Me Hear Me, Funding My Choices, My Choice My Way, Policy, and Know Me, Include Me. The authors found significant challenges to authentic consumer voice in terms of reliable information, complex, inflexible service provision, and a trusted and skilled carer workforce. CONCLUSION Authentic consumer choice requires collaboratively designed care plans with consumers, integrating their care-related preferences and values. Providers who have embraced CDC principles, and innovative practices have enhanced person-centred care, and consumer experience and autonomy. Cultivating inclusive, transparent, and collaborative environments to empower older Australians to shape and control their care provision and wellbeing is a key challenge for providers. [ABSTRACT FROM AUTHOR]

Objective: To investigate public willingness to share sensitive health information for research, health policy and clinical practice. Methods: A total of 1,003 Australian respondents answered an online, attribute-driven, survey in which participants were asked to accept or reject hypothetical choice sets based on a willingness to share their health data for research and frontline-medical support as part of an integrated health system. The survey consisted of 5 attributes: Stakeholder access for analysis (Analysing group); Type of information collected; Purpose of data collection; Information governance; and Anticipated benefit; the results of which were analysed using logistic regression. Results: When asked about their preference for sharing their health data, respondents had no preference between data collection for the purposes of clinical practice, health policy or research, with a slight preference for having government organisations manage, govern and curate the integrated datasets from which the analysis was being conducted. The least preferred option was for personal health records to be integrated with insurance records or for their data collected by privately owned corporate organisations. Individuals preferred their data to be analysed by a public healthcare provider or government staff and expressed a dislike for any private company involvement. Conclusions: The findings from this study suggest that Australian consumers prefer to share their health data when there is government oversight, and have concerns about sharing their anonymised health data for clinical practice, health policy or research purposes unless clarity is provided pertaining to its intended purpose, limitations of use and restrictions to access. Similar findings have been observed in the limited set of existing international studies utilising a stated preference approach. Evident from this study, and supported by national and international research, is that the establishment and preservation of a social license for data linkage in health research will require routine public engagement as a result of continuously evolving technological advancements and fluctuating risk tolerance. Without more work to understand and address stakeholder concerns, consumers risk being reluctant to participate in data-sharing and linkage programmes. [ABSTRACT FROM AUTHOR]

Background: In Australia, the overall prevalence of liver disease is increasing. Maximising uptake of community screening programmes by understanding patient preferences is integral to developing consumer-centred care models for liver disease. Discrete choice experiments (DCEs) are widely used to elicit preferences for various healthcare services. Attribute development is a vital component of a well-designed DCE and should be described in sufficient detail for others to assess the validity of outcomes. Hence, this study aimed to create a list of potential attributes and levels which can be used in a DCE study to elicit preferences for chronic liver disease screening programmes. Methods: Key attributes were developed through a multi-stage, mixed methods design. Focus groups were held with consumers and health care providers on attributes of community screening programmes for liver disease. Stakeholders then prioritised attributes generated from the focus group in order of importance via an online prioritisation survey. The outcomes of the prioritisation exercise were then reviewed and refined by an expert panel to ensure clinically meaningful levels and relevance for a DCE survey. Results: Fifteen attributes were generated during the focus group sessions deemed necessary to design liver disease screening services. Outcomes of the prioritisation exercise and expert panel stages recognised five attributes, with three levels each, for inclusion in a DCE survey to elicit consumer preferences for community screening for liver disease. This study also highlights broader social issues such as the stigma around liver disease that require careful consideration by policy makers when designing or implementing a liver screening programme. Conclusions: The attributes and levels identified will inform future DCE surveys to understand consumer preferences for community screening programmes for liver disease. In addition, the outcomes will help inform the implementation of the LOCATE-NAFLD programme in real-world practice, and could be relevant for other liver and non-liver related chronic disease screening programmes. [ABSTRACT FROM AUTHOR]

The search for improved water pricing is central to urban water reform in many countries. Establishing efficient water prices is notoriously difficult, not least because different customers have different demands for water and yet they are presently faced with a one‐size‐fits‐all approach to pricing and service. This is especially challenging where water availability fluctuates widely, as is the case in many parts of Australia, because the impacts of exposure to episodic periods of scarcity can differ markedly. There is now substantial interest in the notion of 'unbundling' the water product to provide a better fit between customers' preferences and the level of service received. Following this trend, this study provides important insights into householders' willingness to pay for a range of flexible water options using a choice experiment. The paper reports a relatively underemployed extension to the latent class modelling framework to investigate preference heterogeneity towards urban water products, including purchasing services that involve the provision of environmental and amenity outcomes. The work adds to studies that use choice data to reveal heterogeneity while improving our understanding of household customers' demands. Overall, it also brings into focus questions about the future management of water in urban contexts. [ABSTRACT FROM AUTHOR]

This study aims to elicit consumer preferences regarding telehealth and face-to-face consultations in Australia. It used a discrete choice experiment, presenting participants with a series of hypothetical choices, and based on their responses, infer what is most important to them. Data were analysed using conditional logit regression and latent class analysis. A total of 1,025 participants completed the survey, considering four different clinical scenarios. Face-to-face contacts were, on average, preferred to either telephone or video services. However, telehealth was identified as an attractive option if it prevents significant travel and can be conducted with a familiar doctor. Participants were strongly driven by cost, particularly greater than $30. Telehealth was least preferred for situations involving a new and unknown physical symptom, and relatively more preferred for surgical follow-up. The latent class analysis demonstrates only 15.9% of participants appeared unwilling to consider telehealth. The findings of this study suggest that meeting the needs of the Australian population requires a blended approach to service delivery, with telehealth being valued in a range of clinical scenarios. Price sensitivity was evident, therefore if telehealth services can be delivered with lower patient cost, then they are likely to be attractive. [ABSTRACT FROM AUTHOR]

This research aims to determine how social media marketing affects consumer purchase intent in Australia's retail industry. The study's main goal is to see if social media marketing impacts customer purchase intent and brand equity as a moderator between dependent and independent variables. The data comes from Austria's retail sector and is based on five cities: Sydney, Perth, Melbourne, Brisbane, and Adelaide. By utilizing social media channels in the implementation of the survey strategy, a survey questionnaire with a size of 385 valid responses is made available to a targeted audience of the retail industry in Australia. The mixed methodologies research with a cross-sectional time horizon and a deductive research strategy for this study is used. The study's findings show that social media positively correlates with consumer purchase intention, and brand equity moderates the relationship between the dependent and independent variables, as evidenced by correlation, regression, and exploratory factor analysis. [ABSTRACT FROM AUTHOR]

The importance of innovation for architectural products in the building industry increases due to global competitive markets and users' increased value given to the visual aesthetics of products. Visual appearance is crucial in architecture and product design and influences users' product choices in many ways. Substantial research on innovation exists concerning users' purchasing, adopting, and recommending it to others, but little research investigates the link between product innovation and aesthetic preference. This gap in knowledge prompted our investigation. Quantitative analysis of a survey of 114 respondents from Australia was conducted in this study to examine whether innovation plays a significant role in perceiving the aesthetic preference of an architectural product more than other visual appearances. Standard multiple regression using SPSS V28 was applied for statistical data analysis. Results uncovered that innovation explained the highest percentage of variance in overall aesthetic preference, and the innovativeness of a product strongly influences the visual appearance and aesthetic preference. The findings of this study offer new insight into the level of innovation for new product development where visual appearance is of high importance. [ABSTRACT FROM AUTHOR]

We show how policy discourses construct consumer choice, performance measurement and quality standards as key technologies in the marketisation of disability services and aged care in Australia. The emergence of performance outcome measurement and increased consumer access to these through diverse consumer facing and interactive platforms enables the state to "govern at a distance" through the management and shaping of outcome indicators rather than delivery of services. The state does this by creating market competition and establishing outcomes which reflect the construction people using services as informed and rational consumers rather than citizens. This construction and operationalisation frame marketisation as a rational solution to broken systems, assume choice is unproblematic and ignore diverse capacities to access and use information, resource differentials and contextual variables such as market maturity and service availability. The benign marketisation of human services thus discriminates against those who are already marginalised and disadvantaged unless equity strategies are clearly in place. [ABSTRACT FROM AUTHOR]

• Key motives relate to food safety and the environmental benefits. • The magnitude of motivational importance differed across countries. • Australians had the greatest proportion of extremely unwilling responses. • Meat reduction barriers relate to the perception it is necessary for health. • Protein alternative barriers relate to the belief products are unnecessary. Motivations are central in determining consumer food choices and provide insights regarding barriers to change. Given the global need to transition towards more sustainable protein consumption patterns, understanding cross-cultural motivations is important. The present research aimed to address this knowledge gap by reviewing motivations to reduce meat and to adopt meat substitutes, edible insects and cultured meat amongst meat-eating consumers in Australia, China and the UK (n = 1,777). An online survey captured the importance of key motivations via closed-ended statements, with barriers to change collected via open-ended questions for extremely unwilling consumers. Results found food safety and environmental benefits to be the most important motives for meat reduction and protein alternatives adoption. Chinese and UK consumers were more motivated by these factors compared to Australian consumers who had the greatest proportion of consumers unwilling to reduce based on the belief meat consumption is necessary for health reasons. Relative differences in motivational importance were also apparent by protein alternative type. In general, the greatest proportion of unwilling responses amongst Australians (n = 245) related to the use of meat substitutes, whilst for Chinese (n = 160) and UK consumers (n = 97) it related to edible insects. Six key themes were identified amongst extremely unwilling consumers, with the protein alternatives being perceived as; Unhealthy, Unnecessary, Unsustainable, Unsafe, Unnatural and Unappealing. The prominence of themes differed between countries and across protein categories, but the perception that alternatives were unnecessary was a communal theme. Overall, the findings provide interesting insights and recommendations to support country-specific protein transitions. [ABSTRACT FROM AUTHOR]

Considering consumer preferences, this paper proposes computer-readable policy expressions to govern data sharing and use in consent-based health information exchange. Consent automation is an essential component of digital health transformation efforts, enabling better consumer choices in using their sensitive data while unlocking new values through policy-aware workflow expressions. The approach is based on the HL7 FHIR standard while using the obligation and responsibility concepts formally defined in the ISO ODP Enterprise Language (ODP-EL) standard. These concepts were expressed using a domain specific language (DSL) to support code generation for integration with digital health applications. The approach enables improved interoperability, considering consent, privacy, security requirements, and the ability to adopt new business, regulative or jurisdictional policies. Additionally, it accommodates generative AI solutions for faster alignment with existing document-based policies, ensuring clear provenance. Finally, consent automation and a broader policy framework in the context of the latest Australian Government initiatives in digital health are discussed.

In Australia, telehealth is not new, with several telehealth specialist services being available for those living in rural and remote communities. However, prior to the COVID-19 pandemic, telehealth was not routinely available for primary care or urban specialist appointments. There has been an increased focus in the use of telehealth within primary care, and particularly general practice, but overall, there has been limited research to date to guide telehealth best-practice based on consumer experiences and preferences within these settings. We aimed to capture the consumer experience of telehealth during the COVID-19 pandemic, through a novel Kitchen Table Discussion (KTD) method. This increases access to a broader community consumer cohort, with consumer hosts leading discussions in a safe environment. The KTDs were conducted in May 2021, with 10 community members each hosting a group of up to 10 participants. A total of 90 participants took part from across Australia, with the majority living in major cities, although a significant proportion lived in inner and outer regional areas of Australia, or had experience living in rural, regional or remote areas. Seventy percent of participants reported using telehealth in the past. Data were analysed sequentially using thematic analysis and identified key themes: modality, convenience, access, wait time, existing relationship, communication, connectivity, cost, and privacy. Overall, the future of telehealth looks hopeful from the perspective of the consumer, but significant improvements are required to improve consumer engagement and experience. It is evident that 'one size does not fit all', with results suggesting consumers value the availability of telehealth and having choice and flexibility to use telehealth when appropriate, but do not want to see telehealth replacing face-to-face delivery. Participants tended to agree that telehealth was not a preferred method when physical examination was required but would suit certain points of the patient journey. [ABSTRACT FROM AUTHOR]

Inequity in healthcare utilization is typically measured as the unequal distribution of services by observable non-need indicators, such as income, after controlling for observable need indicators. However, important sources of unequal healthcare utilization are often unobserved. The unobserved element may reflect need factors, such as imperfectly measured severity of illness, that would predict greater utilization across different healthcare channels, but also based on choice, such as patient preferences to use a particular healthcare channel over an alternative one, which may differ in its effect between channels. Accounting for unobserved sources of utilization may, therefore, help to understand contradictory inequalities between different healthcare channels, such as pro-poor inequalities for general practitioner use and pro-rich inequalities for specialist visits. This paper uses survey data from the Household Income and Labour Dynamics in Australia and panel data methods to investigate if seemingly contradictory inequalities between different healthcare channels are explained by latent individual-level heterogeneity. Results show that unobserved individual-level heterogeneity affects inequities across different healthcare channels, providing indications that the unobserved element may primarily represent unobserved need. [ABSTRACT FROM AUTHOR]

The growing interest in customer engagement (CE) has triggered a new wave of reforms, particularly in utility regulation. Within the water sector, there has been a shift from a focus on cost‐reflective pricing toward customer‐centric pricing processes designed to identify customer preferences and expectations. The Victorian water sector in Australia offers a unique opportunity to explore the outcomes of these CE trends given the recent first‐time application of a novel Performance, Risk, Engagement, Management, and Outcomes (PREMO) framework. Based on in‐depth interviews with senior industry representatives from a diverse sample of Victorian water utilities, this paper critically analyses the scope, design, and incentive mechanisms that underpin the new regulatory process. Findings indicate that CE has potentially beneficial aspects to both the regulator and the regulated utility, including more transparency in capital projects and a better understanding of customer preferences in service delivery. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this research is to reveal consumer preferences towards innovative last-mile parcel delivery and more specifically unmanned aerial delivery drones, in comparison to traditional postal delivery (postie) and the recent rise of parcel lockers in Australia. The authors investigate competitive priorities and willingness to pay for key attributes of parcel delivery (mode, speed, method and time window), the role of contextual moderators such as parcel value and security and opportunities for logistics service providers in the growing e-commerce market. Design/methodology/approach: A survey involving stated choice experiments has been conducted among 709 respondents in urban Australia. The authors estimated panel error component logit models, derived consumer priorities and deployed 576 Monte Carlo simulations to forecast potential delivery mode market shares. Findings: The study results suggest that people prefer postie over drone delivery, all else equal, but that drone deliveries become competitive with large market shares if they live up to the premise that they can deliver faster and cheaper. Both drone and postie become less attractive relative to parcel lockers when there is no safe place to leave a parcel at a residence, highlighting the importance of situational context and infrastructure at the receiving end of last-mile delivery. The authors identified opportunities for chargeable add-on services, such as signature for postie and 2-h parcel deliveries for drones. Originality/value: The authors offer timely and novel insights into consumers preferences towards aerial drone parcel deliveries compared to postie and lockers. Going beyond the extant engineering/operations research literature, the authors provide a starting point and add new dimensions/moderators for last-mile parcel delivery choice analysis and empirical evidence of market potential and competitive attributes of innovative versus traditional parcel delivery alternatives. [ABSTRACT FROM AUTHOR]

Objective: To investigate consumer preference and willingness to pay for mobile teledermoscopy services in Australia. Methods: Consumers who were taking part in a randomised controlled trial comparing mobile teledermoscopy and skin self-examination were asked to complete a survey which incorporated a discrete choice experiment (DCE) and a contingent valuation question. Responses were used to determine their willingness to pay for mobile teledermoscopy services in Australia and their overall service preferences. Results: The 199 consumers who responded were 71% female and had a mean age of 42 years (range, 18–73). The DCE results showed that consumers prefer a trained medical professional to be involved in their skin cancer screening. Consumers were willing to pay AUD 41 to change from a general practitioner reviewing their lesions in-person to having a dermatologist reviewing the teledermoscopy images. Additionally, they were willing to pay for services that had shorter waiting times, that reduced the time away from their usual activities, and that have higher accuracy and lower likelihood of unnecessary excision of a skin lesion. When asked directly about their willingness to pay for a teledermoscopy service using a contingent valuation question, the majority (73%) of consumers selected the lowest two value brackets of AUD 1–20 or AUD 21–40. Conclusion: Consumers are willing to pay out of pocket to access services with attributes such as a dermatologist review, improved accuracy, and fewer excisions. [ABSTRACT FROM AUTHOR]

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Purpose: This study aims to reveal the presence of products with negatively correlated nutrients in the marketplace and their implications for consumer choices. It also investigates the role of an overall simplified nutrition scoring system (SNSS) – health star rating (HSR), in improving the healthiness of consumer choices. Design/methodology/approach: Three (lab, online and eye-tracking) experiments investigate the effects of negatively correlated nutrients and the mitigating role of an overall SNSS for consumers' food choices. A final panel-data study analyzes the changes in actual food purchases after the introduction of HSRs (an SNSS) in Australia. Findings: Experimental results show that consumers use a decision strategy based on a dominant nutrient to choose food products, which creates health halos and leads to less healthy choices when products have negatively correlated nutrients. The presence of an overall SNSS leads to more accurate healthiness perception and healthier choices. Panel data analysis shows that the healthiness of consumer food purchases increased after the introduction of HSRs. Research limitations/implications: The study investigated the effect of an overall SNSS on specific categories, but not on the overall shopping basket. Practical implications: For policymakers, this paper shows that overall SNSS helps consumers choose healthier options. Food manufacturers and retailers could be motivated to formulate healthier products when consumers choose healthier options. Originality/value: This is the first study to document the presence of products with negatively correlated nutrients and their implications for consumer choices. It highlights the unique role of an overall SNSS, in helping consumers identify healthier options when products have negatively correlated nutrients. [ABSTRACT FROM AUTHOR]

Barn production systems in Australia are either an indoor-housing floor system or an aviary system with multilevel structures, equipped with nesting boxes, perches and feeding and watering systems. These systems offer hens the freedom of movement and an opportunity to display a repertoire of favourable behaviours as well as interact with complex housing elements as compared with caged systems. However, the system can create prospects for the hens to express detrimental behaviours such as feather pecking and cannibalism. Other aspects of welfare that may be compromised when compared with cage systems include incidence of fractures and injuries during navigation of hens among elements of housing that may result in collision or falls. Barn production systems may have an advantage over free-range production systems in relation to the protection they offer from predators and predator stress, and diseases and parasites that can be contracted from range areas. Barn systems also offer better biosecurity due to lack of direct access to wild birds and their faeces. The aim of the present review is to assess the welfare status of birds housed in barn (and aviary) production systems, while considering husbandry factors that affect welfare outcomes, the health and disease implications and sustainability. To maintain a high welfare outcome in barn production systems, it is important to keep the enclosed environmental conditions optimum by managing air quality, ventilation and lighting within sheds. Sustainability of these production systems depends on consumer preference, cost of production, environmental footprint and suitable genetics of hens. [ABSTRACT FROM AUTHOR]

The article discusses the current state of ethnic broadcasting in Australia, emphasizing its pivotal role in connecting diverse communities and preserving cultural heritage. It explores the historical significance, challenges, and future prospects of ethnic broadcasting, shedding light on its evolution amidst technological advancements and shifting audience preferences.

In the last decade, self-tracking technologies have encouraged users to optimize various biosocial practices. Through a wide array of smart digital devices and apps, users are put on notice: are they aware of the screen time they accrue each day, the steps they have (not) walked, or the last time they stood up? In the resulting sphere of mediated self-awareness, sleep is ripe for calculation, analysis, and optimization. Essential yet unconscious, sleep is a practice that manifests as an ambivalent example of wider self-tracking logics; an alluring "data frontier" for users and corporations alike. In this article, I draw on qualitative data (N = 38), collected in Australia, to explore the experiences and practices of self-trackers who monitor their sleep. Using interview data and participant screenshots, I discuss how apps construct sleep standards, social dimensions of sleep metrics, gamified incentives, and the process of assembling codes/spaces around sleep monitoring. In bringing sleep within a sphere of rational control, apps often exclude difference by focusing on consumer choice, wellness, and self-care. While imprecise and fungible, sleep metrics act as proxies for productivity, and reify normative understandings of time-use, energy, and sleep. [ABSTRACT FROM AUTHOR]

At the height of the Millennium Drought in Australia, there was unprecedented interest in the role of demand‐side management in the urban water sector. Conservation tariffs, where water users pay significantly less by reducing consumption, were mooted in some policy circles, although they were never seriously trialled. The easing of the drought was also accompanied by a new era of economic regulation, where monopoly water suppliers are increasingly encouraged to deliver services valued by customers. This trend has been embraced in Victoria, where the Essential Services Commission effectively rewards water businesses that match their services against customer expectations. This article explores whether customers and business managers hold similar priorities for water services by using a Best‐Worst Scaling experiment. The experiment includes a conservation tariff, and findings suggest that customers enjoy relatively higher utility from these tariffs, sustainability, water restrictions and small‐scale projects compared to the services emphasised by managers. The study exposes the general difficulty of water businesses matching their customers' preferences, especially if there is heterogeneity in preferences and given businesses must simultaneously deliver on many other fronts. [ABSTRACT FROM AUTHOR]

Australian consumer protection law contains broad and flexible prohibitions on misleading and unconscionable conduct in trade or commerce. Yet concerns have been raised that these prohibitions are unsuitable for responding to predatory business systems. These are businesses that, by design or operation, target consumers experiencing vulnerability to offer costly products ill-suited to their needs. This concern has arisen in response to prominent instances of products of dubious efficacy offered to marginalized communities. It has also arisen from concerns over the increasing potential for data-driven digital marketing to manipulate consumer choice by targeting with fine-grained accuracy consumer vulnerabilities. In response to these concerns, it has been suggested that the Australian Consumer Law should be reformed, by introducing a prohibition on "unfair trading" inspired by the general prohibitions on such conduct in the EU and USA. This paper explores the key considerations relevant in assessing the merits of this proposed statutory "transplant." Ultimately, the paper is supportive of the proposed reform, while also recognizing its limits. [ABSTRACT FROM AUTHOR]

Managing supply chain performance is essential for value generation to stakeholders. Nonetheless, this process has become overly complicated due to environmental concerns that lead to policy changes, customer preferences, and business activities. Reverse logistics is an environmentally friendly practice that can be critical in improving the environmental performance of construction operations. This paper examines the perceived role of reverse logistics practices on supply chain performance criteria—for example, cost, quality, time, flexibility, and environment. Semistructured in‐depth interviews were conducted with 15 senior industry experts from South East Queensland, Australia. Interview transcripts were analyzed by coding, categorizing, and identifying the interconnected relationships among concepts. In general, the experts perceive that reverse logistics practices significantly reduce the sourcing cost of materials compared with new materials. When used materials meet industry specifications, they are expected to have a similar performance without affecting the construction time or the overall quality of the project while protecting the environment. Nevertheless, the flexibility is found to be somewhat difficult. It is likely that reverse logistics can be instrumental in construction should the industry uptake be substantial with an emphasis on used material quality and acceptance criteria. Hence, a quantitative analysis is encouraged for future research. [ABSTRACT FROM AUTHOR]

Concerns over livestock production practices have resulted in increased consumer preferences for certified products. Australian beef buyers' survey data revealed the preferences of consumers who would buy differentiated beef based on animal welfare, safety, health, or environmental -friendly considerations. Female respondents are more likely to buy certified animal welfare products. Buyers with children, and those who value branded beef, are more likely to buy products differentiated by a bundle of credence attributes. Given that Australian beef consumers eat similar amounts, there are opportunities for differentiating beef products according to credence attributes and offering them in a range of retailers. [ABSTRACT FROM AUTHOR]

The means of achieving urban consolidation is extensively discussed in urban planning literature. However, it is not completely clear how consolidation goals could be facilitated by promoting homes on smaller lots. The paper addresses the dichotomy in Perth's housing market created by strong policy support for apartments and multi-occupancy dwellings whereas there is an overwhelming demand for larger block single-family residences. We interviewed local government planners and developers to explore their views on appropriate design codes, consumer preferences and the potential for trade-offs. Findings from this study could encourage relevant stakeholders to approach urban consolidation in a more realistic way. [ABSTRACT FROM AUTHOR]

Background: One prominent barrier faced by healthcare consumers when accessing health services is a common requirement to complete repetitive, inefficient paper-based documentation at multiple registration sites. Digital innovation has a potential role to reduce the burden in this area, through the collection and sharing of data between healthcare providers. While there is growing evidence for digital innovations to potentially improve the effectiveness and efficiency of health systems, there is less information on the willingness of healthcare consumers to embrace and utilise technology to provide data. Aim: The study aims to improve understanding of consumers' preference for utilising a digital health administration mobile app. Methods: The online study used a stated preference experiment design to explore aspects of consumers' preference for a mobile health administration app and its impact on the likelihood of using the app. The survey was answered by a representative sample (by age and gender) of Australian adults, and sociodemographic factors were also recorded for analysis. Each participant answered eight choice sets in which a hypothetical app (defined by a set of dimensions and levels) was presented and the respondent was asked if they would be willing to provide data using that app. Analysis was conducted using bivariate logistic regression. Results: For the average respondent, the two most important dimensions were the time it took to register on the app and the electronic governance arrangements around their personal information. Willingness to use any app was found to differ based on respondent characteristics: people with higher education, and women, were relatively more willing to utilise the mobile health app. Conclusion: This study investigated consumers' willingness to utilise a digital health administration mobile app. The identification of key characteristics of more acceptable apps provide valuable insight and recommendations for developers of similar digital health administration technologies. This would increase the likelihood of achieving successful acceptance and utilisation by consumers. The results from this study provide evidence-based recommendations for future research and policy development, planning and implementation of digital health administration mobile applications in Australia. [ABSTRACT FROM AUTHOR]

On-demand transport (ODT) refers to adaptive transport services that use a fleet of vehicles to provide shared flexible transport to consumers, when and where they need it. This study surveyed 3,985 geographically and demographically representative Australians nationwide, to understand consumer demand and willingness to pay for ODT in Australia. Our analysis finds that the current market for ODT services in Australia is small. For example, for an ODT service that costs roughly the same as UberX's ridesharing service, and offers comparable level-of-service, our analysis predicts that only 17 per cent of the Australian population can be expected to use the service a few times a week or more. However, shared electric autonomous vehicles could significantly change the business case for ODT services, by enabling on-demand door-to-door transport services at a fractional cost of similar existing services. Our analysis finds that while consumers are willing to pay, on average, 0.28$/km more to avoid sharing a vehicle with other passengers, 0.17$/km more for door-to-door service, and 0.10$/km to be able to book the service in real time, cost is the most important determinant of ODT use (of the service attributes included in our analysis). For an ODT service that provides the same level-of-service as UberX, but at a fractional cost of $0.30 per km, 31 per cent of the Australian population can be expected to use the service a few times a week or more. And this figure is likely to be larger once we account for more long-term changes in lifestyles that might accompany the introduction of these services. We find that frequency of ODT use is strongly correlated with age and lifecycle stage: young individuals who are employed full-time are likely to use ODT most frequently; older adults who have retired from the workforce and whose children have left home are likely to be infrequent users. Overall, our analysis indicates that ODT services have the ability to both increase public transport use among existing public transport customers, and to draw new customers to public transport services. [ABSTRACT FROM AUTHOR]

The implementation of a sugar tax in Australia has been discussed extensively as a way to combat rising rates of obesity and diabetes. We aim to review international efforts by governments to implement sugar tax initiatives. We summarise the different initiatives and investigate their pros and cons, evidence of impact and what the possibilities are for introducing a sugar tax in the Australian context. We conclude that government-imposed sugar taxes on production reduce sugar consumption in the general population. It remains unclear whether the reduction in sugar has generally led to a reduction in population obesity. Nonetheless, the fact that commercial actors have themselves begun to reduce sugar in their products indicates that they are aware of the benefits of reduced sugar consumption in the community, if only by way of changing consumer preferences. [ABSTRACT FROM AUTHOR]

Background: Personal genomic testing (PGT) offers individuals genetic information about relationships, wellness, sporting ability, and health. PGT is increasingly accessible online, including in emerging markets such as Australia. Little is known about what consumers expect from these tests and whether their reflections on testing resonate with bioethics concepts such as autonomy. Methods: We report findings from focus groups and semi-structured interviews that explored attitudes to and experiences of PGT. Focus group participants had little experience with PGT, while interview participants had undergone testing. Recordings were transcribed and analyzed using thematic analysis. Findings were critically interpreted with reference to bioethics scholarship on autonomy. Results: Fifty-six members of the public participated in seven focus groups, and 40 individuals were interviewed separately. Both groups valued the choice of PGT, and believed that it could motivate relevant actions. Focus group themes centered on the perceived value of choices, knowledge enabling action and knowledge about the self. Interview themes suggest that participants reflexively engage with their PGT information to make meaning, and that some appreciate its shortcomings. Critical interpretation of findings shows that while consumers of PGT are able to exercise a degree of autonomy in choosing, they may not be able to achieve a substantive conceptualization of autonomy, one that promotes alignment with higher-order desires. Conclusions: PGT consumers can critically reason about testing. However, they may uncritically accept test results, may not appreciate drawbacks of increased choice, or may overestimate the potential for information to motivate behavioral change. While consumers appear to be capable of substantive autonomy, they do so without ongoing support from companies. PGT companies promote a problematic ("default") account of autonomy, reliant on empowerment rhetoric. This leaves consumers vulnerable to making decisions inconsistent with their higher-order desires. As PGT expands, claims about its power and value need to be carefully drawn. [ABSTRACT FROM AUTHOR]

• Generation Y were found to perceive EVs to have better design with less impact on the environment. • For safety , generation Z were found to perceive EVs to be superior. • Technical features of commercially available EVs are no longer a major barrier towards EVs' adoption rate. • One-time financial incentives are more effective compared to discounts on operating costs or parking expenses. • Same amount of money paid to consumers is preferred more than a discount on purchase price. Relative advantage, or the degree to which a new technology is perceived to be better than an existing technology which is being replaced, has a significant impact on individuals' decisions on when, how and to what extent to adopt. An integrated choice and latent variable model is used, in this paper, to explicitly measure the perceived advantages in electric vehicles over the conventional internal combustion engine vehicles. The analysed data is obtained from a stated preference survey including 1076 residents in New South Wales, Australia. According to the results, the latent component of the model disentangles the perceived advantages across three dimensions of vehicle design , impact on the environment , and safety. These latent variables are interacted with price, driving range and body type, respectively, to capture the impact of perception on preference. The developed model is then used to examine the effectiveness of different support schemes on Millennials (Gen Y), the generation before them (Gen X) and after them (Gen Z). The results show higher probability of adopting electric vehicles for Gen Y, compared to Gen X and Z. Gen Y is found to be the least sensitive cohort to purchase price, and Gen X to be the most sensitive cohort to this attribute. People are more sensitive to incentives for the initial price compared to ongoing incentives for operating costs. Also, offering financial incentives to consumers as a rebate on the purchase price is more effective than allocating the same incentive to manufacturers to reduce the purchase price. [ABSTRACT FROM AUTHOR]

Objectives: This opinion paper aims to provide an overview of the current evidence base supporting the use of music therapy in mental health care. It also aims to offer critique on the issue of access to music therapy in Australia. Conclusions: There is a strong evidence base for music therapy to provide symptomatic relief and improve quality of life for people living with mental illness. However, music therapy is underfunded and framed as a supplementary service within mental health services in Australia, which limits its access to consumers. Funding music therapy as an evidence-based treatment option would fill an existing service gap and provide equitable access to a cost-effective and often consumer preferred treatment option for mental health consumers. [ABSTRACT FROM AUTHOR]

This study aimed to test the adequacy of a quantitative measure of our qualitatively developed Patient Typology-categories of older adults' attitudes towards medicines and medicine decision-making-and identify characteristics associated with each Typology. We conducted secondary data analyses of a subset of survey item measures of adults (≥65 years) who were members of online survey panels in Australia, the United Kingdom, the United States and the Netherlands (n = 4688). Multinomial logistic regression analyses assessed associations between demographic, psychosocial and medication-related measures. Mean age was 71.5 (5), and 47.5% of participants were female. Factors associated with an increased likelihood of identifying with Typology 1 'Attached to medicines' over Typology 2 'Open to deprescribing' were higher positive attitude towards polypharmacy (RRR = 1.12, p = <0.001) and higher need for certainty (RRR = 1.11, p = 0.039). Factors associated with an increased likelihood of identifying with Typology 3 'Defers (medication decision-making) to others' over Typology 2 were older age (RRR = 1.47 per 10-year age increase, p = <0.001) and a decreased likelihood of prior deprescribing experience (RRR = 0.73, p = 0.033). This study provides validation of the Typology with large samples from four countries, with the quantitatively-measured typologies generally aligning with the qualitatively derived categories. Our Patient Typology measure provides a succinct way researchers can assess attitudes towards deprescribing., (© 2023 The Authors. Basic & Clinical Pharmacology & Toxicology published by John Wiley & Sons Ltd on behalf of Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society).)

Background: There are limited management options available for people with Type III intestinal failure (IF), with home parenteral nutrition (HPN) being the main treatment option. The aim of this research is to compare patient preferences in managing Type III IF using time trade-off (TTO) methodology and to determine which factors have the greatest impact on health-related quality of life (HRQoL).Methods: An interviewer-administered telephone survey was conducted on a cross-sectional cohort of 19 HPN participants. The survey was designed to measure HRQoL using a TTO methodology. Four different treatment options were presented, and participants decided how many years of life they would trade to have access to the treatment and hence a different health state. The 4 scenarios included reduction in line infections, optimization of care, small bowel growth (teduglutide), and intestinal transplantation. Health state utility scores were calculated.Results: The median health utility score for optimization of care and small bowel growth (teduglutide) were lowest (0.5; range 0-1) meaning a greater desire for this treatment. Intestinal transplant had the highest median utility score (1.0; range 0-1) indicating less willingness for this treatment option.Conclusions: This is the first known study to use TTO methodology assessing treatment options in people with IF requiring HPN. Results indicate people requiring HPN make careful decisions when considering treatment options. Facilities providing HPN services should focus on optimization of current care, which is highly valued by their patients. [ABSTRACT FROM AUTHOR]

To understand how newcomers and established immigrants perceive cultural landscapes that have been imbued with a nationality's cultural meanings and heritage, exploring the cultural background and landscape myths and values of that immigrants' community can be a starting point. Examining whether immigrants perceive or prefer those values in a new landscape setting requires a wider understanding of immigrants' activities, preferences, and expectations. The present paper aims to investigate how Australian urban park landscape settings may be perceived by Iranian immigrants in terms of having aesthetic attributes, and how they use these spaces. It approaches the issue of immigration and park experiences through seeking the links between park settings and the way immigrants see and interpret them based on their cultural, social, and geographical backgrounds. It particularly focuses on Iranian immigrants and Iran's cultural landscape to explore different views of constructed natural landscapes and their effects on park usage and aesthetic preferences. This study explores how the icons of Iranian cultural landscape (Persian garden), urban park design, and past park use patterns of these immigrants may mediate interactions with new park environments, and how they may contribute to evoke a 'sense of aesthetic'. It applies survey questionnaire, semistructured in-depth individual interview, and Q methodology with photographs as research methods, and employs theories of 'place' and 'landscape visual characters' to explore park usage and aesthetic preferences in both contexts: Iran and Australia. Findings of this study highlight the preference of undertaking 'passive activities' in urban park landscapes by Iranian research participants and demonstrate that they highly admire the aesthetic and picturesque aspects of Australian park landscapes. However, they miss the characteristics of Iran's parks as well as the recreational, social, and sporting activities they used to carry out there. [ABSTRACT FROM AUTHOR]

• Younger drivers want to retain the ability to use music-playing functions while driving. • 90% of participants reported that they had not used these applications while driving. • Females are more likely to install and activate these applications. • Drivers familiar with these applications are less likely to install and activate them. Mobile phone distracted driving has been identified as a significant contributor to road trauma. The use of voluntary smartphone applications (or mobile phone functions) which are designed to prevent certain phone behaviours while driving is an emerging countermeasure for distracted driving. Despite the potential for voluntary smartphone applications to reduce crashes associated with mobile phone distracted driving, there has been limited research assessing how effective these applications are in reducing mobile phone use while driving, and the perceived acceptance of such applications. The overall aim of this study is to investigate factors that influence the use of voluntary smartphone applications to reduce the distraction associated with mobile phone use while driving. A total of 712 drivers from Australia participated in an online questionnaire about their preferences and opinions regarding smartphone applications to prevent mobile phone distracted driving. Statistical analyses including a random-effects logistic regression model were conducted to analyse the impact of the application functions on the participants' willingness to install and activate the application. The willingness of participants to install and activate a mobile phone app was determined by the facility to disable visual-manual tasks and notifications and allow hands-free conversations. The facility to set up automatic responses to inform contacts that they are driving was also important. Females were significantly more likely to install and activate the app. Preferred functions included the blocking of visual-manual interactions such as texting and browsing but allowing applications that support driving such as GPS and Bluetooth. Participants also wanted to retain the ability to use music-playing functions. The ability to give commands to the phone exclusively through audio using a hands-free device or Bluetooth was also favoured. Some age-related differences were evident when examining preferred functions. Overall, findings suggest that the use of app-based technology is a potential intervention opportunity to reduce exposure to high-risk behaviours among motorists and particularly young drivers. [ABSTRACT FROM AUTHOR]

Objective: To compare consumer rated quality of care among individuals living long-term in homelike clustered domestic and standard models of residential care in Australia.Design: Cross-sectional study.Setting: Seventeen residential aged care facilities in four Australian states providing alternative models of care.Study Participants: A sample of individuals with high prevalence of cognitive impairment living in residential care for 12 months or longer, not immediately in palliative care and having a proxy available to provide consent and assist with data collection. Of 901 eligible participants, 541 consented and participated in the study.Main Outcome Measure: Consumer rated quality of care was measured using the Consumer Choice Index-6 Dimension instrument (CCI-6D) providing a preference weighted summary score ranging from 0 to 1. The six dimensions of care time, shared-spaces, own-room, outside and gardens, meaningful activities and care flexibility were individually evaluated.Results: Overall consumer rated quality of care (Mean ∆: 0.138, 95% CI 0.073-0.203 P < 0.001) was higher in clustered domestic models after adjusting for potential confounders. Individually, the dimensions of access to outside and gardens (P < 0.001) and flexibility of care (P < 0.001) were rated significantly better compared to those living in standard model of care.Conclusions: Homelike, clustered domestic models of care are associated with better consumer rated quality of care, specifically the domains of access to outdoors and care flexibility, in a sample of individuals with cognitive impairment. Including consumer views on quality of care is feasible and should be standard in future evaluations of residential care. [ABSTRACT FROM AUTHOR]

This paper presents findings from an interdisciplinary project undertaken in Victoria, Australia, investigating the barriers and facilitators to supported decision-making (SDM) for people living with diagnoses including schizophrenia, psychosis, bipolar disorder, and severe depression; family members supporting them; and mental health practitioners, including psychiatrists. We considered how SDM can be used to align Australian laws and practice with international human rights obligations. The project examined the experiences, views, and preferences of consumers of mental health services, including people with experiences of being on Community Treatment Orders (CTOs), in relation to enabling SDM in mental health service delivery. It also examined the perspectives of informal family members or carers and mental health practitioners. Victoria currently has high rates of use of CTOs, and the emphasis on SDM in the Mental Health Act, 2014, is proposed as one method for reducing coercion within the mental health system and working towards more recovery-oriented practice. Our findings cautiously suggest that SDM may contribute to reducing the use of CTOs, encouraging less use of coercive practices, and improving the experience of people who are subject to these orders, through greater respect for their views and preferences. Nonetheless, the participants in our study expressed an often ambivalent stance towards CTOs. In particular, the emphasis on medication as the primary treatment option and the limited communication about distressing side effects, alongside lack of choice of medication, was a primary source of concern. Fears, particularly among staff, about the risk of harm to self and others, and stigma attached to complex mental health conditions experienced by consumers and their families, represent important overarching concerns in the implementation of CTOs. Supporting the decision-making of people on CTOs, respecting their views and preferences about treatment, and moving towards reducing the use of CTOs require system-wide transformation and a significant shift in values and practice across mental health service delivery. [ABSTRACT FROM AUTHOR]

Objective: Although breast-feeding is the recommended way to feed an infant, a safe and nutritious substitute for breast milk is needed for infants who are not breast-fed. Labelling information on infant formula (IF) products aims to enable caregivers (who have already made the decision to use IF) to make informed product choices. Yet, there is limited data on how caregivers understand and use the information provided on IF packaging. The present study aimed to increase understanding of caregivers' interpretation and use of the following label elements on IF products: the nutrition information statement; the ingredients list; and statements around nutrition content and health claims.Design: Qualitative data were obtained from twenty-one focus group discussions. To enable comparison of findings by education level and ethnicity, focus group participants were homogeneous with respect to educational attainment (Australian groups) or ethnic background (New Zealand groups).Setting: Focus groups were conducted in metropolitan and regional areas of Australia and New Zealand.ParticipantsCaregivers (n 136) of formula-fed infants.Results: Framework analysis revealed that caregivers commonly experience difficulties when using labelling information, particularly when trying to identify and understand key differences between products. Moreover, comparing products can be a complex task regardless of education level and ethnicity.Conclusions: Further research is required to determine the most effective strategies for meeting information needs of caregivers and allowing easier identification and understanding of product differences. This is especially important given that the vast range of IF products across large price ranges in the market adds to the complexity of purchase decisions. [ABSTRACT FROM AUTHOR]

Objective: An ovarian cancer diagnosis presents physical and psychological challenges. Usually identified at an advanced stage, the disease involves invasive treatment and has a high mortality rate. The diagnosis phase is generally a time of heightened distress. Accordingly, the aim of this qualitative study was to explore the health care experiences and preferences of women with ovarian cancer during this phase, and identify opportunities to enhance women's experiences and outcomes.Methods: Thirty-four women diagnosed with ovarian cancer were recruited from across Australia (median age = 60.5 years, range = 31-74 years). Semistructured interviews explored participants' experience of health care services and preferences during the diagnosis phase. Thematic analysis of interview transcripts followed.Results: Five themes were identified including "navigating uncertainty" which summarized women's general experiences throughout the diagnosis phase and provided a context for concomitant health care preferences. Four other themes highlighted significant areas where health care may be better aligned with women's preferences. These included "responsiveness in health care," "relational communication," "person-centered information," and "preparation for living beyond cancer treatment."Conclusions: Responsive and prompt health care services that employ relational communication, provide patient-centered information, and prepare women for survivorship could improve the health care experiences of women diagnosed with ovarian cancer. [ABSTRACT FROM AUTHOR]

Introduction Internationally, teledermoscopy has been found to have clinical and economic efficacy. This study aims to identify the attributes of a mobile teledermoscopy service that consumers prefer. This preliminary study was set within a broader randomised control trial (RCT) investigating the effectiveness of direct to consumer mobile teledermoscopy. Methods We undertook a discrete choice experiment (DCE). The DCE comprised 24 choice sets, divided into in two blocks of 12. For each choice set, respondents were asked to make discrete choices between two opt-out choices and two skin cancer screening service options described by seven attributes. A mixed logit model was used to estimate preferences for skin cancer screening services. Consumer preferences weights were used to calculate marginal willingness-to-pay (WTP) for skin cancer screening services. Results The DCE was completed by 113 consumer respondents. Consumers' preference for dermatologist involvement in their diagnosis, increased accuracy, and reduced excisions were all statistically significant in driving choice between service models. Consumers preferred having a professional involved in their skin cancer screening, rather than performing a self-examination. Consumers were only WTP $1.18 to change from a GP visit to mobile teledermoscopy (diagnosis using a phone camera). However, they were WTP $43 to have their results reviewed by a dermatologist rather than a GP, and $117 to increase the chance of detecting a melanoma if it was present from 65-75% to 95%. Conclusion Skin cancer screening services which are delivered by health professionals, rather than skin self-examination, are preferred by consumers. Consumers were willing to pay for their preferred skin cancer screening method, especially if a dermatologist was involved. [ABSTRACT FROM AUTHOR]

The information content of Australian television advertisements is assessed in an operational replication of an empirical study of U. S. television advertising. Comparison of the study results for U. S. and Australian television advertising indicates differences in overall informativeness, the association between informativeness and daily screening time, and the association between informativeness and type of product advertised. [ABSTRACT FROM AUTHOR]

• We assess the importance of environmental certification to consumer purchases of avocados. • Methods used were best-worst scaling, contingent valuation and discrete choice experiments. • Average willingness to pay extra was similar for eco-labelled avocados compared to higher environmental standards. • There was greater support for higher environmental standards. • Results show that the quantum of support is just as or more important than the price premiums. There is substantial evidence that consumers prefer food to be produced at higher environmental standards. There are two main options for improving demand signals for environmentally sensitive production through markets: ecolabels, where consumers can choose to buy differentiated products, and environmental standards, where consumers can opt for higher standards at higher costs. Yet there is limited information about the extent to which consumers would be willing to pay extra and support these options. In this study we apply three separate parallel non-market valuation experiments (best worst scaling, contingent valuation and discrete choice experiments) in a survey of Australian households to identify the level of consumer support for avocados to be produced at higher standards. We estimate both the willingness to pay and the proportion of consumers prepared to support ecolabelling and environmental standard approaches, correcting for quantity changes and factors affecting support. Our case study application is avocado production in catchments of the Great Barrier Reef in Australia, where we find a similar willingness to pay per unit for five star water quality improvements under the ecolabelling option with a discrete choice experiment ($0.22/unit) compared to the environmental standards option assessed with contingent valuation ($0.22/unit). The key insight from our work is that assessing the quantum of consumer support is more important than assessing the price premiums, and that more consumers will support universal higher environmental standards than ecolabelled options. [ABSTRACT FROM AUTHOR]

This article explores whether deregulation of the Australian retail banking sector in the 1980s delivered the enhanced consumer choice that had been promised. Using new data on banking products and their usage, it analyses consumers' ability to select optimal 'frontier' products. It concludes that following deregulation of retail banking, product offerings underwent such tumultuous change that the scope for effective consumer choice was severely constrained. While there were improvements towards the end of the period, progress was not assisted by the banks' strategy of proliferating and re-bundling products. Consequently, the anticipated improvements to consumer choice were slow to arrive. [ABSTRACT FROM AUTHOR]

Background: Public reporting of government funded (public) hospital performance data was mandated in Australia in 2011. Studies suggest some benefit associated with such public reporting, but also considerable scope to improve reporting systems.Methods: In 2015, a purposive sample of 41 expert informants were interviewed, representing consumer, provider and purchasers perspectives across Australia's public and private health sectors, to ascertain expert opinion on the utility and impact of public reporting of health service performance. Qualitative data was thematically analysed with a focus on reporting perceived strengths and barriers to public reporting of hospital performance data (PR).Results: Many more weaknesses and barriers to PR were identified than strengths. Barriers were: conceptual (unclear objective, audience and reporting framework); systems-level (including lack of consumer choice, lack of consumer and clinician involvement, jurisdictional barriers, lack of mandate for private sector reporting); technical and resource related (including data complexity, lack of data relevance consistency, rigour); and socio-cultural (including provider resistance to public reporting, poor consumer health literacy, lack of consumer empowerment).Conclusions: Perceptions of the Australian experience of PR highlight important issues in its implementation that can provide lessons for Australia and elsewhere. A considerable weakness of PR in Australia is that the public are often not considered its major audience, resulting in information ineffectually framed to meet the objective of PR informing consumer decision-making about treatment options. Greater alignment is needed between the primary objective of PR, its audience and audience needs; more than one system of PR might be necessary to meet different audience needs and objectives. Further research is required to assess objectively the potency of the barriers to PR suggested by our panel of informants. [ABSTRACT FROM AUTHOR]

There is strong interest in front-of-pack labels (FoPLs) as a potential mechanism for improving diets, and therefore health, at the population level. The present study examined Australian consumers' preferences for different types and attributes of FoPLs to provide additional insights into optimal methods of presenting nutrition information on the front of food packets. Much research to date has focused on two main types of FoPLs - those expressing daily intake values for specific nutrients and those utilising 'traffic light' colour coding. This study extends this work by: (i) including the new Health Star Rating system recently introduced in Australia and New Zealand; (ii) allowing a large sample of consumers to self-nominate the evaluation criteria they consider to be most important in choosing between FoPLs; (iii) oversampling consumers of lower socioeconomic status; and (iv) including children, who consume and purchase food in their own right and also influence their parents' food purchase decisions. A cross-sectional online survey of 2058 Australian consumers (1558 adults and 500 children) assessed preferences between a daily intake FoPL, a traffic light FoPL, and the Health Star Rating FoPL. Across the whole sample and among all respondent subgroups (males vs females; adults vs children; lower socioeconomic status vs medium-high socioeconomic status; normal weight vs overweight/obese), the Health Star Rating was the most preferred FoPL (44%) and the daily intake guide was the least preferred (20%). The reasons most commonly provided by respondents to explain their preference related to ease of use, interpretive content, and salience. The findings suggest that a simple to use, interpretive, star-based food label represents a population-based nutrition promotion strategy that is considered helpful by a broad range of consumers. [ABSTRACT FROM AUTHOR]