Chapter 6 Flashcards

1
Q

What does Medicare cover

A
  • Consultation fees for GP’s and Specialists
  • X-rays
  • Pathology tests
  • eye tests by optometrists
  • Treatment in a public hospital
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2
Q

What does Medicare not cover

A
  • Cosmetics
  • Glasses
  • Pharmaceuticals
  • Ambulance
  • Home nursing care
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3
Q

Advantages of Medicare

A
  • Choice of doctor for out-of-hospital services
  • Available to all Australian citizens
  • Reciporical agreements with other countries
  • Medicare safety net
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4
Q

Disadvantages of medicare

A
  • No choice of doctor for in-hospital treatments
  • Waiting lists
  • Doesn’t cover alterniative therapies
  • Gap
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5
Q

How does a new drug enter the PBS

A
  1. Drug must be assessed by PBAC (advisory comittee) for effectiveness and cost effectiveness
  2. Government must agree to fund it
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6
Q

Describe the NDIS

A

The NDIS is a national insurance scheme that provides services and support for people with permanent, significant disabilities and their families and carers.

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7
Q

How to be eligible for NDIS

A
  • Aged under 65 when applying
  • Must live in Australia and be an Australian citizen or hold a permanent visa
  • Meet disability requirements
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8
Q

Define private health insurance

A

PHI is a type of insurance under which members pay a premium in return for payment towards health related costs not covered by medicare.

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8
Q

PHI incentives

A
  • Private Health Insurance Rebate
  • Lifetime Health Cover
  • Medicare Levy Surcharge
  • Age-Based Discount
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9
Q

Private health insurance Rebate

A

Income tested rebate on premiums

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10
Q

Lifetime Health Cover

A

People who take out PHI after the age of 31 pay an extra 2 % on premiums for every year over 30

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11
Q

Advantages of PHI

A
  • Choice of doctor in hospital
  • Shorter waiting times
  • Incentives
  • Enables access to private hospital care
  • Alternative treatments
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11
Q

Age-based Discount

A

2% reduction in premiums for each year that the person is aged under 30, up to 10%

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12
Q

Disadvantages of PHI

A
  • Costly
  • Gap
  • Qualifing periods
  • Confusing
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13
Q

Key considerations of a sustainable health system

A
  • Funding and regulation
  • Efficient health system and workforce
  • Disease prevention and early intervention
  • Research and monitoring
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14
Q

What is an accessible health system

A

One that ensures all people recieve timely quality health care, based on need, not ability to pay, geographic location, or SES group

15
Q

How is geographical access increased

A
  • Royal flying doctor service
  • Rural retention program (bribery)
16
Q

How is culturally appropriate healthcare increased for Indigenous Australians?

A
  • Close the gap (more training for ATSI)
  • Indigenous health initiative (bribery to make healthcare appropriate)