Core 1 IQ3: What role do health care facilities and services play in achieving better health for all Australians? Flashcards
Why are health care facilities and services vital in achieving better health for all Australians?
They provide the essential services of diagnosing, treating and rehabbing the ill and injured, as well as preventing illness and promoting health
What are some examples of state and territory services specifically aimed at both the prevention of disease and the promotion of health? (2)
Immunisation programs, anti smoking campaigns
What is the current role of the health care system in Aus?
To provide quality health facilities and services to meet the health needs of all Australians
How has the new public health approach changed the emphasis of health?
Traditionally, health lacked a preventative focus, but this emphasis has been changed with the new public healath approach, to aim to increase health education and promotion, ultimately attempting to prevent illnesses
What are the two different types of care in Aus?
Institutional and non-institutional care
Institutional care - services which provide beds and facilities for overnight care
Non-institutional care - These are non-stay, meaning patients receive treatment and then leave
What are the 3 forms of institutional care in Aus?
Hospitals, Nursing homes
Other services including ambulance (according to textbook, but not according to pdhpe net or improving pdhpe, and it makes sense NOT to include this)
What are the 4 forms of non-institutional care?
- Medical services such as those provided by medical practitioners and specialists
- Health related services; for example dental, optical, pharmaceutical, physiotherapy
- Community and public health services such as supplying health equipment, aids and appliances
- Research organisations such as the National Health and Medical Research Council (NHMRC)
What are the 3 different types of hospitals? Only looking at 2.
Public, private, psychiatric
However, don’t really cover psychiatric hospitals
What are public hospitals?
These are hospitals operated and financed by the state gov and the commonwealth gov. They serve a greater proportion of elderly and very young patients. They also appear to provide more specialised and complex services such as heart and lung transplantsss
What are private hospitals?
These are owned and operated by individuals and community groups. They also provide same-day surgery and perform more short-stay surgery, elective procedures (non-emergency surgery) and less complex procedures involving less expensive equipment such as operations on the ear and mouth
What is the main differences in services/payment provided by private vs public hospitals?
In public hospitals, patients are allocated a doctor by the hospital and are provided with a bed, free of charge. They can also do more complex procedures/surgeries. Medicare covers costs of public hospitals making them more accessible to socioeconomically disadvantaged people
Meanwhile, in private hospitals, the patient may choose their own doctor but must pay for the service and accommodation provided by the hospital and the doctor. Involves less complex surgeries. However, private hospitals require either full payment by the patient or a combined payment using a private health insurer
What is equity?
Allocation of resources according to the needs of individuals and populations. Goal is to achieve equality of outcomes
What is the main issue of equity of access to public hospitals?
Some evidence suggests that private patients have more rapid access to elective surgery such as plastic, ear, nose, throat etc. surgery, than public patients do. Affecting the ability to access elective surgery etc.
also, an individual’s ability to access health care facilities is a reflection of their socioeconomic status, knowledge of tech and services, geographical location etc. A knowledge gap may result in a decrease in equity of access to healthcare
What are nursing homes?
Nursing homes provide care and long term nursing attention for those who are unable to look after themselves, i.e. the aged, the chronically ill, people with dementia, people with disabilities.
What are the 3 types of nursing homes?
Private charitable, private for profit and state government , however the commonwealth gov assumes responsibility for most of the financial cost of running nursing homes in Aus
What has been put in place to ensure that only highly dependent people are placed in residential care?
Aged care assessment teams have been established to be able to achieve this
What are psychiatric hospitals?
These hospitals attempt to treat people with severe mental illness
How has the treatment of those with mental illnesses changed over recent years?
Moved away from institutional care to a system of care that integrates both hospital services and continuing care within community settings
How has the number of public psychiatric hospitals changed over recent years? Why?
Number of public psychiatric hospitals has fallen, which could be attributed to the reduction in extended hospitalisation of people with mental illness. However, there has alsoo been an increase in the number of beds in community based residential services
What are some examples of the range of service provideers for mental health care today? (2)
General practitioners (GPs), private psychiatrists
What are some examples of health related services? (5)
Ambulance work, dentistry, optometry, nursing, speech therapy and more
What are medical services?
services to the community which are based in medicine. Doctors, specialists and other health professionals provide a number of services
WHat is the most extensively used medical service?
GP - 82% of people aged 15+ had seen a GP at least once in 2014
Where do GPs wwork?
Medical centres, hospitals, and many private surgeries
How does Medicare help with payments to a GP?
All Australians are eligible to claim refunds for their payments for medical services outside hospitals. The whole or part of the cost of a GP consultation is reimbursed by Medicare (When whole cost is reimbursed, it is known as bulk billing). However, a GP may decide to charge more than what Medicare provides in some scenarios
Why has the number of consultations with GPs increased over the last two decades?
Attributed to improved access to doctors and the increased promotion and awareness of individual illness prevention strategies such as immunisation
WHat is an example of health related services? (4)
Pharmaceutical, dental, optical and physiotherapy
Are dentists covered by Medicare?
No, and often they require the patients to either pay out of pocket or through their private insurer, however some can claim rebates through Medicare under the Chronic Disease Benefit Scheme, combined with the Allied Health Initiative
However the Child Dental Services Benefit allows free access to public dental services in NSW up to the age of 18
What are most presscription drugs sold in Aus subsidised by?
Through the commonwealth government’s Pharmaceutical Benefits Scheme (PBS)
What does the PBS do?
Through this scheme, the gov subsidises the costs of a wide range of prescription medicines
What is the general patient contribution under the PBS vs those who are concession card holders?
General patient contribution - $30.00 max have to pay
Concession card holders - $7.30 max have to pay
Note: only for PBS covered drugs
What is the purpose of the PBS Safety Net?
This caps the amount a family will pay for PBS subsidised medications in a calender year. The aim is to ensure noone is denied access to medicine they need for financial reasons.
In 2018, it is capped at $1563.50 a year for a normal person.
However, if the person already holds a concession card, they are eligible for a Safety Net card when they have spent $262.8 on prescriptions
A concession card is considered to people with age pensions, disability support pensions etc, attempting to increase equity of access
What are community supports for health?
These are significant in providing an environment which is conducive to positive health. These supports promote health but aren’t recognised as part of the healthcare system.
What is an example of community supports for health? (2)
The food industry implementing policies to ensure the production of food meets health regulations and food safety standards, also displaying nutrition information on food packaging
Another example could include town planners and engineers who provide infrastructure that is safe and promotes positive health such as safe roads, adequate sanitation and sewerage facilities
What are allied health providers? Examples?
a diverse group of clinicians who deliver high-quality care to patients and clients across a wide range of care pathways and in a variety of different settings. However, these providers aren’t normally covered by Medicare. Examples include; physiotherapist, osteopath, chiropractor, psychologists, etc.
What are the 5 levels of responsibility for health care facilities and services?
Commonwealth government
State and territory governments
Private sector
Local government
Community groups
What is the role of the Commonwealth Gov for health care facilities/services? (6)
Predominantly concerned with the formation of national health policies and the control of health system financing through collection of taxes.
Provides funds to the state and territory governments for health care, and influences their health policy making and delivery
Also has direct responsibility for special community services, such as health programs and services for war veterans and the Aboriginal community
Funds Medicare and PBS
Contributes major funds towards certain health projects
Research for health
What are the 5 things that the commonwealth gov contributes major funds to?
High level residential care
Medical services
Health research
Public hospitals
Public health activities
What is the role of the State and Territory governments for health care facilities/services? (3; 5 and 3 and 1)
Provide services such as:
Hospital services
Dental health services
Home and community care
Mental health programs
Women’s health programs
They also provide major funds to:
Community health services, public hospitals, public health activities
Helps carry out health promotion
What is the role of the private sector for health care facilities/services?
Provides a wide range of services such as private hospitals, dentists and alternative health services (i.e. Chiropractors). These services are approved by the Commonwealth Department of Health. Some private organisations such as the Cancer Council receive funding from both state and Commonwealth governments?
What is the role of the Local government for health care facilities/services?
Mainly concern environmental control and a range of personal, preventative and home care services. They include the monitoring of sanitation and hygiene standards in food outlets, waste disposals, monitoring of building standards, immunisation etc.
Although the state health department controls some of these services such as immunisation, local councils are responsible for implementing them.
What is the role of community groups for health care facilities/services? (LOOK AT THE COMMUNITY GROUPS I DID FOR ATSI FOR SAC)
These groups are formed on a local needs basis and established to address specific problems to an area or region. However, where concerns exist nationally, groups are more extensive, usually highly structured and linked in the provision of information, knowledge and support. Examples of prominent groups are Cancer Council NSW
Main role is to raise awareness of specific issues, promoting health and organising support services
For example, the Aboriginal Medical Services Redfern is a healthcare facility, which provides culturally appropriate healthcare to ATSI people. This is important as it recognises the issue that ATSI have high levels of distrust for medical services due to past experiences –> providing care which appeals to ATSI peoples to allow them to access healthcare and improve their healthcare. FUrthermore, it is known that Redfern has many Aboriginals allowing for a good target of population
What is an individual’s ability to access health care facilities and services a reflection of? (6)
Socioeconomic status
Knowledge of available services
Geographic isolation
Cultural and religious beliefs
Lack of funding or equipment
Shortages of qualified staff
What is a factor in the equity of access to health facilities and services? Give an example of this one factor. (3)
Disadvantaged groups will have limited access to certain services. For example, those living in rural and remote areas will have less access to health facilities and service, especially hospital services.
ATSI people have less access to health facilities and services, and also have a lack of trust for them
People with lower levels of education also have less access to health facilities and services which can limit their knowledge regaridng their health needs and ability to navigte the system
How has the Aus gov tried to reinstiute services to provide access to specialists and services in rural and remote areas?
Using services such as the RFDS and Telehealth technology to provide access to specialists and other services which may not have been able to be previously accessed
Allowing for various health information to be displayed in various languages to allow for effective health promotion