FQ 3 Flashcards
What is the role of health care in Australia?
To provide quality health facilities and services to meet the health needs of all Australians.
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-Commonwealth, State and Local Government
-Health insurance funds
-Public and private providers (doctors)
-Institutions (hospitals)
-Community health service
What does health care provide?
-Diagnosis
-Treatment
-Rehabilitation
-Care
What are the two main types of health care facilities/services?
-Institutional
-Non-Institutional
Define Allied Health
Health professionals who are not doctors, dentists or nurses.
E.g. physio, optical, chiro, podiatry
What does institutional care include?
Hospitals:
- Public
- Private
- Psychiatric
Nursing Homes
Ambulances
What does non-institutional care include?
Doctors
Dentist
Specialists
Allied health (ancillary):
- Podiatry
- Optometrist
- Chiropractor
- Physiotherapist
Community and public health
Research organisation
Health insurance/health care
What does public health care include:
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What does private health insurance include:
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Public health care
-Medicare
-PBS
-Pharmaceutical benefits scheme
Private health insurance
-HCF
-NIB
-Bupa
-Medibank
-Teachers health
What does the commonwealth government encompass?
-Policies/legislation
-Finance to state hospitals
-Medicare/PBS
-Health promotion
What does the state government encompass?
-Hospitals (woman’s and mental health, ATSI and dental)
-Health promotion
-Legislation/laws
What does the local government encompass?
-Policies (WHS and community spaces)
-Community health clinics and services
-Support/volunteer groups
What do health care providers cover?
-Institutional
-Non-institutional
Institutional:
-Hospitals
-Nursing homes
Non-institutional
-Community health services
-Medical services
-Health promotion agencies
-Pharmaceutical services
Why did the Australian Government introduce Medicare and Pharmaceutical benefits scheme?
Geographical location and low education rates can decrease access to general health care.
To ensure Australians have more equitable access to health care, services and treatment. The Royal Flying Doctor service is also funded to increase health education, practitioners and services to rural and remote populations, including ATSI specific health care.
The concept of health care expenditure versus expenditure for early intervention and prevention
aims to:
Compare the cost of health care for treatment of disease and illness with preventative
measures.
In Australia, chronic illnesses are identified as one of the biggest contributors to health care
expenditure. Because of this we must implement options for early intervention and prevention
as well as treatment to ensure our health care system is sustainable for years to come.
Define Prevention
Approaches and activities aimed at reducing the likelihood that a disease or disorder will affect an individual, interrupting or slowing the progress of the disorder or reducing disability.
What are the biggest preventative measures in Australia?
- cancer screening
(breast, skin and colon) - immunisation
(flu, whooping cough, measles, cervical cancer)
What determinants are the biggest contributors to chronic disease?
–> What effect does medicare have?
Socioeconomic and sociocultural
The implementation of Medicare aims to decrease inequity for people with low education, language barriers and/or lower socioeconomic status. This is done by improving access to translators for services and decreased cost of medical services and medication (Pharmaceutical Benefits Scheme).
Aim of intervention:
To implement health promotions
(advertising, strategies, policies, laws etc.) which encourage individuals and communities to make
changes to their health behaviours. This in turn can contribute to decreasing the burden of chronic illness,
disease and injury on the health care system.
In 2013 the WHO released a list of ‘best buy’ policies which countries can implement at the primary care
level.
These included:
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- Reduce the impact of tobacco smoking, warning of the dangers and restricting advertising for tobacco
- Alcohol and tobacco tax
- Change eating habits to reduce salt intake and increase healthier diets, increased exercise
- Promotion of cancer screenings (Australia - breast, bowel and cervical)
How much does Australia spend on health care a year?
$160 billion dollars a year and rising
Health care expenditure currently falls into one of four areas:
- Hospital (38%)
- Primary health care (36%)
- Other recurrent expenditure (20%)
- Capital (6%)
What do the following areas refer to?
- Hospital
- Primary Health Care
- Other recurrent Expenditure
- Capital
- Hospital refers to all costs in both public and private hospitals.
- Primary health care is designed to be the front line of health care and includes: GPs, nurses, allied health,
and dental services. - Other recurrent expenditure includes other medical services outside GPs and hospitals, research and patient transport.
- Capital expenditure refers to health infrastructure (building, updating and developing health care facilities.
How much do preventative and early intervention strategies cost in the health sector of Australia?
$2.2 billion a year
This is 1.4% of total health expenditure, with the main expenses going to immunisations, health
promotion and cancer screening programs.
What is the effect of improving medical technology and treatment? How does this relate to medicare?
Provide an example.
Improvements in medical technology and treatment assist in decreasing the burden of disease by improving early detection and treatment of diseases,
illnesses and injuries.
Because of this and the potential to improve health outcomes, specific treatments are continually added to the Medicare benefits scheme.
E.g. cleft lip and palate scheme, Child Dental Benefits
Schedule.