FQ 3 Flashcards

1
Q

What is the role of health care in Australia?

A

To provide quality health facilities and services to meet the health needs of all Australians.

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2
Q

-
-
-
-

A

-Commonwealth, State and Local Government
-Health insurance funds
-Public and private providers (doctors)
-Institutions (hospitals)
-Community health service

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3
Q

What does health care provide?

A

-Diagnosis
-Treatment
-Rehabilitation
-Care

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4
Q

What are the two main types of health care facilities/services?

A

-Institutional
-Non-Institutional

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5
Q

Define Allied Health

A

Health professionals who are not doctors, dentists or nurses.
E.g. physio, optical, chiro, podiatry

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6
Q

What does institutional care include?

A

Hospitals:
- Public
- Private
- Psychiatric
Nursing Homes
Ambulances

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7
Q

What does non-institutional care include?

A

Doctors
Dentist
Specialists
Allied health (ancillary):
- Podiatry
- Optometrist
- Chiropractor
- Physiotherapist
Community and public health
Research organisation

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8
Q

Health insurance/health care
What does public health care include:
-
-
What does private health insurance include:
-
-
-
-
-

A

Public health care
-Medicare
-PBS
-Pharmaceutical benefits scheme

Private health insurance
-HCF
-NIB
-Bupa
-Medibank
-Teachers health

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9
Q

What does the commonwealth government encompass?

A

-Policies/legislation
-Finance to state hospitals
-Medicare/PBS
-Health promotion

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10
Q

What does the state government encompass?

A

-Hospitals (woman’s and mental health, ATSI and dental)
-Health promotion
-Legislation/laws

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11
Q

What does the local government encompass?

A

-Policies (WHS and community spaces)
-Community health clinics and services
-Support/volunteer groups

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12
Q

What do health care providers cover?
-Institutional
-Non-institutional

A

Institutional:
-Hospitals
-Nursing homes

Non-institutional
-Community health services
-Medical services
-Health promotion agencies
-Pharmaceutical services

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13
Q

Why did the Australian Government introduce Medicare and Pharmaceutical benefits scheme?

A

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.

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14
Q

The concept of health care expenditure versus expenditure for early intervention and prevention
aims to:

A

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.

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15
Q

Define Prevention

A

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.

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16
Q

What are the biggest preventative measures in Australia?

A
  • cancer screening
    (breast, skin and colon)
  • immunisation
    (flu, whooping cough, measles, cervical cancer)
17
Q

What determinants are the biggest contributors to chronic disease?

–> What effect does medicare have?

A

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).

18
Q

Aim of intervention:

A

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.

19
Q

In 2013 the WHO released a list of ‘best buy’ policies which countries can implement at the primary care
level.
These included:
-
-
-
-

A
  • 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)
20
Q

How much does Australia spend on health care a year?

A

$160 billion dollars a year and rising

21
Q

Health care expenditure currently falls into one of four areas:

A
  • Hospital (38%)
  • Primary health care (36%)
  • Other recurrent expenditure (20%)
  • Capital (6%)
22
Q

What do the following areas refer to?
- Hospital
- Primary Health Care
- Other recurrent Expenditure
- Capital

A
  • 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.
23
Q

How much do preventative and early intervention strategies cost in the health sector of Australia?

A

$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.

24
Q

What is the effect of improving medical technology and treatment? How does this relate to medicare?

Provide an example.

A

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.

25
What emerging technologies are there? (List 6)
- Key Hole Surgery - Joint Replacement - Artificial Organs (Kidneys) - Ultrasound, MRI and 3D Imaging - HVP Vaccine (Cervical Cancer) - Medication for Chronic Disease (HIV and Cancer)
26
When was medicare introduced in Australia and why?
In 1984 to address health inequities and improve the overall health status of Australia by providing health care for all Australians.
27
How does Medicare work?
Medicare subsidises health care so individuals can access hospital care and most primary health expenses. Tax payers contribute 2% of their income to fund Medicare (Medicare levy).
28
How does Australia make private health care more affordable?
Individuals who invest in private health insurance are not required to pay the Medicare levy and receive government rebates towards their insurance.
29
What arguments are there for increasing the funding and support for preventative health strategies? (List 5)
1. Cost-effectiveness — preventing illness and injury would result in huge savings in funds and resources used for acute health care. 2. Improvement to quality of life — the positive health outcomes for individuals that result from prevention include improvements in morbidity rates and longevity — that is, a longer and healthier life. 3. Containment of increasing costs — prevention is the best way of containing the continually increasing costs of health care. Otherwise, these costs could result in adequate health care being unaffordable for ordinary Australians. 4. Maintenance of social equity — a policy of prevention helps to provide greater equity (in the health-care system), which otherwise would be under threat as health costs continue to rise significantly. 5. Use of existing structures — eg GPs prevention activities use existing and accessible community structures (such as general practitioners) rather than relying on special services and technological procedures. General practitioners are in a good position to measure risk factors and educate their patients on illness prevention and health promotion. 6. Reinforcement of individual responsibility for health — the use of prevention strategies empowers people to take control of their personal.
30
Define Medicare
Government funded health to provide basic health cover to all Australians. e.g. accessing a GP or utilising public hospitals
31
What is Bulk Billing
Doctor accept medicare rebate (no change or out of pocket fees for individuals)
32
What is the current medical levy?
The medicare Levy is now 2% for all tax payers. The additonal levy surcharge is for those with higher incomes and can range form 0% to 1.5%
33
Advantages and Disadvantages of Medicare
Advantages: - Provides access to free treatment as a public patient in public hospital - Subsidised treatment by medical practitioners (e.g. GP) - Increases equity and access to service for people of low SES -Broad range of high quality health care provided including emergency health care -Availability of bulk billing Disadvantages: - Long waiting lists for elective surgery - Additional costs and further strains on hospitals - Additional costs to state government - Patients are still required to pay the gap amount - Limitations to the level of choice available e.g.choice of doctors in a hospital -Limits on ambulance use
34
Advantages and Disadvantages of Private Health Insurance
Advantages: - Choice of hospital services and doctors - Health cover while overseas - Private rooms in hospital where available - Subsidised ancillary cover e.g. physiotherapy - Shorter waiting lists for surgery - Decreased demand on public health facilities - Peace of mind Disadvantages: - Can be expensive and not affordable for people of low SES - Premiums are the same for all regardless of whether they use it or not on top of being charged the Medicare Levy - Premiums do not cover all expenses, therfore individuals may still need to pay for the gap amount
35
What reasons for growth of complementary and alternative health products and services are there?
- World Health Organisation Recognition - Growing recognition from eastern cultures - Holistic Nature approach - Addition to ancillary benefits from private health care providers - Societal changes with multiculturalism - Better qualifications enhancing credibility (e.g. uni degrees for chiropractic services) - Regulated better by national bodies
36
What are complementary and alternative medicine?
Complementary and alternative medicine (CAM) refers to healing practices that do not fall within the area of conventional medicine. It encompasses health areas such as chiropractics, naturopathy, meditation, herbalism and acupuncture. Alternative medicine has existed for many centuries, particularly in Asian countries The World Health Organization supports countries in their development of national policies on alternative medicine to study its potential usefulness. Australians are increasingly buying herbal remedies and consulting alternative health-care practitioners
37
What reasons for the growth of complementary and alternative health products and service are there? (List 6)
Greater globalisation and societal trends towards individualism have meant improved access to information worldwide and less acceptance of traditional medical practices * WHO recognition of the usefulness of many alternative approaches and its endorsement of a list of medicinal plants to be used in the preparation of herbal medicines * recognition that alternative medicines are the traditional medicines of the majority of the world’s population * the effectiveness of treatment for many people for whom modern medicine has proved ineffective * the desire of many people to have natural or herbal medicines rather than synthetically produced medicines * the holistic nature of alternative medicine, which is attractive to many people * the strength of traditional beliefs for many cultures * increased migration and increased acceptance by Australians of the value of multicultural influences.