Week 2: Health Care in Australia Flashcards

1
Q

What is the first point of contact with the health care system?

A

Primary health care (non-hospital services)

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2
Q

True or False: Primary health care is the most common point of contact between individuals and health care services?

A

True

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3
Q

Funding of primary health care

A
  • largely private for-profit
  • public subsidised
  • Funded through medicare, PBS, private health insurance, consumer payments
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4
Q

commonwealth role in primary health care?

A

financing through Medicare and PBS

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5
Q

where do patterns of inequity arise in primary health care?

A

increase in consumer demand leads to an increase in consumer payment

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6
Q

link between Social work and primary health care?

A
  • focus on broad determinants of health
  • coordination, integration of services
  • health promotion focus
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7
Q

social work opportunity in primary health care

A
  • navigating complex systems
  • analysis of problems in social environments
  • limited funding base
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8
Q

use of public hospitals is highest for patients where? why?

A

in very remote and/or disadvantaged areas

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9
Q

use of private hospitals is highest for patients where?

A

major cities

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10
Q

increases that result in challenges for public hospitals?

A
  • increase hospitalisations
  • increase ‘sub-acute’ patients
  • increase waiting times to access outpatient services
  • increase focus on expenditure and efficiency and performance reports
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11
Q

Focus of sub-acute services

A

physical/function improvement and quality of life

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12
Q

funding of sub-acute services

A

mix private and public providers

- increasing investment in services

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13
Q

when would someone need palliative care services?

A

serious illness where cure or reversal is no longer possible. controlling symptoms.

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14
Q

true or false. palliative care is just for the person nearing end of life?

A

false. it is also for family, friends.

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15
Q

funding for palliative care?

A

diverse network of formal and informal providers.

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16
Q

rate of hospitalisations for palliative care is increasing or decreasing?

A

increasing.

17
Q

delivery of alcohol and drug specialist services?

A
  • dominated by non-government sector

- can also be provided through primary health care (GP counselling)

18
Q

different kinds of settings for mental health specialist services?

A
  • public and private hospitals
  • community mental health services
  • primary health care services
  • residential and rehabilitation facilities
19
Q

funding of mental health services?

A

medicare, PBS, state Gov.

20
Q

increasing investment in mental health services from where?

A
  • non-gov sector (community support programs)
21
Q

increase in medicare subsidised services may lead to?

A

areas of potential inequity based on age, geography, income

22
Q

delivery of aged care services?

A

array of specialist clinical and non-clinical services

  • hospital and primary health services
  • dominance of non-gov. sector in community delivery
23
Q

in age care services there’s an increasing focus on?

A

community living - home support

24
Q

government spent 74.5$ billion on health care mostly on:

A
  1. public hospitals (29%)
  2. medical specialists and diagnostic tests (18%)
  3. GP (14%)
  4. PBS (14%)
  5. PHI (8%)
25
Q

Funding of health: two major sources of funding?

A
  1. Gov. major funder (68%)

2. Non- gov.

26
Q

major source of funding: Non-gov, how?

A
  • out of pocket (fastest growing area)
  • benefits from PHI
  • third party insurance and compensation schemes
27
Q

3 dimensions of equity

A
  • access (financial, geo., cultural)
  • outcome: differential outcomes
  • financial - 2 key programs (medicare, PBS)
28
Q

issues with equity in the health system

A
  • service fee’s
  • availability of bulk-bill services
  • differences across geo. areas
  • affordability and out-of-pocket costs
  • waiting lists