australian healthcare system Flashcards
(16 cards)
list the 6 comptency statements of the ADC
- professionalism
- comms + leadership
- critical thinking
- health promotion
- scientifuc yand clinical knowledge
- patient care
outline the roles of the federal, state and local governments in the provision of healthcare in australia
federal
- hospital funding
- medicare
- pharmaceutical benefits scheme [PBS]
- support to states and territories
- implements national law/regulations
state
- main provider of public health service
- hospitals + funding
-funding of vaccination programs, public dental clinics, ambulances, pt transport
- premise accreditation, health industry regulations
local
- waste collection, infection control
- health promotions, sport and recreation, aged care
when were MBS and PBS introduced in australia
medicare benefits schedule
1st feb 1984
governed by The Human Services (Medicare) Act 1973
paid by fed.gov.
pbs
1948
governed by National Health Act 1953
distinguish between the 3 levels of healthcare
- hospital
- primary
- first point [often outside hospital system]
- incl dentists, GPs, allied health professionals, community health centres
- accounts for more than 1/3 of total health expenditure - secondary
- specialists
- gateway to wider health system through referral system from primary hc providers
list 3 restricted not for profit healthfunds
defence health
teachers health
navy health
outline FIVE improvements to indigenous healthcare
- ^ in # services providing primary care
- ^ in women accessing antenatal care in their first trimester
- ^ immunisation rates for children [majority being fully immunised at 5yrs]
- ^ in rate of health checks and uses of GPs for chronic diseases
- ^ access to hospital procedures [however they’re still less likely to receive medical/surgical procedure than non-indigenous]
describe the health expenditure on first nations people
burden of disease/overal mortality = 2x that of non-indigenous
avg health expenditure = 1.5x more than non indigenous australians
in 2019-2020 excl medications = $9619/indigenous person of which 55% was spent on hospital services, compared to $6473/non indigenous person
list government funded commonwealth programs
- medicare benefits schedule [MBS]
- pharmaceutical benefits schedule [PBS]
- australian healthcare agreements [AHCA]
- private health insurance rebate
- residential aged care
- veteran’s health insurance
outline the objective of the MBS program
universal public health insurance scheme , major elements
- free tx for pub pt in pub hospitals
- payment of benefits/rebates for professional health services, listed under MBS
- subsidisation for prescription medicines listed under PBS
aims to
- provide all aus access to adequate, affordable healthcare
- MBS is also supplemented by social welfare arrangments and income support payments
three parts
1. hospital
2. medical
3. pharmaceutical
outline where the funding of healthcare is derived from
all lvls of gov + non-gov sector have some role in funding + administering or providing care for older people
outline why both the federal and state governments have overlapping responsibilities in the health industry
initially, the only commonwealth healht power was in quarantine
1946 - constitution amended to enable the commonwealth to provide health benefits/services W/O altering the powers of the state
hence overlapping powers however
federal = leadership role in policy making and national issues like public health, reserach and info managment
state = delivery + managment of public health services + regulating/maintaining direct relationships w health professionals
outline types of commonwealth dental health schemes
child dental benefits schedule [CDBS]
- access up to $1132 in benefits over 2 consec calender yrs for children under 18
commonwealth dental health program [CDHP]
- discontinued [change of gov]
- for holders of health care cards, pensioner concession cards, other eligible cards
- access to free/subsidised public dental services for low income adults/children
department of veteran’s affairs
[DVA]
- dental funding for eligible veterans
the peak consultative body between the 2 lvls of government is
australian health minister’s conference [AHMC]
list healthcare outcome inequalities
- lower SES
- gender
- ethnicity
- social connectedness
- accessibility
- public perception
the peak advisory and supporter of health/medical research is
the national health and medical research council [NHMRC]
- independent body
- funded by commonwealth
list three ways that laws are made
- parliaments passing acts known as statute law
- delegated legislation made by executives under the authority of parliament + statute law
- common law = courts interpreting the law, considering precedence for a case-by-case decision
