CQ3 DP1 - Health Care in AUS Flashcards
(17 cards)
Syllabus Points - DP1
Health Care in AUS
- Range and types of health facilities
- Responsbility for health facilities and services
- Equity of access to health facilities and services
- Health care expenditure versus expenditure on early intervention and prevention
- Impact of emerging new treatments and technologies on health care, e.g cost and access, early detection
- Health insurance, medicare + private
Health Care in AUS
Organised, financed, and delivered by both public / private sectors
Attempts to provide hospitals / health care facilities for all
Dominated by diagnosis, treatment, rehab but there has been a shift from cure to prevention
Health care roles
Prevention
Promotion
Diagnosis
Treatment
Rehab
Care
Range and types - Classification of Health facilities and services
Institutions
- Hospitals - public, private, mental, nursing home
Non-Institutions
- Med services (doctors / specialists)
- Health related services (dental, physio, optical)
- Pharmaceuticals
- Community Supports - health services and support groups
Range and types - Hospital - Public / Private
Public
- Funded and operated by gov
- Perform more complex surgery
- Allocated a Dr by the hospital
- Free
- Waiting lists for some elective surgery
Private
- Funded by private sector
- Perform more short stay surgery
- Choice of Dr
- Pay for service
- Elective surgery when needed
Range and types - Groups within public / private sector
Commonwealth Govt
State / territory gov
Local gov
Private sector
Community gr2oups
Range and types - Public Sector - Federal / Cmnth gov
Main role for the federal gov is the formation of national health policies
Provides funding for the states and influences their health policies
Operates medicare and PBS
Health promotion
Contributes funds to:
- High Level residential care
- Medical services
- Health research
- Public hospital
- Public Health Activities
Range and types - Public Sector - State / Territory
Reponsiblity for delivering majority of health services lies with state govt
This includes running the hopsitals and developing and enforcing legislation under which hospitals and workers operate
Contribute funds to
- Community health services
- Public hospitals
- Public health activities
Range and types - Principal functions of S/T health authorities
Hospital Services
Mental Health programs
Dental Services
Home / Community Care
Child / Adolescent and family health services
Women’s health program
Rehab programs
Regulation, inspection, licensing, etc
Range and types - Public Sector - Local Gov
Implementing state health policies
Enforcing environmental health / hygiene regulations
Maintenance of recreational facilities
Responsible for community health care centres and services
Range and types - Private Sectors
Private hospital
Dentist
Physio
Alternative Health Care - E.g Chiropractors
Range and types - Community Groups
Promote health with a concentrated / focused area of health
- Cancer Council
- Diabetes AUS
- Asthma foundation
- Carers NSW or Carers AUS
- Sexual Health Services
Equity of Access - Central Aim of a health care system
Should be equity of access for all population groups
Equity of Access - []Medicare
Key component of this aim in providing equal access to all population groups
Pharmaceutical Benefits (PBS) is a govt service, ensuring prescription med is affordable
Is there an Equity of Access?
Medicare does not cover such services like physio, dental, etc
People of Low SES struggle
Hospitals are overcrowded = long waiting times
Access to health is difficult for people living rural and remote areas
Govt attempts to overcome this problems with flying doctor, etc
People from non-speaking backgrounds may find accessing services difficult
Equity of Access - Bulk Billing
Medicare allows some medical practitioners to directly bill medicare for full amount = no expenses for patient
HC expenditure V early int exp -
Allocation of funding for the provision of health services
1. Recurrent Expenditure - Ongoing costs such as salaries (Most funds allocated - 95%)
2. Capital Expenditure - Infrequent / one off costs such as equipment
