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Identifying priority health issues
Priority Health Issues
Health care facilities and services
Actions to address health priotities
100

Measures of epidemiology

Mortality, Infant Mortality, Morbidity, Life Expectancy

100
TWO groups experiencing health inequities
  • Aboriginal and Torres Strait Islander peoples 
  • socioeconomically disadvantaged people 
  • people in rural and remote areas 
  • overseas-born people 
  • the elderly 
  • people with disabilities
100

THREE (3) benefits of private health insurance

- payment of the gap

- doctor and hospital choice

- payment of ancillary services

- travel insurance

- decreased wait time

- private rooms in hospitals

- security, protection, peace of mind

100

The THREE (3) Social Justice Principles

- Equity

- Diversity

- Supportive Environments

200

Top FIVE (5) causes of mortality

  • Coronary heart disease 
  • Dementia and Alzheimer disease 
  • Cerebrovascular disease (stroke) 
  • Lung cancer 
  • Chronic obstructive pulmonary disease
200

Determinants of Health

- Sociocultural

- Socioeconomic

- Environmental

- (Individual)

200

THREE (3) reasons health care expenditure is increasing

- Population increase

- Inflation 

- Aus wealth (increase cost of living in Aus)

- Medical research and technology

- Ageing population

200

Action Areas of Ottawa Charter

- BHPP

- CSE

- DPS

- RHS

- SCA

300

Ways to identify priority health issues

  • Social Justice principles 
  • Priority Population Groups 
  • Prevalence of the condition 
  • Potential for prevention 
  • Cost -Individual and Community
300

FIVE (5) groups at risk of CVD

  • Tobacco smokers 
  • Family history 
  • People with hypertension 
  • People who consume a high fat diet 
  • Over 65 year-olds 
  • Males 
  • Blue collar workers
300

Area in which most funding is spent

Hospitals - curative approach

300

Major partnerships in health promotion

- Government

- Non-Government Agencies

- Local Community

- Individuals

400

Top FIVE (5) leading burdens of disease for general population

  • Cancer 
  • Cardiovascular disease 
  • Musculoskeletal disorders 
  • Mental disorders 
  • Injuries
400

Nature of health inequities for SED (at least 5)

  • Lower life expectancy 
  • Higher infant mortality rates 
  • Higher mortality from all causes 
  • Higher smoking rates  
  • More inactive 
  • Higher rates of obesity 
  • Higher blood pressure 
  • Use preventative health services (immunisation, dental check ups, pap smears etc.) less 
  • Higher rates of chronic conditions diabetes, CVD, arthritis, chronic kidney disease, lung cancer, chronic obstructive pulmonary disease
400

THREE (3) Commonwealth Government primary funding contributions

- Medicare

- PBS

- Health research

- Indigenous community-controlled health organisations

- State/territory public hospitals

- National health programs

400

THREE (3) NSWRSS initiatives - linked to Ottawa Charter AA

- Ride to live (RHS/DPS)

- Mobile phone cameras (RHS/BHPP)

- 40km school zones (CSE/RHS/BHPP)

- ANCAP Safety ratings (CSE/DPS)

- Nominate a speed camera (SCA)

- Partnerships with councils (SCA)

- Flashing lights in school zones (RHS)

- Double demerits (RHS/BHPP)

Others??

500

FIVE (5) things epidemiology DOES NOT do

  • Provide REASONS for illness and death 
  • Show significant variations in the health status among subgroups (e.g. Aboriginal compared to non-Aboriginal) 
  • Indicate quality of life e.g. distress, impairment, disability, handicap 
  • Does not account for health determinants (social, economic, environmental, cultural) 
  • Data limitations e.g. Reliability, sources of information, collection, standardised surveys
500

The growing and ageing population has a major impact on:

(4 areas)

  • the health system and services 
  • health service workforce 
  • carers of the elderly 
  • volunteer organisations
500

FOUR (4) roles of Local Governments

- immunisation

- community services

- maintaining sanitary environments

- maintaining public areas

- water supply

- development of recreational facilities

- ensuring cleanliness of food storage/preparation in shops/restaurants

500

THREE (3) Closing the Gap initiatives - linked to Ottawa Charter AA

- Mum's and Bubs program (DPS)

- Local alcohol and drug treatment services (DPS)

- Housing for Health programs (CSE)

- CTG Statement of Intent (SCA)

- National Partnership Agreement (BHPP)

- Funding directed towards housing (CSE/RHS)

- Aim to halve the gap in reading, writing and Yr12 attainment (DPS)

- Aboriginal Community Controlled Health Services - ACCHS (CSE/SCA)

- Directing funding to education, schooling, communities (RHS)

Others??