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A Synthesis of the Outcomes of Four National Rural Health Conferences 1991-1997

A Synthesis of the Outcomes of Four National Rural Health Conferences 1991-1997. (Clark and Martini). 17 Years!. Aim. Collate the Major themes Assess the impact of Conference Recommendations on Government policy. All 8 Conferences Aboriginal Health Policy (strategic reform)

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A Synthesis of the Outcomes of Four National Rural Health Conferences 1991-1997

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  1. A Synthesis of the Outcomes of Four National Rural Health Conferences 1991-1997 (Clark and Martini)

  2. 17 Years!

  3. Aim • Collate the Major themes • Assess the impact of Conference Recommendations on Government policy

  4. All 8 Conferences • Aboriginal Health Policy (strategic reform) • Health and Medical Research

  5. 7 Conferences • Aged Care

  6. 6 Conferences • Workforce: • Education • Recruitment and Retention • Health Services (access and availability) • Health Financing

  7. 5 Conferences • Workforce: • Training • Communication Technology • Undergrad / Postgrad • Local Management (community controlled) • Community Participation • Service Delivery: • Transport

  8. Healthy Horizons (1999) • Improve the Health of Aboriginal and Torres Strait peoples (4) • Maintain a skilled and responsive health workforce (3) • Develop needs-based flexible funding arrangements (3)

  9. 1996-1997 Dept of Health and Family Services • Aboriginal Health • new primary health care services $24m over 4 yrs

  10. Rural Health • $20m Undergrad / Postgrad • $27m over 4 yrs for 6 University Depts of Rural Health (Mt.Isa & Broken Hill) • $1m locum services for docs (conf also calls for nurses) • $4m John Flynn scholarship scheme • $1m nurse practitioners to gain access to training and support

  11. Health and Medical Research • public health research increased to $3.6 over 3 yrs ($9.9m) • Aged Care • $60m new and continuing respite care

  12. Aug 96 and May 97 $3b health expend cut but $150m extra on Rural Health

  13. 1997 – 1998 Health and Family Services • Health W’force crisis identified and acknowledged • Structural and Strategic Reform - $17.4m over 4 yrs to target major Rural and Remote Health Priority Areas • (1997 conference – models of service delivery) • (all conferences focus on research) • (rec across 5 conferences)

  14. $5m pilot study on obstetric services in Rural areas • Continued Support …. • Health and Medical Research to $156m • Focus on Collaboration ….

  15. Aboriginal and Torres Strait Islander Health – funding for community controlled services 1997: Health Framework Agreements signed (conf requested Tasmania and N.T be included)

  16. 1998 – 1999 Health and Family Services • National Injury Prevention framework • Indigenous Australians: $22.6 over 4 yrs for immunisation and STDs • $72m over 4 yrs Primary Health Care Services

  17. $12.4m Public Health Evidence Base • Health &Medical Research $165m • $13m extra for Rural Workforce Agencies ($65m over 4 yrs) – Conf 99 requested multi discip RWAs!

  18. 1999 – 2000 Health and Aged Care • retention payments for rural docs • 30 new Rural Health Service Centres (MPS) • upgrade to Bush Crisis Line • training for Remote nurses • Rural Health now $200m budget up from $70m BUT • AHPs, dental health, pharmacists, health managers

  19. 2000 – 2001 Health and Aged Care • Wooldridge Delivers Largest Ever Country Health Budget: $562m in three sections

  20. More Health Professionals (More Doctors Better Services) MAHS $49.5m (major shift in policy although no direct access to MBS)

  21. Training and Education $162m • 9 new clinical schools • 3 new UDRH (multi discip focus)

  22. More Health Services $185m • assistance for Pharmacies to start up or relocate • chronic disease support • aged care • $30m revitalise bush nursing

  23. 2001 – 2002 Health and Aged Care • Disease Focus (HH) • National Depression Initiative • Practice Nurses • Rural Nursing Scholarships (all welcome in Press Releases BUT not enough) • $40m improve Indigenous access to PHC services • Health Dis-connect

  24. 2002 – 2003 Health and Aged Care • The Continuation Budget • Savings of $1.9b on PBS • Aged Care focus

  25. Does funding clinical schools, UDRHs and Regional Health Services help the desirable move to collaborative Primary Health Care Teams?

  26. 2003 – 2004 Health and Aged Care • Focus on Prevention • Health Funkenected extra $5m

  27. 2004 – 2005 Minister Abbott first budget • Aged Care $6b additional viability for rural homes • Medical Research $200m over 7 yrs • NICS $22.7m

  28. New MBS item for AHP services • New MBS item for Dentists • $9.7m for Consumer and Community involvement in influencing health decisions

  29. 2005 – 2006 Health and Aged Care • Cancer (HH) • Pap smears by practice nurses • $129m more prac nurses • $20.6 over 3 yrs for Rural and Remote nurses training support • $17.2 Rural and Remote Health Workers education and training • $160m Aboriginal and Torres Strait Islander health over a range of initiatives

  30. 2006 – 2007 Health and Aged Care • $905m Medical Research • Programs to align services for communities less than 7000 pop • 400 new med school places • 1000 nursing places • 840 AHWs training • 25 Puggy Hunter Memorial Scholarships

  31. THE KEY MESSAGE

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