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disease prevention policies in Australia: Chronic Disease

disease prevention policies in Australia: Chronic Disease. Samantha Hobson Bushfire 2000 Lockhardt River. Professor Andrew Wilson Menzies Centre for Health Policy School of Public Health. Global disability-adjusted life year ranks for the top 25 causes in 1990 and 2010.

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disease prevention policies in Australia: Chronic Disease

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  1. disease prevention policiesin Australia: Chronic Disease Samantha Hobson Bushfire 2000 Lockhardt River Professor Andrew Wilson Menzies Centre for Health Policy School of Public Health

  2. Global disability-adjusted life year ranks for the top 25 causes in 1990 and 2010 Source: The Lancet 2012; 380:2197-2223

  3. The Era of Chronic Disease

  4. The recent Reform Agenda • Commissions of Inquiry – • National Health and Hospitals Reform Commission (NHHRC) • Preventative Health Taskforce (PHT) • Primary Health Care External Reference Group • 2020 Summit • State-based reform with emphasis on coordinated care • Is incrementalism our only choice?

  5. Reforms to Action

  6. National Health Reform Commonwealth-state relations Health and Hospitals Reform Commission

  7. Weaknesses Current Prevention ‘System’ • Reflects the broader health system • Fragmented • Loosely coordinated • Multiple and discontinuous funding sources • Largely communicable disease focussed • Largely health system focussed • Poor Continuity of Effort

  8. Current Prevention ‘System’ Strengths • Committed Individuals • Existing infrastructure • Strong NGO sector • Flexibility thru necessity • History of Creativity

  9. National Preventative Health Taskforce 2010 General Strategies • Shared responsibility – developing strategic partnerships • Act early and throughout life • Engage communities • Influence markets and develop connected and coherent policies • Reduce inequity through targeting disadvantage • Indigenous Australians – contribute to ‘Close the Gap’ • Refocus primary healthcare towards prevention

  10. SUPPORTING INFRASTRUCTURE • Social marketing • Data, surveillance and monitoring • National research infrastructure • Workforce development • Future funding models for prevention National Preventative Health Taskforce 2010

  11. Australian National Preventive Health Agency

  12. Prevention, Public Health Policy,and Health Policy.

  13. Australia’s OECD Ranking, Changes 1988 and 2007 (AIHW 2012)

  14. Prevalence of measured obesity for adults aged ≥ 15 years in five OECD countries

  15. What we can expect from Prevention • The principal forms of prevention are very different in concept, cost and dollar yield • Prevention as a cost-saver must be seen in the context of a complex health system • Prevention is principally about keeping people well or health-stable, and not fundamentally about saving costs (though it might).

  16. Role of Policy in CD Prevention • Health Policy • Re-Orientation of Primary Health Care • Social media campaigns • Risk Factor Screening (pharmacies) • Public Health Policy • Smoking restrictions • Television Advertising of Energy Dense Foods to children

  17. Role of Policy in CD Prevention • Food Policy • Taxation Policy • Tobacco and Alcohol taxes • ‘Fat’ Taxes • Building and Environment Policy • Building design regulations • Open/Green Space Planning Laws • Public Transport

  18. Health Policy and Prevention Research at University of Sydney.

  19. Charles Perkins Centre • Mission = To ease the burden of obesity, diabetes and cardiovascular disease by generating collaborative interdisciplinary research and education that translates into real-world solutions.

  20. Charles Perkins Centre Four interlinked domains:

  21. Prevention Research Centre (PRC) • PRC has specialised expertise in population-wide, applied, prevention research • translational and dissemination research • generating evidence on scaled up population-wide prevention programs • The PRC research portfolio includes • physical activity • public health nutrition • obesity prevention • other : tobacco control ; chronic disease prevention.

  22. PRC: aims and objectives • The PRC seeks to achieve excellence and relevance in relation to its research focus areas: • Public health research on chronic disease prevention, including physical activity, nutrition , obesity and tobacco • Applied public health research, specifically assessing prevalence, trends, surveillance system for chronic disease, measurement studies and research translation, population-wide dissemination research • Policy-relevant and technical research for government, non government and international agencies • Development of research methods for prevention and program evaluation and evaluation

  23. The Australian Prevention Partnership Centre • Will... • Strengthen the research base for prevention • Synthesize evidence and make readily available what is known • Help activate an effective and efficient prevention system • Result in.... • A greater appreciation of the value of prevention among governments and the community • Tools, systems and methods to underpin a national prevention system • Internationally significant new research in prevention of chronic disease • New partnerships, collaborations and methods for researchers, policy and program practitioners working together • Increased people capacity

  24. Partners in Collaboration

  25. Thank-you Questions Lena Nyadbi 2013 “Dayiwul Lirlmim” (Barramundi Scales). Musee du quai Branly, Paris.

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