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Health Reform: Opportunities and Challenges

Health Reform: Opportunities and Challenges. Kate Carnell, AGPN 27 June 2008. The bad news: 1 in 5 (4M) with some disability 7.4M overweight ~2.4M of these are obesity 3 in 10 children & young people  diabetes doubled over 20 years  binge drinking, est.$10.8 billion

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Health Reform: Opportunities and Challenges

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  1. Health Reform:Opportunities and Challenges Kate Carnell, AGPN 27 June 2008

  2. The bad news: 1 in 5 (4M) with some disability 7.4M overweight ~2.4M of these are obesity 3 in 10 children & young people  diabetes doubled over 20 years  binge drinking, est.$10.8 billion 9% hosp admns preventable <2% health $ on prevention The good news: 2nd highest life expectancy – 81.4 years  death from cancer, heart disease, stroke & injury World’s highest vaccination rates + 90% of children  smoking rates - 1 in 6  drugs: Marijuana: 17.9% in ‘98 to 9.1% in ‘07 Ice: 3.7% in ‘98 to 2.3% in ‘07  asthma (from 11.6% to 10.3%) Australia’s Health 2008

  3. Australia’s Health 2008 Health spending • $86.9 billion (05-06) • As % of GDP, >UK, =Italy, <US • 45% more per person in 05-06 than 95-96 (after adjusting for inflation) • For Indig Austs, 17% more per person Health workforce • 23% growth for all health occupations • Growth double that of rest of workforce • Primary care (mainly GPs) • 9% lower in 2005 than 1997 • 15% higher in remote than ‘97 • Remote supply • >15% GP FTEs per 100,000 compared to urban • Ageing workforce • 16% +55 yrs in 2006 • 12% +55 yrs in 2001

  4. Regional entities Commonwealth funding State & Territory funding • Monitoring • Planning • Purchasing • Prevention and early intervention • Improving chronic disease management • Reducing hospital admissions

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