1 / 31

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)

haroldburke
Download Presentation

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

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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

More Related