The report, Two Hearts One Future, led by the Baker IDI Heart and Diabetes Institute and sponsored by AstraZeneca, revealed that many heart attack survivors underestimate their risk of having a future heart attack, and fail to follow their GP's advice or attend rehabilitation (carers maintain that around half of survivors do so). Conversely, carers appear to be more deeply affected post-event, carrying a greater emotional burden and expressing concern that nearly half of survivors (45%) hadn't taken responsibility for their future heart health.
According to Professor Simon Stewart, Head of Preventative Cardiology at Baker IDI, the study serves as a major wake up call to Australians living with coronary heart disease (the primary underlying cause of heart attack) and highlights the need for more effective secondary prevention and ongoing support programs for heart attack survivors.
"The findings suggest that heart attack survivors are failing to make the necessary lifestyle changes to mitigate their risk of a repeat heart attack," said Professor Stewart.
"Nearly one in four people who are fortunate to survive a heart attack will go on to have another episode or require medical intervention. Within a year, one in 11 of these people will die. But despite the odds, many of the survivors we surveyed weren't following optimal care strategies. I think we need to place greater emphasis on patient education, supported by innovative strategies such as telephone support and in-home care," he added.
Feature Articles include :
*Professor Chris Baggoley : The challenge of chronic disease - a Chief Medical Officer's perspective
*Pat Anderson: Prevention in Aboriginal and Torres Strait Islander health
*Stephanie Alexander : Growing, cooking, eating and enjoying good food
*Mayor Felicity-Ann Lewis: Local government's role in prevention
*The Hon Justice Annabelle Bennett: Prevention of chronic disease creating evidence for action
*Associate Professor Leslie E Bolitho : Improving access to specialist care in the community
There are also a large number of case studies (including several from Indigenous settings), as well as statistical figures and tables.
A Life without Stigma concludes that a national strategy to tackle stigma and discrimination associated with mental illness is vital, and should be a non-negotiable component of mental health policies and plans.
This conference contains several presentations on Indigenous health, and several on rural primary health care. Other conference themes included migrant & refugee healh, preventive health, mental health services and healthy ageing.
* Nearly one in five felt that life is hardly worth living.
* Nearly one in 10 thought about taking their own life.
* 42 % experience psychological distress.
* Unemployment and moderate to very high levels of psychological distress trigger suicidal thoughts and behaviour.
The research also identifies new methods of engagement with young men via technology that matches their current usage and behaviour online, offering new hope for improving their mental health and wellbeing.
Young men with moderate to very high levels of psychological distress were more likely to:
*Talk about problems on the internet, with 66% finding it helpful.
* Use the internet to find information for a mental health, alcohol or other substance abuse problem (48%).
* Be somewhat to very satisfied with the information they received online (95%).
Young men who reported higher levels of psychological distress were more likely to access health information, listen to (or download /upload) music and play games with others on the internet.
Prisoners have significant health issues, with high rates of mental health problems, communicable diseases, alcohol misuse, smoking and illicit drug use. 38% of prison entrants have been told they have a mental illness, 32% have a chronic condition. 84% are current smokers, but almost half of them would like to quit. 37% of prisoners about to be released said their health was a lot better than when they entered prison.
Over the next 10 years, projected funding for health programs specifically designed and targeted to Aboriginal and Torres Strait Islander people is estimated to be around $12 billion from 2013-14 to 2023-24. This $12 billion is in addition to health services provided and funded for the whole population through the Commonwealth's commitment to hospital funding, Medicare and the PBS, and other multi-billion dollar investments being made by the Commonwealth to improve the social determinants of health, including for education, employment and housing.
The four principles of the Health Plan are:
* Health Equality and a Human Rights Approach
* Aboriginal and Torres Strait Islander Community Control and Engagement
The Health Plan is accompanied by a supporting Companion Document, which outlines the substantial current Commonwealth activity in Aboriginal and Torres Strait Islander health and the social determinants of health. The Companion Document will be updated annually.
Visit https://at-ease.dva.gov.au/professionals/ for information.
The House of Representatives Standing Committee on Health and Ageing has released its report Thinking Ahead: Report on the inquiry into dementia: Early diagnosis and intervention. The 17 recommendations include :
* A national public awareness campaign to aid recognition of early signs of dementia and to reduce stigma.
* Establishment of a national dementia training program for GPs
* A review of MBS items to determine whether new items need to be added for appropriate support.
* Training for rural primary care providers to implement timely diagnosis and treatment
* The implementation of Clinical Nurse Specialists in dementia, and a Cognitive Impairment Identifier in public hospitals
Funded by The Lowitja Institute, LIt.search provides easy access, as simple as clicking a hyperlink, to the Aboriginal and Torres Strait Islander health literature in PubMed.
The project was led by Associate Professor Jennifer Tieman and Dr Ruth Sladek with the project team including Raechel Damarell and Mikaela Lawrence, all of whom work for Flinders Filters at Flinders University. LIt.search adds to a suite of search filters developed by CareSearch and Flinders Filters in areas of national significance.
LIt.search features 27 topic searches of importance to Aboriginal and Torres Strait Islander health. These pre-written searches combine with the search filter on topics ranging from health services to risk factors. A build your own search feature makes it easy to narrow to your area of interest.
The benefits of a search filter include: it is open access, it is easy to use, it saves time and it was developed using evidence based methods ensuring quality.
Between 2000-01 and 2008-09, health-care expenditure allocated to diabetes increased by 86% from $811 million to $1,507 million. The health-care sector where the largest increase took place was hospital admitted patients for which expenditure more than doubled in this period. Type 2 diabetes accounted for 60% of diabetes expenditure in 2008-09.
Elective or planned surgery is defined as any form of surgery that a patient's doctor believes to be necessary and can be delayed by at least 24 hours. Examples are hip replacement, cataract extraction and breast surgery. In 2011-12, approximately 210,000 patients had elective surgery in over 270 public hospital operating theatres in New South Wales. The cost of elective surgery within hospitals is estimated to be $1.3 billion each year or about 17% of NSW Health's inpatient hospital services budget. Across the NSW public hospital system, 45% of all admissions to operating theatres are for elective surgery, 27% for emergency procedures and 28% for non-surgical procedures such as endoscopies. This balance in individual hospitals varies, as does the range and complexity of the surgical procedures undertaken.
Over the last 3 financial years elective surgery numbers have grown by 6%. Public hospitals are now treating patients from waiting lists substantially within national clinical timeframes. However, NSW Health is not meeting its 3 key elective surgery efficiency targets for theatre utilisation, cancellations on the day of surgery and first case starting on time. There is also wide variation against these efficiency targets between LHDs and hospitals of similar types across New South Wales.
The research being conducted by the Centres covers: access to care, microsystem integration, Indigenous chronic disease care, the prevention and management of chronic diseases in rural and remote populations, urban Aboriginal child health, the finance and economics of primary care, primary oral health care, and obesity management and prevention.
Policy Evidence Briefs and Health Policy Issue Briefs are available online. They are short, easy to read, objective publications for policymakers that synthesise and interpret the evidence in an area of health policy.
Latest in the Health Policy Evidence Briefs is "Accreditation of health services: is it money and time well spent? ". Other recent topics include midwifery led models of care, schizophrenia and alcohol warning labels.
About the Deeble Institute
The Rural and Remote Health Workforce Innovation and Reform Strategy outlines multiple strategies that, if implemented, will redress this health and health workforce imbalance.
The strategy focuses on key areas including: capacity and skills development, leadership, workforce policy and planning, workforce funding and regulation, and workforce reform targetted at more effective, efficient and accessible service delivery.
The RRHWIR strategy complements the National Health Workforce Innovation and Reform Strategic Framework for Action 2011-2015, the National Strategic Framework for Rural and Remote Health 2012 and the findings of Health Workforce 2025 Doctors, Nurses and Midwives.
*designed to assist health professionals produce, manage and use high quality health records that are fit for a range of purposes including safe clinical decision making, good communication with other health professionals, trustworthy partnerships with patients and effective continuity of patient care.
*applicable to all health professionals operating in the Australian primary healthcare sector whether as solo practitioners, members of single-discipline practice teams, members of multidisciplinary practice teams or members of larger organisations.
*comprehensive in covering electronic health record systems, paper-based health record systems and hybrid health record systems and describes a set of core principles and practical examples to illustrate particular principles in day-to-day clinical practice.
Ms Plibersek said the website (www.medicarelocals.gov.au) shows a map of Australia split up in to the 61 Medicare Local regions. By clicking on a region, patients are taken to a page which displays health services provided by the Medicare Local and a list of frontline health workers employed by the service, including total staffing numbers. Links are also provided to the individual websites of Medicare Locals.
Western NSW Medicare Local website
Far West NSW Medicare Local website
These care transitions are also therefore a source of preventable additional health care expenditure, due to factors such as preventable hospital readmissions and redundant tests. The Integrated Care Working Group (ICWG) of the National Lead Clinicians Group (LCG) commissioned the Australian Primary Health Care Research Institute (APHCRI) to undertake a review of evidence and policy around patients' transitions between the primary and acute sectors.
Patient Safety - handover of care between primary and acute care examines clinical and non-clinical issues, cost saving opportunities and experiences both in Australia and overseas.