All funders increased their expenditure on hospitals between 2002-03 and 2012-13; however, growth in state and territory government funding ($10.6 billion) was almost double that of the Australian Government($5.4 billion). Primary health care spending is shared relatively evenly between Australian Government(about 43.0%) and non-government sources (about 41.0%), with the states and territories playing a relatively small role, over the same period.
For all cancers combined, the incidence rate is expected to increase by 22% from 1982 to 2014, but the mortality rate is estimated to decrease by 20%. Cancer survival has improved over time. Cancer outcomes differ by Aboriginal and Torres Strait Islander status and remoteness area.
The report is accompanied by Cancer in Australia: in brief 2014, which presents a summarised version of key facts and trends from the main report.
"Living Well, A Strategic Plan for Mental Health in NSW 2014-2024" released by the Mental Health Commission
The Strategic Plan sets out actions and future directions for reform of the mental health system in NSW. It asks that the NSW Government recommit to completing the process of reform begun with the Inquiry into Health Services for the Psychiatrically Ill and Developmentally Disabled (Richmond Report) in the 1980s in particular by taking two important steps - closing the remaining stand-alone psychiatric institutions and shifting the focus of mental health care from hospitals to the community.
The Plan does not directly govern the operation of services but instead lays out directions and principles for reform which agencies and service providers must find ways to embed in the supports they offer to people in our community.
The Report and the Plan are companion documents and should be read together.
Download PDF versions of the Strategic Planor read a summary, list of actions or an Easy English version.
The NSW Government has responded to the Strategic Plan with an $115 million commitment to a suite of mental health programs and initiatives that will make it easier for people for people who experience mental illness to live and be supported in the community.
Download PDF versions of the Strategic Plan or read a summary, list of actions or an Easy English version.
Read a media releaseabout the release of the Strategic Plan and the government announcement
Living Well: Putting people at the centre of mental health reform in NSW: A Report honours the many voices the Commission has heard and the stories and insights shared by consumers, their families and carers, and those working in mental health.
This companion report to the Strategic Plan contains many personal stories that bring to life the wide consultation carried out across NSW.
- the mental health system past and present in NSW and its impact on people
- what we already know about the state of mental health and mental health services
- the history of mental health reform, here and overseas, where it has led us and some of the changes already in train
- mental health services through the prism of groups facing issues that further challenge their mental health and wellbeing, such as Aboriginal people, those living in regional and rural areas, people from culturally and linguistically diverse backgrounds, people with intellectual disabilities, lesbian, gay, bisexual, transgender and intersex people, those in the justice system and people also struggling with physical health problems or drug and alcohol issues
- Our understanding of mental health and wellbeing as a life course through 8 journeys that take us from earliest childhood to the last years of a full life lived and that reflect the experiences, challenges, needs, rights and hopes of people at every stage of life.
Download PDF versions of the Report
Read about the language and values that underpin the Strategic Plan and Report.
The Living Well NSW Project is the voice of the people of NSW coming together to share what it means to be Living Well in NSW. Visit the Living Well Project website.
In 2012, 307,474 women gave birth to 312,153 babies in Australia. This was an increase of 10,343 births (3.4%) from that reported in 2011, and a total increase of 21.5% since 2003. Nationally, the proportion of teenage mothers (younger than 20) declined from 3.7% in 2011 to 3.6% in 2011, compared with 4.6% in 2003.
The guideline is the result of a collaboration between the Agency for Clinical Innovation (ACI) and the Gastroenterological Nurses College of Australia (GENCA).
Reposted from HealthInfo Blog
Bacteria can develop resistance to specific antibiotics, meaning that the antibiotic is no longer effective against those bacteria. The inappropriate use of antibiotics has increased the development of antibiotic-resistant bacteria, not only in hospitals and healthcare facilities but also in the community. Antibiotic resistance poses a significant threat to public health because antibiotics underpin routine clinical practice in a variety of healthcare settings.
The Australian Commission on Safety and Quality in Health Care, in collaboration with consumers, clinicians, researchers and health organisations, has developed the Antimicrobial Stewardship Clinical Care Standard and resources to guide and support its implementation.
Reposted from HealthInfo Blog.
Reposted from HealthInfo Blog
Cognitive impairment and its risks are currently under-recognised in Australian hospitals, leading to significant safety and quality issues. However, harm can be minimised if cognitive impairment is recognised and care is tailored to the needs of the patient.
The resources follow a pathway, describing strategies that reflect evidence-based practice and existing models of care. In the resource for health service managers, the strategies are linked to the existing National Safety and Quality Health Service (NSQHS) Standards
The three resources are:
- Action for health service managers
- Action for clinicians
- Action for consumers
Reposted from HealthInfo Blog.
Some of the subjects covered in this very first open access issue include;
- Compassion meditation intervention for people with chronic pain.
- Patient centred care retreats.
- Re-inspiring compassionate caring.
Journal of Compassionate Health Care 2014, 1
With funding from the Fred Hollows Foundation, Menzies School of Health Research has developed the teaching and learning resource, Food and health communication across cultures.
The resource package provides practical guidance to support strength-based approaches, critical reflective practice and the participatory process of health and nutrition communication. It holds potential relevance for a range of health professionals and workers who spend time in remote Indigenous settings, including nutritionists, health promotion staff, health workers and nurses.
Subjects so far covered include Fatigue, Taking medication histories, Quality use of medicines, Adverse event reporting, Case studies and Unlocking asthma technique.
A practitioner resource: Supporting children living with fetal alcohol spectrum disorders: Practice principles has also been published.
Of the 2006-2008 bowel cancer diagnoses in these two groups, non-invitees were found to have a 15% higher risk of dying from bowel cancer than NBCSP invitees, and bowel cancers diagnosed in non-invitees were more likely to be at a more-advanced stage. These outcomes demonstrate that the NBCSP is contributing to reducing morbidity and mortality from bowel cancer in Australia. The report findings also suggest that the screening test has a high degree of accuracy.
The report, Suicide and hospitalised self-harm in Australia: trends and analysis 2010-11, shows that suicides accounted for 2,282 injury deaths in Australia in 2010-11. This is lower than when the number of deaths by suicide peaked at over 2,600 in 1997 and 1998.
'Suicide death rates for males, adjusted for age, have fluctuated at around 20 deaths per 100,000 people between 1921 and 2010,' said AIHW spokesperson Professor James Harrison.
Rates for females were about 5 deaths per 100,000 people per year in most of this period.
Among Indigenous Australians rates of self-harm are about 2.5 times and two times higher than rates for non-Indigenous males and females respectively.
Preventive health is a broad umbrella that includes such disparate services as vaccines for schoolchildren, blood pressure screenings, ad campaigns to discourage binge drinking, and special taxes on tobacco products. What all these programs have in common is an intention to spend money now in order to save money later—catching costly health problems before they arise or when they are less advanced and easier to treat.
However, even the most straightforward early interventions do not always save money over the long term. Something as seemingly basic as a cancer screening, if it is not narrowly targeted at high-risk patients, can fail to save money. In some cases, it can even do more harm than good. Trying to tell whether a preventive health program will be as effective—and cost-effective—as its proponents claim is a difficult task for policymakers and voters.
The report pays attention to health inequality between Indigenous and non-Indigenous Australians, noting that a decline in smoking rates and improvements in maternal and child health are 'green shoots' that indicate efforts to close the health gap are working.
The report states changes made by the Federal Government this year to Aboriginal and Torres Strait Islander affairs, occurred without meaningful engagement with Aboriginal and Torres Strait Islander people, their leaders, or their respective organisations.
The report also calls for action on the constitutional recognition of Aboriginal and Torres Strait Islanders. 'I am heartened by the Prime Minister's strong commitment to closing the gap and by his leadership on constitutional recognition,' Commissioner Gooda said. 'Now is the time to commit to a solid timetable for the referendum.'
Please see the following links for more discussion:
The following link describes the effects in more detail:
We hope that in future, services will no longer insist that service users accept one particular view of their problem, namely the traditional view that they have an illness which needs to be treated primarily by medication.
The report comes at a pertinent time for mental health research; last year the same organisation questioned the value of psychiatric diagnosis altogether. This new document seems to cast doubt on many received wisdoms about schizophrenia, even questioning whether it is an illness
Please see link below for more details:
Noel Bull knows at least 15 rural people who've died of suicide and has been selling his 'Farming in Your Spare Time' calendars to raise money for the support service.
The calendars feature rural images taken by a photographer relative and tips about how to reduce the stress of farming.
See link below for more details:
Project manager Dr Angela Dew has called for a new model for therapy. Please see link below for more details:
It also showed crystal meth or ice to have replaced powder as the most popular form of drug used.
The National Drug Strategy Household Survey reported people living in rural and remote areas in the state were more likely to use methamphetamines, smoke daily or partake in risky drinking behaviour compared to metropolitan areas.
Please see more details of the report at the following link:
A report out yesterday found the suicide rate among young Indigenous people was almost four times the rate of the rest of the population.
Please read more from the article at the following link:
In a joint statement to Fairfax Agricultural Media, Agricultural Minister Barnaby Joyce, Social Services Minister Kevin Andrews, Human Services Minister Marise Payne and Assistant Social Services Minister Mitch Fifield said the government understood the hardship being faced hardworking Australian families.
Please read more from this article at the following link:
Overcoming Indigenous Disadvantage: Productivity Commission report identifies mixed results for Aboriginal and Torres Strait Islander Australians
The report shows there has been an alarming jump in the number of Indigenous people being jailed and self harming, and while life expectancy and child mortality rates have improved, the rates of disability and chronic disease remain high.
Please see the full article at the following link:
A clear message is that for too long Aboriginal and Torres Strait Islander people have been described as having problems that are too big and complex to be solved within communities themselves bu now we are changing the collective story from one of deficit, to one of strength and resilience.
Contact your health library if you have trouble accessing the full text.
They're issues psychiatric nurse Michael Oates knows too well. For the past 26 years, the former Irishman has been driving 1000km a week down dusty roads to provide an outreach service in Victoria's north west.
Please see more info on this article at the following link:
Cardiovascular disease, diabetes and chronic kidney disease: Australian facts: prevalence and incidence (AIHW)
This report on prevalence and incidence provides a comprehensive summary of the latest available data on the prevalence and incidence in the Australian population of these three chronic vascular diseases, acting alone or together. It examines age and sex characteristics and variations across population groups, by geographical location, and by socioeconomic disadvantage.
The module includes a video which explains what information should be recorded and how certain techniques can influence the accuracy of the history obtained. There is also a short role-play scenario and some useful tips. Nurses and pharmacists can earn professional development points by completing the module, which was developed by the Australian Commission on Safety and Quality in Health Care and NPS MedicineWise. You will need to complete a free registration process before you get started.
Reposted from HealthInfo Blog
The Guideline, cosponsored with the American College of Endocrinology and the Obesity Society, targets adults with or at risk of metabolic and endocrine diseases and considers morbidity, mortality, obesity, pregnancy issues, elderly care and malnourishment in making very specific dietary recommendations
Arthritis is the second leading cause of disability and the most common cause of chronic pain in Australia, and the most prevalent long-term health condition, affecting 3 million people or about 15 per cent of the population. This work looks at the extent to which arthritis is associated with disability–who is affected, how people are affected, what helps people cope with their condition day to day, and how support services can be improved.
The factsheets cover a range of issues including bereavement, support and wellbeing for carers, pain, communication and living with a terminal illness.
The NATSISS differs in focus from the National Aboriginal and Torres Strait Islander Health Survey (NATSIHS) but provides reporting on some overlapping content in both surveys, every 3 years. The NATSISS 2014-15 will be conducted from September 2014 through to the end of April 2015.
The main purpose of the survey is to monitor the social and economic wellbeing of Australia's Aboriginal and Torres Strait Islander population. The NATSISS will expand on the information collected about Aboriginal and Torres Strait Islander peoples in previous social surveys to:
- explore Aboriginal and Torres Strait Islander peoples' participation in society and barriers to that participation;
- provide information that is relevant and useful for Aboriginal and Torres Strait Islander peoples in their own decision making and planning;
- allow for inter-relationships between different areas of social concern to be explored;
- provide insight into Aboriginal and Torres Strait Islander peoples' experiences of social and/or economic disadvantage;
- provide comparisons with the non-Indigenous population; and
- measure changes over time.
The following article compares rates of mental health in rural and urban areas, including shortfalls in mental health access within rural populations.
Despite similar rates of reported mental disorders in both rural and metropolitan areas, suicide rates have consistently been found to be higher in rural areas according to the Medical Journal of Australia.
Please see more at the following link which discusses suicide rates in rural Australia:
The ACI Rural Health Network has announce the 2015 Rural innovations Changing Healthcare (RICH) Forum to be held on 18 March.
The forum will be 'virtual' in design, linking 18 satellite groups via videoconference. A call for abstracts for presentations and posters on the forum theme of "collaborative teams" has been issued. Abstracts may be submitted until 1 February 2015 at http://www.aci.health/RICH-Forum-Submission-of-Abstracts-2015/_nocache
For more information see the Facebook page https://www.facebook.com/groups/rich2015/ or contact Jenny Preece
This guideline is designed to help professionals providing care for people with a hip fracture to deliver consistent, effective and efficient care and is available through the Clinical Practice Guidelines Portal.
Effective strategies to strengthen the mental health and wellbeing of Aboriginal and Torres Strait Islander people (Closing the Gap Clearinghouse)
During 2011-12, over 36,000 people aged 15 and over were hospitalised as the result of an injury sustained while playing sport. This represented 8% of all injury hospitalisations during that year. Around two thirds of those admitted to hospital were aged under 35 and over three quarters were men.
The authors of this report express concern that the contribution AHPs make to overall healthcare is undervalued. The different AHP groups include chiropodists, dieticians, music therapists, occupational therapists, orthoptists, paramedics, physiotherapists, radiologists and speech and language therapists. They found that AHPs made up 6% of the NHS workforce in 2013. "We suggest that a better understanding of both the levels of care and the quality of care provided by AHPs will be increasingly important in a financially constrained NHS."
People who would have previously used speed have now turned to ice because it is more readily available and more affordable and occasional users are turning into habitual users.
Please see the link below for more details:
Recovery-oriented practice aims to support people in their personal recovery goals by improving their mental health and wellness, live in a self-directed life, and reach their full potential.
Please see more details of this project at the link below:
From the late 1800’s to the 1970’s, Australia’s Federal and State and Territory Governments, together with church missionaries entered Aboriginal and Torres Strait Islander communities throughout Australia, and began removing their children.
They had no idea the damage and disastrous repercussions their actions would have on Australia’s First People, who not only lost their children, but also their pride, culture and land. This article discusses the resulting Aboriginal suicides which have occurred as a consequence and some measures taken to overcome this.
Please see more at the link below:
Please see more details at the following link:
This report on Mortality presents up-to-date statistics as well as trends on deaths from these chronic diseases. It examines age and sex characteristics, and variations across population groups, including among Aboriginal and Torres Strait Islander people, by geographical location, and by socioeconomic disadvantage.
Lyndon Withdrawal Unit deputy chief executive officer Dr Julaine Allan and Western NSW Local Health District drug and alcohol clinical nurse consultant Melissa Romeo say the release of NSW Bureau of Crime Statistics figures showing a doubling of ice use in rural areas in the last year needs to be measured in the context of overall drug use in the area.
Please see more details at the following link:
The study found 60% of GPs working in the district were of non-rural origin and 40% of rural origin.
Please see more details of article below:
- draw attention to the potential impacts of climate change on health in Australia;
- discuss the policies and issues related to the impacts of climate change on health;
- present prioritised recommendations to decision-makers on policies and practices which may assist mitigation of and adaptation to the most serious of the identified impacts;
- provide guidance which will assist appropriate people and agencies to allocate resources to the highest priority problems; and
- provide a comprehensive list of references which provide reliable evidence about the potential impacts of climate change on health in Australia
Researchers, communities, government and not-for-profit sector band together to improve Indigenous health outcomes
Please see more details at the link below:
The number of injecting drug users who used ice in the last six months has increased from 55 per cent to 61 per cent in the last year, according to the National Drug and Alcohol Research Centre's annual survey released on Monday.
Please see below for more details of this article:
- about 700,000 patients were admitted to Australian public hospitals from elective surgery waiting lists; - 50% of patients were admitted for their surgery within 36 days of being placed on the waiting list and 90% were admitted within 262 days.
The study focused on the physical, mental, emotional and social health of these people, as well as the role of animals in their perceptions of inclusion in their community. The economic impact of animals interacting with older people was also examined and some promising initiatives explored, including one in Victoria and one in NSW. It was acknowledged that research on this topic has been very limited.
Re-Posted from "HealthInfo Blog"
The report recommends more public discussion, including an education campaign, about the limits of health care as death approaches and the need to focus on end-of-life care. It also proposes the widespread adoption of advance care plans that ensure people's desires for the end of life are met. "The baby boomers are growing old and in the next 25 years the number of Australians who die each year will double," Professor Swerissen says. "We need the courage to promote a national discussion about a subject that we might dislike but cannot avoid."
You can also read Swerisson and Duckett's article in The Conversation, A Good death: Australians need support to die at home. It's a good summary of their full report.
Re-Posted from "HealthInfo Blog"
Speaking as part of a mental health special on the ABC's Q&A's program on October 6, Mr Katter said Australia's four big agricultural sectors - sheep, cattle, dairy and sugar cane - were all "going straight down the chute at 100 mile an hour".
Please see more at the link below:
The study, 'Parental sexual offending: managing risk through diversion' published recently by the Australian Institute of Criminology, is by Professor Jane Goodman-Delahunty, a leading researcher at the CSU Australian Graduate School of Policing and Security and the CSU School of Psychology, and doctoral candidate Ms Kate O'Brien at the School of Psychology and Psychiatry at Monash University.
Please see more details of this CSU research at the following link:
Women, work and the menopause: releasing the potential of older, professional women is a report from the Australian Research Centre in Sex Health and Society at La Trobe University and authored by Gavin Jack and colleagues. It explores:
- Older women's health and well-being
- The relationship between menopause-related symptoms and work outcomes
- Actual and desired levels of organisational support for women experiencing menopause
- Work-related and organisational factors that exacerbate or ameliorate women's experiences of menopause in the workplace
- Women's first-hand experiences, beliefs and attitudes towards menopause at work.
Re-Posted from "Health Info Blog"
Some of these "stuff-ups" include using the results of just one study to prove a point, confirmation bias (where we look for studies that confirm what we already believe), confusing the merits of qualitative and quantitative results and giving too much weight to significance and peer review.
Re-Posted from "Health Info Blog"
30 PHNs have been established – more than the expected 20 or 24 – which DoH says will align with Local Hospital Network (LHN) boundaries.
A strong emphasis on the role of PHNs in predominantly assisting general practice is apparent in the overview, with no mention of community pharmacy or aged care.
It states that PHNs will have 5 primary roles, including analysing and planning for the health needs of their local communities; helping general practices to assist patients in avoiding hospital admissions; supporting general practices in safety and quality measures; assisting GPs to use eHealth systems; and purchasing or commissioning clinical services for population health issues such as chronic disease and mental illness.
For Western NSW, one large PHN will be created, incorporating the territory of the Far West Local Health District, The Western NSW Local Health District, plus a large section of the Murrumbidgee Local Health District.
"Intervening early is critical to the success of averting the onset of dementia," says research leader, A/Prof Sharon Naismith of the Brain and Mind Research Institute at the University of Sydney.
See details of current Australian and International research below:
Ms Glass investigated complaints made by the visitors, a group of 443 people who volunteer to protect the rights and interests of people with a mental illness or disability.
See more details at the link below:
“It’s hidden, a bit like any other sort of addiction, and sometimes people don’t speak about the problem for years, until it’s too late,” he said.
Please see more details of article below:
Speaking out: Rural men share their battles and victories with mental health (includes links with individual stories)
The guide was released during the NSW Rural Mental Health Network meeting held at NSW Farmers' head office in Sydney. It brought together a range of agencies to discuss issues surrounding mental health and initiatives being rolled out.
Please see more from the article below:
Osteoporosis is one of several risk factors for minimal trauma fracture, with minimal trauma fracture of the hip being one of the most serious possible outcomes of osteoporosis. Although the rate of minimal trauma hip fracture for people aged 50 and over has decreased over the last 10 years, the number of hip fractures continues to increase due to the increasing number of older adults in Australia.
Around 55% of women in the target age group of 50-69 took part in the program, with more than 1.7 million women screening in 2011-2012. Breast cancer mortality is at an historic low, at 44 deaths per 100,000 women.
In 2012-13, 41% of all separations occurred in private hospitals. From 2003-04 to 2012-13, the total number of private hospital separations increased by 46% from 2.6 million to 3.8 million.
During this period, the number of same-day separations in private hospitals increased 60% from 1.7 million to 2.6 million separations and overnight separations increased 21% from 986,000 to 1.2 million.
There were more than 57,600 palliative care-related separations reported in public and private hospitals in 2011–12. Almost $4.7 million in Medicare Benefits Schedule payments was paid for palliative medicine specialist services in 2012–13.
Government funding of health expenditure fell in real terms for the first time in the decade by 0.6%, largely a result of a decline in Australian Government funding of 1.9%. State and territory government funding was also relatively low, growing just 1.4% in real terms in 2012-13.
In contrast, growth in non-government funding was relatively strong at 9.7%.
The report provides a global knowledge base on suicide and suicide attempts as well as actionable steps for countries based on their current resources and context to move forward in suicide prevention.
Findings at the national level included :
* One in ten(11.1%) Aboriginal and Torres Strait Islander adults had diabetes. This comprised 9.6% with diagnosed diabetes and 1.5% with diabetes newly diagnosed from their test results.
* A further 4.7% were at high risk of diabetes according to their blood test results.
* Two in three (65.3%) had at least one risk factor for cardiovascular disease, that is, they were taking cholesterol-lowering medication or had one or more of high total cholesterol, lower than normal levels of HDL (good) cholesterol, high LDL (bad) cholesterol or high triglycerides.
* Nearly one in five (17.9%) had signs of chronic kidney disease.
Disease indicators more than doubled for Indigenous Australians living in remote areas.
Stillbirths in Australia 1991-2009, is the first national report on stillbirths and examines the association between maternal, pregnancy and birth factors with stillbirth.
In Australia a 'stillbirth' is defined as the birth of a baby who shows no signs of life after a pregnancy of at least 20 weeks gestation or weighing 400 grams or more. In 2009, 2,341 babies were stillborn, accounting for almost three quarters of perinatal deaths. Congenital anomalies, or birth defects, are the most common cause of stillbirth in Australia, accounting for 21% of all stillbirths.
From 1991 to 2009, the stillbirth rate in Australia was between 6.4 and 7.8 per 1,000 births. The risk of stillbirth occurring between 28 and 41 weeks gestation dropped between 1991 and 2009, however there was an increase in the risk of stillbirths from 20-27 weeks.
Stillbirth rates have improved among Indigenous women-dropping from 15.5 per 1,000 births from 1991 to 1994 to 12.3 per 1,000 births from 2005 to 2009, but these rates are still higher than for non-Indigenous women.
To facilitate this enhanced online offering the name of the website has changed to healthdirect Australia. The website's content has increased to include the promotion of nurse triage and after hours GP helplines in addition to the existing health information and services. Company information has also been included.
Resources available include : Conditions, Symptoms, Healthy Lifestyle Advice, and information pertinent to certain Life Stages