Monday, 20 November 2017
Spatial variation in Aboriginal and Torres Strait Islander women's access to 4 types of maternal health services
Access to services
The study examined the geographic access of Indigenous women of child-bearing age (15–44) to 4 types of on-the-ground maternal health services: hospitals with a public birthing unit; Indigenous-specific primary health-care services (ISPHCSs); Royal Flying Doctor Service clinics; and general practitioners (GPs). Using 1 hour drive time boundaries around these locations and population counts from the 2011 Census at a range of geographic levels (SA2, remoteness, jurisdiction), the study found:
* approximately one-fifth (25,600 or 21%) of Indigenous women of child-bearing age lived outside a 1 hour drive time from the nearest hospital with a public birthing unit
* nearly all (97%) Indigenous women of child-bearing age had access to at least 1 type of maternal health service within a 1 hour drive time. The lowest levels of access were for women in Very remote and Remote areas, where 84% and 93%, respectively, had access to at least 1 type of service.
* Indigenous women of child-bearing age in Major cities, Inner regional and Outer regional areas had more types of services available to them within a 1 hour drive time than did women in more remote areas. Thus, they had more choice in which service they use.
Association with area-level maternal risk factor and birth outcomes
Examining possible associations between geographic accessibility to services, maternal risk factors and birth outcomes at the Indigenous Region level, the study found that poorer access to:
* GPs was associated with higher rates of pre-term birth and low birthweight
* ISPHCSs with maternal/antenatal services was associated with higher rates of smoking and low birthweight
* hospitals with public birthing units was associated with higher rates of smoking, pre-term birth and low birthweight
* at least 1 service was associated with higher smoking rates and higher rates of pre-term delivery and low birthweight.
Download report: Spatial variation in Aboriginal and Torres Strait Islander women's access to 4 types of maternal health services<https://www.aihw.gov.au/reports/indigenous-health-welfare-services/spatial-variation-4-types-maternal-health-services/contents/table-of-contents>
Thursday, 9 November 2017
The project, funded by the National Mental Health Commission, and conducted by the Australian College of Mental Health Nurses (ACMHN), reveals that clinical factors stand in the way of achieving a restraint-free environment in mental health care.
Read more at: https://indaily.com.au/news/local/2017/11/08/roadblocks-mental-health-care/
Member for Maranoa David Littleproud said distance was one barrier for those in the bush, which had now been removed.Mr Littleproud said a new telehealth initiative was available for people living in rural and remote areas, improving access to psychological services."I often hear travel times and the fear of others knowing you're receiving help stops people from putting up their hand for assistance - so that's why we've introduced this new service to improve mental health access,” he said.
See more at: https://www.warwickdailynews.com.au/news/greater-support-for-mental-health-in-the-bush/3260006/
Thursday, 26 October 2017
This report focuses on trends in deaths due to injury and poisoning that occurred over the period 1999-00 to 2011-12.
The age-standardised rate of injury deaths decreased from 55.4 to 47.2 deaths per 100,000 between 1999-00 and 2004-05 and changed little after that. Rates of injury deaths involving transport injury and homicide declined from 1999-00 to 2009-10, while rates for most other external cause groups fluctuated over this period. Rates for suicide deaths declined from 1999-00 until 2004-05 and remained relatively steady thereafter.
Rates for Aboriginal and Torres Strait Islander people were generally at least twice as high as rates for non-Indigenous Australians over the period from 2001-02 to 2011-12.
Download report: Trends in injury deaths, Australia 1999-00 to 2011-12<https://www.aihw.gov.au/reports/injury/trends-in-injury-deaths-australia-1999-00-to-2011/contents/table-of-contents>
This report presents trends in fall related hospital care for people aged 65 and older from 2002-03 to 2012-13. There was a decrease in the rate of hip fractures due to falls (-2% per year) between 2002-03 and 2012-13. In contrast, falls resulting in head injuries increased at a particularly high rate (7% per year).
Download report: Trends in hospitalisations due to falls by older people, Australia 2002-03 to 2012-13<https://www.aihw.gov.au/reports/injury/hospitalisations-due-to-falls-older-people-2012-13/contents/table-of-contents>
Tuesday, 24 October 2017
Download report: Australian health expenditure-demographics and diseases: hospital admitted patient expenditure 2004-05 to 2012-13<https://www.aihw.gov.au/reports/health-welfare-expenditure/australian-health-expenditure-demographics-disease/contents/table-of-contents>
Friday, 20 October 2017
These reports give the latest information on how Aboriginal and Torres Strait Islander people in each state are faring according to various measures of health status and outcomes, determinants of health, and health system performance.
Indicators are based on the Aboriginal and Torres Strait Islander Health Performance Framework.
The reports highlight the main areas of improvement, and continuing concern.
Aboriginal and Torres Strait Islander Health Performance Framework 2017 report: New South Wales<https://www.aihw.gov.au/reports/indigenous-health-welfare/health-performance-framework-2017-nsw/contents/table-of-contents>
Aboriginal and Torres Strait Islander Health Performance Framework 2017 report: Queensland<https://www.aihw.gov.au/reports/indigenous-health-welfare/health-performance-framework-2017-qld/contents/table-of-contents>
Aboriginal and Torres Strait Islander Health Performance Framework 2017 report: South Australia<https://www.aihw.gov.au/reports/indigenous-health-welfare/health-performance-framework-2017-sa/contents/table-of-contents>
Aboriginal and Torres Strait Islander Health Performance Framework 2017 report: Victoria<https://www.aihw.gov.au/reports/the-health-welfare-of-australia-s-aboriginal-torres-strait-islander-peoples/health-performance-framework-2017-sa/contents/table-of-contents>
Aboriginal and Torres Strait Islander Health Performance Framework 2017 report: Western Australia<https://www.aihw.gov.au/reports/indigenous-health-welfare/health-performance-framework-2017-wa/contents/table-of-contents>
All reports are available to purchase hard copy, AIHW catalogue numbers at links above.
Monday, 16 October 2017
National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017-2023
The framework is designed to complement the Fifth national mental health and suicide prevention plan and contribute to the vision of the National Aboriginal and Torres Strait Islander health plan 2012-2023.
The framework was developed under the auspices of the Aboriginal and Torres Strait Islander Mental Health and Suicide Prevention Advisory Group, co-chaired by Professor Pat Dudgeon and Professor Tom Calma AO.
National Strategic Framework for Aboriginal and Torres Strait Islander Peoples' Mental Health and Social and Emotional Wellbeing 2017-2023.
Head to Health will help people to take control of their mental health, at a time and place convenient to them, complementing or in place of face-to-face services. It supports people seeking help - either for themselves or someone they care about.
Head to Health is not only helpful when seeking support for a mental health condition, it also provides information about staying mentally well for every Australian.
Services and resources listed on Head to Health are delivered by Australia's mental health service providers including the Butterfly Foundation, CanTeen, beyondblue and Kids Helpline. They include free or low-cost apps, online support communities, online courses, and phone services that are private and secure.
Head to Health was developed in collaboration with the community, the mental health sector and the Department of Health.
Visit Head to Health for more information.
Building a digital mental health gateway was a key part of the Government's response to the National Mental Health Commission's Contributing Lives, Thriving Communities – National Review of Mental Health Programmes and Services.
Friday, 13 October 2017
Mental health services-in brief report and Mental Health Services in Australia web report
Mental health services: in brief 2017 provides an overview of data about the national response of the health and welfare system to the mental health care needs of Australians.
Sections that are being updated in the online Mental Health Services Australia pages are
* Mental health services provided by general practitioners
* Mental health service provided in emergency departments
* Community mental health care
* Residential mental health care
* Overnight admitted mental health care
* Same day admitted mental health care
* Restrictive practices
Media release: Access to mental health services through Medicare on the rise with almost 1 in 10 Australians accessing government-subsidised services.
Download report: Mental health services-in brief
Download web report: Mental Health Services in Australia.
Wednesday, 11 October 2017
Articles in this issue include an interview with the Indigenous Health Minister, Ken Wyatt, about the policy and politics of improving Indigenous health; a perspective on the Indigenous smoking epidemic and what stage it is at; an article on research priorities in Indigenous cancer and an 'In practice' article describing a NSW Health program established to strengthen the Aboriginal public health workforce.
Non-themed papers look at trends in fall-related ambulance use and hospitalisation among older adults; an overview of child injury surveillance capabilities in NSW; and the validity of self-reported medication use compared with the gold standard, pharmaceutical claims data.
Link to full issue
Friday, 6 October 2017
* Total spending on health in Australia was $170.4 billion in 2015-16, $6.0 billion (3.6%) higher in real terms than in 2014-15. This was the 4th consecutive year that growth was below the 10 year average of 4.7%.
* Despite the low growth, the share of the economy (GDP) represented by health (10.3%) continued to grow, due to slower real GDP growth (2.7%).
Media release: Governments chipping in more for health, as individual Australians pay less.
Download report: Health expenditure Australia 2015-16.
Wednesday, 4 October 2017
Health of Australia's males and females
* This release updates the AIHW's existing web report on male health and creates a new report focused on female health.
* The reports contain data on chronic conditions, risk factors and comorbidities, including some information on sex-specific health issues (for example, maternal health).
Download report: The health of Australia's females.
Download report: The health of Australia's males.
Wednesday, 27 September 2017
Published in September 2017, Reporting the Health and Development of Children in Rural and Remote Australia:
* profiled the population characteristics of children in rural and remote Australia
* identified the current context and the developmental health needs, met and unmet, of vulnerable children and families in rural and remote Australia; and
* provided an evidence-based overview of what is causing the status quo, and what is most effective in addressing these issues.
The Report emphasised the developmental, behavioural and mental health status/needs of children aged 0-12 years of age, and existing gaps in the provision of appropriate services that help address developmental needs and support children, and their families, to reach their potential.
The review presented a range of key findings covering:
* the distribution of children by Indigenous status and remoteness, across each jurisdiction
* the disparities between Indigenous and non-Indigenous children
* the profile of children residing in rural and remote areas in each of the identified jurisdictions
* main service gaps for children and families in remote and rural Australia
* what the evidence says about ways of improving health and development outcomes for children in rural and remote Australia
* strategies shown to be effective in improving access and outcomes for children
* knowledge gaps and opportunities to improve services and outcomes.
Download the full report: Reporting the Health and Development of Children in Rural and Remote Australia
Read the summary report: The Invisible Children: The state of country children's health and development in Australia
Tuesday, 26 September 2017
Some 61,300 people first entered permanent residential aged care (PRAC) in 2013-14. While they used over 1,000 different combinations of other aged care in the preceding years, the most common pathway (used by 1 in 4 people) was through Home and Community Care (HACC). Many pathways showed a similar pattern of moving 'up' to progressively higher levels of support.
Download report: Pathways to permanent residential aged care in Australia: a Pathways in Aged Care (PiAC) analysis of people's aged care program use before first entry to permanent residential aged care in 2013-14.
Wednesday, 20 September 2017
The publication presents national-level results from the Survey of Health Care 2016 (Survey). The Survey explored experiences of coordination and continuity of care by people aged 45 and over who had at least one GP visit in the 12 months prior to selection of the survey sample. It covers health status, access and appropriateness of care, plus demographic information for reporting on equity measures.
The Survey was funded by the AIHW and conducted by the ABS. It was designed to provide robust samples for each of the 31 Primary Health Network (PHN) areas and new information for the primary care sector to improve patients' experiences and outcomes. While the forthcoming publication presents national-level results, in 2018 the AIHW will release a series of publications with results by PHN area.
Media release: Over 45s report positive experiences with Australia's health care system.
Friday, 15 September 2017
By looking at the No Postcode Untouched website you can see that the Electorates of Parkes and Calare have over 5800 people living with stroke. In 2017, 429 people in Calare and 421 in Parkes suffered a stroke.
Download the report: No Postcode Untouched: Stroke in Australia 2017.
Thursday, 7 September 2017
To address this the Centre for Rural and Remote Mental Health (CRRMH) and its flagship progran the Rural Adversity Mental Health Program(RAMHP) have launched new websites ensuring rural communities know when, where and how to find mental health support when they need it.
Director of the CRRMH Professor David Perkins said the new websites were developed to make it easy for anyone to find evidence-based information and research, useful resources, and contact details for Rural Adversity Mental Health Coordinators located across NSW.
The visually appealing and easy to navigate websites also include links to research papers, publications and studies on topics such as rural suicide prevention and Aboriginal health and wellbeing.
Centre for Rural & Remote Health website.
Rural Adversity Mental Health Program website.
Wednesday, 6 September 2017
The quality of Australian Indigenous primary health care research focusing on social and emotional wellbeing: a systematic review
* More examples are needed of Indigenous-focused health research that are scientifically robust and acceptable to thecommunity
* A range of research designs is used depending on the collaboration, community perspectives and the study aim
* Participatory action research can inform localised interventions and research designs, including randomised designs
* Processes that are culturally sensitive may improve community acceptance. These include two-way learning,participatory, social–ecological and phenomenological approaches
* Research should produce beneficial community-level outcomes
Link to the review.
Monday, 28 August 2017
NSW Health has a limited understanding of the quantity and quality of palliative care services across the state, which reduces its ability to plan for future demand and the workforce needed to deliver it. At the district level, planning is sometimes ad hoc and accountability for performance is unclear.
The capacity of LHDs to use accurate and complete data to plan and deliver services is hindered by multiple disjointed information systems and manual data collections. Further, a data collection on patient outcomes, for benchmarking and quality improvement, is not used universally. This limits the ability of districts to plan, benchmark and improve services based on outcomes data.
NSW Health's engagement with stakeholders is not systematic. The lack of an overall stakeholder engagement strategy puts at risk the sustainability and value of stakeholder input in planning and limits transparency.
Over the last 2 years, NSW Health has taken steps to improve its planning and support for districts. The Agency for Clinical Innovation has produced an online resource which will assist LHDs in constructing their own, localised models of care. eHealth, which coordinates information communication technology for the state's healthcare, aims to invest in integrating and improving information systems. These initiatives should help to address many of the issues now inhibiting integrated service delivery, reporting on activity and outcomes, and planning for the future.
Thursday, 24 August 2017
Western NSW Primary Health Network shows what works in delivering effective Aboriginal health services
This Evidence Brief has been written because early evidence is suggesting that the partnership between the Western New South Wales (NSW) Primary Health Network (PHN) and Aboriginal primary healthcare services in the Western NSW PHN region is proving effective in terms of increased trust and supporting a stronger network of services for local Aboriginal communities. In particular, the structure and governance of services in this PHN region are unique in Australia, and could possibly provide lessons for other PHNs and Aboriginal health programs generally.
The brief outlines and discusses the Western NSW PHN arrangements and how they are supporting and building a stronger platform for the delivery of Aboriginal primary healthcare services in this region.'Western New South Wales Primary Health Network (WNSW PHN) has had some exciting and inspiring success in delivering effective primary health services to Aboriginal people', says Alison Verhoeven, Chief Executive of the Australian Healthcare and Hospitals Association (AHHA).
In particular, the number of Aboriginal people using integrated care services for chronic conditions more than doubled in the space of only 4 months.
The Evidence Brief is available at: https://ahha.asn.au/publication/evidence-briefs/evidence-brief-15-what-works-partnering-deliver-effective-aboriginal
The 18 hospitals cover almost one-half of all cardiac admissions in Australia for Aboriginal and Torres Strait Islander peoples.
Heart Foundation National CEO Adjunct Professor John Kelly said closing the gap in cardiovascular disease between Indigenous and non-Indigenous Australians was a key Heart Foundation priority, and it was highly appropriate that the announcement coincided with National Sorry Day.
'Cardiac care for Aboriginal and Torres Strait Islander peoples is serious business. Australia's First Peoples are more likely to have heart attacks than non-Indigenous Australians, and more likely to have early heart disease onset coupled with other health problems, frequent hospital admissions and premature death. Deaths happen at almost twice the rate for non-Indigenous Australians, yet Indigenous Australians appear to have fewer tests and treatments while in hospital, and discharge from hospital against medical advice is five times as high', Professor Kelly said
More at: https://ahha.asn.au/news/18-hospitals-sign-close-gap-aboriginal-and-torres-strait-islander-heart-health
Tuesday, 22 August 2017
The death of 18-year-old Ahlia Raftery in Newcastle's Mater Mental Health Unit in 2015 prompted scathing findings by deputy state coroner Derek Lee. He called for better nurse-to-patient ratios and wearable technology to prove that a patient is still alive.
Read more at: http://www.abc.net.au/news/2017-08-21/anguish-of-families-touched-by-suicide-revealed-in-submissions/8826428
But Jamahl has channelled his feelings of marginalisation into teaching mentally ill patients at the local hospital, the healing power of art. See link at: http://www.abc.net.au/radionational/programs/lifematters/art-therapy-for-mentally-ill-in-the-country/8829824 and download audio for more info on this story.
Tuesday, 15 August 2017
GEN is a comprehensive "one-stop shop" for data and information about aged care services in Australia. It reports on capacity and activity in the aged care system focusing on the people, their care assessments and the services they use.
GEN is designed to cater for all levels of users, from students looking for information for assignments, right through to data modellers and actuaries.
Overview of GEN
Learn how to use the GEN website
Wednesday, 2 August 2017
Health care access, mental health, and preventative health: health priority survey findings for people in the bush (RFDS)
7 million Australians live in remote and rural Australia. On average, these 7 million Australians have poorer health outcomes and live shorter lives than city residents. For example, the premature death rate is 1.6 times higher in remote Australia than in city areas. The percentage of people in remote areas with arthritis, asthma, deafness, diabetes, cancer, and cardiovascular disease is higher than in cities. The health behaviours of people in country areas are less conducive to good health than people in cities, with higher rates of smoking, obesity, and alcohol misuse in remote areas than in cities.
While there is ample evidence on the health access and outcome disparity between city and country Australia, there is little information about how country people themselves see these disparities. In response, the Royal Flying Doctor Service (RFDS) joined with the National Farmers' Federation (NFF) to assess the health needs of remote and rural Australians and to give voice to country Australians.
The key issues identified by the survey respondents represent the areas in which government policy efforts should be directed. The five most important issues identified by respondents overall were access to medical services; mental health; drugs and alcohol; cancer; and cardiovascular health. The areas of health that respondents identified money should be spent on included: access to medical services; mental health; health promotion and prevention activities; cancer; aged care; and travel and accommodation support for people needing to access health care outside of their community. Many of these areas are already the focus of government policy, but their inclusion in the findings of the survey suggest more effort and resources are required to address them.
Health care access, mental health, and preventative health - survey report.
Tuesday, 1 August 2017
Promoting social and emotional development and wellbeing of infants in pregnancy and the first year of life
National Health and Medical Research Council. (2017). NHMRC Report on the Evidence: Promoting social and emotional development and wellbeing of infants in pregnancy and the first year of life.
Wednesday, 26 July 2017
"The report found the program is operating effectively, using proven approaches to change smoking behaviours, and delivering evidence based local tobacco health promotion activities. I am pleased the report recommends it continues," Minister Wyatt said.
"Smoking is the most preventable cause of disease and early death among Aboriginal people and accounts for almost one-quarter of the difference in average health outcomes between indigenous and non-indigenous Australians.
"The program provides grants in 37 urban, rural, regional and remote areas to assist local communities to develop localised anti-smoking campaigns and offer intervention training for frontline community and health workers."
The preliminary report is available from : http://health.gov.au/internet/main/publishing.nsf/Content/indigenous-tis-target
Tackling Indigenous Smoking Home Page
Thursday, 20 July 2017
* In 2015-16, there were 10.6 million hospitalisations (6.3 million in public hospitals, 4.3 million in private hospitals).
* The average length of stay was over 5 days (5.7 days in public hospitals; 5.2 days in private hospitals).
* 1 in 4 hospitalisations involved a surgical procedure.
* 27% were emergency admissions.
* 149,000 hospitalisations involved a stay in intensive care.
* 60% were same-day hospitalisations.
Download report: Australia's hospitals at a glance 2015-16
Monday, 17 July 2017
The portal is divided into community information, information for health workers and research findings on Indigenous cancer. There is also information about a research project Cancer Council NSW funded and conducted called APOCC (Aboriginal Patterns of Cancer Care).
Links to the Cancer Council NSW main website also provide a wealth of further information.
The burden of musculoskeletal conditions in Australia: a detailed analysis of the Australian Burden of Disease Study 2011
Download report: The burden of musculoskeletal conditions in Australia: a detailed analysis of the Australian Burden of Disease Study 2011.
The burden of chronic respiratory conditions in Australia: a detailed analysis of the Australian Burden of Disease Study 2011
Download report: The burden of chronic respiratory conditions in Australia: a detailed analysis of the Australian Burden of Disease Study 2011.
Wednesday, 28 June 2017
* The top 4 drugs that led clients to seek treatment were alcohol (32% of treatment episodes), cannabis (23%), amphetamines (23%), and heroin (6%).
* The proportion of episodes where clients were receiving treatment for amphetamines has continued to rise over the 5 years to 2015-16, from 12% of treatment episodes in 2011-12 to 23% in 2015-16.
* The median age of clients in AOD treatment services is rising, from 31 in 2006-07 to 33 in 2015-16.
Media release: More Australians seeking drug treatment-amphetamine treatment more than doubles.
Download report: Alcohol and other drug treatment services in Australia 2015-16.
Friday, 23 June 2017
This review provides detailed information on the extent of illicit drug use among Aboriginal and Torres Strait Islander people, including overall self-reported prevalence and prevalence by type of substance. It outlines the health and social and emotional wellbeing harms associated with substance use, as well as the associated hospitalisations, mortality, and wider social impacts.
Download: Illicit Drug Use (e-book).
In 2015-16, about 33.4 million non-admitted patient service events were provided by 604 public hospitals, including:
* 15.3 million service events in allied health and/or clinical nurse specialists clinics;
* 9.7 million service events in medical consultation clinics;
* 2.6 million service events in procedural clinics.
Download report: Non-admitted patient care 2015-16: Australian hospital statistics
Wednesday, 14 June 2017
Media release: Cancer impacting Australia's health more than any other group of diseases
Friday, 9 June 2017
In 2015-16, at least four out of five Australians in all PHN areas rated their health positively, yet the percentage of Australians reporting a long-term health condition ranged from 43% to 63% across PHN areas. Australians also reported differences in accessing healthcare services due to cost across PHN areas in 2015-16, with cost barriers nearly three times as high in some areas compared with others.
Download Web update: Patient experiences in Australia in 2015-16.
Healthy Communities: Immunisation rates for children in 2015-16 focuses on local-level immunisation rates for 5 year old children, which have improved nationally and in most local areas over five years. It also includes latest results for children aged 1, 2 and 5 years. Rates are presented for the 31 Primary Health Network (PHN) areas, more than 300 smaller local areas and around 1500 postcodes across Australia. Rates are also presented for Aboriginal and Torres Strait Islander children.
Wednesday, 7 June 2017
Types of care examined include hysterectomy, cataract surgery, knee replacement and potentially preventable hospitalisations for selected conditions, including diabetes complications.
The Atlas has been jointly developed by the Australian Commission on Safety and Quality in Health Care with analyses completed by the AIHW.
Media release: Second Atlas highlights opportunities for healthcare improvement.
Tuesday, 6 June 2017
It is not enough just to evaluate, government must actually use the findings from evaluations to improve service delivery. Unfortunately, many government agencies ignore evaluations when making funding decisions or implementing new programs.
Analysis of 49 Indigenous program evaluation reports, found only 3 used rigorous methodology. Overall, the evaluations were characterised by a lack of data and the absence of a control group, as well as an overreliance on anecdotal evidence.
Adopting a co-accountability approach to evaluation will ensure that both the government agency funding the program and the program provider delivering the program are held accountable for results. An overarching evaluation framework could assist with the different levels of outcomes expected over the life of the program and the various indicators needed to measure whether the program is meeting its objectives. Feedback loops and a process to escalate any concerns will help to ensure government and program providers keep each other honest and lessons are learnt.
Evaluating Indigenous programs: a toolkit for change.
Monday, 5 June 2017
* The average age of service users was 35, and around three-quarters (72%) were aged under 50.
* 43% of service users had an intellectual or learning disability, 42% had a physical or diverse disability, 29% had a psychiatric disability, and 18% had a speech or sensory difficulty.
* Almost one-third (30%) of service users aged 15 and over were not in the labour force. Of those in the labour force, two-thirds (67%) were unemployed.
* Two-thirds of service users had an informal carer, most often their mother (73%). Around one in eight (12%) service users had an informal carer who was aged 65 and over.
Download report: Disability support services: services provided under the National Disability Agreement 2015-16
The main report is accompanied by three fact sheets:
Disability in Australia: changes over time in inclusion and participation in community living.
Disability in Australia: changes over time in inclusion and participation in employment.
Disability in Australia: changes over time in inclusion and participation in education.
The report's key findings recommend actions to improve mental health outcomes of remote and rural Australians:
1. Stronger recognition in the Fifth National Mental Health Plan of the significant barriers and challenges, including the large geographic and travel distances, that are faced by those in remote and rural areas when seeking to access comprehensive mental health services, as well as consideration of how these can be overcome;
2. Implementation of innovative service models, including consideration of further use of RFDS infrastructure to deliver necessary, appropriate, and more comprehensive mental health and suicide prevention services, more often; and
3. Appropriate resourcing by all levels of governments, to provide more long-term funding certainty.
Friday, 2 June 2017
* The decline in the daily smoking rate slowed in 2016 but there were more Australians never taking up smoking.
* Fewer people exceeded the lifetime risk guidelines for alcohol use but no change in the proportion exceeding the single occasion risk guidelines.
* Overall illicit drug use remained stable but use of some drugs declined.
* Australians now perceive methamphetamines to be the drug of most concern to the community and was the drug most likely to be associated with a 'drug problem'.
Media release: Teenage smoking and drinking down, while drug use rises among older people.
Download web report: National Drug Strategy Household Survey (NDSHS) 2016 key findings.
National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care
This 4th national report on the national Key Performance Indicators (nKPIs) data collection is based on data from more than 240 primary health care organisations that received funding from the Australian Government Department of Health to provide services primarily to Aboriginal and Torres Strait Islander people.
Information is presented for 22 'process-of-care' and 'health outcome' indicators for June 2016, which focus on maternal and child health, preventative health, and chronic disease management. The report shows continuous improvements for the majority of indicators.
Download report: National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care.
Aboriginal and Torres Strait Islander health organisations: Online Services Report-key results 2015-16
This is the 8th national report on organisations funded by the Australian Government to provide health services to Aboriginal and Torres Strait Islander people. In 2015-16:
* 204 organisations provided primary health-care services to around 461,500 clients through 5.4 million client contacts and 3.9 million episodes of care.
* 216 counsellors from 93 organisations provided social and emotional wellbeing services to around 18,900 clients through 88,900 client contacts.
* 80 organisations provided substance-use services to around 32,700 clients through 170,400 episodes of care.
Download report: Aboriginal and Torres Strait Islander health organisations: Online Services Report-key results 2015-16.
Thursday, 1 June 2017
To support the AHMAC/PM&C report, Aboriginal and Torres Strait Islander Health Performance Framework 2017, the AIHW is releasing:
* A dynamic data visualisation display that provides a report-card overview of each performance measure, and includes options for displaying detailed, customisable charts
* Online data tables covering a wide range of data for each measure.
The supplementary detailed statistical analysis (dynamic data displays with interactive charts and online tables), is available on the Australian Institute of Health and Welfare website.
Previous HPF reports and further background information can be accessed from the Aboriginal and Torres Strait Islander Health Performance Framework page on the Department of Health website.
Previous AIHW detailed analyses can be accessed at the AIHW website.
Tuesday, 30 May 2017
* In 2014-15, there were about 22,700 hospital separations involving one or more weight loss surgery procedures. 7 in 8 of these separations occurred in private hospitals.
* Around 18,000 of weight loss surgery separations, or 79%, were for female patients.
* From 2005-06 to 2014-15, the total number of weight loss surgery separations more than doubled, from about 9,300 to 22,700.
Thursday, 25 May 2017
The Framework provides guidance for the development and implementation of policies, strategies, actions and services to reduce the impact of chronic conditions in Australia. It supersedes the National Chronic Disease Strategy 2005 and associated National Service Improvement Frameworks.
The Framework moves away from a disease-specific approach and provides national direction applicable to a broad range of chronic conditions by recognising that there are often similar underlying principles for the prevention and management of many chronic conditions. The Framework will better cater for shared health determinants, risk factors and multimorbidities across a broad range of chronic conditions
PDF version: PDF version: National Strategic Framework for Chronic Conditions - PDF 4.1 MB
Wednesday, 17 May 2017
Between 2011-12 and 2015-16:
* the number of separations rose by 3.5% on average each year.
* the number of public patient separations rose by an average of 2.9% each year, compared with 5.5% per year for separations paid for by private health insurance.
* the median waiting time for elective surgery for public patients in a public hospital was 42 days, while it was 20 days for patients who used private health insurance to fund all or part of their admission.
Media release: Hospital admissions growing steadily, more Australians going private in hospitals.
Download report: Admitted patient care 2015-16: Australian hospital statistics
Tuesday, 16 May 2017
When Rugby League great Wayne Wigham opened up publicly about his experience with depression, he made his message clear - mental illness can affect anyone even if it doesn’t show it on the surface.After seven years working in the Black Dog Institute Education Team, he is gearing up to take his message to communities and schools in country NSW in association with the Act-Belong-Commit initiative.
See more at: https://www.blackdoginstitute.org.au/news/news-detail/2017/05/12/league-legends-take-mental-fitness-to-the-country
Friday, 12 May 2017
University of Canberra clinical psychologist Dr Vivienne Lewis, an eating disorder specialist, said even though prevalence was high in adolescents these conditions should not overlooked as byproduct of tumultuous teen years.
See more at: http://www.smh.com.au/act-news/expanding-medicaresupported-treatment-for-eating-disorder-patients-20170507-gvzz0r.html
This compounds a situation in which, in 2014-15, mental health received around 5.25% of the overall health budget while representing 12% of the total burden of disease. There is no reason those figures should exactly match, but the gap is large and revealing.
See more at: https://theconversation.com/mental-health-funding-in-the-2017-budget-is-too-little-unfair-and-lacks-a-coherent-strategy-77470
Monday, 8 May 2017
In 2010 the National Health and Medical Research Centre (NH&MRC) funded the Southgate Institute for Health, Society and Equity at Flinders University to investigate how well community health services in South Australia are conforming to the principles of comprehensive PHC and the reasons for their success or otherwise.
6 community health services were selected for intensive study over several years: 5 in South Australia and 1 in Alice Springs in the Northern Territory. Of these 6, the Central Australian Aboriginal Congress ('Congress') in Alice Springs, best embodied the principles of comprehensive PHC—by a long way.
To read more go to the full report : Aboriginal health in Aboriginal hands : community-controlled comprehensive primary health care.
Thursday, 27 April 2017
This issues brief from the Deeble Institute for Health Policy Research, sets out the rationale for developing and implementing a clinical governance framework for Primary Health Networks (PHNs) in commissioning the provision of primary health services that are safe and effective. It provides principles that inform clinical governance policy including recommendations on how clinical governance should be supported in commissioning undertaken by PHNs for contract development, management, auditing and compliance. PHNs also have a role in influencing the uptake of quality improvement activities in general practice including the interface between primary care and community services.
The critical areas in ensuring clinical governance are:
* Consumers having opportunities to manage their own health and also participate in innovation and value creation through co-design processes.
* Clinician-led workforce that enables PHNs to make informed decisions about commissioning health services with providers who have the appropriate capacity and expertise to deliver safe care.
* Delivery of safe quality care through identifying areas for practice improvement and those practices that may put consumers at risk of harm,and making recommendations to prevent or control those risks.
* Clinical risk management to ensure that service providers have the capacity to meet legislative requirements and national and jurisdictional standards when designing best practice for their service.
Thursday, 20 April 2017
* The top 4 drugs that led clients to seek treatment were alcohol (32% of treatment episodes), cannabis (23%), amphetamines (23%) and heroin (6%).
* The proportion of episodes where clients were receiving treatment for amphetamines has continued to increase over the last 10 years, from 12% of treatment episodes in 2006-07 to 23% in 2015-16.
* The median age of clients in AOD treatment services is increasing, 33 years in 2015-16, up from 31 in 2006-07.
Download web report: Alcohol and other drug treatment services in Australia, 2015-16: key findings
Infographic: Alcohol & Other Drug Treatment Services 2015-16
Wednesday, 19 April 2017
* Rates of assault among women were highest for those aged between 15-19 and 50-54.
* Over half (59%) of all these women were assaulted by bodily force, and for assaults by bodily force and involving sharp and blunt objects, the majority of injuries were to the head and neck (63%).
* Where information about the perpetrator was available, a spouse or domestic partner was the most commonly reported perpetrator (in 59% of cases).
Media release: Domestic violence leading cause of hospitalised assault among girls and women
Dog-related injuries fact sheet
Firearm injuries and deaths fact sheet
DIY injuries fact sheet
Serious unintentional injury involving a railway train or tram, Australia, 2009-10 to 2013-14 report
Thursday, 13 April 2017
* The report includes scenario modelling, undertaken to assess the potential impact on future health burden if overweight and obesity in the population continues to rise or is reduced.
* The enhanced analysis in the report shows that 7.0% of the total health burden in Australia in 2011 is due to overweight and obesity, and that this burden increased with increasing level of socioeconomic disadvantage.
Download report: Impact of overweight and obesity as a risk factor for chronic conditions
Media release: Small changes in our weight could significantly reduce health impact of obesity.
Tuesday, 4 April 2017
Lead researcher Katie Thurber from the Australian National University said the majority of Indigenous children in the national study had a healthy Body Mass Index, but around 40% were classified as overweight or obese by the time they reached 9 years of age.
Deeble issues brief on overweight and obesity among Aboriginal and Torres Strait Islander children
Wednesday, 29 March 2017
It shows that in 2015 there were 28,775 people who began using insulin to treat their diabetes in Australia-63% had type 2 diabetes, 26% had gestational diabetes, 9% had type 1 diabetes and 2% had other forms of diabetes or their diabetes status was unknown.
The fact sheet is accompanied by a dynamic data display, which provides data on insulin-treated diabetes by age at first insulin use, Indigenous status, remoteness, SEIFA and state/territory.
Download report: Incidence of insulin-treated diabetes in Australia, 2015
Monday, 20 March 2017
Monday, 6 March 2017
Oral health of Australian children: the National Child Oral Health Study 2012–14.
Tuesday, 28 February 2017
National key performance indicators for Aboriginal and Torres Strait Islander primary health care: preliminary results from May 2015 [AIHW]
It presents summary data for 21 indicators (14 process-of-care and 7 health outcome indicators) on maternal and child health, preventative health and chronic disease management. Complete results for May 2015 and June 2016 are due to be released in May 2017 in the National key performance indicators for Aboriginal and Torres Strait Islander primary health care: results from June 2016.
Download data report: National key performance indicators for Aboriginal and Torres Strait Islander primary health care: preliminary results for May 2015
Tuesday, 21 February 2017
Economic cost of dementia in Australia 2016-2056 shows that the cost of dementia in Australia in 2016 is $14.25 billion, which equates to an average cost of $35,550 per person with dementia. Not only does this report update the Access Economics 2002 estimate to 2016, it also projects likely future costs of dementia over the next 40 years. In doing so, it provides an overview of dementia in Australia, including increases in the prevalence and incidence of dementia over the next 40 years, describes some of the social and economic characteristics of people with dementia, and identifies the impact of dementia on mortality and burden of disease.
The need for care and provision of care services is also reported on, including estimating the future need for both informal and formal carers in both the community and residential aged care sectors. The report models direct and indirect costs of dementia in 2016 out to 2056. The impact on costs of a 'hypothetical' intervention program that reduces the annual incidence of dementia by 5% is modelled. A second scenario simulates the impact of 'hypothetical' technological change in hospital care and its impact on costs.
The Closing the Gap targets address the areas of health, education and employment, and provide an important snapshot of where progress is being made and where further efforts are needed. We know we will not make the necessary gains across any of these areas if we don't work in partnership with Aboriginal and Torres Strait Islander people. It is only once we establish effective mechanisms for working together, for supporting decision-making at the community level, that we are likely to see the gains needed to meet the targets.
The importance of culture cannot be underestimated in working to close the gap. The connection to land, family and culture is fundamental to the wellbeing of Aboriginal and Torres Strait Islander people. Aboriginal and Torres Strait Islander cultures are the world's oldest continuous cultures—they have stood the test of time. We must continue to preserve and respect Indigenous cultures for this generation and the future and we must acknowledge the impact of past policies on our First Australians, and work to heal the wounds of the past.
We need to look at what the evidence tells us will work and, where needed, invest in better understanding the most effective solutions. Our ambitious reform agenda, with COAG and Indigenous leaders, will consider learnings over the last decade under Closing the Gap and where we need to change course to deliver sustainable change.
9th Closing the Gap Report.
Download report: Healthcare-associated Staphylococcus aureus bloodstream infections in 2015-16
Tuesday, 14 February 2017
The purpose of this website is to inform members of the public about availability of emergency departments in major NSW hospitals. The website also allows to locate the nearest hospitals and to see a number of patients waiting in the Emergency Rooms.
Changing associations of selected social determinants with Aboriginal and torres Strait Island health & wellbeing, 2002 to 2012-13
Consistently during the decade, employment status and housing tenure were significantly associated with a range of health and wellbeing outcomes for the Indigenous population.
As education levels have increased among the Indigenous population, the association of education with health and wellbeing has weakened. This suggests that at least some of the association of education with health and wellbeing is attributable to other characteristics of individuals or educational institutions not captured in our models, not just the outcome of the education process itself.
Improvements in some health and wellbeing outcomes in remote areas, despite declining employment over the decade, suggest that more detailed analysis is required to shed light on whether associations between the selected social determinants of health and wellbeing differ for Indigenous people living in remote and nonremote areas.