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.
Monday, 13 February 2017
In 2013-14 there were 5,430 cases of hospitalised burn injury of which about two-thirds were male. Almost half of all cases (45%) were caused by contact with heat and hot substances such as hot drinks, food, fats and cooking oils.
Download report: Hospitalised burn injuries Australia 2013-14
A Global Snapshot of Indigenous and Tribal People’s Health: The Lancet–Lowitja Institute Collaboration
Contributors have endeavoured to provide a summary of the history, culture, legal and political status as well as socio-demographic factors of each Indigenous or Tribal group. Unfortunately the political situation in some countries has meant that in some cases authors have not been able to include important facts pertaining to their Indigenous peoples.
A Global Snapshot of Indigenous and Tribal People's Health: The Lancet–Lowitja Institute Collaboration
* Cancer is the leading cause of disease burden in Australia
* For all cancers combined, the incidence rate increased from 383 per 100,000 persons in 1982 to 504 per 100,000 in 2008, before an expected decrease to 470 per 100,000 in 2017
* During the same period, the mortality rate decreased from 209 per 100,000 in 1982 to 161 per 100,000 in 2017
* Cancer survival has improved over time
* It is estimated that the most commonly diagnosed cancers in Australia in 2017 will be breast cancer in females, followed by colorectal cancer and prostate cancer (excluding basal and squamous cell carcinoma of the skin, as these cancers are not notifiable diseases in Australia)
Media release: More cancer cases diagnosed, but overall rates falling and survival rates improving.
Download report: Cancer in Australia 2017
Wednesday, 1 February 2017
According to the latest report on suicide in the construction industry by MATES in Construction, on average 169 construction workers killed themselves each year between 2001 and 2013. That means one construction worker committed suicide every two days. The alarmingly high suicide figure in the Australian construction industry leaves many families with broken hearts and results in an estimated cost of $1.57 billion dollars per year.
See more at: https://sourceable.net/suicide-prevention-program-in-construction/
Monday, 30 January 2017
The pilot study suggests that telepsychiatry might help to extend the availability of medication for addiction treatment (often known as medication-assisted treatment, or MAT) for opioid use disorder--particularly in rural areas. "Telepsychiatry may present a promising way to deliver MAT to this population and expand access to care," write Dr. Wanhong Zheng and colleagues of West Virginia University, Morgantown.
See more at: https://www.eurekalert.org/pub_releases/2017-01/wkh-gow012517.php
Friday, 13 January 2017
* In 2015-16, 1,440 cases of hospital-associated Staphylococcus aureus bacteraemia (SAB) were reported in Australian public hospitals
* The national rate of SAB in public hospitals was 0.73 cases per 10,000 days of patient care, and all states and territories had rates below the national benchmark of 2.0 cases per 10,000 days of patient care
* Between 2011-12 and 2015-16, rates of SAB decreased from 0.96 cases to 0.73 cases per 10,000 days of patient care
Download report: Staphylococcus aureus bacteraemia in Australian public hospitals 2015-16: Australian hospital statistics
Monday, 9 January 2017
Aboriginal and Torres Strait Islander people generally experience poorer health outcomes than the rest of the Australian population, and while the health of Aboriginal and Torres Strait Islander people has improved in a number of areas in recent years, ongoing effort is required to achieve sustainable improvements in health outcomes. A fundamental step towards improving health outcomes is to address the many barriers Aboriginal and Torres Strait Islander people experience in accessing and receiving appropriate and professional health care. The Framework provides the foundation and guides a nationally consistent approach for building culturally responsive health care design and delivery for Aboriginal and Torres Strait Islander people, and contributes to achieving the Closing the Gap targets agreed by the Council of Australian Governments (COAG).
The Framework is a renewal of the Cultural Respect Framework for Aboriginal and Torres Strait Islander Health 2004–2009 and was developed for the Australian Health Ministers' Advisory Council by the National Aboriginal and Torres Strait Islander Health Standing Committee.
Cultural Respect Framework 2016-2026 for Aboriginal & Torres Strait Islander Health
National Framework for Health Services for Aboriginal and Torres Strait Islander Children and Families
This work was developed in collaboration with community leaders and a cultural advisory group. We also have consulted widely with Aboriginal and Torres Strait Islander communities across the country, listening to what they need, so we can deliver the services that they require in the way that best suits different communities," said Assistant Minister Wyatt.
The Framework will be embedded at the Commonwealth level in Funding Agreements, raising awareness through Aboriginal Health Partnership forums and including the principles in our policy design and program implementation. For example, the Department of Education and Training has agreed to incorporate the Framework into the implementation of Connected Beginnings, building the same principles and shared vision for Aboriginal and Torres Strait Islander children's health across disciplines and jurisdictions.
The National Framework for Health Services for Aboriginal and Torres Strait Islander Children and Families >
Launch Press Release