queensland institute of medical research a synthesis of the outcomes of four national rural health...

Queensland Institute ofMedical Research

A Synthesis of the Outcomes of Four National Rural Health

Conferences 1991-1997

(Clark and Martini)

Queensland Institute ofMedical Research

17 Years!

Queensland Institute ofMedical Research

• Collate the Major themes

• Assess the impact of Conference Recommendations on Government policy

Aim

Queensland Institute ofMedical Research

• All 8 Conferences

• Aboriginal Health Policy (strategic reform)

• Health and Medical Research

Queensland Institute ofMedical Research

• 7 Conferences

• Aged Care

Queensland Institute ofMedical Research

• 6 Conferences

• Workforce: – Education – Recruitment and Retention – Health Services (access and availability)– Health Financing

Queensland Institute ofMedical Research

• 5 Conferences • Workforce:

– Training – Communication Technology – Undergrad / Postgrad – Local Management (community controlled) – Community Participation

• Service Delivery: – Transport

Queensland Institute ofMedical Research

• Healthy Horizons (1999)

• Improve the Health of Aboriginal and Torres Strait peoples (4)

• Maintain a skilled and responsive health workforce (3)

• Develop needs-based flexible funding arrangements (3)

Queensland Institute ofMedical Research

• Aboriginal Health– new primary health care services $24m

over 4 yrs

1996-1997 Dept of Health and Family Services

Queensland Institute ofMedical Research

Rural Health

• $20m Undergrad / Postgrad

• $27m over 4 yrs for 6 University Depts of Rural Health (Mt.Isa & Broken Hill)

• $1m locum services for docs (conf also calls for nurses)

• $4m John Flynn scholarship scheme

• $1m nurse practitioners to gain access to training and support

Queensland Institute ofMedical Research

• Health and Medical Research – public health research increased to $3.6

over 3 yrs ($9.9m)

• Aged Care – $60m new and continuing respite care

Queensland Institute ofMedical Research

Aug 96 and May 97 $3b health expend cut but $150m extra on

Rural Health

Queensland Institute ofMedical Research

1997 – 1998 Health and Family Services

• Health W’force crisis identified and acknowledged

• Structural and Strategic Reform - $17.4m over 4 yrs to target major Rural and Remote Health Priority Areas

• (1997 conference – models of service delivery)

• (all conferences focus on research)

• (rec across 5 conferences)

Queensland Institute ofMedical Research

• $5m pilot study on obstetric services in Rural areas

• Continued Support ….

• Health and Medical Research to $156m

• Focus on Collaboration ….

Queensland Institute ofMedical Research

Aboriginal and Torres Strait Islander Health – funding for

community controlled services

1997: Health Framework Agreements signed (conf

requested Tasmania and N.T be included)

Queensland Institute ofMedical Research

1998 – 1999 Health and Family Services

• National Injury Prevention framework

• Indigenous Australians: $22.6 over 4 yrs for immunisation and STDs

• $72m over 4 yrs Primary Health Care Services

Queensland Institute ofMedical Research

• $12.4m Public Health Evidence Base

• Health &Medical Research $165m

• $13m extra for Rural Workforce Agencies ($65m over 4 yrs) – Conf 99 requested multi discip RWAs!

Queensland Institute ofMedical Research

1999 – 2000 Health and Aged Care

• retention payments for rural docs • 30 new Rural Health Service Centres (MPS) • upgrade to Bush Crisis Line • training for Remote nurses• Rural Health now $200m budget up from

$70m BUT• AHPs, dental health, pharmacists, health

managers

Queensland Institute ofMedical Research

• Wooldridge Delivers Largest Ever Country Health Budget: $562m in three sections

2000 – 2001 Health and Aged Care

Queensland Institute ofMedical Research

More Health Professionals (More Doctors Better Services)

MAHS $49.5m (major shift in policy although no direct access to MBS)

Queensland Institute ofMedical Research

• Training and Education $162m

• 9 new clinical schools

• 3 new UDRH (multi discip focus)

Queensland Institute ofMedical Research

• More Health Services $185m – assistance for Pharmacies to start up or

relocate – chronic disease support – aged care – $30m revitalise bush nursing

Queensland Institute ofMedical Research

2001 – 2002 Health and Aged Care

• Disease Focus (HH)• National Depression Initiative• Practice Nurses • Rural Nursing Scholarships (all welcome in

Press Releases BUT not enough)• $40m improve Indigenous access to PHC

services• Health Dis-connect

Queensland Institute ofMedical Research

2002 – 2003 Health and Aged Care

• The Continuation Budget

• Savings of $1.9b on PBS

• Aged Care focus

Queensland Institute ofMedical Research

Does funding clinical schools, UDRHs and Regional Health

Services help the desirable move to collaborative Primary Health Care

Teams?

Queensland Institute ofMedical Research

2003 – 2004 Health and Aged Care

• Focus on Prevention

• Health Funkenected extra $5m

Queensland Institute ofMedical Research

2004 – 2005 Minister Abbott first budget

• Aged Care $6b additional viability for rural homes

• Medical Research $200m over 7 yrs

• NICS $22.7m

Queensland Institute ofMedical Research

• New MBS item for AHP services

• New MBS item for Dentists

• $9.7m for Consumer and Community involvement in influencing health decisions

Queensland Institute ofMedical Research

2005 – 2006 Health and Aged Care

• Cancer (HH)– Pap smears by practice nurses

• $129m more prac nurses • $20.6 over 3 yrs for Rural and Remote

nurses training support • $17.2 Rural and Remote Health Workers

education and training • $160m Aboriginal and Torres Strait Islander

health over a range of initiatives

Queensland Institute ofMedical Research

2006 – 2007 Health and Aged Care

• $905m Medical Research • Programs to align services for

communities less than 7000 pop • 400 new med school places• 1000 nursing places • 840 AHWs training • 25 Puggy Hunter Memorial

Scholarships

Queensland Institute ofMedical Research

THE KEY MESSAGE