queensland institute of medical research a synthesis of the outcomes of four national rural health...
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![Page 1: Queensland Institute of Medical Research A Synthesis of the Outcomes of Four National Rural Health Conferences 1991-1997 (Clark and Martini)](https://reader035.vdocument.in/reader035/viewer/2022062515/56649ce25503460f949ad8b3/html5/thumbnails/1.jpg)
Queensland Institute ofMedical Research
A Synthesis of the Outcomes of Four National Rural Health
Conferences 1991-1997
(Clark and Martini)
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Queensland Institute ofMedical Research
17 Years!
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Queensland Institute ofMedical Research
• Collate the Major themes
• Assess the impact of Conference Recommendations on Government policy
Aim
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Queensland Institute ofMedical Research
• All 8 Conferences
• Aboriginal Health Policy (strategic reform)
• Health and Medical Research
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Queensland Institute ofMedical Research
• 7 Conferences
• Aged Care
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Queensland Institute ofMedical Research
• 6 Conferences
• Workforce: – Education – Recruitment and Retention – Health Services (access and availability)– Health Financing
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Queensland Institute ofMedical Research
• 5 Conferences • Workforce:
– Training – Communication Technology – Undergrad / Postgrad – Local Management (community controlled) – Community Participation
• Service Delivery: – Transport
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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)
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Queensland Institute ofMedical Research
• Aboriginal Health– new primary health care services $24m
over 4 yrs
1996-1997 Dept of Health and Family Services
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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
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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
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Queensland Institute ofMedical Research
Aug 96 and May 97 $3b health expend cut but $150m extra on
Rural Health
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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)
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Queensland Institute ofMedical Research
• $5m pilot study on obstetric services in Rural areas
• Continued Support ….
• Health and Medical Research to $156m
• Focus on Collaboration ….
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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)
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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
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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!
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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
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Queensland Institute ofMedical Research
• Wooldridge Delivers Largest Ever Country Health Budget: $562m in three sections
2000 – 2001 Health and Aged Care
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Queensland Institute ofMedical Research
More Health Professionals (More Doctors Better Services)
MAHS $49.5m (major shift in policy although no direct access to MBS)
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Queensland Institute ofMedical Research
• Training and Education $162m
• 9 new clinical schools
• 3 new UDRH (multi discip focus)
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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
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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
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Queensland Institute ofMedical Research
2002 – 2003 Health and Aged Care
• The Continuation Budget
• Savings of $1.9b on PBS
• Aged Care focus
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Queensland Institute ofMedical Research
Does funding clinical schools, UDRHs and Regional Health
Services help the desirable move to collaborative Primary Health Care
Teams?
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Queensland Institute ofMedical Research
2003 – 2004 Health and Aged Care
• Focus on Prevention
• Health Funkenected extra $5m
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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
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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
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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
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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
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Queensland Institute ofMedical Research
THE KEY MESSAGE