A synthesis of the outcomes of four national rural health conferences 1991 1997
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A Synthesis of the Outcomes of Four National Rural Health Conferences 1991-1997. (Clark and Martini). 17 Years!. Aim. Collate the Major themes Assess the impact of Conference Recommendations on Government policy. All 8 Conferences Aboriginal Health Policy (strategic reform)

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A synthesis of the outcomes of four national rural health conferences 1991 1997

A Synthesis of the Outcomes of Four National Rural Health Conferences 1991-1997

(Clark and Martini)


17 years
17 Years! Conferences 1991-1997


Aim Conferences 1991-1997

  • Collate the Major themes

  • Assess the impact of Conference Recommendations on Government policy


  • All 8 Conferences Conferences 1991-1997

  • Aboriginal Health Policy (strategic reform)

  • Health and Medical Research



  • 6 Conferences Conferences 1991-1997

  • Workforce:

    • Education

    • Recruitment and Retention

    • Health Services (access and availability)

    • Health Financing


  • 5 Conferences Conferences 1991-1997

  • Workforce:

    • Training

    • Communication Technology

    • Undergrad / Postgrad

    • Local Management (community controlled)

    • Community Participation

  • Service Delivery:

    • Transport


  • Healthy Horizons (1999) Conferences 1991-1997

  • 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)


1996 1997 dept of health and family services
1996-1997 Dept of Health and Family Services Conferences 1991-1997

  • Aboriginal Health

    • new primary health care services $24m over 4 yrs


Rural health
Rural Health Conferences 1991-1997

  • $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


  • Health and Medical Research Conferences 1991-1997

    • public health research increased to $3.6 over 3 yrs ($9.9m)

  • Aged Care

    • $60m new and continuing respite care



1997 1998 health and family services
1997 – 1998 Health and Rural HealthFamily 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)



Aboriginal and Torres Strait Islander Health – funding for community controlled services 1997: Health Framework Agreements signed (conf requested Tasmania and N.T be included)


1998 1999 health and family services
1998 – 1999 Health and Family Services community controlled services

  • National Injury Prevention framework

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

  • $72m over 4 yrs Primary Health Care Services


  • $12.4m Public Health Evidence Base community controlled services

  • Health &Medical Research $165m

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


1999 2000 health and aged care
1999 – 2000 Health and community controlled services 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


2000 2001 health and aged care
2000 – 2001 Health and community controlled services Aged Care

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


More Health Professionals (More Doctors Better Services) community controlled services MAHS $49.5m (major shift in policy although no direct access to MBS)



  • More Health Services $185m community controlled services

    • assistance for Pharmacies to start up or relocate

    • chronic disease support

    • aged care

    • $30m revitalise bush nursing


2001 2002 health and aged care
2001 – 2002 Health and community controlled services 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


2002 2003 health and aged care
2002 – 2003 Health and community controlled services Aged Care

  • The Continuation Budget

  • Savings of $1.9b on PBS

  • Aged Care focus


Does funding clinical schools, UDRHs and Regional Health Services help the desirable move to collaborative Primary Health Care Teams?


2003 2004 health and aged care
2003 – 2004 Health and Services help the desirable move to collaborative Primary Health Care Teams? Aged Care

  • Focus on Prevention

  • Health Funkenected extra $5m


2004 2005 minister abbott first budget
2004 – 2005 Minister Abbott first budget Services help the desirable move to collaborative Primary Health Care Teams?

  • Aged Care $6b additional viability for rural homes

  • Medical Research $200m over 7 yrs

  • NICS $22.7m


  • New MBS item for AHP services Services help the desirable move to collaborative Primary Health Care Teams?

  • New MBS item for Dentists

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


2005 2006 health and aged care
2005 – 2006 Health and Services help the desirable move to collaborative Primary Health Care Teams? 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


2006 2007 health and aged care
2006 – 2007 Health and Services help the desirable move to collaborative Primary Health Care Teams? 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


The key message
THE KEY MESSAGE Services help the desirable move to collaborative Primary Health Care Teams?


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