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Closing the Gap: The NT is doing well

Closing the Gap: The NT is doing well. Dr Christine Connors A/Director Health Development Branch NT Department of Health August 2013. Overview. Social determinants Epidemiology Outcomes Future directions. Socio-economic quintile by Indigenous status, NT and Australia.

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Closing the Gap: The NT is doing well

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  1. Closing the Gap: The NT is doing well Dr Christine Connors A/Director Health Development Branch NT Department of Health August 2013

  2. Overview • Social determinants • Epidemiology • Outcomes • Future directions

  3. Socio-economic quintile by Indigenous status, NT and Australia Source: Infancy to young adulthood, Health Gains Planning, 2012 (In Press)

  4. DALY (mortality and morbidity) 1999- 2003

  5. COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  6. All cause age-specific death rate, males, by Indigenous status, Northern Territory and Australia, 1967 to 1971 and 2002 to 2006 Source: Mortality in the NT, Health Gains Planning, 2012 (unpublished)

  7. All cause age-specific death rate, females, by Indigenous status, • Northern Territory and Australia, 1967 to 1971 and 2002 to 2006 Source: Mortality in the NT, Health Gains Planning, 2012 (unpublished)

  8. Death rates by State and Territory 2007-2011 COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  9. Rates of potentially preventable and potentially treatable deaths 2007-2010

  10. COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  11. COAG Reform Council: Indigenous Disadvantage 2013

  12. COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  13. Preventable hospitalisations due to chronic conditions COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  14. Reduced AMI 2007-2010

  15. 16 CQI Facilitators 3 Pre existing 7 New: ACCH 6 New: DoH

  16. Trend of Indigenous clients in the NT DoH with type 2 diabetes and heart disease on a care plan

  17. Delivery of diabetes services in NT 2005-2012 Service delivery to patients with Type 2 Diabetes mellitus(n=number of health centres; number of patient records) 100 80 60 % Service delivery 40 20 0 1 2 3 4 (n=22;572) (n=22;552) (n=22;582) (n=22;672) Audit cycle

  18. Diabetes audits Aboriginal PHC services

  19. Diabetes audits NT Aboriginal PHC services

  20. Variation in intermediate outcomes outcome HbA1c control (<7%) BP control (<130/80mmHg)

  21. Priorities in chronic conditions • Improve social determinants • Prevention of obesity • Tobacco control • Patient and family education • self management support; • rehabilitation • Improved clinical care • case conference • coordination of care • CQI

  22. Any questions?

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