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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)

slide3
Aim
  • Collate the Major themes
  • Assess the impact of Conference Recommendations on Government policy
slide4
All 8 Conferences
  • Aboriginal Health Policy (strategic reform)
  • Health and Medical Research
slide6
6 Conferences
  • Workforce:
    • Education
    • Recruitment and Retention
    • Health Services (access and availability)
    • Health Financing
slide7
5 Conferences
  • Workforce:
    • Training
    • Communication Technology
    • Undergrad / Postgrad
    • Local Management (community controlled)
    • Community Participation
  • Service Delivery:
    • Transport
slide8
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)
1996 1997 dept of health and family services
1996-1997 Dept of Health and Family Services
  • Aboriginal Health
    • new primary health care services $24m over 4 yrs
rural health
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
slide11
Health and Medical Research
    • 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 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)
slide14
$5m pilot study on obstetric services in Rural areas
  • Continued Support ….
  • Health and Medical Research to $156m
  • Focus on Collaboration ….
slide15

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
  • National Injury Prevention framework
  • Indigenous Australians: $22.6 over 4 yrs for immunisation and STDs
  • $72m over 4 yrs Primary Health Care Services
slide17
$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!
1999 2000 health and aged care
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
2000 2001 health and aged care
2000 – 2001 Health and Aged Care
  • Wooldridge Delivers Largest Ever Country Health Budget: $562m in three sections
slide20
More Health Professionals (More Doctors Better Services) MAHS $49.5m (major shift in policy although no direct access to MBS)
slide21
Training and Education $162m
  • 9 new clinical schools
  • 3 new UDRH (multi discip focus)
slide22
More Health Services $185m
    • 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 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 Aged Care
  • The Continuation Budget
  • Savings of $1.9b on PBS
  • Aged Care focus
slide25
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 Aged Care
  • Focus on Prevention
  • Health Funkenected extra $5m
2004 2005 minister abbott first budget
2004 – 2005 Minister Abbott first budget
  • Aged Care $6b additional viability for rural homes
  • Medical Research $200m over 7 yrs
  • NICS $22.7m
slide28
New MBS item for AHP services
  • 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 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 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