‘Built to Last’ - Health...2016/02/12 · ‘Built to Last’ WHO, WHAT, HOW…? Medicine and...
Transcript of ‘Built to Last’ - Health...2016/02/12 · ‘Built to Last’ WHO, WHAT, HOW…? Medicine and...
A WORKSHOP TO GUIDE FUTURE RESEARCH ON
HEALTH SYSTEM SUSTAINABILITY
‘Built to Last’
WHO, WHAT, HOW…?
2Medicine and Health Sciences I AIHI
TODAY’S AGENDA
Welcome and Introductions +
Do we have a problem? How do we know?
What can we do in 5 years to learn, build, test and embed sustainability?
Who must be involved? How will we know it has worked?
Wrap up, write up… and our thanks!
Fast forward to the future …but not as YOU!
First Half…Do we have a problem and what can we do?
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Source: OECD (2015), Fiscal Sustainability of Health Systems: Bridging Health and Finance Perspectives, OECD Publishing, Paris.
DOI: http://dx.doi.org/10.1787/9789264233386-en
5Source: http://www.aihw.gov.au/australias-health/2014/health-system/
Health expenditure as a proportion of GDP,
selected OECD countries, 2011
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Source: http://www.aihw.gov.au/australias-health/2014/health-system
Health services-funding and responsibility
Note: The inner segments indicate the relative
size of expenditure in each of the 3 main sectors
of the health system ('hospitals', 'primary health
care', and 'other recurrent'). The middle ring
indicates the relative expenditure on each service
in the sector (shown by the size of each segment)
and who is responsible for delivering the service
(shown by the colour code). The outer ring
indicates the relative size of the funding (shown
by the size of each segment) and the funding
source for the difference services (shown by the
colour code).
7Source: http://www.aihw.gov.au/australias-health/2014/health-system/
Total expenditure on health, by area of expenditure,
2011-12 ($ billion)
a. Includes general practitioner and
vocational registrar services,
practice nurses, enhanced primary
care services and other unreferred
attendances.
b. Includes recurrent expenditure not
paid for directly by hospitals but that
was not delivered in the primary
health care sector, such as all
medical services except general
practitioner and vocational registrar
services, practice nurses, enhanced
primary care services and other
unreferred attendances.
Source: AIHW health expenditure
database.
8Source: http://www.aihw.gov.au/australias-health/2014/health-system/
The ratio of health expenditure to tax revenue across all
governments, current prices, 2001-02 to 2011-12 (per cent)
9OFFICE I FACULTY I DEPARTMENT
10Source: http://www.aihw.gov.au/australias-health/2014/health-system/
Allocated health expenditure per person, by age and sex,
2008-09
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Allocated health expenditure in Australia,
by disease group and area of expenditure, 2008-09
Source: http://www.aihw.gov.au/australias-health/2014/health-system/
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Registered health practitioners 2014
Total = 610,148
Source: http://www.aihw.gov.au/australias-health/2014/health-system/
13OFFICE I FACULTY I DEPARTMENT
14OFFICE I FACULTY I DEPARTMENT
mo
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on
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risk takin
g b
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avio
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antimicrobial
resistance
SEDENTARY LIFESTYLES
WHAT WILL CHALLENGE SUSTAINABIITY?
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VER
TIC
AL
FISC
AL
IMB
ALA
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E
INC
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SIN
G
PERSO
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L RIS
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KIN
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AV
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ASYLUM and REFUGEE
INTAKE
NEW
TH
ER
AP
IES
& T
REA
TM
EN
TS
GENOMICS and
HEALTH RISK PLANS
World population + proportion of elderly GLOBAL EPIDEMICS
ONLINE DIAGNOSIS/TREATMENT
END OF LIFE ‘LIVING’
person
al d
ig
ita
l
hea
lth
m
on
itorin
g
FRE
SH W
AT
ER
A
ND
FO
OD
SH
OR
TA
GE
S
LOC
ALI
SATI
ON
OF
FOO
D
PR
OD
UC
TIO
N
CHALLENGES RO
BO
TIC
S
TISSUE GENERATION
urb
an
isa
tio
n &
me
nta
l h
ea
lth
Inequality gap
worsens
smaller
government
Tribal & Transient
Workforce
Care at
home
FORM SMALL GROUPS (A,B,C)
Further Research Activities ?
1. Briefly describe hypothesis.
2. What value would the research add to improving
health system sustainability?
3. Who must be involved to make it work in practice?
4. FEEDBACK to all.
12 FEBRUARY 2016
REFLECTION…
Fast forward to the
future…2036
Patient
Politician
Public health provider
Private health provider
Professional in healthcare
Primary healthcare provider
Policy
‘Pr’academic
Your observations from the future?
19OFFICE I FACULTY I DEPARTMENT
In 2036 you are writing an important global editorial on how
the Australian health system has become one of the most
resilient, high quality and sustainable in the whole world.
What are three or four characteristics that you observe to
convince your (learned) audience that this is so?
Please briefly describe each one on a separate post it note.
WRAP UP...
NEXT STEPS...
Thank you