AUSTRALIAN HEALTH CARE DELIVERY

ISSUES

• Complexity of financing health care delivery system

• Medicare concept and community understanding

• Public hospitals• Training and standards• Regional services• Research

COMPLEXITY OF FINANCING

• National spending $147 billion (9.67% of GDP)• Government $100 billion (68%)• Federal Government $61 billion (43%)• State Government $40 billion (26%)• Non Government sources $47 billion (31%)

NON GOVERNMENT SOURCES

• Individuals• Health Insurance Companies• Workers Compensation• Compulsory 3rd Party Insurance• Research Grants

FEDERAL GOVERNMENT SPENDING

• Medical Services )• Medication - PBS ) 59% $36 billion• Hospitals - special purpose payments

STATE GOVERNMENT SPENDING

• Community Services• Public Hospitals• Public Health

NON GOVERNMENT SPENDING

• Private Hospitals• Medical Services• Dental Services• Aids and Appliances• Medication - non PBS

PUBLIC HOSPITALS

• 32% of total recurrent expenditure• Federal Government provides 37%• State Government provides 53%

PUBLIC HOSPITALS

• Planning difficulty • Policy changes (State Budget)• Public/Private co-ordination• Waiting time• Managing primary care

TRAINING AND STANDARDS

• Increased number of medical graduates• Training opportunities and working hours• Private sector

REGIONAL SERVICES

• Recruitment• Conditions of employment

RESEARCH

• Need for public funding