AUSTRALIAN HEALTH CARE DELIVERY. ISSUES Complexity of financing health care delivery system Medicare...
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Transcript of AUSTRALIAN HEALTH CARE DELIVERY. ISSUES Complexity of financing health care delivery system Medicare...
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