Australia’s healthcare system:. Unit 3, AOS 2, Outcome 2. Key Knowledge and Key Skills. KK: Australia’s health system, including: – local, state and federal governments’ responsibilities for health and health funding – the values that underpin the Australian health system - PowerPoint PPT Presentation
Australias healthcare system:
Australias healthcare system:Unit 3, AOS 2, Outcome 2Key Knowledge and Key Skills.KK: Australias health system, including: local, state and federal governments responsibilities for health and health funding the values that underpin the Australian health system Medicare, Pharmaceutical Benefits Scheme (PBS) and private health insurance
KS: Identify and explain key components of Australias health system
Responsibilities within the Australian Healthcare System.The term healthcare system refers to all of the health service providers such as doctors, nurses, specialists, other health professionals, hospitals, clinics, preventative health programs...
The provision and funding of health services is shared between different levels of government;LocalStateFederal
The Local Government.At the local level, each municipal council has a responsibility to provide a safe environment for its community. This can be done through a range of projects:Organisation of immunisation programsProvision of community-based services such as maternal and child health centresCollection and disposal of garbage and sewageMaintenance of public parks, pools and other public areasEnsuring roads and public areas are well maintainedProviding a safe water supplyDevelopment of recreational and cultural facilitiesEnsuring the cleanliness of food storage and preparation in shops and restaurantsMonitoring compliance with tobacco laws, including smoking in public places.5State and Territory Governments.The state and territory governments provide guidance and direction to local authorities. They also provide a wide range of health services:Managing public hospital servicesHome and community care services for those aged under 65 years (and Indigenous Australians aged under 50 years)Funding of community services such as maternal and child health servicesSchool and workplace primary care programsEmergency services via hospital emergency departmentsEstablishment and service of local hospital networksAmbulance serviceDisability servicesCommunity health services, such as those in the areas of children, adolescents and family, general sexual health services and rehabilitationProvision of information and education programs promoting health through government agencies such as VicHealthInvestigation and control over pollutionFederal Government.The federal government is responsible for healthcare that impacts all Australians:Management and funding of Medicare and the Medicare Benefits SchemeManagement and funding of the Pharmaceutical Benefits Scheme (PBS)Regulation and access of private health insuranceEstablishment and management of the national after-hours GP HelplineFull responsibility of aged-care and home and community care services for those aged over 65 years (and Indigenous Australians aged over 50 years) in all states except Victoria and Western AustraliaFull funding and policy responsibility for general practiceFederal Government.Full funding and policy responsibility for primary healthcare, which covers services previously provided by states and territories, including community health centre primary healthcare, such as generalist counselling, primary mental healthcare services for mild to moderate mental illnesses, care for people with chronic illness.Financial support to government and nongovernment health organisationsPurchase of vaccinesMeeting Australias international responsibilities in healthcare via AusAIDManagement of a quarantine serviceManagement of national health programs
Responsibilities of each level of government.Read pages 224 to 227 and complete the table comparing the responsibilities of the 3 levels of government.
You will need to know at least 3 from each.
Federal GovState GovLocal GovResponsibilitiesFunding Healthcare.As well as being responsible for providing a range of health care services, the 3 levels of Govt are also responsible for funding Australias healthcare services. Funding for the healthcare system is shared between;the federal, state and territory governments.local government authorities.private health insurance funds andindividuals.The funding contributions from each level of govt varies. (With obviously the bigger the govt the more funding they provide)Funding Healthcare.Public hospital services = funded by the federal and state governments (Medicare levy assists with this)
Most of the funding by the non-government sector comes from the out-of-pocket expenses paid by individuals and private health insurance
State, territory and local GovernmentReceives funding from Federal and State governments and rate collection to provide funding for the local government responsibilities.
The money that is spent on healthcare by state, territory and local governments is directed towards the public hospital services and community health service such as maternal and child health services
Federal Government.Federal government funding on healthcare has increased over the last few years as a result of private health insurance incentives.
Most is its money is directed towards medical services (GP visits covered by Medicare), public hospitals and pharmaceuticals.
Funding Healthcare.Read back through pages 224-227. On your existing table, add in a new row for where the funding that each level of govt contributes goes to.Eg. The Federal Government-directs its money towards medical services (GP visits covered by Medicare), public hospitals and pharmaceuticals.
Federal GovState GovLocal GovResponsibilitiesFundingActivity where students are to place services in the right column-which level of government is responsible for it??Values of the Australias healthcare system.The Australian Government has indicated 7 values that underpin Australias health system via the health system performance indicators.Underpin-Support, strengthen, crucial.The 7 values of the healthcare system are:SafeEffectiveEfficientContinuousAccessibleResponsiveSustainableValues of the Australias healthcare system.SEECARS:Safe: Refers to the healthcare management or the environment in which the healthcare is delivered being free or as limited from harm as possible. Effective: Care, intervention or action that achieves the desired outcome; is relevant to the patients needs and meets the required standard.Efficient: Care, intervention or action achieves the desired results with the most cost-effective use of resources.Continuous: Ability to provide uninterrupted, coordinated care or service across programs, practitioners, organisations and levels over time.
Values of the Australias healthcare system.Accessible: Ability of people to obtain healthcare at the right place and right time irrespective of income, physical location and cultural background.Responsive: Services are client orientated. Clients are treated with dignity and confidentiality, and encouraged to participate in choices related to their care.Sustainable: Capacity of the system to sustain workforce and infrastructure, to innovate and respond to emerging needs.
Medicare.Medicare is Australias universal healthcare system that aims to: improve the access to healthcare for all Australians and provide access to adequate healthcare at little or no cost to all Australians in need of treatment, regardless of age or income.Medicare is funded by the federal government, partly through contributions made to the healthcare system through a 1.5% Medicare levy paid by most taxpayers and based on taxable income-the amount of the levy depends on the amount earned.
Medicare.The Medicare system has three main objectives:1 To make healthcare more affordable for all Australians.2 To give all Australians access to healthcare services with priority according to clinical need.3. To provide a high quality of care.
Medicare.Everyone who lives in Australia and is an Australian or New Zealand citizen is entitled to use Medicare services.
Anyone over the age of 15 years may be enrolled on their own Medicare card.
How does Medicare work?Medicare covers both in-hospital and out-of hospital services. It provides free or subsidised treatment by general practitioners, optometrists and certain diagnostic tests with the aim to cover at least 75% of the schedule fee.Schedule fee-The fee set by the Australian Govt for a medical service.How does Medicare work?Individuals can pay for medical treatment either by bulk billing or by paying an account.Bulk billing is where the medical practitioner bills Medicare directly. This means there is no out-of-pocket expense for the patient.If the medical practitioner does not bulk bill and charges a direct fee, a patient can pay the account and then claim the benefit from Medicare.Occasionally the practitioner elects to pay more than the schedule fee, the patient will have to pay the difference.
The Medicare safety net.The Medicare safety net is a protective measure designed to prevent patients having to pay high medical costs.It covers a range of out-of-hospital costs including doctor and specialists consultations, ultrasounds, blood tests and x-rays. When a patients gap amount reaches $421.70 in a year, they are eligible for the safety net, which will increase their Medicare benefits from 85% to 100% coverage of the Medicare schedule fee for any further out-of-hospital services for that year
What is covered by Medicare?Doctors consultation fees as often as needed (including some specialists)Treatment and accommodation as a public patient in a public hospital as a result of an emergency or after referral from a doctorTests and examinations needed to treat illness, including x-rays and pathology testsOptometrist eye testsMost procedures performed by doctors.
What is not covered by Medicare?General/most dental examinationsGeneral/most dental treatmentsAmbulance servicesHome nursingPh