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HSO107 pt 6 1/2


What does the intergovernmental report state? - expenditure on health and aged care won't reverse - no major efficiency strategy is in place or planned - states face major health funding challenge - private sources need to contrubute more
Government have significant pressure on revenue in the mid-term because: - decrease in tax base as a result of aging population - end of resources boom and ability to raise mining tax - major decline in resource investment and potential investment
Government have significant pressure on revenue in the mid-term because (cont.): - governments will want to curb public hospital costs - public hospitals 20% less efficient than private - cost of bed to government is 4x public vs private - capital cost of an acute bed is $2m in public sector - access to acute care will worsen
What is the estimate population in VIC estimated to grow to? 6.5 million or 7 million
What is the current population of VIC? 5.6 million
What increases use of health services? Age
What will add to occuring health problems? - Obesity - Poor nutrition - Physical inactivity - Smoking - Drug and alcohol use
What are some factors of current clients? - Better informed - More demanding of service levels and single rooms, access to latest tech. and treatment, access to more appropriate services - focus on value for money - more willing to complain - more likely to want private health care
What is there an expansion of? - health advisory and health promotion/disease prevention services
What is making clients want to adopt healthier lifestyles? - financial benefits
Where is there a significant growth in clinical trends? - orthopedics - oncology & radiation - neuroscience - general surgery - mental health - clinical imaging - alternative therapies - alternative settings - disease prevention - enhanced accountability
Give some characteristics of the workforce: - aging, more people are retiring - poorly distributed, especially in rural settings - nursing and allied health shortages - medical surplus - generational changes = more work, shorter working life, better conditions
What are implicatons for health educators: - supply of work ready, cost effective workers - support new workforce developments - invest in health services and system redesigns - more informed customers - better educated workers - innovative health and tech. - engaged with asia pacific
Early definition of heatlh: state of complete physical, mental and social wellbeing, not just absence of disease
Later definition of health: condition or quality of human organism which express adequate functions under genetic/environmental conditions
How did WHO explore health: - ability to satisfy needs - ability to change or cope with the environment
What does the Ottawa Charter (1986) aim to do? - build healthy policy - create supportive environments - strengthen community action - develop personal skills - re-orient health services - increase control over personal health - model of self empowerment
1st Pillar: Build Healthy Policy - health promotion goes beyond health care and includes legislation, fiscal measures, taxation and organisational change
2nd Pillar: Create supportive environment - living and working conditions that are safe, stimulating, satisfying and enjoyable
3rd Pillar: Strengthen community action - setting priorities, making decisions and implementing them so that communities control own destinies
4th Pillar: Develop personal skills - education for health and life skills so people can have more control over own health and envrionment
5th Pillar: Reorient health services - must move beyond health promotion's responsibility for providing clinical and curative services
What is effective health promotion? Involves multi-level, integrated and complementary interventions and partnerships
Define upstream: Macro-level: policy, legislation, affordable health care...
Define midstream: Lifestyle/behaviour programs: aimed at specific populations and groups
Define downstream: Micro-level: treatment systems, disease management, research...
Created by: 974869485886242