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?

4

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

5

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

11

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/

12

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

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SEDENTARY LIFESTYLES

WHAT WILL CHALLENGE SUSTAINABIITY?

15

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ASYLUM and REFUGEE

INTAKE

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GENOMICS and

HEALTH RISK PLANS

World population + proportion of elderly GLOBAL EPIDEMICS

ONLINE DIAGNOSIS/TREATMENT

END OF LIFE ‘LIVING’

person

al d

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ita

l

hea

lth

m

on

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FRE

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LOC

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FOO

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CHALLENGES RO

BO

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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