Professional Documents
Culture Documents
And...
• ...becauseoftheinterconnectednessof the world, health systems need to have
the capacity to control and address global public health threats such as epidemic diseases and other
severe events.
WA acute care beds cost 10-15% more than the national average
The cost of being inefficient: resources taken up where the may be used elsewhere
Some considerations...
• Effectiveness
– Targeting intervention appropriately - need to have a capacity to benefit from the intervention for
the intervention to be effective
– Quality of delivery
– Continued improvement
• Priority-setting
– Efficient allocations of resources between diseases
– And between preventive and curative approaches
But...
These entail smaller and larger political judgements...
• So that if we look at expenditures versus performance in healthcare by nation we see great
uneveness...
Large variation in expenditure and performance - not highly correlated
In Australia...
• Responsibility for health care is divided between different levels of government and private sector
– Commonwealth responsible for:
• Policy making
• Health research
• National information management
• Funding + regulating out of hospital medical services
– Medical benefits administered by Medicare Australia
- Medicare is relatively new and is historically highly contested. 20 years ago there was no
universal health care in Australia
Roles and responsibilities of Government
– States / Territories responsible for:
• Delivery and management of community + public health services
• Delivery of acute + psychiatric hospital services
• Maintaining relationship with health care providers
– Regulation of health professionals
– Commonwealth + State joint responsibility:
• Funding public hospitals
– Joint funding from state and commonwealth is under health care agreements, with overall control
being with the commonwealth (different for each State)
• Community care for disabled
And...
• There is a substantial private sector involvement funded by both out of pocket payments and via
health insurance
When medicare was introduced, there was a large exodus from private health care funds. The
government then introduced incentives for people to join private health care funds, which is
generally seen by health economists as a ‘stupid idea’ and the money could be put to better use
But, in general...
• For most, our system serves us well enough...
Health workforce
• A growing proportion of Australia’s workforce
– 3.7% in 2016