PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...
PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ... PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...
Subsequent Federal Budgets reflected these proposals. In 1996-97, allocations were developed toimprove access to health care in rural and remote areas, and to address the perceived ruralhealth workforce crisis. (15) In 1997-98, additional funds were directed to improving healthservices in regional Australia, including development of innovative models of service delivery andspecific purpose payments for States and Territories. Examples included the coordinated caretrials. In 1999-2000, funding was developed for Primary Health Care Access Program (PHCAP)zones. Under these arrangements health „zones‟ could be set up in the Northern Territory inwhich a single funding agreement could be established between the Commonwealth, NTGovernment and the zonal ACCHOs to allow all health-care funding to that community to bepooled (21) .Five key focus areas that were identified in the Territory Health Services 1996-97 Annual Reportwere congruent with the new Federal policy initiatives. These were: increased access toCommonwealth funding particularly for health services to rural and remote communitiespreventive health, increased emphasis upon chronic disease including renal disease, communitycare and community based services, and workforce recruitment and retention. Limited funding,was a major issue. The 1996-97 Annual Report for Territory Health Services noted:The NT is further challenged by the need to fund services in rural and remotecommunities that the Commonwealth Government directly funds in other States andTerritories. This anomaly happens as a result of the low number of private medicalpractitioners servicing the Territory‟s rural and remote areas. Territory Health Servicesprovides these communities with medical services that would otherwise be provided byprivate medical practitioners directly billing the Commonwealth. This results in asubstantial shortfall of funds (approximately $45M per year) and presents the NT with amajor financial barrier to the provision of health services at a level equal to that of otherStates and Territories (68) .3.5.1 Greater community control over health servicesObjective 7: There will be a greater degree of community control over health services,through a variety of mechanisms.The primary method used by the NTDH&CS to increase the degree of community control overhealth services, since the Coordinated Care Trials, is through the roll out of the Primary HealthCare Access Program (PHCAP), which was announced in the 1999-2000 Commonwealth budget.Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 60
The level of funding provided by the Commonwealth was to be based on the average AustralianMedicare expenditure multiplied by two, in acknowledgement of higher Indigenous needs, and byanother factor of two, if remote.Sunrise Health Service is a Community Controlled Health Service that was established in 2002based on a funds pooling model. In the early years of the establishment of the service Medicarefor the region was cashed out, but following the establishment phase in 2005, the fundingarrangement changed with the service required to generate Medicare income to supplement theNTDH&CS and specific DoHA program funding.A total of 21 Health zones were defined and priority zones were nominated in the Barkly andCentral Australia: Anmatjere, Eastern Arrernte-Alyawarra, Luritja-Pintubi, Northern Barkly andWarlpiri, and two health zones in the Top End: South East Top End and Darwin, as well as theformer Aboriginal Coordinated Care Trial sites at Katherine West and in the Tiwi Islands.Figure 3.5 NT Primary Health Care Access Program Zones 2003 (69) .The structure and process adopted for the implementation of PHCAP was complex, involvingthree layers of decision-making processes, across 21 zones, to a population of around 50,000Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 61
- Page 27 and 28: Year * Action Outcome1999 S NT Prev
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- Page 33 and 34: 2.2 Evaluation StagesThe NTPCDS eva
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- Page 37 and 38: internal project team. It was very
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- Page 43 and 44: Ferret Miwatj, Numbulwar, Marngarr,
- Page 45 and 46: Medicare information is not for pub
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- Page 69 and 70: 1 x AHW Central Australia 2001 S100
- Page 71 and 72: One clinic stated it had no care pl
- Page 73 and 74: Identifies priority practices to in
- Page 75 and 76: There has been a significant growth
- Page 77: about 25 per cent of the hospital b
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- Page 83 and 84: The diabetes education teams at HLN
- Page 85 and 86: maintenance group for people with l
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- Page 103 and 104: eported that 50 per cent of the Ind
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- Page 113 and 114: disease care in urban areas regardi
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Subsequent Federal Budgets reflected these proposals. In 1996-97, allocations were developed toimprove access to health care in rural and remote areas, and to address the perceived ruralhealth workforce crisis. (15) In 1997-98, additional funds were directed to improving healthservices in regional Australia, including development of innovative models of service delivery andspecific purpose payments for States and Territories. Examples included the coordinated caretrials. In 1999-2000, funding was developed for Primary <strong>Health</strong> Care Access Program (PHCAP)zones. Under these arrangements health „zones‟ could be set up in the Northern Territory inwhich a single funding agreement could be established between the Commonwealth, <strong>NT</strong>Government and the zonal ACCHOs to allow all health-care funding to that community to bepooled (21) .Five key focus areas that were identified in the Territory <strong>Health</strong> Services 1996-97 Annual Reportwere congruent with the new Federal policy initiatives. These were: increased access toCommonwealth funding particularly for health services to rural and remote communitiespreventive health, increased emphasis upon chronic disease including renal disease, communitycare and community based services, and workforce recruitment and retention. Limited funding,was a major issue. The 1996-97 Annual Report for Territory <strong>Health</strong> Services noted:The <strong>NT</strong> is further challenged by the need to fund services in rural and remotecommunities that the Commonwealth Government directly funds in other States andTerritories. This anomaly happens as a result of the low number of private medicalpractitioners servicing the Territory‟s rural and remote areas. Territory <strong>Health</strong> Servicesprovides these communities with medical services that would otherwise be provided byprivate medical practitioners directly billing the Commonwealth. This results in asubstantial shortfall of funds (approximately $45M per year) and presents the <strong>NT</strong> with amajor financial barrier to the provision of health services at a level equal to that of otherStates and Territories (68) .3.5.1 Greater community control over health servicesObjective 7: There will be a greater degree of community control over health services,through a variety of mechanisms.The primary method used by the <strong>NT</strong>DH&CS to increase the degree of community control overhealth services, since the Coordinated Care Trials, is through the roll out of the Primary <strong>Health</strong>Care Access Program (PHCAP), which was announced in the 1999-2000 Commonwealth budget.Chapter 3: Progress Against <strong>PCD</strong>S Objectives – <strong>Evaluation</strong> of the <strong>NT</strong> Preventable Chronic Disease <strong>Strategy</strong> 2007 60