Recommendations Primary health networks and state and territory health departments collaborate to improve The Commission hosts a roundtable of service access to coordinated services that deliver providers and consumers from remote areas to evidence-based care for those with diabetes, identify successful strategies for implementing including at multidisciplinary foot clinics, and care best practice primary and secondary prevention by vascular, endocrine and orthopaedic services for patients with chronic diseases in specialists. remote Australia. Stroke average length of stay in hospital Asthma and chronic obstructive 65 years and over pulmonary disease medicines Hospital and ambulance services ensure dispensing and hospital admissions patients have access to care that aligns with the Stroke Clinical Care Standard. The Australian Government Department of Health encourages primary health networks to develop local models of integrated care for State and territory health departments consider asthma and chronic obstructive pulmonary mechanisms to improve coding, analytics and disease to ensure properly coordinated collection of outcome data for stroke. community prevention strategies are implemented. Relevant clinical colleges ensure educational and training material, as well as continuing State and territory health departments and professional development requirements, are in primary health networks jointly review the uptake keeping with the Stroke Clinical of vaccinations against respiratory diseases in Care Standard. high-risk populations and their influence on local variation. Heart failure hospital admissions 40 years and over Background Primary health networks, state and territory Chronic diseases are the leading cause of illness, health departments and clinicians collaborate to disability and death in Australia and internationally. improve access for patients with heart failure to Cardiovascular diseases, cancers, respiratory comprehensive heart failure programs consistent diseases and diabetes account for 82 per cent of with evidence-based best practice. chronic disease deaths worldwide1,2 and 75 per cent Diabetes-related lower limb amputation of chronic disease deaths in Australia.2 In Australia, hospital admissions 18 years and over chronic diseases accounted for 90 per cent of all deaths in 2011.3 Public and private hospitals and primary health networks adopt risk-stratified levels of support for Chronic diseases have complex causes and multiple managing diabetes care, including earlier risk factors. Many common risk factors, including diagnosis and intervention. smoking, poor nutrition, alcohol and lack of physical activity. With changing lifestyles and ageing populations, chronic diseases have become increasingly common in Australia and cause most of the burden of ill health.4 Depression is also a risk factor for chronic disease.5
Recommendations The Commission hosts a roundtable of service providers and consumers from remote areas to identify successful strategies for implementing best practice primary and secondary prevention services for patients with chronic diseases in remote Australia. Asthma and chronic obstructive pulmonary disease medicines dispensing and hospital admissions The Australian Government Department of Health encourages primary health networks to develop local models of integrated care for asthma and chronic obstructive pulmonary disease to ensure properly coordinated community prevention strategies are implemented. State and territory health departments and primary health networks jointly review the uptake of vaccinations against respiratory diseases in high-risk populations and their influence on local variation. Heart failure hospital admissions 40 years and over Primary health networks, state and territory health departments and clinicians collaborate to improve access for patients with heart failure to comprehensive heart failure programs consistent with evidence-based best practice. Diabetes-related lower limb amputation hospital admissions 18 years and over Public and private hospitals and primary health networks adopt risk-stratified levels of support for managing diabetes care, including earlier diagnosis and intervention. Primary health networks and state and territory health departments collaborate to improve access to coordinated services that deliver evidence-based care for those with diabetes, including at multidisciplinary foot clinics, and care by vascular, endocrine and orthopaedic specialists. Stroke average length of stay in hospital 65 years and over Hospital and ambulance services ensure patients have access to care that aligns with the Stroke Clinical Care Standard. State and territory health departments consider mechanisms to improve coding, analytics and collection of outcome data for stroke. Relevant clinical colleges ensure educational and training material, as well as continuing professional development requirements, are in keeping with the Stroke Clinical Care Standard. Background Chronic diseases are the leading cause of illness, disability and death in Australia and internationally. Cardiovascular diseases, cancers, respiratory diseases and diabetes account for 82 per cent of chronic disease deaths worldwide1,2 and 75 per cent of chronic disease deaths in Australia.2 In Australia, chronic diseases accounted for 90 per cent of all deaths in 2011.3 Chronic diseases have complex causes and multiple risk factors. Many common risk factors, including smoking, poor nutrition, alcohol and lack of physical activity. With changing lifestyles and ageing populations, chronic diseases have become increasingly common in Australia and cause most of the burden of ill health.4 Depression is also a risk factor for chronic disease.5
Chapter-6-30-Nov-2015-WORD-VERSION.docx