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Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population
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Dr Tim Senior - Royal Australian College of General Practitioners - The effect of the proposed Medicare reform on already vulnerable members of the Australian population

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Dr Tim Senior delivered the presentation at the 2014 Future of Medicare Conference. …

Dr Tim Senior delivered the presentation at the 2014 Future of Medicare Conference.

The Future of Medicare Conference was a timely event as the Abbott government debates a full over haul of the Australian healthcare system. This conference presented a chance for government representatives, regulators, health care providers in the public and private sector, educators and private investors to come together and debate the proposed changes to Medicare as well as discuss the best practice methods of implementing new measures and frameworks.

For more information about the event, please visit: http://bit.ly/FutureofMedicare2014

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  • 1. Medicare and the vulnerable Dr Tim Senior GP Tharawal Aboriginal Corporation RACGP Medical Advisor Aboriginal and Torres Strait Islander Health Writer of Wonky Health
  • 2. What is a health system for? • To treat the sick? • To keep people healthy? • To keep people in work? • Available to all? • Available to those who need it? • Available to those who can afford it? • Available to our mates?
  • 3. My assumptions -all debatable (if you wish!) • We do actually want people to be healthy • We do actually want an effective health system that helps people • We do actually want to treat those who need it. • Why not try to do what works!
  • 4. Providing medical services
  • 5. Younger More children, more one parent families Renting/Dept Housing Less time in formal education More unemployment, more unskilled labour Low income More disability
  • 6. Consultations in ACCHO and GP • Younger patients • Longer consultations • More health care providers involved • More problems managed each consultation Larkins SL, Geia LK, Panaretto KS. Consultations in general practice and at an Aboriginal community controlled health service: do they differ? Rural and remote health. 2006;6(3). Thomas DP, Heller RF, Hunt JM. Clinical consultations in an Aboriginal community-controlled health service: a comparison with general practice. Australian and New Zealand Journal of Public Health. 1998;22(1):86-91.
  • 7. Access • 26% of Aboriginal people report difficulty accessing health care Why?
  • 8. Medical Workforce Survey 2012
  • 9. Health reform! • Telehealth? • PCEHR? • Opening hours? • Apps? • New medicines?
  • 10. What works for you is not what works! • People on low income less likely to take preventive health advice – This is because of extrinsic factors, not choice. • People (especially men) on low incomes less likely to use computers to find health information. • Health checks attract the worried well, not those who need health checks.
  • 11. Breaking down the barriers? Cultural barriers to health care for Aboriginal and Torres Strait Islanders in Mount Isa, Kristin E. McBain-Rigg and Craig Veitch, The Australian journal of rural health 19, no. 2 (April 2011 Interviews with community and health professionals in Mt Isa about barriers to care for Aboriginal people. What do you think they found?
  • 12. “Conclusions: For Aboriginal patients the focus on interpersonal relationships between themselves and health practitioners is paramount. Creating comforting physical environments and systems that are easier to navigate do assist in overcoming cultural barriers, but are often seen as little more than token gestures if trusting interpersonal relationships are not formed between patient and practitioner.”
  • 13. Health is... a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity. not just the physical well-being of an individual but refers to the social, emotional and cultural well- being of the whole Community in which each individual is able to achieve their full potential as a human being thereby bringing about the total well-being of their Community. It is a whole of life view and includes the cyclical concept of life- death-life
  • 14. A health system? Or a sickness system?

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