Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Similar to NACCHO 2018 National Conference – Medicial Specialist Access Framework
Similar to NACCHO 2018 National Conference – Medicial Specialist Access Framework (20)
More from NACCHOpresentations
More from NACCHOpresentations (20)
Recently uploaded
Recently uploaded (20)
NACCHO 2018 National Conference – Medicial Specialist Access Framework
- 2. Medical Specialist Access Framework – a guide to Equitable Access to Specialist Care for Aboriginal and Torres Strait Islander people The Royal Australasian College of Physicians
- 3. Background • Aboriginal and Torres Strait Islander peoples see specialists about 40 per cent less often than non- Indigenous Australians • This discrepancy is worse than the statistics for access to GPs, allied health, pathology, diagnostic imaging, and other MBS items. • Source: Australian Government, Australian Institute of Health and Welfare, Aboriginal and Torres Strait Islander Health Performance Framework 2012
- 5. Where does this fit strategically?
- 7. Medical Specialist Access Framework Three parts: • Principles in Practice • Roles and Responsibilities • Enablers of specialist access Supporting materials: • Case studies • Tools and resources
- 8. Principles • Indigenous Leadership • Culturally safe and equitable services • Person centred and family oriented • Flexibility • Sustainable and feasible • Integration and continuity of care • Quality and accountability
- 10. Enablers of Specialist Access • Organisational capability • Health practitioners’ capability • Regional collaboration • Identification, data and technology • Contracts and service level agreements • Meeting patient cost of specialist care, travel and accommodation
- 11. • Range of geographical settings • Involve ACCHOs, hospitals, PHNs and outreach • Educational, instructive, inspirational • Principles in action Case Studies
- 15. Who should use the MSAF? • All health stakeholders. • The MSAF is relevant to: • Aboriginal Community Controlled Health Settings - Primary health care settings • Hospital settings • Health administrators • Allied health, nurses, GPs, Doctors, specialists • Government • Primary health networks
- 16. Moving forward……. • Suggestions / comments / questions • Implementation / evaluation • Version 2 is coming – due December 2018 • Additional case studies are welcome. • www.racp.edu.au/MSAF • Indigenous@racp.edu.au
- 17. racp.edu.au/msaf
Editor's Notes
- I would like to respectfully acknowledge the traditional owners of the land on which this event is taking place, the Turrbal and Jagera people, and pay my respects to their elders past, present and emerging. I am here representing the Royal Australasian College of Physicians. Our college trains and represents a broad range of medical specialties including cardiology, oncology, paediatrics, public health, sexual health, and palliative care. I’m a paediatric doctor and also a member of our college’s Aboriginal and Torres Strait Islander Health Committee. Aboriginal and Torres Strait Islander health has rightfully become a key priority for our college and in May we were proud to launch our Indigenous Strategic Framework, which is designed to guide the college’s work in this area over the next decade. Some of our key priorities include: Addressing Indigenous health inequities Growing the Indigenous physician workforce Educating and equipping the physician workforce on Indigenous health and culturally safe clinical practice Fostering a culturally safe and competent college
- As part of this, I would like to take the opportunity to talk more about the Medical Specialist Access Framework that the college has created. This is a resource that we are very proud of and that we hopes proves to be a valuable reference throughout the health sector.
- The health inequities, incidence of chronic disease and burden of disease is well known and well-publicised. Access to healthcare is one contributor to this problem and MBS data from a number of years ago demonstrates that Aboriginal and Torres Strait Islander peoples see a medical specialist 40% less often than non-Indigenous Australians on a per capita basis. Similar discrepancies exist in other areas of the health system, however, analysing MBS data alone shows that the access gap is greatest among medical specialist consultations.
- In 2014 our college hosted a Specialist Access Roundtable where there was consensus about the need for a national system for providing equitable access to specialist medical care with complete geographical coverage across Australia. This system needed to be guided by a national framework based on principles that inform best practice in the provision of specialist medical care.
- As a founding member of the Close the Gap campaign, our college saw this concept and framework as a strategic responsibility and at the same time, this concept was designed to give effect to the vision and strategies of the 2013-2023 National Aboriginal and Torres Strait Islander Health Plan and Implementation Plan.
- After wide consultation and collation of case studies, the Medical Specialist Access Framework was completed and published earlier this year. The framework is predominantly an electronic resource available on the college website but it is available in printed form too. We have found that the electronic presentation of the framework offers a number of advantages. We are hoping that the framework will be a living resource that can be updated and have new case studies and supporting materials added over time.
- Our framework opens with an explicit statement of principles of equitable delivery of specialist medical care to Aboriginal and Torres Strait Islander peoples that were discussed and conceived at the specialist access roundtable. Service development and provision should be led by Aboriginal and Torres Strait Islander health organisations, communities and people, recognising the system as a whole taking responsibility. Specialist services should address access barriers facing Aboriginal and Torres Strait Islander peoples (including institutional racism) and should provide culturally safe services delivered by well-trained and professional multidisciplinary teams. Specialist services should focus on the needs of individuals and understand the role and value of the family in care provision for Aboriginal and Torres Strait Islander peoples. The diversity of populations, nations, languages, locations and health services requires flexible models of care as well as flexible approaches to funding and service arrangements. Services need to take account of existing infrastructure and be appropriately resourced to ensure they are sustainable. Specialist care should be accessible across the life course, across health care settings and geographies, and be underpinned by comprehensive primary health care.
- The framework outlines the roles and responsibilities of three key stakeholder groups involved in the planning, coordination and delivery of specialist medical care. This aspect of the framework also describes how these stakeholder groups should interact and collaborate to achieve equitable access to medical specialists.
- The final section of the framework describes the mechanisms that assist stakeholders to appropriately fund, plan and deliver medical specialist access for Aboriginal and Torres Strait Islander Peoples. This includes the need for health services and health professionals to embody cultural safety. The importance of collaboration between stakeholders and across geographical divisions. The role of technology and data collection for identifying and addressing service gaps. And mechanisms for addressing social and financial barriers to specialist access.
- A range of case studies demonstrating the framework in action are available across metropolitan, regional, rural and remote locations. These case studies involve ACCHOs, hospitals, primary health networks, and outreach programs. Aside from discussing models of care and stakeholder engagement, each case study provides a prescriptive analysis of relevant principles from the framework to demonstrate how these principles are utilised and applied within the context of each case study.
- Our website for the framework also contains a variety of resources to support specialist access programs throughout their development from planning through to evaluation and quality improvement.
- ACCHOs can use the MSAF to work with hospitals, hospital based physicians, introduce models for specialist clinics to be held in ACCHO settings. MSAF is a great introductory resource for physicians working in ACCHOs to see the core principles for specialist health care for Aboriginal and Torres Strait Islander health people and different models of care