Achieving High Performing Health Systems : Putting the social into health care
AUSTRALIAN PRIMARY HEALTHCARE INNOVATION AND REFORM VODCAST SERIES. Highlights from Vodcast 2
A Joint Prestantia Health and AUDIENCED Production, with
– Dr Paresh Dawda, GP Lead and Adviser, Founder Prestantia Health
– Dr Wally Jammal, GP, Hills Family General Practice
– Dr Bogdan Chiva Giurca, Clinical Lead and Global Director, UK National Academy for Social Prescribing
FACILITATOR
Leanne Wells, Associate Consultant, Prestantia Health
Clinicians and consumers know only too well that life circumstances such as poor housing, income and food insecurity can have a negative impact on health outcomes. Conversely, participation in community activities, social connection and access to nature parks and leisure facilities can help maintain health and wellbeing.
More recent phenomena in public health have also focused us on the health and social care connection. Stress factors such as the sudden loss of employment and social interaction, moving to remote work or schooling, and the impacts of sudden, localised COVID-19 ‘lockdowns’ to prevent further outbreaks were triggers of increased psychological distress.
And loneliness is being described as our latest epidemic with chronic loneliness inked to a myriad of health problems and earlier death. A recent report found one in four Australians say they feel persistently lonely, and that loneliness costs $2.7 bn a year in health costs alone.
According to a 2024 Commonwealth Fund Mirror Mirror report, which compares the health performance of several countries, only 13% of Australian primary care providers (or other personnel in the practice) usually screen or assess patients for one or more social need – the third lowest in the OECD.
Primary care – predominantly general practices – is where most people get most of their health care and is a commonly visited health care setting. GPs and others in team have a continuous relationship with their patient and the opportunity to identify factors beyond immediate medical care that can impact on health and wellbeing.
Integrating health and social care is an exciting frontier in healthcare and was described as such by Australia’s Assistant Health Minister at a National Social Prescribing roundtable hosted by the Australian Social Prescribing Research Institute (ASPIRE).
Despite the recognition that primary care is a good place to start, the barriers are real. Practice systems, data systems with the capacity to capture information and make intelligent insights, the lack of flexible funding and the time pressures on practices are among them.
In this Australian Health Journal HIGHLIGHTS release, the panel discuss some of these barriers and the desire to put the social into health care.
The FULL LENGTH FEATURE of this VODCAST can be watched here https://youtu.be/KGjrLcjgFg0
Vodcast 2 was convened December 2024. Read the Prestantia Health Blog Post https://www.prestantiahealth.com/post/putting-the-social-into-health-care
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Empowering underprivileged communities with sustainable health
Dr Gaj Panagoda, CEO of Xstitch Health, has a diverse medical background and is working to improve health systems for underprivileged communities. In the Australian Health Journal’s People In Health Care series, he talks about the changes needed in community-based care using a project based approach,
According to Dr Panagoda, there is a need for a shift towards community-based care and collaboration with stakeholders in the healthcare system, and the potential to create a new kind of socially conscious, inspired, community-informed medical specialist is the future of medical specialty care.
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Improving access to osteopathic services and integrated care models
The Chief Executive Officer of Osteopathy Australia, Antony Nicholas spoke with Australian Health Journal about:
– Involvement in the Strengthening Medicare Task Force
– The unique skills osteopaths have that can address the chronic disease burden
– Current workforce issues around osteopaths and if enough are coming through via student placements
– How uploading data to My Health Record by osteopaths could assist team-based care of patients
– How the value of osteopaths in Residential Aged Care Facilities (RACFs) could be better understood and better access for residents
– The recommendations around aged care access to allied health services, including osteopathy
– The recommendations around consumer access to osteopaths and GP referrals
– Other osteopathy recommendations in the upcoming Federal BudgetIn the lead up to the Australian Federal Budget in May 2023, Australian Health Journal reached out to peak health industry bodies to hear about their priorities, either noted in pre-budget submissions lodged with Federal Government in January 2023 or in recent forums such as the Strengthening Medicare Taskforce.
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WA and QLD RSV Immunisation programs show drops in infant hospitalisations
RSV is the number one cause of hospitalisation of Australian children under five years of age, according to the Immunisation Foundation of Australia (IFA). There are mounting concerns that Australians at greatest risk of severe Respiratory Syncytial Virus, or RSV will miss out on protection against the lung infection, with the Federal Government failing to commit to a national RSV immunisation program.
