Health economics

Analysis and Comment (23)

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GPs and hospitals aren’t incentivised to properly manage demand, which has contributed to the crisis in Accident & Emergency. PA/Stephen Kelly

A&E is in crisis because we all take it for granted

Our increasing use of hospital services is out of control and unsustainable and is contributing to the current crisis in accident and emergency (A&E). But the problem isn’t new and 30 years of NHS…
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Based on current evidence, expanding these services is the right thing to do. Image from shutterstock.com

A rational expansion of breast cancer screening

In the ninth part of our series Health Rationing, Stephen Duckett examines the government’s decision to extend the breast cancer screening program. As one of many pre-budget teasers, Health Minister…
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Health rationing assessments compare different aspects of health such as pain, anxiety, mobility and social interactions – but what’s more important? Image from shutterstock.com

Comparing apples, pears and hips: health rationing at work

In the seventh part of our series Health Rationing, Richard Norman and Rosalie Viney explain the controversial system governments use to decide what will and won’t be covered under Australia’s universal…
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The health budget isn’t limitless: decisions have to be made about to how to allocate funding between competing choices. AAP/Dave Hunt

Health funding under the microscope – but what should we pay for?

In the sixth part of our series Health Rationing, Mark Mackay examines the latest think tank blueprint to rein in Australia’s rising health costs. But he warns that before funding models are adjusted…
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The current fee-for-service model makes it difficult to contain costs and boost the quality of care. Image from shutterstock.com

Phase out GP consultation fees for a better Medicare

In the fourth part of our series Health Rationing, Peter Sivey explains why it might be time to abandon Medicare’s fee-for-service model. Teachers aren’t paid a fee for each lesson they teach, nor are…
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We need a more rational debate about how and where we spend our finite health budget. Image from shutterstock.com

Explainer: what is health rationing?

HEALTH RATIONING – a series which examines Australia’s rising health costs and the tough decisions governments must make to rein them it. Any mention of the “R” word in health care immediately brings…
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The biggest and fastest-growing spending category in health is hospitals. Image from shutterstock.com

Tough choices: how to rein in Australia’s rising health bill

With health costs rising and costly medical innovations on the horizon, it’s crunch time for health funding. In the lead up to the May budget, The Conversation’s experts will explore the options for reining…
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The broad economics of the scheme and the fine details of its implementation remain unclear. Image from shutterstock.com

We have an NDIS but what does this mean for disability care?

While the Labor party’s misguided leadership coup hogged the limelight last Thursday, the National Disability Insurance Scheme (NDIS) Bill passed through parliament. The government also announced the…
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There’s no reason the Australian taxpayer should pay such high prices for medicines when our overseas cousins don’t. Image from shutterstock.com

Fixing Australia’s bad drug deal could save $1.3 billion a year

The Commonwealth could save A$1.3 billion each year by reforming the Pharmaceutical Benefits Scheme (PBS), according to a report released today by the Grattan Institute. The report, Australia’s bad drug…
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It’s time to rethink Australia’s specialist-driven health workforce and rise to the challenge of chronic disease management. Hands image from shutterstock.com

Hike in health costs should prompt workforce rethink

Data released recently by the Australian Institute of Health and Welfare shows the nation’s health care bill is rising rapidly, from $77.5 billion in 2000-2001 to $130 billion in 2010-11. The largest increases…
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Research should be routinely translated into clinical practice. Flickr/cstmweb

McKeon review: we need to integrate research and health services

Last year the federal government asked my colleagues and I to investigate the state of health and medical research in Australia and make recommendations about the strategic direction of the sector. After…
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Health services are ripe for evidence-based reform. www.shutterstock.com

Six easy ways to improve health services

Each year $120 billion is spent on health services in Australia. But hardly any research is done to investigate whether this money is being used wisely. Only 2.8% of the funding for NHMRC project grants…
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Aged-care residents are among the most vulnerable in our society, with many reliant on pensions. Kariobinja/Flickr

It’s complicated: why aged-care funding is still a problem

Recent media reports have highlighted an anomaly in residential aged-care funding in Australia: that day-to-day operations of facilities are governed by both Commonwealth and state government policies…
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The poor suffer the greatest burden of disease but are less able to deal with the costs. Brooks Elliott

Next steps in health care reform

Australia is facing an epidemic of chronic lifestyle-related diseases, including type 2 diabetes, heart disease, stroke and chronic lung disease. We have many treatments for these that aren’t necessarily…
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At the end of the four years, only 5% of Australians with a disability will be covered. Flickr/afri

NDIS funding a start but limited trial means a long wait for most

Last night’s budget contained an important step towards realising a National Disability Insurance Scheme (NDIS), with $1bn allocated over the next four years. Of these funds, $342.5 million will pay for…
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We need to rethink our aged care workforce and funding for dementia patients. Alex E Proimos

Improving care for dementia patients in our ailing aged care system

Last week, Alzheimer’s Australia released a report that was highly critical of the way Australia’s aged care sector responds to the needs of dementia suffers and their families. It’s an issue that demands…
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Preventive health is the the biggest loser in the health deal. AAP

Can we now close the book on health reform? Not quite

The deal’s been done and health reform is in the bag. It may not be quite as bold as originally planned by then prime minister Rudd – there’s even been a fair amount of watering down on Julia Gillard’s…
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Home help is much more effective than written instructions from a doctor.

Why home help is the best bang for our health buck

The new Victorian Health Plan 2012-22 offers a bleak prognosis: forever rising medical costs, doctors in the wrong places, hospitals overwhelmed. To make matters worse, it claims that patients can’t be…
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The government has made a mistake by not listing pain drug Targin on the PBS. J Hawk

Scrimping on pain drugs is bad medicine and worse economics

In an attempt to contain growing health costs, the Australian Government has resisted recommendations to subsidise the pain medication Targin on the Pharmaceutical Benefits Schedule. Not only is this…

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