Explain the role of SA Health and/or your state or territory Department of Health.
List the factors that influence the delivery of quality health services in Australia.
Describe the health care workforce in Australia.
Describe the role of the public hospital system in Australia.
As a registered nurse you need to have an understanding of how Australia’s health care system works. Duckett and Wllcox (2011, p.11) summarise Australia’s healthcare system:
Health care is a system involving inputs (finance, workforce), processes, outputs and outcomes and is situated in a broader socio- cultural political system.
The outputs and outcomes of the health care system include individual or person level outputs (patients treated) and outcomes (improved quality of life) and wider systemic outputs/outcomes (research outputs, strong communities and changed environments). Health outputs and outcomes are not always distributed evenly across all members of society.
The healthcare system can be evaluated in terms of equity, quality, safety, acceptability, efficiency and effectiveness.
The organisation of and design of health care systems must consider the differences between the need, demand and supply of health services. The need for health services is not objective, but is framed within a social and political context.
Duckett and Willcox (2011, pp. 76-77) summarise Australias health care workforce:
Almost 1 million people or one in every 10 employed people in Australia (9.8%) work in health and social assistance industries.
Nurses are fairly evenly distributed across metropolitan, regional and remote areas.
Improving workforce productivity is the key to addressing health workforce needs in the future. Productivity depends on a number of factors, such as the proportion of paid hours given to patient care, how work is organized and the contributions of other health professionals.
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