Aboriginal and Torres Strait Islander Health Performance Framework Report

Transcription

1 Aboriginal and Torres Strait Islander Health Performance Framework 26 Report

2 Report Findings Tier 1: Health Status and Outcomes Improvements: Mortality Infant Mortality Deaths due to Circulatory Disease Hospitalisation for Pneumonia Areas of continuing concern: Deaths due to chronic conditions Hospitalisation for Injury and Poisoning End Stage Kidney Disease Low Birthweight Social and Emotional Well Being Chronic Ear Disease Oral Health STIs

3 Mortality Age standardised mortality rates by Indigenous status, WA, SA and NT, Rate per 1, persons 12 8 Indigenous 4 Other Source: AIHW National Mortality Database

4 Infant Mortality Infant mortality rates Aboriginal and Torres Strait Islander infants and other Australians, WA, SA and NT, Rate per 1, Indigenous 6 - Other Source: AIHW National Mortality Database

5 Deaths due to circulatory disease Declined at a faster rate for Indigenous Australians than other Australians and the gap has narrowed 8 7 Circulatory diseases Indigenous Other Indigenous 95% CI Other 95% CI Rate per 1, population Source: AIHW National Hospital Morbidity Database

6 Areas of continuing concern Causes of mortality (rate per 1, age standardised) by Indigenous status, Qld, WA, SA and NT Circulatory causes of death External causes Cancer Endrocrine, metabolic & nutritional disorders Respiratory diseases Digestive diseases Conditions originating in perinatal period Rate per 1, Nervous system diseases Infectious & parasitic diseases Kidney diseases Other causes Aboriginal and Torres Strait Islanders people Other people Source: AIHW National Hospital Morbidity Database

7 Low birthweight This is twice as common for babies born to Aboriginal and Torres Strait Islander mothers than other Australian babies 15 Low birthweight babies per 1 live births, by Indigenous status of the mother, Australia Indigenous Per cent 9 6 Other Source: AIHW National Perinatal Statistics Unit (NPSU) National Perinatal Data Collection

8 Social and Emotional Well Being Mental health related mortality rates per 1,, by Aboriginal and Torres Strait Islander status, by age group and sex, QLD, WA, SA, & NT, Mental health related mortality rates per 1, Male Female Indigenous rate Non-Indigenous rate : Source: AIHW National Hospital Morbidity Database

9 Other areas of concern Chronic Ear Disease Sexually Transmissible Infections Oral Health Mean number or decayed, missing or filled teeth children aged 4-6 years, by Indigenous status, NSW (2), SA (23) and NT (22) NSW SA NT Indigenous Non-Indigenous Source: AIHW Dental Statistics and Research Unit

10 Tier 2: Health Determinants Improvements: Education Employment Areas of continuing concern: Access to safe water, sewerage, electricity Overcrowding in housing Low income and distribution of income Exposure to violence, child abuse and neglect, Contact with the criminal justice system, including imprisonment Smoking, alcohol consumption, physical activity, nutrition and overweight and obesity

11 Education 6 Improvements Non-school qualifications, Indigenous Australians Per cent (%) Certificate Advanced diploma/ diploma Bachelor degree or above 7 Source: ABS & AIHW analysis of 1995 and 24-5 National Aboriginal and Torres Strait Islander Health Survey and National Health Surveys and 21 National Health Survey (and Indigenous supplement) Proportion completing Year 12, by state/territory and Indigenous status, persons 18 years and over, NSW Vic Qld WA SA Tas ACT NT Total Indigenous Non-Indigenous

12 Employment Unemployment rates are high Some data sources suggest improvement in this area Labour force status of persons aged years, by Indigenous status, Indigenous Non-Indigenous Total Employed Unemployed Not in the Labour Force Source: AIHW & ABS analysis of 24-5 NATSIHS

13 Areas of concern Access to safe water supply, sewerage and electricity Overcrowding in housing Low income and distribution of income Exposure to violence, child abuse and neglect Contact with the criminal justice system, including imprisonment Age standardised imprisonment rates by Indigenous status Indigenous Non-Indigenous Per 1, adult population Source: Australian Bureau of Statistics. Prisoners in Australia (cat. No )

14 Smoking 6 Per cent of Indigenous Australians aged 18 years and over reporting they are a current smoker, by Indigenous status, non-remote areas, 1995, 21 and 24-5 Percent Source: ABS and AIHW analysis of 1995 and 24-5 National Aboriginal and Torres Strait Islander Health Survey and 21 National Health Survey (Indigenous supplement) Per cent of Indigenous population aged 18 years and over reporting they are a current smoker by state/territory, 24-5 Percent Per cent Source: ABS and AIHW Analysis of 24-5 National Aboriginal and Torres Strait Islander Health Survey and 24-5 National Health Survey 1 NSW Vic Qld WA SA Tas ACT NT Australia

15 Risky and high-risk alcohol consumption Alcohol risk levels by Indigenous status, persons aged 18 years and over, age standardised, Australia Proportion of adult population (age adjusted) Abstainers Drank at risky/high Drank at risky/high Risky or high risk risk levels in last 12 risk levels at least months once a week Short Term Risk: Long Term Risk: Aboriginal and Torres Strait Islanders people Other people Source: ABS and AIHW analysis of 24-5 National Aboriginal and Torres Strait Islander Health Survey and 24-5 National Health Survey

16 Other areas of concern Nutrition Overweight and Obesity 7 6 Percentage of Indigenous persons 15 years and over who were overweight/obese by state/territory 24-5 Percent NSW Vic Qld SA WA Tas NT ACT Total Indigenous Source: ABS National Aboriginal and Torres Strait Islander Health Survey, Non-Indigenous 4 Percentage of adults underweight, overweight and obese, by Indigenous status, 24-5 Per cent (%) Underw eight Healthy w eight range Overw eight Obese

17 Access to health care Areas of success Tier 3: Health Care Antenatal care Immunisation Usual source of care Access to Aboriginal and Torres Strait Islander services Areas of concern Barriers to health care Differential access to key procedures in hospital and discharge against medical advice Ambulatory care sensitive hospital admissions Access to prescription medicines Breast cancer screening Aboriginal and Torres Strait Islander Australians in the health workforce

18 Access to health care Per cent of people aged 15 years and over who accessed health care, by type of health care, within the last 12 months (hospital) or last two weeks (other health care), by Indigenous status, age standardised, Australia Percent 1 5 Admitted to hospital Visited casualtly outpatients Doctor consulation (GP and/or specialist) Dental consultation Consultation with other health professional Aboriginal and Torres Strait Islanders people Other people Source: ABS and AIHW analysis of 24-5 National Aboriginal and Torres Strait Islander Health Survey and 24-5 National Health Survey

19 Antenatal care Immunisation Usual source of care Areas of Success Where Aboriginal and Torres Strait Islander peoples usually go if they have problems with health, by remoteness area, 24-5 % of Aboriginal and Torres Strait Islander People Total Major Cities Inner regional Outer regional Remote Very Remote Aboriginal medical service Doctor Source: ABS and AIHW analysis of 24-5 National Aboriginal and Torres Strait Islander Health Survey

20 Aboriginal and Torres Strait Islander primary health care services Cumulative percent changes to Aboriginal and Torres Strait Islander primary health care services, to Per cent Services FTE staff Episodes of care Financial year Note: 85 services provided valid episodes of health care data for the 5 years and 17 services provided data on full time equivalent staff for the 5 years presented here. Source: Service Activity Reporting 23-4.

21 Hospital Care Differential access to key procedures Per cent of hospital episodes with a procedure reported, selected principal diagnoses and Indigenous status, Qld, WA, SA and NT, Neoplasms (Cancer) Diseases of the blood Diseases of the eye Diseases of the ear Diseases of the musculoskeletal system Pregnancy, childbirth Diseases of the digestive system Endocrine, nutritional & metabolic disorders Diseases of the genitourinary system Injury, poisoning, external causes Diseases of the skin Diseases of the circulatory system Infectious & parasitic diseases Diseases of the nervous system Diseases of the respiratory system Per cent Aboriginal & Torres Strait Islander people Other people Source: AIHW National Hospital Morbidity Database

22 Discharge against medical advice Indigenous patients in Qld, NT, WA and SA were discharged from hospital against medical advice at 19 times the rate of other Australians Discharges against medical advice by Indigenous status state/territory (excluding Mental and Behavioural Disorders) in Qld, WA, SA & NT, June 22 July Rate per Qld WA SA NT Qld, WA, SA & Indigenous Non-Indigenous NT Source: AIHW National Hospital Morbidity Database

23 Ambulatory care sensitive hospital admissions Top ten ambulatory care sensitive hospital admissions, by Indigenous status, Qld, WA, SA and NT, July 22 to June 24 Congestive cardiac failure Angina Dental problems Kidney disease Cellulitis Asthma Other Indigenous Chronic obstructive pulmonary disease Ear, nose & throat infections Convulsions & epilepsy Diabetes complications Rate per 1, persons Source AIHW National Hospital Morbidity Database

24 Response to Report 1. AHMAC and COAG 2. Whole of Government response 3. Over to you.