aboriginal chronic care snapshot...respiratory disease hospitalisation, by lhd 0 1000 2000 3000 4000...
TRANSCRIPT
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Identifyingandusinglocaldata
AboriginalChronicCareSnapshot
Tina Navin CristinaSystem & Data Manager
45 and Up StudySax Institute
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SaxInstitute
• Established2012• TheSaxInstituteisanationalleaderin promotingtheuseofresearchevidenceinhealthpolicy.
• 40memberorganisations– publichealthandhealthserviceresearchgroupsanduniversities
Ourmission• Toimprovehealthandwellbeingbydrivingtheuseofresearchinpolicies,programsandservices.
• WewantwiserdecisionsforahealthierAustralia.
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Whydoweneeddata?
• Understandtheissue
• Tool/evidencetoconvinceothersthattheworkyouwanttodoisimportant
• Evaluate– needtoknowthecurrentsituationtosaythatanintervention/changehashadanimpact
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Sourcesofdata
• Publishedreportsandjournalarticles• Hospitalisations• EDvisits• Non-acutecare• Medicare• Deaths• CommunityServices• Registries(e.g.Cancerregistry)• Questionnaires• etc.……
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ABORIGINALCHRONICCARESnapshot
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HealthofAboriginalpeopleinNSW
• Lifeexpectancyandchildmortality• Healthofmothers,babiesandchildren• Riskandprotectivefactorsforhealth• Burdenofill-health
• Healthservicedeliveryhttp://www.health.nsw.gov.au/epidemiology/Pages/aboriginal-cho-report-2012.aspx
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Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.
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Diabetes
• Texthere
• Prevalence increasing and higher than non-Aboriginal people
• Rate of hospitalisation much higher in Aboriginal people
Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.
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Cardiovasculardisease
• Hospitalisation rate increasing in Aboriginal people, and decreasing in non-Aboriginal people (i.e. the gap is widening)
• Prevalence of high blood pressure similar, and high cholesterol lower, compared to non-Aboriginal people
Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.
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Chronicrespiratoryillness
• COPD hospitalisations increasing in Aboriginal people, and declining in non-Aboriginal people
• Prevalence of asthma is steady, but remains higher than non-Aboriginal people
Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.
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Chronicrenaldisease
• Hospitalisations increasing at higher rate than non-Aboriginal people (i.e. increasing gap)
• Rate of deaths consistent over time, but declining for non-Aboriginal people
Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.
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HealthStats NSW• Alcohol• Antenatalcare• Asthma• Burdenofdisease• Cardiovasculardisease• Communicablediseases• Coronaryheartdisease• Diabetes• Drugmisuse• Environment• Falls• Health-relatedbehaviours• Immunisation• Influenza• Injuryandpoisoning• Lifeexpectancy• Lowbirthweight• Mentalhealth• MothersandbabiesNutrition
• Oralhealth• Overviewofdeaths• Overviewofhospitalisations• Overweightorobesity• Physicalactivity• Population• Populationhealthperformanceindicators• Potentiallyavoidabledeaths• Potentiallypreventablehospitalisations• Pregnancyandthenewbornperiod• Psychologicaldistress• Respiratorydisease• Ruralandremotepopulations• Sexuallytransmissibleinfections• Smoking• Socialdeterminants• Socioeconomicstatus• Stroke• Suicide• Vaccinepreventablediseases
www.healthstats.nsw.gov.au
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Respiratorydiseasehospitalisation,byLHD
0
1000
2000
3000
4000
5000
6000
2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15
Sydney LHD
South Western Sydney LHD
South Eastern Sydney LHD
Illawarra Shoalhaven LHD
Western Sydney LHD
Nepean Blue Mountains LHD
Northern Sydney LHD
Central Coast LHD
Hunter New England LHD
Northern NSW LHD
Mid North Coast LHD
Southern NSW LHD
Murrumbidgee LHD
Western NSW LHD0
1000
2000
3000
4000
5000
6000
2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15
Sydney LHD
South Western Sydney LHD
South Eastern Sydney LHD
Illawarra Shoalhaven LHD
Western Sydney LHD
Nepean Blue Mountains LHD
Northern Sydney LHD
Central Coast LHD
Hunter New England LHD
Northern NSW LHD
Mid North Coast LHD
Southern NSW LHD
Murrumbidgee LHD
Western NSW LHD0
1000
2000
3000
4000
5000
6000
2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15
Sydney LHD
South Western Sydney LHD
South Eastern Sydney LHD
Illawarra Shoalhaven LHD
Western Sydney LHD
Nepean Blue Mountains LHD
Northern Sydney LHD
Central Coast LHD
Hunter New England LHD
Northern NSW LHD
Mid North Coast LHD
Southern NSW LHD
Murrumbidgee LHD
Western NSW LHD
Source: Centre for Epidemiology and Evidence. Health Statistics New South Wales. Sydney: NSW Ministry of Health. Available at: www.healthstats.nsw.gov.au. Accessed 8 March 2017.
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Questionnairedata• Repeatedmeasuressurveys
– NationalAboriginalandTorresStraitIslanderHealthSurvey– NationalAboriginalandTorresStraitIslanderSocialSurvey– NationalDrugStrategyHouseholdSurveys– NSWPopulationHealthSurvey
• Longitudinalstudies– 45andUpStudy– SEARCH(StudyofEnvironmentonAboriginalResilienceandChild
Health)– TheLongitudinalStudyofAustralianChildren(LSAC)– TheLongitudinalStudyofIndigenousChildren(LSIC)– ALSWH(AustralianLongitudinalStudyonWomen’sHealth)
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AustralianAboriginalandTorresStraitIslanderHealthSurvey(AATSIHS)
• aroundtwoinfive(39.3%)AboriginalandTorresStraitIslanderpeopleaged15yearsandoverratedtheirhealthasexcellentorverygood,while6.9%ratedtheirhealthaspoor.
• theproportionsofAboriginalandTorresStraitIslanderpeopleaged2yearsandoverwiththefollowinglong-termhealthconditionswere:– diabetes/highsugarlevels— 8.6%– hypertensivedisease— 5.8%– heart,strokeandvasculardiseases— 3.9%– kidneydisease—1.8%.
http://www.abs.gov.au/Aboriginal-and-Torres-Strait-Islander-Peoples
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The45andUpStudy• Morethan260,000participantsaged45yearsandover
– 2149Aboriginalpeople• Dataaboutphysicalandmentalhealth,medication,work,financialsituationandlifestyle
• Acollaborativeresourceforresearchersandpolicymakers• Valueaddedbylinkagetootherdatasets
https://www.saxinstitute.org.au/our-work/45-up-study/
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SEARCH• LongtermstudyofthehealthofurbanAboriginalchildren• 1671Children(0– 17years)from4ACCHSs
– 637families• 1484childrenhavesurveydata
– physicalhealth– foodandphysicalactivity– emotionalwellbeing– housingandfamilyenvironment
• InvestigatestheprogressionofhealthanddiseaseinurbanAboriginalchildrenrelatedto:
– earhealth/speechandlanguagedevelopment– mentalhealthandemotionalwellbeing– chronicdisease– thefamilyandthelocalenvironment
https://www.saxinstitute.org.au/our-work/search/
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Localsources
• PerformanceUnit– Qlikview Apps
• ActivityBasedManagementteam– ABMPortal
• Strategyandplanningunit
• PopulationHealth
• Surveys
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• Needtoknowwhatyouneedtoknow!
• Morelikelytogetwhatyouneedifyouknowhowtoaskforit
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Usefulresources• CHOReport:
http://www.health.nsw.gov.au/epidemiology/Pages/aboriginal-cho-report-2012.aspx
• HealthStats NSW:www.healthstats.nsw.gov.au• AustralianAboriginalandTorresStraitIslanderHealthSurvey:
http://www.abs.gov.au/Aboriginal-and-Torres-Strait-Islander-Peoples• SaxInstitute:https://www.saxinstitute.org.au• ABMPortal:DavidfromACIwillsendlinktoeverybody
• Me:[email protected] orthe45andUpStudyteam:[email protected]
Thankyou!