aboriginal chronic care snapshot...respiratory disease hospitalisation, by lhd 0 1000 2000 3000 4000...

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Identifying and using local data Aboriginal Chronic Care Snapshot Tina Navin Cristina System & Data Manager 45 and Up Study Sax Institute

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Page 1: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

Identifyingandusinglocaldata

AboriginalChronicCareSnapshot

Tina Navin CristinaSystem & Data Manager

45 and Up StudySax Institute

Page 2: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

SaxInstitute

• Established2012• TheSaxInstituteisanationalleaderin promotingtheuseofresearchevidenceinhealthpolicy.

• 40memberorganisations– publichealthandhealthserviceresearchgroupsanduniversities

Ourmission• Toimprovehealthandwellbeingbydrivingtheuseofresearchinpolicies,programsandservices.

• WewantwiserdecisionsforahealthierAustralia.

Page 3: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

Whydoweneeddata?

• Understandtheissue

• Tool/evidencetoconvinceothersthattheworkyouwanttodoisimportant

• Evaluate– needtoknowthecurrentsituationtosaythatanintervention/changehashadanimpact

Page 4: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

Sourcesofdata

• Publishedreportsandjournalarticles• Hospitalisations• EDvisits• Non-acutecare• Medicare• Deaths• CommunityServices• Registries(e.g.Cancerregistry)• Questionnaires• etc.……

Page 5: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

ABORIGINALCHRONICCARESnapshot

Page 6: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

HealthofAboriginalpeopleinNSW

• Lifeexpectancyandchildmortality• Healthofmothers,babiesandchildren• Riskandprotectivefactorsforhealth• Burdenofill-health

• Healthservicedeliveryhttp://www.health.nsw.gov.au/epidemiology/Pages/aboriginal-cho-report-2012.aspx

Page 7: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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
Page 8: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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.

Page 9: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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.

Page 10: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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.

Page 11: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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.

Page 12: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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.

Page 13: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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

Page 14: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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.

Page 15: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

Questionnairedata• Repeatedmeasuressurveys

– NationalAboriginalandTorresStraitIslanderHealthSurvey– NationalAboriginalandTorresStraitIslanderSocialSurvey– NationalDrugStrategyHouseholdSurveys– NSWPopulationHealthSurvey

• Longitudinalstudies– 45andUpStudy– SEARCH(StudyofEnvironmentonAboriginalResilienceandChild

Health)– TheLongitudinalStudyofAustralianChildren(LSAC)– TheLongitudinalStudyofIndigenousChildren(LSIC)– ALSWH(AustralianLongitudinalStudyonWomen’sHealth)

Page 16: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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

Page 17: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

The45andUpStudy• Morethan260,000participantsaged45yearsandover

– 2149Aboriginalpeople• Dataaboutphysicalandmentalhealth,medication,work,financialsituationandlifestyle

• Acollaborativeresourceforresearchersandpolicymakers• Valueaddedbylinkagetootherdatasets

https://www.saxinstitute.org.au/our-work/45-up-study/

Page 18: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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/

Page 19: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

Localsources

• PerformanceUnit– Qlikview Apps

• ActivityBasedManagementteam– ABMPortal

• Strategyandplanningunit

• PopulationHealth

• Surveys

Page 20: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

• Needtoknowwhatyouneedtoknow!

• Morelikelytogetwhatyouneedifyouknowhowtoaskforit

Page 21: Aboriginal Chronic Care Snapshot...Respiratory disease hospitalisation, by LHD 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

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!