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AIHW annual report 2013-14

online version of AIHW annual report 2013-14

Annual report 2013-14

This Australian Institute of Health and Welfare annual report 2013–14 highlights significant achievements during the year that help to provide Australians with quality, nationally-consistent health and welfare information. It reviews our activities in the 2013–14 financial year, enabling Australians to assess our efficiency, effectiveness and economy.Our activities are guided by legislative and government requirements, as well as our work plan and contractual obligations. Our performance in the 2013-14 year is described with reference to these requirements and plans.The report complies with the requirements of the Commonwealth Authorities and Companies Act 1997.

Health indicators for Remote Service Delivery communities: a summary report

This report provides information on antenatal care, live births, low birthweight babies, hospitalisations (all and selected causes), disability, mortality, child protection, juvenile justice, alcohol and other drug use and aged care for 29 remote Indigenous communities. Where possible, data are presented at the jurisdictional and national level, and time series data provided for comparison. This information was compiled to inform an evaluation of the National Partnership Agreement on Remote Service Delivery (NPA RSD), conducted in 2013.

Cardiovascular disease, diabetes and chronic kidney disease: Australian facts mortality

Cardiovascular disease, diabetes and chronic kidney disease—Australian facts is a series of 5 reports by the National Centre for Monitoring Vascular Diseases at the Australian Institute of Health and Welfare that describe the combined burden of cardiovascular disease (including coronary heart disease and stroke), diabetes and chronic kidney disease. This report on Mortality presents up-to-date statistics as well as trends on deaths from these chronic diseases. It examines age and sex characteristics, and variations across population groups, including among Aboriginal and Torres Strait Islander people, by geographical location, and by socioeconomic disadvantage.

Australian Cancer Database: current status and a vision for the future

This report presents the ‘current state’ of the Australian Cancer Database (ACD), and identifies and presents approaches for the continued development and enhancement of the database towards the defined ‘goal state’. To ensure that the ACD continues to supply national, responsive, policy-relevant cancer incidence, prevalence, survival and mortality data, the AIHW, with the support and cooperation of state and territory cancer registries, examined all governance arrangements and end-to-end data processes that affect the quality and currency of the ACD. The goal state for the collection is defined, specific points of influence identified, and potential next steps towards achieving the goal state are presented as points for consideration and discussion among ACD stakeholders and contributors.

Australian hospital statistics 2013–14: emergency department care

In 2013–14:- there were almost 7.2 million presentations to public hospital emergency departments- 75% of patients received treatment within an appropriate time for their urgency (triage) category- 73% of patients spent 4 hours or less in the emergency department- 2 million patients were admitted to the hospital from the emergency department, and 45% of these were admitted within 4 hours.

Australian hospital statistics 2013–14: elective surgery waiting times

In 2013-14:about 700,000 patients were admitted to Australian public hospitals from elective surgery waiting lists;50% of patients were admitted for their surgery within 36 days of being placed on the waiting list and 90% were admitted within 262 days.

Assessment of the Australian Rheumatology Association Database for national population health monitoring: working paper

This working paper uses the Australian Institute of Health and Welfare’s recently developed assessment framework to assess the suitability of the Australian Rheumatology Association Database as a potential new data source for population health monitoring of inflammatory arthritis.

An AIHW framework for assessing data sources for population health monitoring: working paper

When identifying potential data sources for population health monitoring, it is important to ensure they are 'fit-for-purpose'. This working paper outlines the Australian Institute of Health and Welfare’s 3-step process used to assess potential data sources for population health monitoring purposes.

Assessment of the coding of ESKD in deaths and hospitalisation data: a working paper

Monitoring the impact of end-stage kidney disease (ESKD) is important in planning for future health needs of the population. This working paper uses linked data from Western Australia and New South Wales to assess the likelihood that a patient who is hospitalised with ESKD will have ESKD recorded on their death record, in order to establish whether mortality records in Australia reflect the actual disease pattern of people with ESKD.The study confirms that the ESKD codes used in the mortality data to estimate ESKD incidence are likely to underestimate the impact of ESKD—there is a high proportion of patients who are hospitalised with ESKD who do not have ESKD recorded on their death certificates.

Housing assistance in Australia 2014

This report presents information on trends and issues in housing policy, housing affordability and housing assistance provided to populations with special needs. As housing and rental affordability declines, the need for housing assistance continues to increase, with 1.3 million recipients of Commonwealth Rental Assistance and over 400,000 households living in social housing. Of those households who were recently provided assistance through social housing, the majority were identified as either homeless or at risk of homelessness.

Alcohol and other drug treatment and diversion from the Australian criminal justice system: 2012-13

Nationally, there were 24,069 clients who had been diverted into alcohol and other drug treatment, comprising 24% of all clients. Diversion clients were younger and more likely to be male than non-diversion clients, and less likely to be Indigenous. Diversion treatment episodes were about twice as likely to involve cannabis as the principal drug of concern compared with episodes for non-diversion clients. Police diversion episodes had less intensive treatment types compared with court diversion episodes.

Key performance indicators for the National Bowel Cancer Screening Program: technical report

This report provides provide a summary of the development process and the technical specification for the 11 agreed performance indicators that are part of the National Bowel Cancer Screening Program Performance Indicator Set. This report is a reference tool for anyone who wishes to understand, measure and report the progress of bowel cancer screening in Australia.

Housing outcomes for groups vulnerable to homelessness: 1 July 2011 to 31 December 2013

Using data from specialist homelessness agencies, this bulletin examines four cohorts vulnerable to homelessness and the differences in the housing outcomes both across and within the groups. It seeks to better understand why some people in these groups may retain or attain housing while others become or stay homeless. It is expected that well known factors which make people more vulnerable to homelessness will also be key factors in their housing outcomes following support. This bulletin seeks to confirm that this is the case and also provide an indication of the extent of the impact of these factors.

BreastScreen Australia monitoring report 2011-2012

The BreastScreen Australia monitoring report 2011–2012 presents the latest national statistics on this national screening program, which aims to reduce illness and death resulting from breast cancer through organised screening to detect cases of unsuspected breast cancer in women, thus enabling early intervention. Around 55% of women in the target age group of 50–69 took part in the program, with more than 1.7 million women screening in 2011–2012.Breast cancer mortality is at an historic low, at 44 deaths per 100,000 women.

Australian hospital statistics 2012–13: private hospitals

Australian hospital statistics 2012–13: private hospitals is a new report in AIHW’s series of summary reports describing the characteristics and activity of Australia’s hospitals, focused on the role of private hospitals in Australia. In 2012–13, 41% of all separations occurred in private hospitals. From 2003–04 to 2012–13, the total number of private hospital separations increased by 46% from 2.64 million to 3.84 million. During this period, the number of same-day separations in private hospitals increased 60% from 1.65 million to 2.65 million separations and overnight separations increased 21% from 986,000 to 1.20 million.

Palliative care services in Australia 2014

Palliative care services in Australia 2014 is the third in a planned series of annual reports providing a detailed picture of the national response to the palliative care needs of Australians. Information from a range of data sources from 2012–13 and, where indicated 2011–12, are presented, as are changes over time. There were more than 57,600 palliative care-related separations reported in public and private hospitals in 2011–12. Almost $4.7 million in Medicare Benefits Schedule payments was paid for palliative medicine specialist services in 2012–13.

Health expenditure Australia 2012-13

Expenditure on health in Australia was estimated to be $147.4 billion in 2012–13, 1.5% higher than in 2011–12 and the lowest growth since the mid 1980’s. In 2012–13, governments provided $100.8 billion (or 68.3%) of total health expenditure. Government funding of health expenditure fell in real terms for the first time in the decade by 0.9%, largely a result of a decline in Australian Government funding of 2.4%. State and territory government funding was also relatively low, growing just 1.4% in real terms in 2012–13. In contrast, growth in non-government funding was relatively strong at 7.2%.

A new approach to national child protection data: implementation of the Child Protection National Minimum Data Set

Over the past few years, the AIHW, with dedicated national resources made available through the Australian Government, has worked with all jurisdictions to implement a new Child Protection National Minimum Data Set (CP NMDS) for reporting on child protection. This working paper describes the development and implementation of the CP NMDS and highlights key new analyses able to be reported for the first time at the national level. It also outlines the need for ongoing development work.

Improving dementia data in Australia: supplement to Dementia in Australia 2012

Rich and robust data are needed for policy makers and practitioners to facilitate the prevention, early detection, diagnosis and treatment of dementia, as well as improving support for people with dementia and those who care for them. This paper provides an overview of the status of dementia data at the time of preparing the report Dementia in Australia (AIHW 2012a), and suggests ways in which the availability, consistency and quality of these data could be improved.

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