Rural, regional and remote health: information framework and indicators. Version 1

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Information about key rural health issues is frequently inadequate. This information framework describes which questions need answering; what data is available and pitfalls in its analysis; which questions can't be answered and what we can do about it. Based on the National Health Performance Framework and written in consultation with a wide range of data experts, 'Version One' of the framework is a 'living' document, designed to be updated as data sources are improved, further data gaps are identified and more advanced methodologies are developed.

Authored by AIHW.

Published 30 June 2003; ISBN-13 978 1 74024 284 4; AIHW cat. no. PHE 44; 197pp.; $25.00

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Full publication (718K PDF)

Preliminary material (89K PDF)
- Title page and verso
- Contents
- Acknowledgments
- Abbreviations
Sections
1. Introduction (31K PDF)
2. The Rural Health Information Framework (107K PDF)
3. Tiers and dimensions of the Rural Health Information Framework (228K PDF)
  - Health status (Tier 1)
    - Health conditions
      - Chronic diseases
      - Injury
      - Mental health
      - Oral health
      - Communicable diseases
      - Birth outcomes
    - Human function
      - Prevalence of disability
      - Days away from usual activity as a result of illness
    - Life expectancy and wellbeing
      - Disability-adjusted life expectancy (DALE)
      - Disability-adjusted life years (DALY)
      - Self-assessed health status
      - Self-assessed happiness
    - Deaths
      - Death rates
      - Perinatal mortality
      - Age-specific mortality
      - Premature mortality
      - Leading causes of death and excess deaths
  - Determinants of health (Tier 2)
    - Environmental factors
      - Water
      - Sewerage
      - Food availability
      - Housing
      - Recreational and cultural facilities or spaces
      - The workplace
      - Pollutants
    - Socioeconomic factors
      - Education
      - Employment
      - Income
      - A combined measure of education, income and employment
    - Community capacity
      - Demographic characteristics
      - Social issues and social capital
      - Services
      - Health literacy
      - Individuals' perception of risk
      - Housing
      - Transport
      - Cost of living
      - Health of businesses
    - Health Behaviours
      - Smoking
      - Hazardous and harmful alcohol consumption
      - Illicit drug use
      - Physical activity/inactivity
      - Nutrition
      - Sexual practices
      - Driving practices
    - Person-related factors
      - Genetically determined diseases
      - Specific birth defects caused by environmental factors
      - Blood pressure
      - Cholesterol
      - Overweight and obesity
  - Health system performance (Tier 3)
    - Effective
      - Retrieval for victims of trauma
      - STI education in promoting the practice of safe sex
      - Immunisation in reducing the incidence of childhood infectious diseases
      - Breast cancer and cervical screening in reducing mortality due to cancer
      - Medical and surgical treatment in producing good health outcomes
    - Appropriate
      - Female GPs
      - Surgical procedure
      - Specialist consultations
      - Care after surgery
      - Aged care
      - Hospital accreditation
      - Waiting times for elective surgery
      - Morbidity managed in general practice
    - Efficient
    - Responsive
      - Acceptance of health services by Indigenous people
      - Confidentiality
      - Waiting times by public patients for elective surgery
      - Response time in emergency departments
      - Bulk billing
      - Waiting times for allied health workers
      - Waiting time for results of diagnostic tests
      - Closed books
      - Satisfaction
    - Accessible
      - Distance
      - Discrimination
      - Financial constraints
      - Health facilities and health professionals
      - Disability services
      - Continuity
    - Safe
      - Medical/surgical misadventure
      - Survival rates in intensive care units
    - Continuous
      1. Care planning and case conferencing
    - Capable
    - Sustainable
      - Training of the rural health workforce
      - Recruitment and retention of the rural health workforce
      - Hours worked and age of health workers
      - On-call work
4. Indicator documentation (283K PDF)
  - Health status (Tier 1)
    - Health conditions dimension
      - Prevalence of chronic diseases
      - Prevalence of injuries
      - Prevalence of depressive, anxiety and substance abuse disorders
      - Decayed, missing and filled teeth
      - Communicable diseases
      - Birth outcomes
    - Human function dimension
      - Prevalence of disability
      - Reduced activity because of illness
    - Life expectancy and wellbeing dimension
      - Life expectancy
      - Self-assessed health status
      - Happiness
    - Deaths dimension
      - Overall mortality
      - Perinatal mortality
      - Age-specific mortality
      - Premature mortality
      - Leading causes of death and excess deaths
  - Determinants of health (Tier 2)
    - Environmental factors dimension
      - Fluoridated water
    - Socioeconomic factors dimension
      - Educational status of the adult population
      - High school retention rates
      - Progression from school to university
      - Workforce and employment
      - Household income
      - Gap between rich and poor
      - Sources of income
      - SEIFA
    - Community capacity dimension
      - Demography
      - Dependency ratio
      - Internal migration
      - Fertility
      - Community safety
      - Perception of risk
      - Housing tenure
      - Overcrowding in households
      - Transport
      - Cost of living
      - Business activity
    - Health behaviours dimension
      - Tobacco
      - Alcohol
      - Illicit drugs
      - Physical activity and inactivity
      - Nutrition
      - Sexual practices
    - Person-related factors dimension
      - Genetically determined diseases
      - Specific birth defects
      - Overweight/obesity
  - Health system performance (Tier 3)
    - Effective dimension
      - Immunisation rates
      - Breast cancer and cervical screening participation rate
    - Appropriate dimension
      - Female GPs
      - Specialist hospital procedures
      - Specialist consultations
      - Aged care
      - Morbidity managed in general practice
    - Efficient dimension
    - Responsive dimension
      - Waiting times for elective surgery
      - GP Bulk billing
    - Accessible dimension
      - Distance to medical services
      - Numbers of health workers
      - Hospital separations and bed days
      - Primary care medical consultations
      - Dental consultations
      - Prescription
      - Access to disability services
    - Safe dimension
      - Surgical and medical misadventure
    - Continuous dimension
      - Care planning and case conferencing
    - Capable dimension
      - Hospital accreditation
    - Sustainable dimension
      - Workforce in training
      - GP retention
      - Hours worked and age of health workers

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