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5 Comments

  1. 1

    Clytie

    You have a good point. The money goes into more hospital beds, when what disabled and elderly people (in particular) want is to stay out of hospital.

    Also, people would prefer to manage a condition before it gets to the stage of removing organs.

    As a disabled person, I would really like to see a community health centre being the one-stop-shop for your health care, where you can access a coordinated plan to keep you as healthy and functional as possible, and the various services which can help. Currently, it’s a rapidly-fragmenting patchwork for which the patient is responsible (GPs indeed do not have the time or often even the inclination for this overall management), and the services are often not available.

    The system seems to be inconsistent and almost incomprehensible. If you have a sick or disabled child, or you are affected yourself, you have to learn a new jargon and pick your way through a morass of shifting rules and conditions. It would help enormously to have someone to explain all this, and to help guide one through.

    For example, since I can’t self-care, I get 1.5 hours Domiciliary Care per week. I was granted Dom. Care some years ago, and told that as I got worse, I could request more. In fact, my time was reduced, and some services withdrawn. I am told that they “just don’t have the funding”. Despite that, if I were an elderly person, they tell me I could have “a package” which would include the extra help I need. As a younger disabled person, I don’t qualify. So I end up in the hospital, taking up a bed needed for people with actual medical needs, not people who need a bit of help at home to stay there.

    It doesn’t make sense. :S

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  2. 2

    rudm

    Community health care will be even more important in the future with the ageing of the population and their increased complexity of needs due to increased chronic disease, disability and neurodegenerative diseases.
    I agree with all of the above but would also like to say that to ensure a sustainable, efficient and effective health system including community care the debate about E-Records needs to be discussed.
    The E-Record which in Queensland is not currently used but has been on the agenda for so many years would ensure that unnecessary health care interventions, tests and services are not duplicated and ensures patient care needs are met both while in the hospital and on discharge.
    With the increasing prevalence of chronic diseases and mental health disorders particularly in the very young and very old E-Records accessible by all health professionals would ensure health care follow-up and in many cases preventative support.
    The E-Record may also improve transition for example, young adolescents with a mental health disorder transitioning into adulthood. These young people are often forgotten in this transition period and thus present later in life with a number of health concerns.
    The federal budget made mention that they would employ more social workers in the communities to assist people with a mental health disorder to stay in their homes and communities. The need for an Electronic record which maintains uptodate information which accessible to GP’s, allied health and the hospital would ensure the patient needs are met and ultimately save valuable resources and funds.

    Reply

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