Closing the Gap: The NT is doing well

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Closing the Gap The NT is doing well

• Dr Christine Connors
• A/Director Health Development Branch
• NT Department of Health
• August 2013

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Overview

• Social determinants
• Epidemiology
• Outcomes
• Future directions

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Socio-economic quintile by Indigenous status, NT
and Australia    
Source Infancy to young adulthood, Health Gains
Planning, 2012 (In Press)
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DALY (mortality and morbidity) 1999- 2003
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COAG Reform Council report. Healthcare 2011-2012
Comparing performance across Australia. May 2013
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All cause age-specific death rate, males, by
Indigenous status, Northern Territory and
Australia, 1967 to 1971 and 2002 to 2006
 
Source Mortality in the NT, Health Gains
Planning, 2012 (unpublished)
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All cause age-specific death rate, females, by
Indigenous status, Northern Territory and
Australia, 1967 to 1971 and 2002 to 2006
Source Mortality in the NT, Health Gains
Planning, 2012 (unpublished)
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Death rates by State and Territory 2007-2011
COAG Reform Council report. Healthcare 2011-2012
Comparing performance across Australia. May 2013
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Rates of potentially preventable and potentially
treatable deaths 2007-2010
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COAG Reform Council report. Healthcare 2011-2012
Comparing performance across Australia. May 2013
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COAG Reform Council Indigenous Disadvantage 2013
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COAG Reform Council report. Healthcare 2011-2012
Comparing performance across Australia. May 2013
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Preventable hospitalisations due to chronic
conditions
COAG Reform Council report. Healthcare 2011-2012
Comparing performance across Australia. May 2013
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Reduced AMI 2007-2010
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16 CQI Facilitators
3 Pre existing
7 New ACCH
6 New DoH
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Trend of Indigenous clients in the NT DoH with
type 2 diabetes and heart disease on a care plan
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Delivery of diabetes services in NT 2005-2012
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Diabetes audits Aboriginal PHC services
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Diabetes audits NT Aboriginal PHC services
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Variation in intermediate outcomes outcome
HbA1c control (lt7)
BP control (lt130/80mmHg)
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Priorities in chronic conditions

• Improve social determinants
• Prevention of obesity
• Tobacco control
• Patient and family education
• self management support
• rehabilitation
• Improved clinical care
• case conference
• coordination of care
• CQI

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Any questions?