Entries by YeeHar

Under PBS co-payment data

The Fifth Community Pharmacy Agreement (5CPA) contained a clause requiring community pharmacies to provide data to the Commonwealth on each PBS prescription dispensed at a price below the general patient co-payment. This was $35.40 when collection began on 1 April 2012 following enactment of the National Health Amendment (PBS) Act 2010. Prior to this date, PBS prescription […]

Primary healthcare (PHN) data

MyHealthyCommunities is an Australian Government website managed by the Australian Institute of Health and Welfare (AIHW). The public availability of statistics and data at a local Primary Health Network (PHN) is meant to drive improvements, increase transparency and accountability within the health system. Data for more than 140 measures by PHN area are updated regularly. The […]

Primary care organisations in Australia

The development of primary care organisations since the 1980s is based on evidence that a well-developed primary care model improves health outcomes and cost-effectiveness in the whole healthcare system. A key being their increasing use to implement public health care reforms including shifting services away from hospital settings and into the community. Primary healthcare in Australia […]

TMI?

While the internet is fantastic for providing access to information on any topic at any time of the day, sometimes, particularly when it comes to health issues, knowing a trustworthy source is invaluable. For Australians, healthdirect aims to be this resource. Established by the Council of Australian Governments (COAG) in 2006 and jointly funded by […]

Half-term Report Card for the 6CPA

The August 2018 edition of the Australian Journal of Pharmacy includes a report card for the Sixth Community Pharmacy Agreement (6CPA) which came into effect on 1 July 2015. Ten key initiatives are reviewed and graded: Grade 6CPA (1 July 2015-30 June 2020) Impact 2017 Variation to 6CPA A+ Introduction of the flat Administration, Handling […]

Same bed, fewer different dreams?

Tackling a burgeoning inbox always reveals a few gems, such as the article by Ting Wang et al. published last month in ISPOR’s journal Value in Health (2018;21:707-714). Wang and colleagues developed separate surveys for international innovative pharmaceutical companies (n=19 companies with 29 respondents) and Regulatory (n=7; 13 respondents) & Health Technology Assessment agencies (n=8; 12 respondents) […]

Australian Public Hospitals and Activity-Based Funding

The National Health Reform Agreement (NHRA), signed by the Commonwealth Government and all states and territories in August 2011, committed to paying for public hospital expenditure, where practicable, using Activity-Based Funding (ABF), also known as Case mix or Episode-based funding. ABF supports hospitals on the basis of the number, type and mix of patients treated. To ensure […]

Data from Australian Hospitals

The Australian Institute of Health and Welfare (AIHW) recently released a number of  reports providing statistics on Australian hospitals. Australia’s hospitals 2016-17 at a glance provides an overview of public and private hospitals and services provided to the Australian community. Companion hospital statistics reports present further detail on Hospital resources 2016-17; Admitted patient care 2016-17 and Non-admitted patient […]

CSO perspectives & direct distribution

Feedback on my recent post about the Community Service Obligation (CSO) has provided some alternate viewpoints: (1) Like Australia’s population, 80% of PBS items are distributed in urban areas. Hence, irrespective of the per item delivery cost, the business of distribution in major cities and larger regional centres will be profitable due to economies of […]

The CSO because <5% of PBS medicines are profitable to distribute

During evaluation of the third Community Pharmacy Agreement (2000-2005), gaps in the pharmacy network that didn’t meet the ‘reasonable access to PBS medicines regardless of place of residence’ (National Medicines Policy) test were recognised. At the same time, the Federal Government was also concerned about long term PBS growth and identified pharmacy distribution as a […]