Ending the Silos, Linking Across Boundaries What works? Dr Lesley - - PowerPoint PPT Presentation

▶
ending the silos linking across boundaries what works
SMART_READER_LITE
LIVE PREVIEW

Ending the Silos, Linking Across Boundaries What works? Dr Lesley - - PowerPoint PPT Presentation

Oct 01, 2022 254 likes •370 views

Ending the Silos, Linking Across Boundaries What works? Dr Lesley Russell Visiting Fellow Australian Primary Health Care Research Institute Australian National University @lrussellwolpe Health vs Health care WHO definition of health : a

slide-1
SLIDE 1

Ending the Silos, Linking Across Boundaries What works?

Dr Lesley Russell Visiting Fellow Australian Primary Health Care Research Institute Australian National University @lrussellwolpe

slide-2
SLIDE 2

Health vs Health care

WHO definition of health: “a complete state of physical, mental and social well-being, and not merely the absence of disease or infirmity.” ATSI definition of health: “not just the physical well-being of an individual but refers to the social, emotional and cultural well-being of the whole Community in which each individual is able to achieve their full potential as a human being thereby bringing about the total well- being of their Community

2

slide-3
SLIDE 3

3

The Social Determinants of Health

slide-4
SLIDE 4

Removing silos

One department / jurisdiction / constituency alone cannot tackle ‘wicked problems’ like:

  • Health inequalities
  • Closing the Gap
  • Mental health / substance abuse
  • Ageing well
  • Climate change

4

slide-5
SLIDE 5

What works? United States

1. National Prevention Council

  • Established as part of ACA
  • 20 federal agencies, represented at highest level
  • Chaired by US Surgeon General (head of US Public

Health Service Corps)

  • Prevention Advisory Group
  • National Prevention Strategy developed 2010

5

slide-6
SLIDE 6

National Prevention Strategy

6

slide-7
SLIDE 7

National Prevention Strategy

  • Federal Action Plan developed 2012
  • Federal commitments to:
  • Tobacco-free environment
  • Healthy, affordable food
  • Identify opportunities to consider health and prevention
  • Annual reporting at federal, state and county levels against

established goals and targets

  • Community Transformation Grants + funding to assist with grant

applications and HiAP work

7

slide-8
SLIDE 8

What works? Europe and UK

  • Finland: North Karelia Project to tackle CHD, 1972 -
  • Canada: Act Now BC Healthy legacy 2005-2010
  • UK: efforts to integrate Health and Social Services,

2012 –

  • Sweden: addressing health inequalities in Region Vastra

Gotaland, 2012 -

8

slide-9
SLIDE 9

The lessons

  • Lots of reports and strategies
  • Very little sustained action
  • Political changes and interference
  • Hard to take projects from local to national level

and vice versa

  • Culture changes more important than dollars

9

slide-10
SLIDE 10

Where does this leave Australia?

  • Federal / State divide is a hindrance but also a cop-out
  • Need to be consistently clear about differences between general

practice vs primary care vs primary health care

  • Don’t reinvent the wheel
  • Howard Govt 2004 report “ Connecting Government. Whole of Government

Responses to Australia’s Priority Challenges”

  • South Australia Kickbusch & Buckett “Implementing Health in All Policies,

Adelaide 2010”

  • COAG Indigenous Trials 2002-2006 – learning from lack of success
  • Do something, do more, do better!

10