Health Needs Assessment 2017 Databook KBC Australia P a g e | 1 LIST OF ACRONYMS Acronyms ABS Australian Bureau of Statistics ACPR Aged Care Planning Regions ACT Australian Capital Territory ADHD Attention Deficit/Hyperactivity Disorder AEDC Australian Early Development Census AHPRA Australian Health Practitioner Regulation Agency AIHW Australian Institute of Health and Welfare AMS Aboriginal Medical Service AOD Alcohol and Other Drugs ARIA Accessibility/Remoteness Index of Australia ASGC Australian Standard Geographical Classification ASGC – RA Australian Standard Geographical Classification – Remoteness Area ATAPS Access to Allied Psychological Services ATSI Aboriginal and Torres Strait Islanders AUS Australia CAMHS Child and Adolescent Mental Health Services CAODS Calvary Alcohol and Other Drug Services CKD Chronic Kidney Disease CL Consultation Liaison COPD Chronic Obstructive Pulmonary Disease DRGs Diagnostic related group DOH Department of Health ED Emergency Department EN Enrolled Nurse KBC Australia P a g e | 2 ENT Ears/Nose/Throat FACS Family and Community Services FTE Full Time Employee GAMS Griffith Aboriginal Medical Service GP General Practitioner HACC Home and Community Care HIV Human Immunodeficiency Virus HNA Health Needs Assessment IARE Indigenous Area IRSEO Indigenous Relative Socioeconomic Outcomes IRSD Index of Relative Socio-Economic Disadvantage LGA Local Government Area LHAC Local Health Advisory Committee MBS Medical Benefits Schedule MH Mental Health MHDA Mental Health Drug and Alcohol MHECS Mental Health Emergency Care Support MHNIP Mental Health Nurse Incentive Scheme MLHD Murrumbidgee Local Health District MPHN Murrumbidgee Primary Health Network MPS Multipurpose Service MVA Motor Vehicle Accident NCIMS Notifiable Conditions Information Management System NGO Non-Government Organisation NHPA National Health Performance Authority NSW New South Wales KBC Australia P a g e | 3 OTP Opioid Treatment Program PBS Pharmaceutical Benefits Scheme PENCAT Clinical Audit Tool PHC Primary Health Care PHIDU Public Health Information Unit PPH Potentially Preventable Hospitalisations PHN Primary Health Network RDAA Rural Doctors Association of Australia RN Registered Nurse ROSH Risk of Serious Harm RU Relative Utilisation SMHOP Specialist Mental Health Services for Older People SRG Service Related Groups TFR Total Fertility Rate URP Usual Resident Population UTI Urinary Tract Infection VMO Visiting Medical Officer KBC Australia P a g e | 4 Contents List of Acronyms ...................................................................................................................................... 2 1 Introduction .................................................................................................................................... 9 2 Overview of the Region ................................................................................................................... 9 2.1.1 Sectors in the Murrumbidgee Region ........................................................................... 12 3 Summary of MPHN ....................................................................................................................... 14 4 Overview of the Health Service System ........................................................................................ 29 5 Methodology ................................................................................................................................. 33 5.1 Data sources and limitations................................................................................................. 36 5.1.1 Data sources included ................................................................................................... 36 5.1.2 Data Limitations ............................................................................................................ 37 6 Demographic profile ..................................................................................................................... 38 6.1 Population by LGA ................................................................................................................. 38 6.2 Population growth ................................................................................................................ 39 6.3 Age and gender ..................................................................................................................... 40 6.4 Births and deaths .................................................................................................................. 43 6.5 Population groups ................................................................................................................. 43 6.5.1 Aboriginal and Torres Strait Islanders ........................................................................... 43 6.5.2 People from culturally and linguistically diverse backgrounds ..................................... 47 6.5.3 People living with a disability ........................................................................................ 48 6.5.4 Older persons ................................................................................................................ 49 7 Determinants of health ................................................................................................................. 50 7.1 Socio-economic profile ......................................................................................................... 50 7.2 Social determinants .............................................................................................................. 52 7.2.1 Education ...................................................................................................................... 52 7.2.2 Industry and Employment ............................................................................................. 52 7.2.3 Rurality .......................................................................................................................... 53 7.2.4 Income .......................................................................................................................... 54 7.2.5 Families and households ............................................................................................... 54 7.2.6 Reported offences ......................................................................................................... 54 7.3 Behavioural determinants .................................................................................................... 56 7.3.1 Smoking ......................................................................................................................... 56 KBC Australia P a g e | 5 7.3.2 Alcohol .......................................................................................................................... 56 7.3.3 Exercise, nutrition and obesity ..................................................................................... 56 7.3.4 High cholesterol ............................................................................................................ 57 7.3.5 High blood pressure ...................................................................................................... 57 7.3.6 Screening ....................................................................................................................... 57 8 Health status ................................................................................................................................. 59 8.1 Life expectancy ..................................................................................................................... 59 8.2 Mortality ............................................................................................................................... 59 8.2.1 Median age of death ..................................................................................................... 59 8.2.2 Mortality rates .............................................................................................................. 60 8.2.3 Potentially avoidable deaths ......................................................................................... 61 8.2.4 Premature mortality ..................................................................................................... 61 8.2.5 Causes of death ............................................................................................................. 62 8.3 Hospitalisations and Potentially Preventable Hospitalisations ............................................ 63 8.3.1 Potentially preventable hospitalisations ...................................................................... 66 8.4 Mental Health ....................................................................................................................... 70 8.4.1 Prevalence of mental health in MPHN .......................................................................... 70 8.4.2 Mental health related hospitalisations ......................................................................... 71 8.4.3 Mental illness in children and young people ................................................................ 72 8.4.4 Adults and mental illness .............................................................................................. 74 8.5 Alcohol and other drugs (AOD) ............................................................................................. 75 8.5.1 AOD hospitalisations ....................................................................................................