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Closing the Gap: The NT is doing well

This comprehensive report by Dr. Christine Connors, Director of Health Development Branch in NT Department of Health, highlights the social determinants, epidemiology, outcomes, and future strategies to address health gaps in the Northern Territory. Data illustrates disparities in mortality, healthcare performance, preventable deaths, and chronic conditions among Indigenous populations. The report also examines service delivery for clients with diabetes and heart disease, emphasizing the importance of improved clinical care, patient education, and self-management support. Strategies include social determinants enhancement, obesity prevention, tobacco control, and coordinated care approaches. This document serves as a valuable resource for stakeholders aiming to reduce health inequalities in the Northern Territory.

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Closing the Gap: The NT is doing well

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  1. Closing the Gap: The NT is doing well Dr Christine Connors A/Director Health Development Branch NT Department of Health August 2013

  2. Overview • Social determinants • Epidemiology • Outcomes • Future directions

  3. Socio-economic quintile by Indigenous status, NT and Australia Source: Infancy to young adulthood, Health Gains Planning, 2012 (In Press)

  4. DALY (mortality and morbidity) 1999- 2003

  5. COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  6. 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Territory and Australia, 1967 to 1971 and 2002 to 2006 Source: Mortality in the NT, Health Gains Planning, 2012 (unpublished)

  7. 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Territory and Australia, 1967 to 1971 and 2002 to 2006 Source: Mortality in the NT, Health Gains Planning, 2012 (unpublished)

  8. Death rates by State and Territory 2007-2011 COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  9. Rates of potentially preventable and potentially treatable deaths 2007-2010

  10. COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  11. COAG Reform Council: Indigenous Disadvantage 2013

  12. COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  13. Preventable hospitalisations due to chronic conditions COAG Reform Council report. Healthcare 2011-2012: Comparing performance across Australia. May 2013

  14. Reduced AMI 2007-2010

  15. 16 CQI Facilitators 3 Pre existing 7 New: ACCH 6 New: DoH

  16. Trend of Indigenous clients in the NT DoH with type 2 diabetes and heart disease on a care plan

  17. Delivery of diabetes services in NT 2005-2012 Service delivery to patients with Type 2 Diabetes mellitus(n=number of health centres; number of patient records) 100 80 60 % Service delivery 40 20 0 1 2 3 4 (n=22;572) (n=22;552) (n=22;582) (n=22;672) Audit cycle

  18. Diabetes audits Aboriginal PHC services

  19. Diabetes audits NT Aboriginal PHC services

  20. Variation in intermediate outcomes outcome HbA1c control (<7%) BP control (<130/80mmHg)

  21. 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

  22. Any questions?

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