Earlier this week, AHHA Ltd Executive Director, Knowledge Translation Adj A/Prof Rebecca Haddock, joined 55 other member organisations passionate about driving improvements in rural health at the National Rural Health Alliance (NRHA)’s roundtable launching their report, The Forgotten Health Spend: A Report on the Expenditure Deficit in Rural Australia.
The report details the systemic inequity that faces Australians living in the bush - with rural and remote communities receiving $8.35 billion less in health funding each year (equivalent to $1,090 less per person) compared with metropolitan areas. Critically, the report highlights that while Governments, at both the Federal and the State and Territory level, acknowledge and have put in place measures to address ongoing disparity in rural health expenditure, these efforts continue to tinker at the edges of reform, with current approaches fundamentally not fit for purpose in rural areas.
Chapter 7 of the NRHA report sets out a series of stakeholder-identified opportunities for reform, of which reflect the reality of service delivery in thin and non-existent markets. These include:
• Defining levels of reasonable access to care and regional planning approaches to determine how these levels can be met at a regional level
• Coordinated and flexible funding to support services across defined regions
• Implementing localised multidisciplinary models of service delivery across sectors.
As the authors note, ‘It was telling how consistent the suggested approaches were across stakeholders, with most suggesting similar solutions’ – a sentiment we at the AHHA share, reflecting the opportunities for reform identified in the Deeble Institute for Health Policy Research Perspectives Brief: Policy alignment for place-based solutions for better health outcomes in rural and remote communities.
The Brief underscores the need to shift from the current fragmented, input-focused system to coordinated, outcome-based approaches to drive improvements in rural health, highlighting the opportunity available in:
• Adopting the Measuring What Matters wellbeing framework, as a tool for strengthening outcomes measurement
• Pooled funding, allocated through a relational commissioning approach, to reduce administrative burden and enable local flexibility in decision-making
• Aligning workforce policy and funding levers across health, aged care and disability sectors, to support local workforce planning
Shared between both papers is the recognition that strong and transparent leadership is needed to align, integrate and enable government policies and programs to deliver community-led, place-based solutions, so that every Australian, no matter where they live, can access a fair and sustainable health system.
Read the NRHA Report: https://ow.ly/6nRz50WNib1
Read the Deeble Brief: https://ow.ly/KG5550WNiaX