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Public Health Classifications Project - Phase One: Final Report Report to the National Public Health Partnership, December 2005The objective of the Public Health Classifications Project is to 'develop and endorse a higher-level classification that captures the breadth and scope of public health activity and provides a unified framework for multiple uses'. Such a unified framework will assist in improving the quality and consistency of reported information on public health activity, performance, investment and expenditure. The National Public Health Partnership funded the project in response to recommendations from the 2002 Public Health Performance Project. This report is the output of phase one of the Public Health Classification Project. It introduces the concept of a multi-dimensional public health classification and describes the challenges encountered in developing it. The report presents version one of a classification of public health, outlines some potential practical applications, and proposes the next steps for phase two of the project. Prepared by Su Gruszin, Louisa Jorm, Tim Churches and Judy Straton for the National Public Health Information Work Group of the National Public Health PartnershipPublished: 2006; Available free online; Printed copies: not available |
Working Paper No. 9There have been increasing concerns over a number of years about the difficulties faced by Australians living in rural and remote areas of Australia in accessing services that most Australians take for granted. A parallel concern has been the extent to which the health of people living in these areas is poorer than that of those living in areas with greater accessibility to health, welfare and other services. Government in particular has been interested in finding out more about the circumstances and needs of these populations, and in targeting assistance accordingly. This led the (then) Department of Health and Aged Care (DHAC) to sponsor a project to obtain a standard classification and index of remoteness which would allow the comparison of information about populations based on their access, by road, to service centres (towns) of various sizes. Note that although by specifying towns of various sizes the index implicitly takes account of the education, health, welfare, etc. services likely to be located in towns of those sizes, there is no explicit use in the development of the index of what services should exist. That is, distance is the sole measure of access. The outcome of that project was the Accessibility/ Remoteness Index of Australia (ARIA) (DHAC 1999, superseded by DHAC 2001), based on a methodology developed by the National Centre for Social Applications in GIS (GISCA). More recently, the Australian Bureau of Statistics (ABS) addressed the concept of remoteness, with a view to including it in its classification of areas. The ABS work, also undertaken with GISCA, used ARIA as the underlying methodology for the determination of remoteness. The new classification, described by the ABS as a 'Remoteness Structure', is referred to as ARIA+ (ie., ARIA plus, ABS 2001a), and is an update and refinement of the original ARIA. This report includes a comparison of ARIA with ARIA+. It also examines the characteristics of the population under ARIA+, such as the distribution, age, sex, and includes comparisons by Indigenous status. Authored by PHIDU Published: 2003; Available free online; Printed copies: not available |
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Social capital and social capital indicators: a reading list Working Paper No. 1
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20-21 March 2002, Potts Point, Sydney, New South WalesPHIDU produced the Proceedings for the Symposium on Health Data Linkage: Its value for Australian health policy development and policy relevant research to provide access to the papers delivered at the Symposium held on 20-21 March 2002 in Sydney, New South Wales. Information has been reproduced as submitted by the author(s). The contents of each of the papers are therefore the sole responsibility of the presenting author(s). Readers seeking further information are encouraged to contact the relevant author(s) directly. Information provided in the proceedings includes: a copy of the program as published, the abstracts, and the papers. Authored by PHIDU Published: 2003; Available free online; Printed copies: contact PHIDU |
Occasional Paper No. 1Australia's Aboriginal peoples and Torres Strait Islanders have the poorest health of any group in Australia. This has been the case for many years. Given that Australia has not made the advances in Indigenous health achieved in comparable countries (such as Canada, the United States and New Zealand), it is likely to be the case for some time. This report presents data describing one outcome of that poor health, namely premature deaths of Indigenous people. It examines the higher death rates experienced by Indigenous people in the context of socioeconomic disadvantage and geographic location (in particular, remoteness). The measures of disadvantage and location are, themselves, a reflection of the continuing historical and cultural environment in which Australia?s Indigenous peoples have lived since colonisation. As such they cannot fully explain why Indigenous death rates are as high as they are; nor can they explain why death rates for Indigenous people are so much higher than for the most disadvantaged non-Indigenous populations. To do that requires an understanding of the historical and cultural environment, a discussion which is beyond the scope of this report, but which has been addressed by others (HREOC 1997; PHAA Inc. 1997; Bartlett 1999). Data analysis can, however, inform our understanding of the extent and nature of differences in variations in Indigenous and non-Indigenous mortality. Authored by PHIDU Published: 2004; Available free online; Printed copies: contact PHIDU |