All health services must be accessible to all consumers. Those consumers who are forced to travel long distances for health care must be adequately catered for. There should be more community participation in health and community service. There is a need for adequate representation at local and regional health services. CPSA opposes a two-tier system of health care where those using the public system receive an inferior service and wait unacceptably long periods of time to access health services, while people with the ability to pay for private health services receive a higher standard of healthcare. CPSA actively supports
the retention of Medicare and bulk billing and opposes the privatisation of
CPSA adopts the Australian Health Care Reform
Alliance (AHCRA) principles for health reform, namely:
access funded by tax contributions
of health outcomes
health care emphasising prevention and health promotion
special focus on the health of Aboriginal and Torres Strait Islander Australians
service appropriateness, safety and quality
with the community to determine the nature of reform
adequate health workforce
integrated, efficient, evidence based health system.
CPSA believes in:
pooling of public health funds nationally, devolving to flexible distribution based
national audit of current health expenditure and needs.
need for comprehensive monitoring of outcomes of care that includes mandatory
reporting of adverse events through open disclosure.
evaluation of the policy of using public funds to subsidise private health insurance.
need for increased information sharing, including through an electronic health
record, to improve effectiveness and patient safety.
investment in health services research, with findings made public.
health reform must involve:
- Universal access – all Australians
should have access to an appropriate service on the basis of health needs, not
the ability to pay. Health care should be tax funded, enabling the Australian
community to provide health insurance to each other.
- Equity of health outcomes
irrespective of socio-economic status, race, cultural background, disability,
mental illness, age, gender or location.
- A shift in focus and funding towards
a primary healthcare system that is focused on health promotion and illness
prevention. In this integrated primary health care system, health professionals
will deliver care in a multi-disciplinary team-based environment.
- Additional funding on a sustained
basis to address the health of Indigenous Australians and to help meet the
target of equal health for Aboriginal and Torres Strait Islander Australians
within a generation.
- Investment to provide a sustainable
health workforce that is sufficient in number as well as geographically
dispersed to provide safe, high quality care to all people regardless of