Stay Healthier And Out Of Hospital

Stay Healthier And Out Of Hospital

The Australian government spends approximately A$1Billion annually on planning hospital, coordination, and reviewing chronic disease care in general practice. There are over a quarter of a million hospital admissions for medical problems that could have avoid if primary care was better for chronic diseases.

Chronic Failure in Primary Care our report that publish today. It argues primary care services aren’t working as well as they should due to the way Medicare pays for them and organizes them.

The health system of Australia built to handle infectious diseases, wars, and accidents. Chronic disease is the greatest burden on our health system.

Chronic Diseases Hospital Are Expensive

Over three quarters of Australians 65 years and older have at least one chronic condition. This puts them at high risk for serious complications or premature death. A chronic condition is responsible for around 90% of deaths.

Six chronic diseases heart disease and oral health problems, diabetes, mental disorders, musculoskeletal issues (including arthritis), asthma, respiratory disease (including asthma), and heart disease – make up about half the total cost of all disease.

These conditions are most commonly treat by primary care physicians. We are not able to manage and prevent chronic diseases in primary care.

About a million Australians affect by diabetes. This group is at a twice higher risk for dying from peripheral, heart and kidney disease than the general population.

They require help with managing their diet, exercise, smoking, and alcohol consumption. They need regular monitoring and medication. The best place to seek help is primary care from general physicians.

Analysis Hospital Revealed

Our analysis revealed that only about a fifth (or less) of diabetes patients who visit a GP each year have their blood pressure, body mass, and blood sugar recorded. About 20% of these patients achieve the recommended clinical targets. They often receive little advice or support for their self-management.

Similar stories can be found for major chronic diseases such as heart disease and chronic respiratory illness. Many times, less than half the people suffering from chronic diseases receive the recommended care. It leads to poorer outcomes for patients than is possible.

Ineffective primary care management leads to poor health outcomes and higher healthcare costs.

Hospital admissions that could be prevented are estimated at 7% of all hospital admissions, 9% hospital bed days, and cost as high as A$2Billion each year. Even using the more realistic estimates in our report, we estimate that the annual costs will be A$322 millions.

Support For Chronic Diseases Is Already Well-Funded

The Commonwealth attempted to solve the problem by introducing team management, assessment, planning and coordination payments to GPs in order to improve chronic disease management, including mental health.

In 2013-14, more than A$1.7 billion was invested in systems management, care planning, and coordination of primary care. These included A$904 millions for health assessment, management and treatment of chronic diseases and mental health and incentives payments for diabetes and asthma.

A$210 million paid to practices in incentive payments. These payments made to improve practice and infrastructure development. A further A$661 million was use to support GPs through Medicare Locals, which are now Primary Health Networks.

It is difficult to prevent and manage chronic diseases in primary care. This requires a partnership between people living with chronic conditions and a team of healthcare professionals. It is crucial that GPs play a vital role. The role of GPs is vital.

The Australian split between state and Commonwealth responsibilities makes it more difficult to provide high-quality care for chronic diseases and prevention. The public hospitals are manage by the states, while primary and GP care is provide by the Commonwealth. The result is that the system to prevent and manage chronic diseases is fragment.

There are few performance targets. It is difficult to agree on local care pathways that will guide patients’ treatment. Poorly designed funding incentives mean that there is little support for service innovation or improvement.

Stroke, Cancer And Other Chronic Diseases More Likely Mental Health

Stroke, Cancer And Other Chronic Diseases More Likely Mental Health

Four million Australians suffer from mental health conditions including depression and anxiety. This includes our family, friends, and co-workers.

The Australian Health Policy Collaboration released a new report today that found these four million. Australians are more at risk for chronic disease and early death.

A mental health condition can increase your risk for every major chronic disease. People with anxiety or depression are more likely to develop heart disease, high blood pressure and arthritis.

More than 2.5 million people suffer from at least one of the two conditions.

This report, which is the first to quantify the problem in Australia, was released today. People with mental health issues are more likely than others to suffer. From a circulatory disease (that is, stroke, high blood pressure, and heart disease). This increases by 52% in men and 41% in women.

Disease And Mental Illness

A combination of a circulatory disease and mental illness affects more than one million people. These diseases are Australia’s leading killers.

The numbers for painful and debilitating conditions like arthritis or back pain are higher. With 959,000 people affected, arthritis is 66% more common for men who have mental health issues than for women.

Men with mental health issues are 74% more likely to experience back pain. While women with more than one million sufferers are 68% more likely.

These gender differences are important. The chances of developing asthma in women with mental health conditions is 70% higher than for women overall in Australia, while asthma in men with mental health conditions is 49% lower.

Cancer is the most significant difference between men and women. Cancer is 84% more common in men with mental health issues than in the general population. For women, it is 20%.

Mental And Physical Health

Women are 23% more likely than men to have both mental and physical health issues.

According to the report, having a chronic mental illness and a chronic physical condition can lead to worse quality of living, functional decline, higher healthcare costs, and more frequent visits to the doctor.

These people need more care, take more medication, and spend more time, energy, and money on their health. People suffering from a mental illness are more likely not to work, to be less healthy, to have less access to health screenings, and to receive poorer care for their physical ailments.

People with mental health issues die on average earlier than the rest of the population. This is mostly due to preventable causes. Research has shown that people suffering from severe illness die earlier than the general population. Our research shows that even common illnesses like depression and anxiety can lead to chronic diseases leading to earlier death.


It is not clear why people with illness have poorer physical health. According to the Academy of Medical Sciences, poor mental health can lead to physical disease. Psychosocial risk factors like feeling unhappy with your life, feeling stressed, feeling uneasy about work, financial worries, and sleep problems can all be indicators of poor mental health.

Poor mental and physical health can also be caused by other factors such as poor socioeconomic status, low social networks, rural living, and smoking.

It is well-known that people suffering from illness are less likely than others to be given advice on healthy living and receive fewer tests for diseases. This can be due to discrimination and stigma, or it could simply be neglect. People with mental illness can slip through the cracks between their disjointed and physical health systems.

What Can We Do To Stop It?

With dozens of organizations signing up for the Equally Well consensus statement, there is momentum for positive change in the health sector. This initiative aims to improve quality of life for people with Illnesses by providing equal access quality health care.

There is a lot of great work happening all over the country, including in Hunter, where people suffering from mental illness can get tailored help for their physical health risks, such as diet and smoking.

Patients who use health services need to have their physical health checked regularly and any issues addressed promptly. A better coordination of care will help to preserve healthcare resources, and increase quality of life.

Autoinflammatory Disease, The Rare Immune Condition With Waves

Autoinflammatory Disease, The Rare Immune Condition With Waves

A little over twenty years ago, three generations of Americans Autoinflammatory were refer by the National Institutes of Health in Washington DC to be treat for an identify disease. They ranged in age from ten to 82 and experienced symptoms such as monthly episodes of unexplained high fevers up to 41, that lasted two to seven days.

The patients also experienced painful swelling of lymph nodes, enlarged livers and spleens, abdominal pain and mouth ulcers, as well as joint pain and a variety of other symptoms. They had experienced the symptoms since shortly after their birth. It appeared like they were experiencing an inflammatory reaction. Doctors could not link the episodes to an infection.

These symptoms now known to typical of autoinflammatory conditions rare diseases that cause unprovoke episodes or inflammation. These diseases are sometimes call periodic fever syndromes because they cause inflammatory episodes that occur frequently. These conditions are not only painful and debilitating but can also cause damage to vital organs like the heart and lungs.

What Causes Autoinflammatory Diseases?

An abnormal activation or suppression of the body’s innate immune system can lead to autoinflammatory diseases. The innate immune system, a hard-wired mechanism that responds quickly to foreign invaders, is an example of a hard-wired defense mechanism. One of its many functions is the release cytokines.

These immune messengers are critical in alerting other cells and recruiting them to fight, increasing blood circulation, and inducing fever. We’ll be covering cytokines in more detail later. Invading microbes are not responsible for inflammation and fever in autoinflammatory disorders. Mutations and genetic changes can cause uncontrolled inflammation. Autoinflammatory diseases are often diagnose in childhood and can last a lifetime. Multiple cases of the same disease can result from multiple genetic mutations that can be pass on from one generation to another.

Autoinflammatory diseases differ from autoimmune diseases such as multiple sclerosis. These are cause by defects within the adaptive immune system, an alternative arm of the immune system. There are many autoinflammatory diseases. Many of them are cause by genetic mutations.

What Can We Do To Treat Autoinflammatory Diseases?

It is impossible to cure autoinflammatory diseases. Treatments are usually use to manage symptoms. High doses of corticosteroids are use to treat patients with immune suppression. Autoinflammatory diseases are rare and difficult to treat. Autoinflammatory diseases are often associate with excessive production of cytokines. Biologics are antibodies that can use to treat these excess cytokines.

These antibodies are often to interleukin-1 or tumour necrosis factor (TNF). Biologics can be expensive and have serious side effects. Treatment is not a scientific process. It’s a trial-and-error process

Genetic Testing Can Help

Genetic tests have been develop to aid diagnosis after the discovery of mutations in genes that cause autoinflammatory diseases. Some people with autoinflammatory diseases do not experience a change in any of the disease-causing genes. Our researchers created the Australian Autoinflammatory Disease Registry in order to identify other genetic causes for autoinflammatory diseases.

What We Discovered About The Underlying Mechanism

The NIH researchers were trying to find a cause for the American family’s illness, but another strand was being played out in Australia. We looked at the role of TNF, the master cytokine that controls many aspects the body’s inflammatory response and its partner RIPK1. The body usually has many checks to ensure that these molecules are well controlled.

We worked closely with US scientists, who discovered a critical mutation within the gene coding RIPK1. This mutation caused changes in one amino acid and was sufficient to make TNF an elite killer. This is the cause of the uncontrolled inflammation that led to the American family’s illness. This condition was dub CRIA syndrome by our team (cleavage resistant RIPK1-induced inflammation syndrome).