1. AUSTRALIAN HEALTH CARE DELIVERY

2. ISSUES Complexity of financing health care delivery system Medicare concept and community understanding Public hospitals Training and standards Regional services Research

3. COMPLEXITY OF FINANCING National spending $147 billion (9.67% of GDP) Government $100 billion (68%) Federal Government $61 billion (43%) State Government $40 billion (26%) Non Government sources $47 billion (31%)

4. NON GOVERNMENT SOURCES Individuals Health Insurance Companies Workers Compensation Compulsory 3 rd Party Insurance Research Grants

5. FEDERAL GOVERNMENT SPENDING Medical Services ) Medication - PBS ) 59% $36 billion Hospitals - special purpose payments

6. STATE GOVERNMENT SPENDING Community Services Public Hospitals Public Health

7. NON GOVERNMENT SPENDING Private Hospitals Medical Services Dental Services Aids and Appliances Medication - non PBS

8. PUBLIC HOSPITALS 32% of total recurrent expenditure Federal Government provides 37% State Government provides 53%

9. PUBLIC HOSPITALS Planning difficulty Policy changes (State Budget) Public/Private co-ordination Waiting time Managing primary care

10. TRAINING AND STANDARDS Increased number of medical graduates Training opportunities and working hours Private sector

11. REGIONAL SERVICES Recruitment Conditions of employment

12. RESEARCH Need for public funding