Policy for New/Modified Access to Controlled Access Facilities.
3 equity of access to health facilities and services
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Transcript of 3 equity of access to health facilities and services
Equity of access to health facilities amp services
lsquoEquityrsquo means fairness Health is a universal human aspiration and a basic human right Inequity is more likely to be experienced by vulnerable or ldquoat-riskrdquo groups Poor health is a consequence of the inequitable distribution of the determinants of health Equity in health is concerned with actively seeking to reduce the differences in health status between different groups or communities Vulnerable or at-risk population groups can include
Aboriginal and Torres Strait Islander (ATSI) people
socio-economically disadvantaged
those living in rural or remote areas those with a mental illness physical or intellectual disability
those who have experienced abuse or neglect as a child
people affected by discrimination social exclusion incarceration and people from cultural or linguistically diverse backgrounds (particularly refugees and survivors of
torture and trauma) Options for reform of Commonwealth and State governance responsibilities for the Australian health system
Problems for patients There is inequitable access to services shaped by place (especially remote and rural location) and financial barriers to care among other factors This is particularly the case for those services funded under fee for service arrangements While the health care you receive should be based on your need where you live and how much money you have too often determines what you actual ly receive and how quickly you receive it 5 Blame- and cost - shifting between levels of government is a major barrier to improvement in the system of care This problem has been addressed in the Commissionrsquos first paper The current split of responsibilities sets up perverse financial incentives for governments whereby one level can lsquowinrsquo financially through measures that cause the other level to lsquolosersquo financially The impact on patients and care providers is significant in the form of unnecessarily fragmented and complex referral and care pathways But cost shifting is also highly inefficient ndash witness the number of state funded hospital beds that are occupied every day by patients who cannot access Commonwealth funded residential or transition care when they need it The resultant blame-shifting (the policies and structures that enable finger-pointing and work against problem-solving) creates an additional barrier to performance improvement 4 Maintain the universality of Medicare A key strength of the Australian health care system is Medicare and the entitlement that all Australians have to the medical and pharmaceutical benefits it provides In accordance with the Commissionrsquos terms of reference Australiarsquos national Medicare system needs to be maintained and potentially strengthened
(Source A paper commissioned by the National Health and Hospitals Reform Commission)
Equity of access to health facilities amp services Activity Complete the cloze passage below
Universal primary health care is particularly ____________________ to disadvantaged people They are more
vulnerable to the social and environmental _______________________ of health
There are pockets of groups that are most at risk of difficulties in ______________________ health care including
those within rural and remote areas families and children during transitional life periods and the Aboriginal and
Torres Strait Islander population For example people from CALD (culturally and linguistically diverse) backgrounds
have received compromised health service due to poor uptake of interpreters by private practices of doctors
dentists community health centres and other medical services These groups continue to have a _______________
expectancy significantly lower than for the general Australian community
Disadvantaged people require ______________________ that are flexible and responsive and take into account
literacy levels income cultural and other issues ____________________ public health promotion and
___________________ initiatives will consider these dimensions including culturally appropriate lifestyle support
Further it is essential that consumers participate in shaping the systems and structures that deliver
___________________ care
Disadvantaged people have poorer access to health care for a range of reasons such as limited
____________________ options to reach health services which are generally less common in geographical areas
experiencing poverty and inadequate financial resources to cover out of pocket expenses and necessary
medication
The health needs of ________________________ people require a strong primary health care system People on
lower incomes and experiencing multiple levels of disadvantage face numerous barriers in accessing the universal
health care system Once engaged they are often heavier users of the health care system
(Source Queensland Council of Social Service
important accessing health education transport
life services determinants effective disadvantaged
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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News
dailytelegraphcomauNews
Heal the Bush Temora truck driver has to postponesurgery to treat his cancer because he canrsquot afford the tripto Sydney
by JANE HANSENFrom The Sunday TelegraphOctober 05 2014 1200AM
Sharetimes
Share this story
Temora Shane Botham who is battling cancer has stopped treatment because he can no longer afford it
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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Source News Corp Australia
SHANE Botham has deadly cancerous tumours in his liver
They need to be removed but when you live five hours out of Sydney and still have to earn a living toughchoices have to be made
Like many county folk Shane Botham has chosen to forgo treatment for financial reasons
ldquoIrsquove had to put surgery off we have harvest time and I have to work the truck otherwise wersquoll go brokerdquothe 45shyyearshyold said
ldquoIrsquove got two tumours in my liver and they want to take halfrdquo
Mr Botham was diagnosed with pancreatic neuroendocrine cancer in 2012 which metastasised to hisliver
Hersquos had the tail of his pancreas removed and his spleen and with an estimated 2 per cent survival ratehe is lucky to still be alive
But the financial cost so far has been phenomenal
In 2012 he had $70000 in the bank but itrsquos all gone now
The truck his only source of income sat idle for five months as he fought for his life during surgery butthe repayments on the truck still had to be made as did the insurance and the $12000 in annualregistration fees
The RTA refused to suspend his registration and his trauma insurance reneged too
But it was the dozen or so round trips to Sydney for chemotherapy surgery scans and checkshyups thatquickly eroded his life savings
ldquoTo go down to Sydney itrsquos a 10 hour round trip thatrsquos $200 in fuel and accommodation is $250 a nightthen therersquos food and tollsrdquo he said
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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Shane Botham has had to postpone surgery to treat his cancer because he cannot afford to stop workSource News Corp Australia
The subsidies for isolated patients like the $49 a night for accommodation and 19 cents a litre perkilometre are so paltry he hasnrsquot bothered claiming them
The situation has been compounded by the fact Mr Botham is privately insured with top cover fromMedibank Private
That means hersquos had to pay for some of the PET scans and CT scans because the insurance companywonrsquot
ldquoIrsquove had five or six scans two CT scans an MRI and two PET scans they wonrsquot pay for at $590 a pop Imean the last trip cost me $1200 we were in Sydney for two days and I had a CT scan on day one and aPET scan the next day and accommodation and fuelrdquo Mr Botham said
The inequality in health services for those in the bush is one of the focuses of The Sunday TelegraphrsquosHeal the Bush campaign
ldquoIrsquom on the highest (private health) cover you can get and you try and do the right thing and pay privatewhich is $240 a month but yoursquore better going through the public system because you are discriminatedagainst The best thing is to sell up go on the dole and get everything for nothingrdquo he said
ldquoAnd when you are fighting a deadly disease and trying to work on top of it itrsquos just hard Irsquom just so luckymy bosses havenrsquot put me off subcontracting but Irsquove got to work the truck around treatmentsrdquo
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
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News
dailytelegraphcomauNews
NSW rural health drive critical to equalityby EditorialFrom The Sunday TelegraphJuly 13 2014 1200AM
ALL Australians are born equal mdash but the way we live and die is often desperately unfair
Today we launch a campaign designed to put pressure on politicians to change things mdash because webelieve all these problems can and must be fixed
Wersquore not asking for Westmead Hospital to be relocated to Dubbo Wersquore asking for a series of small buthighly significant changes that experts say would make an enormous difference
If you happen to live and work in the bush yoursquoll probably die younger and endure more health problemswith greater severity throughout your life than people who live in the cities
Literally from the cradle to the grave mdash from obstetrics to aged care mdash Australia neglects country peoplefor no better reason than itrsquos all a bit too hard
Bush hospitals have lost their obstetric units because the health bureaucrats in Sydney think itrsquos OK forlabouring women to drive several hundred kilometres to have a baby leaving other children behind ordragging them along
Cancer patients are having their breasts and ovaries removed because itrsquos simply too hard to accessradiotherapy and other less aggressive forms of cancer treatment Experts have told us at least 30radiotherapy units are desperately needed throughout the bush and theyrsquore relatively cheap at just $7million to set up and $750000 per year to run Thatrsquos tiny in the context of a $140 billion federal healthbudget
The vast majority of specialist doctors donrsquot work in the bush or participate in telemedicine programs mdashbecause the Government doesnrsquot require them to Thatrsquos another problem that could be easily fixed byrequiring all specialists to do annual rotations in rural areas
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
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At present we require foreignshytrained general practitioners to work in the bush as part of their Australianaccreditation mdash but we donrsquot ask Australian GPs to do the same thing The federal Government payslsquoincentivesrsquo for doctors to work in remote areas but the scheme is so badly designed that you get moremoney to work in Cairns mdash a tropical holiday town serviced by a worldshyclass airport mdash than in Deniliquina remote inland hamlet
Patients who manage the trip to Sydney mdash for chemotherapy for example mdash face enormous bills foraccommodation because the big city hospitals are rapidly closing their onshysite accommodation facilitiesThe federal Government does subsidise patient accommodation mdash but itrsquos a measly $43 a night barelyenough for a bed in a backpacker hostel dormitory or perhaps a caravan park The Commonwealth bycomparison pays $180 per night for its own public servants to stay a night in a hotel
It would be easy to dismiss these concerns by saying nobody asked bushshydwellers to live in the sticksTheyrsquove made a lifestyle choice and we canrsquot expect all Australians to subsidise them
But the truth is this Australia needs the bush Agriculture contributes $155 billion to gross domesticproduct every year creating 16 million jobs Farm exports are worth $32b and agriculture fisheries andforestry exports are $36b every year
All the bush health problems are a result of our own failure to deal with the way country life is changingAgriculture is now hugely more efficient than it was a century ago so fewer people are required to run agiant sheepshystation or a wheat farm Onceshybustling bush towns are diminishing But the people whoremain are absolutely crucial to our nationrsquos economy We should be encouraging more people to move tothe bush to take pressure of our cities and to keep our wonderful heartland alive mdash but whorsquod take afamily to a remote outpost when the health risks are so great
Comments (socialshycomments)
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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Lifestyle
dailytelegraphcomauLifestyle
Poor access to radiotherapy is killing rural cancer patientsby SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 12 2014 1031PM
Share
Tony and Julie Ryswyk with daughters Holly 14 and Madi 13 Tony has secondary cancer in his liverThey live in Kyneton he has been having chemotherapy for three years travelling back and forth fromMelbourne Picture Tim CarrafaSource News Corp Australia
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 26
CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
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Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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Equity of access to health facilities amp services Activity Complete the cloze passage below
Universal primary health care is particularly ____________________ to disadvantaged people They are more
vulnerable to the social and environmental _______________________ of health
There are pockets of groups that are most at risk of difficulties in ______________________ health care including
those within rural and remote areas families and children during transitional life periods and the Aboriginal and
Torres Strait Islander population For example people from CALD (culturally and linguistically diverse) backgrounds
have received compromised health service due to poor uptake of interpreters by private practices of doctors
dentists community health centres and other medical services These groups continue to have a _______________
expectancy significantly lower than for the general Australian community
Disadvantaged people require ______________________ that are flexible and responsive and take into account
literacy levels income cultural and other issues ____________________ public health promotion and
___________________ initiatives will consider these dimensions including culturally appropriate lifestyle support
Further it is essential that consumers participate in shaping the systems and structures that deliver
___________________ care
Disadvantaged people have poorer access to health care for a range of reasons such as limited
____________________ options to reach health services which are generally less common in geographical areas
experiencing poverty and inadequate financial resources to cover out of pocket expenses and necessary
medication
The health needs of ________________________ people require a strong primary health care system People on
lower incomes and experiencing multiple levels of disadvantage face numerous barriers in accessing the universal
health care system Once engaged they are often heavier users of the health care system
(Source Queensland Council of Social Service
important accessing health education transport
life services determinants effective disadvantaged
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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News
dailytelegraphcomauNews
Heal the Bush Temora truck driver has to postponesurgery to treat his cancer because he canrsquot afford the tripto Sydney
by JANE HANSENFrom The Sunday TelegraphOctober 05 2014 1200AM
Sharetimes
Share this story
Temora Shane Botham who is battling cancer has stopped treatment because he can no longer afford it
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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Source News Corp Australia
SHANE Botham has deadly cancerous tumours in his liver
They need to be removed but when you live five hours out of Sydney and still have to earn a living toughchoices have to be made
Like many county folk Shane Botham has chosen to forgo treatment for financial reasons
ldquoIrsquove had to put surgery off we have harvest time and I have to work the truck otherwise wersquoll go brokerdquothe 45shyyearshyold said
ldquoIrsquove got two tumours in my liver and they want to take halfrdquo
Mr Botham was diagnosed with pancreatic neuroendocrine cancer in 2012 which metastasised to hisliver
Hersquos had the tail of his pancreas removed and his spleen and with an estimated 2 per cent survival ratehe is lucky to still be alive
But the financial cost so far has been phenomenal
In 2012 he had $70000 in the bank but itrsquos all gone now
The truck his only source of income sat idle for five months as he fought for his life during surgery butthe repayments on the truck still had to be made as did the insurance and the $12000 in annualregistration fees
The RTA refused to suspend his registration and his trauma insurance reneged too
But it was the dozen or so round trips to Sydney for chemotherapy surgery scans and checkshyups thatquickly eroded his life savings
ldquoTo go down to Sydney itrsquos a 10 hour round trip thatrsquos $200 in fuel and accommodation is $250 a nightthen therersquos food and tollsrdquo he said
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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Shane Botham has had to postpone surgery to treat his cancer because he cannot afford to stop workSource News Corp Australia
The subsidies for isolated patients like the $49 a night for accommodation and 19 cents a litre perkilometre are so paltry he hasnrsquot bothered claiming them
The situation has been compounded by the fact Mr Botham is privately insured with top cover fromMedibank Private
That means hersquos had to pay for some of the PET scans and CT scans because the insurance companywonrsquot
ldquoIrsquove had five or six scans two CT scans an MRI and two PET scans they wonrsquot pay for at $590 a pop Imean the last trip cost me $1200 we were in Sydney for two days and I had a CT scan on day one and aPET scan the next day and accommodation and fuelrdquo Mr Botham said
The inequality in health services for those in the bush is one of the focuses of The Sunday TelegraphrsquosHeal the Bush campaign
ldquoIrsquom on the highest (private health) cover you can get and you try and do the right thing and pay privatewhich is $240 a month but yoursquore better going through the public system because you are discriminatedagainst The best thing is to sell up go on the dole and get everything for nothingrdquo he said
ldquoAnd when you are fighting a deadly disease and trying to work on top of it itrsquos just hard Irsquom just so luckymy bosses havenrsquot put me off subcontracting but Irsquove got to work the truck around treatmentsrdquo
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
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News
dailytelegraphcomauNews
NSW rural health drive critical to equalityby EditorialFrom The Sunday TelegraphJuly 13 2014 1200AM
ALL Australians are born equal mdash but the way we live and die is often desperately unfair
Today we launch a campaign designed to put pressure on politicians to change things mdash because webelieve all these problems can and must be fixed
Wersquore not asking for Westmead Hospital to be relocated to Dubbo Wersquore asking for a series of small buthighly significant changes that experts say would make an enormous difference
If you happen to live and work in the bush yoursquoll probably die younger and endure more health problemswith greater severity throughout your life than people who live in the cities
Literally from the cradle to the grave mdash from obstetrics to aged care mdash Australia neglects country peoplefor no better reason than itrsquos all a bit too hard
Bush hospitals have lost their obstetric units because the health bureaucrats in Sydney think itrsquos OK forlabouring women to drive several hundred kilometres to have a baby leaving other children behind ordragging them along
Cancer patients are having their breasts and ovaries removed because itrsquos simply too hard to accessradiotherapy and other less aggressive forms of cancer treatment Experts have told us at least 30radiotherapy units are desperately needed throughout the bush and theyrsquore relatively cheap at just $7million to set up and $750000 per year to run Thatrsquos tiny in the context of a $140 billion federal healthbudget
The vast majority of specialist doctors donrsquot work in the bush or participate in telemedicine programs mdashbecause the Government doesnrsquot require them to Thatrsquos another problem that could be easily fixed byrequiring all specialists to do annual rotations in rural areas
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
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At present we require foreignshytrained general practitioners to work in the bush as part of their Australianaccreditation mdash but we donrsquot ask Australian GPs to do the same thing The federal Government payslsquoincentivesrsquo for doctors to work in remote areas but the scheme is so badly designed that you get moremoney to work in Cairns mdash a tropical holiday town serviced by a worldshyclass airport mdash than in Deniliquina remote inland hamlet
Patients who manage the trip to Sydney mdash for chemotherapy for example mdash face enormous bills foraccommodation because the big city hospitals are rapidly closing their onshysite accommodation facilitiesThe federal Government does subsidise patient accommodation mdash but itrsquos a measly $43 a night barelyenough for a bed in a backpacker hostel dormitory or perhaps a caravan park The Commonwealth bycomparison pays $180 per night for its own public servants to stay a night in a hotel
It would be easy to dismiss these concerns by saying nobody asked bushshydwellers to live in the sticksTheyrsquove made a lifestyle choice and we canrsquot expect all Australians to subsidise them
But the truth is this Australia needs the bush Agriculture contributes $155 billion to gross domesticproduct every year creating 16 million jobs Farm exports are worth $32b and agriculture fisheries andforestry exports are $36b every year
All the bush health problems are a result of our own failure to deal with the way country life is changingAgriculture is now hugely more efficient than it was a century ago so fewer people are required to run agiant sheepshystation or a wheat farm Onceshybustling bush towns are diminishing But the people whoremain are absolutely crucial to our nationrsquos economy We should be encouraging more people to move tothe bush to take pressure of our cities and to keep our wonderful heartland alive mdash but whorsquod take afamily to a remote outpost when the health risks are so great
Comments (socialshycomments)
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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Lifestyle
dailytelegraphcomauLifestyle
Poor access to radiotherapy is killing rural cancer patientsby SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 12 2014 1031PM
Share
Tony and Julie Ryswyk with daughters Holly 14 and Madi 13 Tony has secondary cancer in his liverThey live in Kyneton he has been having chemotherapy for three years travelling back and forth fromMelbourne Picture Tim CarrafaSource News Corp Australia
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
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Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
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Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
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relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
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Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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News
dailytelegraphcomauNews
Heal the Bush Temora truck driver has to postponesurgery to treat his cancer because he canrsquot afford the tripto Sydney
by JANE HANSENFrom The Sunday TelegraphOctober 05 2014 1200AM
Sharetimes
Share this story
Temora Shane Botham who is battling cancer has stopped treatment because he can no longer afford it
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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Source News Corp Australia
SHANE Botham has deadly cancerous tumours in his liver
They need to be removed but when you live five hours out of Sydney and still have to earn a living toughchoices have to be made
Like many county folk Shane Botham has chosen to forgo treatment for financial reasons
ldquoIrsquove had to put surgery off we have harvest time and I have to work the truck otherwise wersquoll go brokerdquothe 45shyyearshyold said
ldquoIrsquove got two tumours in my liver and they want to take halfrdquo
Mr Botham was diagnosed with pancreatic neuroendocrine cancer in 2012 which metastasised to hisliver
Hersquos had the tail of his pancreas removed and his spleen and with an estimated 2 per cent survival ratehe is lucky to still be alive
But the financial cost so far has been phenomenal
In 2012 he had $70000 in the bank but itrsquos all gone now
The truck his only source of income sat idle for five months as he fought for his life during surgery butthe repayments on the truck still had to be made as did the insurance and the $12000 in annualregistration fees
The RTA refused to suspend his registration and his trauma insurance reneged too
But it was the dozen or so round trips to Sydney for chemotherapy surgery scans and checkshyups thatquickly eroded his life savings
ldquoTo go down to Sydney itrsquos a 10 hour round trip thatrsquos $200 in fuel and accommodation is $250 a nightthen therersquos food and tollsrdquo he said
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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Shane Botham has had to postpone surgery to treat his cancer because he cannot afford to stop workSource News Corp Australia
The subsidies for isolated patients like the $49 a night for accommodation and 19 cents a litre perkilometre are so paltry he hasnrsquot bothered claiming them
The situation has been compounded by the fact Mr Botham is privately insured with top cover fromMedibank Private
That means hersquos had to pay for some of the PET scans and CT scans because the insurance companywonrsquot
ldquoIrsquove had five or six scans two CT scans an MRI and two PET scans they wonrsquot pay for at $590 a pop Imean the last trip cost me $1200 we were in Sydney for two days and I had a CT scan on day one and aPET scan the next day and accommodation and fuelrdquo Mr Botham said
The inequality in health services for those in the bush is one of the focuses of The Sunday TelegraphrsquosHeal the Bush campaign
ldquoIrsquom on the highest (private health) cover you can get and you try and do the right thing and pay privatewhich is $240 a month but yoursquore better going through the public system because you are discriminatedagainst The best thing is to sell up go on the dole and get everything for nothingrdquo he said
ldquoAnd when you are fighting a deadly disease and trying to work on top of it itrsquos just hard Irsquom just so luckymy bosses havenrsquot put me off subcontracting but Irsquove got to work the truck around treatmentsrdquo
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
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News
dailytelegraphcomauNews
NSW rural health drive critical to equalityby EditorialFrom The Sunday TelegraphJuly 13 2014 1200AM
ALL Australians are born equal mdash but the way we live and die is often desperately unfair
Today we launch a campaign designed to put pressure on politicians to change things mdash because webelieve all these problems can and must be fixed
Wersquore not asking for Westmead Hospital to be relocated to Dubbo Wersquore asking for a series of small buthighly significant changes that experts say would make an enormous difference
If you happen to live and work in the bush yoursquoll probably die younger and endure more health problemswith greater severity throughout your life than people who live in the cities
Literally from the cradle to the grave mdash from obstetrics to aged care mdash Australia neglects country peoplefor no better reason than itrsquos all a bit too hard
Bush hospitals have lost their obstetric units because the health bureaucrats in Sydney think itrsquos OK forlabouring women to drive several hundred kilometres to have a baby leaving other children behind ordragging them along
Cancer patients are having their breasts and ovaries removed because itrsquos simply too hard to accessradiotherapy and other less aggressive forms of cancer treatment Experts have told us at least 30radiotherapy units are desperately needed throughout the bush and theyrsquore relatively cheap at just $7million to set up and $750000 per year to run Thatrsquos tiny in the context of a $140 billion federal healthbudget
The vast majority of specialist doctors donrsquot work in the bush or participate in telemedicine programs mdashbecause the Government doesnrsquot require them to Thatrsquos another problem that could be easily fixed byrequiring all specialists to do annual rotations in rural areas
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
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At present we require foreignshytrained general practitioners to work in the bush as part of their Australianaccreditation mdash but we donrsquot ask Australian GPs to do the same thing The federal Government payslsquoincentivesrsquo for doctors to work in remote areas but the scheme is so badly designed that you get moremoney to work in Cairns mdash a tropical holiday town serviced by a worldshyclass airport mdash than in Deniliquina remote inland hamlet
Patients who manage the trip to Sydney mdash for chemotherapy for example mdash face enormous bills foraccommodation because the big city hospitals are rapidly closing their onshysite accommodation facilitiesThe federal Government does subsidise patient accommodation mdash but itrsquos a measly $43 a night barelyenough for a bed in a backpacker hostel dormitory or perhaps a caravan park The Commonwealth bycomparison pays $180 per night for its own public servants to stay a night in a hotel
It would be easy to dismiss these concerns by saying nobody asked bushshydwellers to live in the sticksTheyrsquove made a lifestyle choice and we canrsquot expect all Australians to subsidise them
But the truth is this Australia needs the bush Agriculture contributes $155 billion to gross domesticproduct every year creating 16 million jobs Farm exports are worth $32b and agriculture fisheries andforestry exports are $36b every year
All the bush health problems are a result of our own failure to deal with the way country life is changingAgriculture is now hugely more efficient than it was a century ago so fewer people are required to run agiant sheepshystation or a wheat farm Onceshybustling bush towns are diminishing But the people whoremain are absolutely crucial to our nationrsquos economy We should be encouraging more people to move tothe bush to take pressure of our cities and to keep our wonderful heartland alive mdash but whorsquod take afamily to a remote outpost when the health risks are so great
Comments (socialshycomments)
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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Lifestyle
dailytelegraphcomauLifestyle
Poor access to radiotherapy is killing rural cancer patientsby SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 12 2014 1031PM
Share
Tony and Julie Ryswyk with daughters Holly 14 and Madi 13 Tony has secondary cancer in his liverThey live in Kyneton he has been having chemotherapy for three years travelling back and forth fromMelbourne Picture Tim CarrafaSource News Corp Australia
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
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Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
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Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
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relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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Source News Corp Australia
SHANE Botham has deadly cancerous tumours in his liver
They need to be removed but when you live five hours out of Sydney and still have to earn a living toughchoices have to be made
Like many county folk Shane Botham has chosen to forgo treatment for financial reasons
ldquoIrsquove had to put surgery off we have harvest time and I have to work the truck otherwise wersquoll go brokerdquothe 45shyyearshyold said
ldquoIrsquove got two tumours in my liver and they want to take halfrdquo
Mr Botham was diagnosed with pancreatic neuroendocrine cancer in 2012 which metastasised to hisliver
Hersquos had the tail of his pancreas removed and his spleen and with an estimated 2 per cent survival ratehe is lucky to still be alive
But the financial cost so far has been phenomenal
In 2012 he had $70000 in the bank but itrsquos all gone now
The truck his only source of income sat idle for five months as he fought for his life during surgery butthe repayments on the truck still had to be made as did the insurance and the $12000 in annualregistration fees
The RTA refused to suspend his registration and his trauma insurance reneged too
But it was the dozen or so round trips to Sydney for chemotherapy surgery scans and checkshyups thatquickly eroded his life savings
ldquoTo go down to Sydney itrsquos a 10 hour round trip thatrsquos $200 in fuel and accommodation is $250 a nightthen therersquos food and tollsrdquo he said
4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
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Shane Botham has had to postpone surgery to treat his cancer because he cannot afford to stop workSource News Corp Australia
The subsidies for isolated patients like the $49 a night for accommodation and 19 cents a litre perkilometre are so paltry he hasnrsquot bothered claiming them
The situation has been compounded by the fact Mr Botham is privately insured with top cover fromMedibank Private
That means hersquos had to pay for some of the PET scans and CT scans because the insurance companywonrsquot
ldquoIrsquove had five or six scans two CT scans an MRI and two PET scans they wonrsquot pay for at $590 a pop Imean the last trip cost me $1200 we were in Sydney for two days and I had a CT scan on day one and aPET scan the next day and accommodation and fuelrdquo Mr Botham said
The inequality in health services for those in the bush is one of the focuses of The Sunday TelegraphrsquosHeal the Bush campaign
ldquoIrsquom on the highest (private health) cover you can get and you try and do the right thing and pay privatewhich is $240 a month but yoursquore better going through the public system because you are discriminatedagainst The best thing is to sell up go on the dole and get everything for nothingrdquo he said
ldquoAnd when you are fighting a deadly disease and trying to work on top of it itrsquos just hard Irsquom just so luckymy bosses havenrsquot put me off subcontracting but Irsquove got to work the truck around treatmentsrdquo
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
httpwwwdailytelegraphcomaunewsopinionnswshyruralshyhealthshydriveshycriticalshytoshyequalitystoryshyfni0cwl5shy1226986663396 13
News
dailytelegraphcomauNews
NSW rural health drive critical to equalityby EditorialFrom The Sunday TelegraphJuly 13 2014 1200AM
ALL Australians are born equal mdash but the way we live and die is often desperately unfair
Today we launch a campaign designed to put pressure on politicians to change things mdash because webelieve all these problems can and must be fixed
Wersquore not asking for Westmead Hospital to be relocated to Dubbo Wersquore asking for a series of small buthighly significant changes that experts say would make an enormous difference
If you happen to live and work in the bush yoursquoll probably die younger and endure more health problemswith greater severity throughout your life than people who live in the cities
Literally from the cradle to the grave mdash from obstetrics to aged care mdash Australia neglects country peoplefor no better reason than itrsquos all a bit too hard
Bush hospitals have lost their obstetric units because the health bureaucrats in Sydney think itrsquos OK forlabouring women to drive several hundred kilometres to have a baby leaving other children behind ordragging them along
Cancer patients are having their breasts and ovaries removed because itrsquos simply too hard to accessradiotherapy and other less aggressive forms of cancer treatment Experts have told us at least 30radiotherapy units are desperately needed throughout the bush and theyrsquore relatively cheap at just $7million to set up and $750000 per year to run Thatrsquos tiny in the context of a $140 billion federal healthbudget
The vast majority of specialist doctors donrsquot work in the bush or participate in telemedicine programs mdashbecause the Government doesnrsquot require them to Thatrsquos another problem that could be easily fixed byrequiring all specialists to do annual rotations in rural areas
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
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At present we require foreignshytrained general practitioners to work in the bush as part of their Australianaccreditation mdash but we donrsquot ask Australian GPs to do the same thing The federal Government payslsquoincentivesrsquo for doctors to work in remote areas but the scheme is so badly designed that you get moremoney to work in Cairns mdash a tropical holiday town serviced by a worldshyclass airport mdash than in Deniliquina remote inland hamlet
Patients who manage the trip to Sydney mdash for chemotherapy for example mdash face enormous bills foraccommodation because the big city hospitals are rapidly closing their onshysite accommodation facilitiesThe federal Government does subsidise patient accommodation mdash but itrsquos a measly $43 a night barelyenough for a bed in a backpacker hostel dormitory or perhaps a caravan park The Commonwealth bycomparison pays $180 per night for its own public servants to stay a night in a hotel
It would be easy to dismiss these concerns by saying nobody asked bushshydwellers to live in the sticksTheyrsquove made a lifestyle choice and we canrsquot expect all Australians to subsidise them
But the truth is this Australia needs the bush Agriculture contributes $155 billion to gross domesticproduct every year creating 16 million jobs Farm exports are worth $32b and agriculture fisheries andforestry exports are $36b every year
All the bush health problems are a result of our own failure to deal with the way country life is changingAgriculture is now hugely more efficient than it was a century ago so fewer people are required to run agiant sheepshystation or a wheat farm Onceshybustling bush towns are diminishing But the people whoremain are absolutely crucial to our nationrsquos economy We should be encouraging more people to move tothe bush to take pressure of our cities and to keep our wonderful heartland alive mdash but whorsquod take afamily to a remote outpost when the health risks are so great
Comments (socialshycomments)
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
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Lifestyle
dailytelegraphcomauLifestyle
Poor access to radiotherapy is killing rural cancer patientsby SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 12 2014 1031PM
Share
Tony and Julie Ryswyk with daughters Holly 14 and Madi 13 Tony has secondary cancer in his liverThey live in Kyneton he has been having chemotherapy for three years travelling back and forth fromMelbourne Picture Tim CarrafaSource News Corp Australia
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 26
CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 36
However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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4272015 Heal the Bush Temora truck driver has to postpone surgery to treat his cancer because he canrsquot afford the trip to Sydney | dailytelegraphcomau
httpwwwdailytelegraphcomaunewsnswhealshytheshybushshytemorashytruckshydrivershyhasshytoshypostponeshysurgeryshytoshytreatshyhisshycancershybecauseshyheshycantshyaffordshytheshythellip 34
Shane Botham has had to postpone surgery to treat his cancer because he cannot afford to stop workSource News Corp Australia
The subsidies for isolated patients like the $49 a night for accommodation and 19 cents a litre perkilometre are so paltry he hasnrsquot bothered claiming them
The situation has been compounded by the fact Mr Botham is privately insured with top cover fromMedibank Private
That means hersquos had to pay for some of the PET scans and CT scans because the insurance companywonrsquot
ldquoIrsquove had five or six scans two CT scans an MRI and two PET scans they wonrsquot pay for at $590 a pop Imean the last trip cost me $1200 we were in Sydney for two days and I had a CT scan on day one and aPET scan the next day and accommodation and fuelrdquo Mr Botham said
The inequality in health services for those in the bush is one of the focuses of The Sunday TelegraphrsquosHeal the Bush campaign
ldquoIrsquom on the highest (private health) cover you can get and you try and do the right thing and pay privatewhich is $240 a month but yoursquore better going through the public system because you are discriminatedagainst The best thing is to sell up go on the dole and get everything for nothingrdquo he said
ldquoAnd when you are fighting a deadly disease and trying to work on top of it itrsquos just hard Irsquom just so luckymy bosses havenrsquot put me off subcontracting but Irsquove got to work the truck around treatmentsrdquo
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
httpwwwdailytelegraphcomaunewsopinionnswshyruralshyhealthshydriveshycriticalshytoshyequalitystoryshyfni0cwl5shy1226986663396 13
News
dailytelegraphcomauNews
NSW rural health drive critical to equalityby EditorialFrom The Sunday TelegraphJuly 13 2014 1200AM
ALL Australians are born equal mdash but the way we live and die is often desperately unfair
Today we launch a campaign designed to put pressure on politicians to change things mdash because webelieve all these problems can and must be fixed
Wersquore not asking for Westmead Hospital to be relocated to Dubbo Wersquore asking for a series of small buthighly significant changes that experts say would make an enormous difference
If you happen to live and work in the bush yoursquoll probably die younger and endure more health problemswith greater severity throughout your life than people who live in the cities
Literally from the cradle to the grave mdash from obstetrics to aged care mdash Australia neglects country peoplefor no better reason than itrsquos all a bit too hard
Bush hospitals have lost their obstetric units because the health bureaucrats in Sydney think itrsquos OK forlabouring women to drive several hundred kilometres to have a baby leaving other children behind ordragging them along
Cancer patients are having their breasts and ovaries removed because itrsquos simply too hard to accessradiotherapy and other less aggressive forms of cancer treatment Experts have told us at least 30radiotherapy units are desperately needed throughout the bush and theyrsquore relatively cheap at just $7million to set up and $750000 per year to run Thatrsquos tiny in the context of a $140 billion federal healthbudget
The vast majority of specialist doctors donrsquot work in the bush or participate in telemedicine programs mdashbecause the Government doesnrsquot require them to Thatrsquos another problem that could be easily fixed byrequiring all specialists to do annual rotations in rural areas
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
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At present we require foreignshytrained general practitioners to work in the bush as part of their Australianaccreditation mdash but we donrsquot ask Australian GPs to do the same thing The federal Government payslsquoincentivesrsquo for doctors to work in remote areas but the scheme is so badly designed that you get moremoney to work in Cairns mdash a tropical holiday town serviced by a worldshyclass airport mdash than in Deniliquina remote inland hamlet
Patients who manage the trip to Sydney mdash for chemotherapy for example mdash face enormous bills foraccommodation because the big city hospitals are rapidly closing their onshysite accommodation facilitiesThe federal Government does subsidise patient accommodation mdash but itrsquos a measly $43 a night barelyenough for a bed in a backpacker hostel dormitory or perhaps a caravan park The Commonwealth bycomparison pays $180 per night for its own public servants to stay a night in a hotel
It would be easy to dismiss these concerns by saying nobody asked bushshydwellers to live in the sticksTheyrsquove made a lifestyle choice and we canrsquot expect all Australians to subsidise them
But the truth is this Australia needs the bush Agriculture contributes $155 billion to gross domesticproduct every year creating 16 million jobs Farm exports are worth $32b and agriculture fisheries andforestry exports are $36b every year
All the bush health problems are a result of our own failure to deal with the way country life is changingAgriculture is now hugely more efficient than it was a century ago so fewer people are required to run agiant sheepshystation or a wheat farm Onceshybustling bush towns are diminishing But the people whoremain are absolutely crucial to our nationrsquos economy We should be encouraging more people to move tothe bush to take pressure of our cities and to keep our wonderful heartland alive mdash but whorsquod take afamily to a remote outpost when the health risks are so great
Comments (socialshycomments)
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 16
Lifestyle
dailytelegraphcomauLifestyle
Poor access to radiotherapy is killing rural cancer patientsby SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 12 2014 1031PM
Share
Tony and Julie Ryswyk with daughters Holly 14 and Madi 13 Tony has secondary cancer in his liverThey live in Kyneton he has been having chemotherapy for three years travelling back and forth fromMelbourne Picture Tim CarrafaSource News Corp Australia
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 26
CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 36
However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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4272015 NSW rural health drive critical to equality | dailytelegraphcomau
httpwwwdailytelegraphcomaunewsopinionnswshyruralshyhealthshydriveshycriticalshytoshyequalitystoryshyfni0cwl5shy1226986663396 13
News
dailytelegraphcomauNews
NSW rural health drive critical to equalityby EditorialFrom The Sunday TelegraphJuly 13 2014 1200AM
ALL Australians are born equal mdash but the way we live and die is often desperately unfair
Today we launch a campaign designed to put pressure on politicians to change things mdash because webelieve all these problems can and must be fixed
Wersquore not asking for Westmead Hospital to be relocated to Dubbo Wersquore asking for a series of small buthighly significant changes that experts say would make an enormous difference
If you happen to live and work in the bush yoursquoll probably die younger and endure more health problemswith greater severity throughout your life than people who live in the cities
Literally from the cradle to the grave mdash from obstetrics to aged care mdash Australia neglects country peoplefor no better reason than itrsquos all a bit too hard
Bush hospitals have lost their obstetric units because the health bureaucrats in Sydney think itrsquos OK forlabouring women to drive several hundred kilometres to have a baby leaving other children behind ordragging them along
Cancer patients are having their breasts and ovaries removed because itrsquos simply too hard to accessradiotherapy and other less aggressive forms of cancer treatment Experts have told us at least 30radiotherapy units are desperately needed throughout the bush and theyrsquore relatively cheap at just $7million to set up and $750000 per year to run Thatrsquos tiny in the context of a $140 billion federal healthbudget
The vast majority of specialist doctors donrsquot work in the bush or participate in telemedicine programs mdashbecause the Government doesnrsquot require them to Thatrsquos another problem that could be easily fixed byrequiring all specialists to do annual rotations in rural areas
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
httpwwwdailytelegraphcomaunewsopinionnswshyruralshyhealthshydriveshycriticalshytoshyequalitystoryshyfni0cwl5shy1226986663396 23
At present we require foreignshytrained general practitioners to work in the bush as part of their Australianaccreditation mdash but we donrsquot ask Australian GPs to do the same thing The federal Government payslsquoincentivesrsquo for doctors to work in remote areas but the scheme is so badly designed that you get moremoney to work in Cairns mdash a tropical holiday town serviced by a worldshyclass airport mdash than in Deniliquina remote inland hamlet
Patients who manage the trip to Sydney mdash for chemotherapy for example mdash face enormous bills foraccommodation because the big city hospitals are rapidly closing their onshysite accommodation facilitiesThe federal Government does subsidise patient accommodation mdash but itrsquos a measly $43 a night barelyenough for a bed in a backpacker hostel dormitory or perhaps a caravan park The Commonwealth bycomparison pays $180 per night for its own public servants to stay a night in a hotel
It would be easy to dismiss these concerns by saying nobody asked bushshydwellers to live in the sticksTheyrsquove made a lifestyle choice and we canrsquot expect all Australians to subsidise them
But the truth is this Australia needs the bush Agriculture contributes $155 billion to gross domesticproduct every year creating 16 million jobs Farm exports are worth $32b and agriculture fisheries andforestry exports are $36b every year
All the bush health problems are a result of our own failure to deal with the way country life is changingAgriculture is now hugely more efficient than it was a century ago so fewer people are required to run agiant sheepshystation or a wheat farm Onceshybustling bush towns are diminishing But the people whoremain are absolutely crucial to our nationrsquos economy We should be encouraging more people to move tothe bush to take pressure of our cities and to keep our wonderful heartland alive mdash but whorsquod take afamily to a remote outpost when the health risks are so great
Comments (socialshycomments)
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 16
Lifestyle
dailytelegraphcomauLifestyle
Poor access to radiotherapy is killing rural cancer patientsby SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 12 2014 1031PM
Share
Tony and Julie Ryswyk with daughters Holly 14 and Madi 13 Tony has secondary cancer in his liverThey live in Kyneton he has been having chemotherapy for three years travelling back and forth fromMelbourne Picture Tim CarrafaSource News Corp Australia
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 26
CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 36
However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
4272015 NSW rural health drive critical to equality | dailytelegraphcomau
httpwwwdailytelegraphcomaunewsopinionnswshyruralshyhealthshydriveshycriticalshytoshyequalitystoryshyfni0cwl5shy1226986663396 23
At present we require foreignshytrained general practitioners to work in the bush as part of their Australianaccreditation mdash but we donrsquot ask Australian GPs to do the same thing The federal Government payslsquoincentivesrsquo for doctors to work in remote areas but the scheme is so badly designed that you get moremoney to work in Cairns mdash a tropical holiday town serviced by a worldshyclass airport mdash than in Deniliquina remote inland hamlet
Patients who manage the trip to Sydney mdash for chemotherapy for example mdash face enormous bills foraccommodation because the big city hospitals are rapidly closing their onshysite accommodation facilitiesThe federal Government does subsidise patient accommodation mdash but itrsquos a measly $43 a night barelyenough for a bed in a backpacker hostel dormitory or perhaps a caravan park The Commonwealth bycomparison pays $180 per night for its own public servants to stay a night in a hotel
It would be easy to dismiss these concerns by saying nobody asked bushshydwellers to live in the sticksTheyrsquove made a lifestyle choice and we canrsquot expect all Australians to subsidise them
But the truth is this Australia needs the bush Agriculture contributes $155 billion to gross domesticproduct every year creating 16 million jobs Farm exports are worth $32b and agriculture fisheries andforestry exports are $36b every year
All the bush health problems are a result of our own failure to deal with the way country life is changingAgriculture is now hugely more efficient than it was a century ago so fewer people are required to run agiant sheepshystation or a wheat farm Onceshybustling bush towns are diminishing But the people whoremain are absolutely crucial to our nationrsquos economy We should be encouraging more people to move tothe bush to take pressure of our cities and to keep our wonderful heartland alive mdash but whorsquod take afamily to a remote outpost when the health risks are so great
Comments (socialshycomments)
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 16
Lifestyle
dailytelegraphcomauLifestyle
Poor access to radiotherapy is killing rural cancer patientsby SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 12 2014 1031PM
Share
Tony and Julie Ryswyk with daughters Holly 14 and Madi 13 Tony has secondary cancer in his liverThey live in Kyneton he has been having chemotherapy for three years travelling back and forth fromMelbourne Picture Tim CarrafaSource News Corp Australia
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 26
CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 36
However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 16
Lifestyle
dailytelegraphcomauLifestyle
Poor access to radiotherapy is killing rural cancer patientsby SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 12 2014 1031PM
Share
Tony and Julie Ryswyk with daughters Holly 14 and Madi 13 Tony has secondary cancer in his liverThey live in Kyneton he has been having chemotherapy for three years travelling back and forth fromMelbourne Picture Tim CarrafaSource News Corp Australia
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 26
CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 36
However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 26
CANCER patients in the bush are up to 30 per cent more likely to die than those living in the citybecause they canrsquot access radiotherapy treatment
And they are waiting longer to get chemotherapy
The Royal Australian and New Zealand College of Radiologists has estimated 18000 cancer patients aremissing out on lifesaving radiotherapy every year many of them in rural areas
A recent study published in the Medical Journal Australia found death rates from colorectal cancer rose 6per cent for every 100 kilometres a patient lived away from a radiotherapy facility
Those living 200shy399km away were 30 per cent more likely to die
This is even though it costs just $7 million to install a linear accelerator to provide radiotherapy and around$750000 a year to staff it
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying younger
Many rural cancer patients are refusing lifesaving radiotherapy because they canrsquot afford time away fromtheir farms or families to travel to major cities for up to seven weeks
Incredibly some mothers who canrsquot afford to spend six weeks away from their family while they haveradiotherapy in the city have their breasts removed when cancer is detected
Medical experts are pushing for the roll out of more radiotherapy units in the bush as one of the best waysto stop rural patients dying youngerSource News Limited
ldquoPeople who have appropriate indicators for radiotherapy are missing out on their treatmentrdquo RoyalAustralian and New Zealand College of Radiologists president Professor Chris Milross said
Professor Milross applauds the previous Labor government for providing $560 million to set up 26 regionalcancer centres and dramatically expanding access to radiotherapy in the regions
ldquoThe day they opened they were fully booked and we have to look to providing more linear acceleratorsin themrdquo he said
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 36
However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 36
However Professor Milross says ldquoif you live in Bourke and Orange Tamworth it is still not convenientyoursquove got to travelrdquo
A look at the map shows most of these new centres hug the eastern coast of Australia very few helpthose in western NSW Queensland or Victoria or inland South Australia and the Northern Territory
A study by the college found Australia would need 40 new linear accelerators by 2017 to cope withgrowing demand
University of NSW radiation oncology expert Professor Michael Barton says around a third of these newmachines would be needed in rural Australia
Professor Michael Barton is campaigning for more linear accelerators in the bush by 2017 to cope withgrowing demandSource News Limited
To be viable a radiotherapy unit needs to treat around 1000 new cancer cases a year and this requires acatchment population of 200000 to 250000 a year he said
It would be better to put many of the new units in existing cancer centres to take advantage of staff andexpertise there Professor Barton said
ldquoItrsquos not just a matter of putting radiotherapy yoursquove got to put in chemotherapy and MRI and PETscanning for people to have their treatment properly stagedrdquo he said
Canspeakrsquos Dr Ian Roos says there is a good argument to put a radiotherapy centre in the GoulburnValley
Cancer Council Queensland says research shows more than 250 regional Queenslanders die of cancereach year because they live outside urban centres
Queensland currently has 19 public radiation therapy services and 16 private radiation therapy servicesThis equates to about 145 linear accelerators per 1000 new cancer cases in comparison to an Australianbenchmark of 16 linear accelerators per 1000 new cases
But the Council says existing radiotherapy units together with new ones under construction in
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
4272015 Poor access to radiotherapy is killing rural cancer patients | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthpoorshyaccessshytoshyradiotherapyshyisshykillingshyruralshycancershypatientsstoryshyfni0dguzshy1226986949882 46
Rockhampton Springfield and Hervey Bay are enough to cater for the rural population
It is better for more remote patients to be treated in specialist cancer centres where they have access toleading oncologists even if it meant they had to travel the council said
Doctors say part of the problem is rural cancer patients get diagnosed and treated late because they haveto wait to see a doctor wait to get a diagnostic test and wait to have a biopsy
Assistant Health Minister Fiona Nash said because she lives in a rural community she appreciateschallenges first handSource News Corp Australia
The Assistant Minister for Health Fiona Nash said because she lives in a rural community she appreciateschallenges first hand
The differences in cancer survival outcomes were not only due to whether or not cancer services areavailable nearby but also factors such as differences in stage of presentation different lifestyle factorsand varying socio economic status a spokeswoman for Senator
Nash said
All Governments have contributed to building and servicing better cancer infrastructure in regionalAustralia including the provision of 25 Regional Cancer Centres (RCCs) the spokeswoman said
What Australia needs to adequately meet demand for radiotherapy by 2017
40 new linear accelerators
$3 million per linear accelerator
$4 million per radiotherapy bunker
$750000 a year to staff each radiotherapy centre
1 75 extra radiation oncologists
683 extra radiotherapists
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 16
Lifestyle
dailytelegraphcomauLifestyle
Rural health changes needed to prevent country peopledying three years earlier than those in the city
by SUE DUNLEVY NATIONAL HEALTH REPORTERFrom News Corp Australia NetworkJuly 13 2014 1200AM
Emergency News Corp Australia is pushing for specialist trainees to do an annual rotation in the bushPic ThinkstockSource Supplied
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 26
THEY grow the food we eat and generate $32 billion in exports but the people who make up thebush heartland of Australia are dying three years earlier because of poor access to healthcare
Today News Corp Australia launches a fiveshyweek campaign asking state and federal governments tomake small but significant changes that will dramatically improve the health crisis in the bush
We will focus on the policy changes needed to improve cancer care in the bush maternity servicessubsidies to encourage doctors to work in rural Australia patient travel subsidies and aged care
A cancer diagnosis is shattering no matter where you live but few Australians realise their chance ofsurviving the disease depends on geography
Rural cancer patients are up to 30 per cent more likely to die than those living in the city because theycanrsquot access radiotherapy treatment needed to control their cancer
News Corp has identified a number of rural towns that need a radiotherapy centre to help cut the cancerdeath rate in the bush
It costs just $7 million to put in a linear accelerator to deliver the treatment and $750000 a year to staff it
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need Picture ThinkstockSource News Limited
In a national health budget of $140 billion a year it should not be too hard to find the funds to put more ofthese life saving machines in our rural heartland
The ability to be born and bred in the bush is fast diminishing with many country birthing units closeddown and opportunities to attract GPs with obstetric training diminishing
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 36
Professor David Tiller from University of Sydneyrsquos School of Rural Health has called on both State andFederal governments to build specialist training facilities for obstetrics in rural settings
As an obstetrician if you get appointed to a big city hospital you should also be appointed to carry outrotational practice in a rural facility he says
The government could also consider making it a condition all doctors including obstetricians spend acertain period each year working in a rural town in return for their Medicare provider number giving themaccess to Medicare benefits
A shortage of medical specialists in rural towns means rural patients often have to travel to the city to getthe specialist care they need
These travel costs can run into the thousands of dollars but state government funded patient travelschemes go nowhere near reimbursing the true cost
Dr Ian Roos a spokesman for Canspeak a cancer patient lobby group says the subsidy amounts toldquowhat it costs you to put your pet dog in a kennel while you get your cancer treatmentrdquo
Campaigner Canspeak spokesperon Dr Ian Roos is lobbying for better health services in the bushSource News Limited
It is time for our state governments to subsidise the true cost of travel for healthcare in the city andreimburse patients at least 63 cent per kilometre for using their private car for travel and raise theaccommodation allowance to tax office or public service rates
There are half as many medical practitioners per 1000 population in the bush compared to our cities
Although the federal government is paying doctors hundreds of thousands of dollars in incentives to
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 46
relocate to a rural area and stay there the scheme is skewed to encourage doctors to move to attractivecoastal tourist towns rather than tiny bush outposts
A News Corp investigation has found a doctor who relocates to Cairns or Townsville will get double themoney on offer for a doctor who moves to Orange Gundagai and Deniliquin
The Coalition pledged to overhaul the scheme in the election to recalibrate the incentives to help getdoctors into smaller towns where they are most needed
Aged and Community Services Australia has warned many aged care facilities in rural and remote areasoperate ldquoon the cusp of viabilityrdquo because they have fewer residents and government subsidies are notenough to keep them viable
These rural facilities are facing major challenges under the aged care reforms that took effect on July 1that will see a shift to a more user pays system in aged care
There are half as many medical practitioners per 1000 population in the bush compared to our cities PicThinkstockSource Supplied
WHATrsquoS NEEDED
DOCTORS
Force all specialist trainees to do an annual rotation in the bush
Overhaul incentive schemes so GPs get extra pay to work in isolated inland towns
CANCER
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
4272015 Rural health changes needed to prevent country people dying three years earlier than those in the city | dailytelegraphcomau
httpwwwdailytelegraphcomaulifestylehealthruralshyhealthshychangesshyneededshytoshypreventshycountryshypeopleshydyingshythreeshyyearsshyearliershythanshythoseshyinshytheshycityhellip 56
Open more radiotherapy centres
NURSES
Increased funding to bush hospitals to hire more chemotherapy nurses
DIAGNOSIS
Increased funding to bush hospitals for MRI and PET scanners
CHILDBIRTH
Introduce obstetric training programs at country hospitals
Reopen and staff birthing centres at country hospitals
PATIENTS
Lift patient mileage subsidy from 19ckm to 63ckm
Lift patient accommodation subsidy from $43 to $180 per night
5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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5 Wrsquos summary Equity of access to health facilities amp services
Students list information that answers who what when where why related to learning about
equity of access to health facilities amp services
helliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphelliphellip
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