Have we under invested in Palliative Care?
Aligning Policy Objectives and Payment Design in Palliative Care
BRADLEY FORUM, HAWKE BUILDING, UNISA CITY WEST CAMPUS
ACCESS PODCAST HERE
The World Health Assembly called upon member states, including Australia, to ensure good access to palliative care, but the reality of palliative care provision falls short of that aspiration. Are bottlenecks, distorted incentives and inefficiency created by funding mechanisms?
Funding arrangements for palliative care are not optimal. People miss out on needed care, and the health system does not function as well as it should because people end up in intensive care when they would have preferred to be looked after at home.
If palliative care is to become a universally accessible service, new approaches to funding, based on the experience of funding reforms in other parts of the health system, need to be adopted. Payment models for palliative care should move toward activity-based funding using an agreed classification, be uncapped funding with performance monitoring, and make explicit use of performance metrics and reporting.
In this presentation the Grattan Institute’s Health Program Director, Professor Stephen Duckett, outlines how we can improve policy and payment design to increase access to palliative care.
PROFESSOR STEPHEN DUCKETT,
HEALTH PROGRAM DIRECTOR, GRATTAN INSTITUTE
Professor Stephen Duckett is Health Program Director at the Grattan Institute and author of Aligning policy objectives and payment design in palliative care.
Dr Stephen Duckett has held top operational and policy leadership positions in health care in Australia and Canada.
He has a reputation for creativity, evidence-based innovation and reform in areas ranging from the introduction of activity-based funding for hospitals, to new systems of accountability for the safety of hospital care.
An economist, he is a Fellow of the Academy of the Social Sciences in Australia and of the Australian Academy of Health and Medical Sciences.
The Conversation: Assisted dying is one thing, but governments must ensure palliative care is available to all who need it
The Conversation: Waiting for better care: why Australia’s hospitals and health care are failing
Website: Grattan Institute
Report: Dying Well
Google Scholar: Stephen Duckett
Palliative Care Australia: Palliative care funding needs reform
Presented by The Bob Hawke Prime Ministerial Centre and Palliative Care SA
While the views presented by speakers within the Hawke Centre public program are their own and are not necessarily those of either the University of South Australia or The Hawke Centre, they are presented in the interest of open debate and discussion in the community and reflect our themes of: Strengthening our Democracy -Valuing our Diversity - and Building our Future.
The copying and reproduction of any transcripts within the Hawke Centre public program is strictly forbidden without prior arrangements.
Areas of study and research
- Health Research
- Alliance for Research in Exercise, Nutrition and Activity (ARENA)
- Centre for Cancer Biology
- Centre for Drug Discovery and Development
- Centre for Population Health Research
- Centre of Research Excellence for the Prevention of Chronic Conditions in Rural and Remote High Risk Populations
- International Centre for Allied Health Evidence
- Medicine and Device Surveillance CRE
- Quality Use of Medicines and Pharmacy Research Centre
and Social Sciences
- Art, Architecture and Design
- Communication, International Studies and Languages
- Psychology, Social Work and Social Policy
- Hawke Research Institute
- Asia Pacific Centre for Work Health and Safety
- Australian Centre for Child Protection
- Barbara Hardy Institute
- Centre for Research in Education
- Hawke EU Jean Monnet Centre of Excellence
- Centre for Islamic Thought and Education
- International Centre for Muslim and non-Muslim Understanding
- Research Centre for Languages and Cultures
- Zero Waste SA Research Centre for Sustainable Design and Behaviour (sd+b)
IT, Engineering and
- Future Industries Institute
- UniSA College