Simulation Model Incorporating Work Transitions

Question: Discuss about the Simulation Model Incorporating Work Transitions. Answer: Introduction: Australia is trying its best to offer quality health services as well as reduce the medical costs among its citizens. It has also sought to treat various chronic diseases as well as reduce their occurrence such as mental health problem, cardiovascular among others. However, the different policies that the Commonwealth, as well as the states, have come up with have led to fragmentation of the health care system. In this paper, I will genuinely look at two journals on the health care system mostly in the chronic disease such as mental problem as well as cardiovascular disease. In the first article, the writer is primarily talking about fragmentation the Australian health care system. The health care system of Australia fragmented into various divisions, which makes it hard to provide quality service to the patient especially those with chronic diseases. The fragmentation whereby the Australian Medicare establishment was in 1984 was to subsidize the medical fees. In the second article, the author mainly examines the number of Australian regular injecting drug users. In this article, he takes keen on the mental health problems among the Australia citizens between 2006 and 2012. The first journal differs from the second because in the first article the author is more concerned about the patients medical expense as well as how the fragmentation is affecting the delivering of services. Whereas in the second paper the author critically examines the mental health problems and tries to come up with some solutions. The journals are also a bit similar, as they, both talk about chronic diseases. In the first paper where the author looks at the medical expense as well as service delivery he mostly points at chronic diseases such as cardiovascular disease. Mental health problem is also one of the chronic diseases facing the Australians, which the second author looks at deeply hence, they all try to examine the chronic diseases in the health care system. Both articles have also talked about the improvement as well as the decline of health care service delivery by looking at various aspects. Summary of the First Journal Jane Halls tries to examine the challenges brought about by divisions in the health system in her article and comes up with the information below. The health care system in Australia seems to be excellent as it delivers good health care results as well as affordable costs. The health insurance, Medicare remained firm for the past thirty years helping in minimizing the medical expenses among different Australia patients. The Medicare started in 1984; the government underwent various reforms before getting to this reform. The improvements include the private insurance which has public subsidizes the Medibank among others and is trying to come up with other changes such as publicly financed national, worldwide health. In this system, the state funds the public hospitals, which take more than two-thirds of the entire hospitalization. Besides that, the Commonwealth has an obligation to pay for the services that the patient gets in the hospital as well as in private hospitals through Medic are as well as the pharmaceutical benefits scheme. The rest must involve the two levels of the government not only the commonwealth but also both of them leading to fragmented obligation. Recent researches show that the division of responsibilities makes the people with a chronic condition such as mental illness; cardiovascular disease among others suffer a lot as they frequently move to various health facilities. In this system, the primary care medical practitioners play a minimum role, as most patients with the chronic diseases require specialist care. Although the government helps in funding some of the health services, they have not come up with a particular group of people who should deal with the patients especially in the fields such as physiotherapy. Therefore, though the citizens feel that the services due to Medicare are becoming better, there is a need for the government to have group of specialized health providers by registration. The author of this article wrote on various reforms on the Commonwealth obligation on Medicare where the Commonwealth added contributions centered on population increase as well as inflation. These may later affect the nation's funding for other programs such as education as well as transportation. There was also a new reform in the pharmaceutical sector, which states that the pharmacists may also start playing a major part in the primary care, which may cause further fragmentation. The Australia authority is focusing more on reducing Commonwealth expenses on the health sector, which may lead to further fragmentation. Fragmentation leads to inadequate health system since there is the little on developing efficient as well as consistent health care system. For instance, in this article, the author talks about a particular old man who had a cardiovascular disease his medical bills in the public hospitals taken care of by Medicare but the doctors advised him to go to a private health fa cility. In the private health facility, the private insurance takes up the responsibility, but after discharging him, he seeks for primary care. In his primary, care none of the insurance gets involved as well as in the cardiac rehabilitation. It shows that though Australia has strived to give good services to the citizens by having the Medicare, it still has a long way to go. (Hall, 2015). The second article is on the mental illness where the author looks at changes in the mental health problems. Studies show that the rates of mental disorders have increased from 38.3 % in 2006 up to 43% in 2012. The author argues that the primary reason for this increase is the growth in the rates of anxiety among various individuals. The author says that the Australian authorities have tried to improve their services since there is an increase of psychologists. The increase in self-report cases also shows improvement in the health sector since there is reduced stigma among the patients as well as the patients are more aware of the mental health. ( Corrigan, Druss, Perlick,2014 ).The public is more conscious of the mental health problems as well as their signs and symptoms hence report to the health centers in case of a mental problem. Through this, the Australians gets adequate services since once they know their problem; they can access the health facility for treatment. (JR Stewar t et.al 2014). Australia Health Work Force In my research by reading these journals, I came to learn about some of the issues of the Australian health workforce. One of the issues I came to learn is on the registration of the medical practitioners. In Australia, the law prohibits the Commonwealth from registering the health professionals. The queens land only passes primary legislation whereas the rest of referencing done by the other territories. The health workforce in Australia also has schemes, which are under the care of intergovernmental agreement. I also learned through the articles that Australia health sector is under the Commonwealth as well as individual states. (Laurence Karnon, 2016). Conclusion In conclusion, it is true to say that the Australian authorities are significantly trying to improve the health services to the patients. They have done this through the Medicare, increasing awareness among the public on mental health problems as well as an increase of psychologists. However, fragmentation is now negatively affecting the health care system and they should try to remedy the issue promptly. Works Cited Corrigan, P. W. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37-70. Currie, J. C. (2016). Workforce charac https://www.emeraldinsight.com/doi/abs/10.1108/ADD-07-2014-0016teristics of privately practicing nurse practitioners in Australia: Results from a national survey. Journal of the American Association of Nurse Practitioners, 28(10), 546-553. Hall, J. (2015). Australian health carethe challenge of reform in a fragmented system. . New England Journal of Medicine, 373(6), 493-497. JR Stewart, B. S.-W. (2014). ). Changes in Australian injecting drug users mental health problems and service uptake from 2006-2012. Advances in Dual Diagnosis, , 7(4), 151-161. Laurence, C. O. (2016). Improving the planning of the GP workforce in Australia: a simulation model incorporating work transitions, health need and service usage. Human resources for health, 14(1), 13. Nicholson, C. J. (2012). The Australian experiment: how primary health care organizations supported the evolution of a primary health care system. . The Journal of the American Board of Family Medicine, 25(Suppl 1), S18-S26. Windsor, J. S. (2015). Building a sustainable clinical academic workforce to meet the future healthcare needs of Australia and New Zealand: report from the first summit meeting. Internal medicine journal, 45(9), 965-971. Wortley, S. W. (2016). Moving beyond the rhetoric of consumer input in health technology assessment deliberations.