Chronic Conditions and Risk Factors
(GEN 4)
Chronic conditions are a leading cause of illness, disability, and death in Australia (Australian Government Department of Health, 2015) and are defined as any condition which is long lasting and with persistent effects. The chronic conditions which affect the greatest proportion of the population and have the greatest impacts on quality of life are the ones most often considered high priorities for monitoring and intervention in the primary health care setting. Communities with high levels of socioeconomic disadvantage often also have high rates of chronic conditions and the associated risk factors (AIHW, 2015a). Identified Need Chronic Conditions and Risk Factors - outcomes of health needs analysis
Key Issue Potentially Preventable Hospitalisation rates for chronic conditions are higher than the state average in most regions, with the highest rates in Outback North and East, followed by the Mid North. Murray Mallee, Yorke Peninsula and Gawler Two Wells are slightly higher than the overall CSAPHN rate. Aboriginal rates are extreme compared to other population demographics in the CSAPHN region and likely driving the high rates across the Outback.
Description of Evidence ∙ Leading issue in priority matrix
Chronic disease rates in country SA are consistently above the state average.
∙ PHIDU estimates of risk factors
Arthritis and Osteoporosis ∙ Arthritis – Highest rates were Gawler – Two Wells, followed by Outback North and East, Yorke Peninsula and the Mid North; all other areas are close to SA and CSAPHN rates or below. ∙ Osteoporosis - Highest rates were Gawler - Two Wells followed by Yorke Peninsula and the Mid North; all other areas were below both State and CSAPHN rates. Cancer ∙ Prevalence of cancer is highest in the Fleurieu Peninsula and Kangaroo Island followed by Murray Mallee, Yorke Peninsula and the Barossa; all other areas were equal to or below State and CSAPHN rates. ∙ Cancer screening rates continue to be poor across the CSAPHN region including:
∙ Key theme in stakeholder discussions ∙ South Australian Monitoring and Surveillance System (SAMSS) survey of residents aggregated by SA3 ∙ National Diabetes Services Scheme (NDSS) registrations by LGA and SA3 ∙ Public Health Information Development Unit (PHIDU) cancer screening participation and premature mortality by LGA
∙ NHPA analysis of cancer screening rates ∙ Department of Health Chronic Disease portal (Australian Government Department of Health 2015) ∙ CSAPHN analysis of SA Health inpatient admissions database by LGA and SA3 ∙ AIHW Chronic Disease portal (AIHW 2015a) ∙ AIHW report: ‘Mortality from asthma and COPD in Australia’ (AIHW 2014c) ∙ AIHW report: ‘Cardiovascular disease, diabetes and chronic kidney disease – Australian facts: Prevalence and incidence’ (AIHW 2015b) ∙ AIHW overview of cancer screening by PHN (AIHW 2016b) ∙ AIHW Risk Factor portal (AIHW 2016c)
PRIMARY HEALTH NETWORKS Needs Assessment 2019-2022 (2019 Update)V2 Page 12
