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Learning Objectives

By engaging with this section of the module, you will be able to:

1

Learn about how the Australian healthcare system works, including what the government does to support it.

2

Know what healthcare services and providers are available and how they can help you.

3

Understand how to access healthcare through systems like Medicare, the NDIS, and private health insurance.

4

Plan how to work with healthcare providers and build a healthcare team that suits your health goals.

5

Make decisions about healthcare costs by learning about things like Medicare, bulk billing, and the PBS.

6

Know what allied health professionals do and how they can support your health and well-being.

Definition

Healthcare Systems

A healthcare system is made up of healthcare professionals, services, and resources that work together to help individuals (those who use the system) stay healthy and get medical care when they need it.

The World Health Organization (WHO) says a good healthcare system is one that “delivers quality services to all people, when and where they need them”.

People with disabilities often have more health issues than others, so they may need to see doctors or use healthcare services more often. Young adults with cerebral palsy (CP) moving to adult healthcare need to learn about the services available, how to use them, and how to pay for them.

Levels of Government Involved

All three levels of government (federal, state, and local) help set up, run, and maintain the healthcare system.


Federal
State
Local

Hospital-based Services

Emergency Departments provide urgent care for people who need immediate attention.

Inpatient care is for people who need to stay in the hospital to treat acute health needs or have planned surgeries.

Specialist outpatient clinics where people can be seen, for example, by medical specialists, allied health professionals, or a team of health professionals working together.

Community-based Services

Care from general practitioners (GPs) and medical specialists is available throughout Australia.

Treatment from allied health professionals like physiotherapists, occupational therapists, speech therapists, and exercise physiologists.

Diagnostic services like blood tests and imaging services like x-rays and CT scans are offered.

Immunisation programs are offered to help protect against illnesses and diseases.

Access to Subsidised Medicines

The Pharmaceutical Benefits Scheme (PBS) subsidises many medicines prescribed by doctors.

Extra help is available for people with a healthcare or concession card. People with these cards get additional subsidies for medicines.

There are two main types of healthcare providers in Australia:

Primary healthcare providers

Specialist healthcare providers

Primary healthcare providers are services you can use without a referral. They are often the first professionals people go to for healthcare advice outside of a hospital. 

Primary care providers may include:

General Practitioners (GPs)

Pharmacists

You can also visit other health professionals such as physiotherapists or dietitians without a referral, but you may need to pay.

Some visits may be covered by Medicare if your GP refers you.

Specialist doctors have extra training to treat complex health issues. Some focus on certain groups, like children or the elderly, while others focus on specific body parts or systems.

Examples include:

Paediatricians

Neurologists

Cardiologists

Orthopaedic surgeons

Rehabilitation doctors

To see a specialist healthcare provider, you will need a referral, which normally comes from your GP. There are a few different types of specialist healthcare providers.