Aboriginal and Torres Strait Islander Health Performance Framework
The Aboriginal and Torres Strait Islander Health Performance Framework (HPF) provides a framework to monitor progress against the National Strategic Framework for Aboriginal and Torres Strait Islander Health 2003 to 2013. The Health Performance Framework monitors progress of the health system and broader determinants of health in improving Aboriginal and Torres Strait Islander Health. The HPF comprises three tiers of performance as follows:
This Tier covers measures of prevalence of health conditions (e.g. circulatory disease, diabetes), human function (e.g. disability), life expectancy and well-being and deaths. This Tier aims to provide an overall indication of current health status and recent trends in the health status of Aboriginal and Torres Strait Islander peoples on a range of health issues. These issues include child and maternal health, chronic diseases, injury, communicable diseases, social and emotional wellbeing and overall health status.
This Tier consists of measures of the determinants of health which focus on factors outside the health system that impact on the health of Aboriginal and Torres Strait Islander peoples. The domains covered in this Tier include socioeconomic status (e.g. income and education), environmental factors (e.g. overcrowding), community capacity (e.g. child protection), health behaviours (e.g. risky alcohol consumption and dietary behaviours) and person-related factors (e.g. prevalence of overweight and obesity). Such factors have been shown to have a strong association with both disease and ill-health.
This Tier includes measures of the performance of the health system including population health, primary health care and secondary/tertiary care services. Six domains are covered: effectiveness of health services, responsiveness of health services to Aboriginal and Torres Strait Islander communities and individuals, accessibility of services, capability and sustainability. This Tier includes measures that deal with a range of programs and service types including child and maternal health, early detection and chronic disease management, continuous care, assess to secondary/tertiary care, the health workforce and expenditure.
Service provides respect for persons and is client oriented, including respect for dignity, confidentiality, participation in choices, promptness, quality of amenities, access to social support networks, and choice of provider.