Review of Australia’s Health Sector Response to Pandemic (H1N1) 2009: Lessons Identified

Chapter 6: Health Sector Capacity

Page last updated: October 2011

Key Findings

  • Considerable resources are required to sustain a public health emergency response over several months, even during a less severe pandemic.
  • ‘Business as usual’ was generally continued in both the public and clinical healthcare settings.
  • Public health unit support for border screening, contact tracing, surveillance reporting and quarantine management was resource intensive.
  • The early strain on hospital system capacity is likely to occur in another pandemic while severity is unknown.
  • A major limitation to surge capacity in hospital intensive care units was lack of availability of trained intensive care staff with infectious diseases experience.
  • General practice had a larger role than had been considered in planning.
  • There is a need to develop guidance on strategies that could be employed during a pandemic to enhance the finite health sector workforce capacity and maintain it for long periods of time.
Text box 6: Health sector capacity guidance from AHMPPI 2008

Objective
  • Operational objective 3: Optimise the health system to reduce morbidity and mortality.
  • Purpose
  • Minimise transmission of the pandemic virus by:
    • undertaking initial assessment of suspected cases and isolation of the sick
    • ensuring rapid referral of people to ‘flu clinics’
    • working with relevant state, territory and local government agencies to facilitate contact tracing and quarantining of exposed individuals
    • assisting with antiviral medication and vaccine administration.
  • Ensure that health services are optimised by:
    • maintaining primary care services for patients
    • assisting at ‘flu clinics’
    • providing home care (if practical) for suspected cases.
Governance
  • Health workforce arrangements are a health sector decision

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