Chronic diseases

Non-communicable diseases


Supplementary codes for chronic conditions: evaluation report for population health monitoring

In 2015, a number of supplementary codes for chronic conditions were implemented in admitted patient care data in Australia. This report evaluates the use of the supplementary codes for the purpose of population health monitoring in Australia and provides evidence for including these codes in...

The unlucky country: life expectancy and health in regional and remote Australia

This report highlights growing health inequality between city and country New South Wales. Those in the state’s far west are twice as likely to die prematurely as their Sydney counterparts, and their deaths are two and a half times more likely to be potentially avoidable.

The Australian Centre for Disease Control (ACDC): highway to health

The authors of this report argue that the Albanese Government’s promised Australian Centre for Disease Control, or ACDC, could provide the wake-up call Australia needs - but only if preventing chronic disease is a core part of its mission.

Change the future: reducing the impact of the diabetes epidemic

This report reveals the spiralling impact of diabetes, and warns that unless urgent action is taken, the condition and its complications threaten to overwhelm the Australian health system.

Understanding ‘Early Exiters’: the case for a healthy ageing workforce strategy

Compared to before the pandemic, there are over 100,000 more people aged 50-64 who are no longer in work because of a long-term health condition in the United Kingdom. This report explores this issue in greater detail.
Journal article

Lifestyle risk behaviours among adolescents: a two-year longitudinal study of the impact of the COVID-19 pandemic

This research examines changes in the prevalence of six key chronic disease risk factors (the 'Big 6'), from before (2019) to during (2021) the COVID-19 pandemic, among a large and geographically diverse sample of adolescents, and whether differences over time are associated with lockdown status...

National Strategic Framework for Chronic Conditions: reporting framework

This framework was developed to provide an appropriate set of indicators to monitor progress towards meeting the three objectives of the National Strategic Framework for Chronic Conditions in a consistent and comparable manner.

National Strategic Framework for Chronic Conditions, reporting framework: indicator results

This report provides data and interpretive text for each indicator, as well as a high-level summary and interpretation of results against each objective.

Use of Medicare chronic disease management items by patients with long-term health conditions

This report uses findings from the Coordination of Health Care Study to describe the use of chronic disease management (CDM) items and Medicare-subsidised allied health services by people aged 45 and over who had at least one long-term health condition in 2016.

Coordination of health care: patient and primary care factors associated with potentially preventable hospitalisations for chronic conditions

This study investigates the relationship between aspects of a patient’s health and primary care experiences and their likelihood of also having a potentially preventable hospitalisation (PPH) for a chronic condition during the survey period.

Life and work experiences of Australians with chronic conditions

This report provides a baseline snapshot of how working-age Australians (15–64 years) with chronic conditions were faring prior to 2020, and describes how their life may be affected by the COVID-19 pandemic.

Sleep problems as a risk factor for chronic conditions

This report summarises evidence on the prevalence of sleep problems and their relationship with chronic health conditions.
Journal article

Cross-sectional study on health literacy and internet accessibility among patients with DM in Gansu, China

Objective: To determine the relationship between the health literacy of patients with diabetes mellitus (DM) and the accessibility of internet surfing for information concerning DM. Methods: A multistage stratified sampling method was utilized to conduct a questionnaire survey on DM health literacy and internet accessibility...

Briefing paper

Australian Burden of Disease Study 2018: key findings

Every year in Australia, millions of years of healthy life are lost because of injury, illness or premature deaths in the population. This loss of healthy life is called the ‘burden of disease’. This report contains key findings from the forthcoming Australian Burden of Disease...

Australia’s Health Tracker by socioeconomic status 2021

This report card looks at the health of adult Australians by socioeconomic status in relation to preventable chronic diseases, the major risk factors for chronic diseases and premature deaths from those diseases and suicide.
Case study

Innovations in care for chronic health conditions

This report is about innovative approaches to managing chronic health conditions. Such initiatives aim to promote people’s wellbeing, increase the efficiency of the healthcare system and reduce hospital use.

Exploring the definition of chronic conditions for collective monitoring in Australia 2021

Chronic conditions are the focus of significant research and policy interest in Australia. There is an ongoing need to review, refine and reassess how chronic conditions should be monitored. This paper summarises an approach by the AIHW National Centre for Monitoring Chronic Conditions to define...
Journal article

A community-based co-designed genetic health service model for Aboriginal Australians

This research presents client and staff perspectives of a model of clinical genetics services provided by the MJD Foundation (MJDF) in geographically and culturally complex contexts within the Northern Territory of Australia.
Journal article

Screening for and managing the person with frailty in primary care: ICFSR consensus guidelines

Other authors
Ruiz J.G., Dent E., Morley J.E., Merchant R.A., Beilby J., Beard J., Tripathy C., Sorin M., Andrieu S., Aprahamian I., Arai H., Aubertin-Leheudre M., Bauer J.M., Cesari M., Chen L.-K., Cruz-Jentoft A.J., De Souto Barreto P., Dong B., Ferrucci L., Fielding R., Flicker L., Lundy J., Reginster J.Y., Rodriguez-Mañas L., Rolland Y., Sanford A.M., Sinclair A.J., Viña J., Waters D.L., Won C.W., Woo J., Vellas B.

Although frailty, disability and multimorbidity often coexist and interact, they are distinct and separate concepts. Growing evidence suggests that each of these interrelated conditions is preventable and their associated complications manageable.


Experiences in health care for people with chronic conditions

This report explores the experiences that patients with chronic conditions have with their health providers, particularly with respect to whether or not GPs and other specialists consistently communicated in a respectful and attentive way.
Journal article

Quantitative evaluation of an outreach case management model of care for urban Aboriginal and Torres Strait Islander adults living with complex chronic disease: a longitudinal study

This article aims to determine the impact of the Home-based Outreach case Management of chronic disease Exploratory (HOME) Study model of care on participants’ health and wellbeing at 12 months.

Listening to Latrobe: towards improved health outcomes for people living with chronic disease

To identify appropriate interventions the Central West Gippsland Primary Care Partnership was commissioned by the Latrobe Health Assembly to consult with community members, and Larter Consulting was commissioned by Gippsland Primary Health Network to consult with health sector stakeholders.
Journal article

Frailty combined with loneliness or social isolation: an elevated risk for mortality in later life

Frailty, loneliness, and social isolation are all associated with adverse outcomes in older adults, but little is known about their combined impact on mortality. DESIGN: Prospective cohort study. SETTING: The Longitudinal Aging Study Amsterdam. PARTICIPANTS: Community-dwelling older adults aged 65 and older (n = 1,427)...

Briefing paper

Data collection for community-based allied health chronic disease management

This paper argues that there is a lack of digital infrastructure to support the collection of allied health data. The authors suggest that development and implementation of nationally consistent clinical terminology for data entry, software interoperability standards for data exchange and sharing, and support for...
Journal article

A “one stop liver shop” approach improves the cascade-of-care for Aboriginal and Torres Strait Islander Australians living with chronic hepatitis B in the Northern Territory of Australia

This research describes the impact of a mobile care delivery model, “One Stop Liver Shop”, on the cascade of care for people living with Chronic Hepatitis B in a remote Australian setting.