PRIORITISING PEOPLE: Heart Foundation Policy Proposals - Tasmania State Election 2021 - The Heart Foundation
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Tasmania State Election 2021
PRIORITISING PEOPLE:
Heart Foundation Policy Proposals
POLICY PROPOSALS FOR THE TASMANIA STATE ELECTION 2021
FROM THE NATIONAL HEART FOUNDATION OF AUSTRALIA
Contents
Message from the CEO: Prioritising People 3
The facts about heart disease 4
Summary of policy proposals for the next Tasmanian Government 5
Action Area 1:
Reduce CVD risk and increase healthy lifestyle decisions, especially for vulnerable communities 6
• Action 1: Reduce cardiac events and deaths due to heart attacks and strokes by providing
$750K over three years in regional locations to support and promote the Heart Foundation’s
Heart Health Check Toolkit in GP practices 6
• Action 2: Help more Tasmanians walk more often through a formalised strategy that encourages
walking [no cost] and by expanding the Heart Foundation Walking program
[$600K over three years] 7
CASE STUDY - Arvy 8
• Action 3: Fund a targeted ‘quit smoking’ media campaign in the North and Northwest
[$1 million over three years] 9
Action Area 2:
Better support people living with CVD 10
• Action 4: Support CVD patients through implementation of the Heart Foundation’s
My Heart, My Life support program in Tasmanian hospitals [$600K over three years] 10
CASE STUDY - Caleb 11
• Action 5: Reduce hospital admissions and save lives by:
a) Partnering with the Heart Foundation to increase awareness of cardiac rehabilitation
and its benefits amongst cardiologists [$100K] 12
b) Pilot remotely-delivered cardiac rehabilitation options for rural and regional Tasmanians
and implement PESRAC recommendations 54 & 55 [$500K] 12
References 13
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
2 TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE
The current number of heart disease risk
factors in the Tasmanian population is
among the highest in the country.
Kellie-Ann Jolly, Chief Executive Officer, Tasmania
National Heart Foundation of Australia
Prioritising people: Heart Foundation Pre-Budget Submission 2021-22
COVID-19 has had wide-reaching health, economic and • There were delays in seeking emergency care for
social impacts in Tasmania and nationwide. It tested heart attacks and strokes 7
healthcare delivery, with system-wide challenges such • Less elective surgery was performed.
as the vaccine rollout still remaining.
4. Life during COVID-19 also led to increased sedentary
Yet we are now slowly embarking on recovery. lifestyles, a critical CVD risk factor. 8,9
Importantly, now is the time for our political leaders to
re-prioritise and re-commit to tackling heart disease More CVD risk factors mean more Tasmanian CVD
and improving Tasmanians’ heart health as the state of cases, more deaths, and more costs.
Tasmanian’s health and the financial benefits to future The Our Healthcare Future consultation paper also
Tasmanian Governments warrant greater attention. acknowledged that ‘we need to strengthen services for
Number one cause of death people with chronic and complex conditions’ (p.28) and
that 42.1 per cent of total General Government Sector
Heart disease is the single leading cause of death in expenditure will be spent on health by 2033-34 (driven
Tasmania. Every year, approximately 804 Tasmanians primarily by demand) (p.15).
die1 and around 8,284 are hospitalised.2 In addition to
the unfortunate human toll, the hospitalisation costs the The Government has set itself the admirable target
Tasmanian Health Budget additional millions each year. of making Tasmania the healthiest state in Australia
This amount could be reduced with greater resourcing by 2025. This will not be achieved without taking bold
to help prevent hospitalisations in the first place. action to combat CVD.
The Productivity Commission recently showed that Decisive action and urgent, targeted additional
cardiovascular disease* (CVD) is the most expensive resourcing is needed. As we have seen especially during
chronic health disease (over $10 billion nationally in COVID-19, the public are supportive of government’s
2015-16) and is mainly incurred in hospitals.3 taking strong action and investing in our healthcare
system.
Worryingly, the dangerously high prevalence of CVD
risk factors among Tasmanians has been exacerbated Our pandemic recovery is an opportunity to build back
by COVID and requires urgent intervention or more better. We can mitigate CVD risk, improve our health
deaths from heart disease will occur and greater and system and ensure we are future-ready.
healthcare costs incurred: This document outlines practical, evidence-based
1. The current rate of heart disease risk factors in the and cost-effective actions for the next Tasmanian
Tasmanian population is among the highest in the Government to save lives and money by fighting heart
country. Tasmania tops the chart in obesity, has the disease – Tasmania’s single biggest killer.
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
second-highest smoking rate, and ranks third poorest
when it comes to physical inactivity and high blood
pressure.4
2. Pre-COVID, over one in three patients were skipping
vital heart checks such as blood pressure and
cholesterol assessments. Kellie-Ann Jolly
3. COVID-19 led to CVD management being Chief Executive Officer, Tasmania
deprioritised during the pandemic 5: National Heart Foundation of Australia
• Heart Foundation market research shows up
to one in three people with, or at risk of, heart
disease skipped or delayed visiting a GP 6
* Cardiovascular disease (CVD) is an umbrella term that includes heart, stroke and blood vessel diseases, and is one of Australia’s
largest health problems. It accounts for one in four of all deaths, claiming the life of one person every 12 minutes.
TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE 3
THE FACTS ABOUT
HEART DISEASE
IN TASMANIA
A higher proportion of
people living in outer
regional and remote
areas are at high risk
EVERY YEAR
804
approximately
Tasmanians die
Proportion of Tasmanians
aged 45 to 74 at high risk
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
is 20%
HIGHER than the
NATIONAL AVERAGE
Every year around
8,284 PEOPLE
are hospitalised
4 TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE
SUMMARY OF POLICY PROPOSALS
Action Area Action
Action Area 1: • Action 1: Reduce cardiac events and deaths due to heart
Reduce CVD risk and increase attacks and strokes by providing $750K over three years
healthy lifestyle decisions, especially in regional locations to support and promote the Heart
for vulnerable communities Foundation’s Heart Health Check Toolkit in GP practices
• Action 2: Help more Tasmanians walk more often through a
formalised strategy that encourages walking [no cost] and by
expanding the Heart Foundation Walking program [$600K over
three years]
• Action 3: Fund a targeted ‘quit smoking’ media campaign in
the North and Northwest [$1 million over three years]
Action Area 2: • Action 4: Support CVD patients through implementation of
Better support people living with CVD the Heart Foundation’s My Heart, My Life support program in
Tasmanian hospitals [$600K over three years]
• Action 5: Reduce hospital admissions and save lives by:
a) Partnering with the Heart Foundation to increase awareness
of cardiac rehabilitation and its benefits amongst
cardiologists [$100K]
b) Pilot remotely-delivered cardiac rehabilitation options for
rural and regional Tasmanians and implement PESRAC
recommendations 54 & 55 [$500K]
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE 5
Action Area 1: Support The 20-minute Heart Health Checks are now
supported by Medicare and involve GPs (with the
Tasmanians to make heart support of practice nurses):
healthy choices – especially • gathering information about the risk factors
in vulnerable communities for cardiovascular and chronic disease, such
as blood pressure, cholesterol, blood glucose,
smoking status and lifestyle factors
• implementing a formal, ongoing preventative
Sadly, your postcode and socio-economic status
management plan over subsequent visits or
matter for your heart.
through referral pathways.
Alarmingly:
We recommend Government supports the
• The proportion of Tasmanians aged 45 to 74 at increased uptake of Heart Health Checks by
high risk is 20% higher than the national average promoting the Heart Foundation’s new online Toolkit
• Australians aged 45 to 74 who did not finish high for GP practices. The funding would be used to:
school are 65% more likely to be at high risk than • Develop an educational campaign using
those who finished school. webinars to promote the use of the CVD toolkit in
• A higher proportion of people living in outer Tasmania
regional and remote areas are at high risk – 15% • Target the areas that have poor CVD outcomes
more compared to Australians living in major (a National Program would cover the rest of
capital cities.* Tasmania).
Nonetheless, CVD is largely preventable, with The Toolkit will assist the integration of Heart Health
modifiable CVD risk factors (e.g. smoking, physical Checks into routine patient care and result in more
inactivity and others) accounting for up to 90% of patients at risk of CVD being identified and treated.
the risk of heart attacks.10 It was developed by experts from across the sector.
Possible locations where Heart Health Checks could
WHAT ARE WE ASKING THE NEXT TASMANIAN be promoted as a first stage include: Ulverstone;
GOVERNMENT TO DO? George Town; St Helens; Scottsdale; New Norfolk;
Devonport; Burnie; Smithton; Wynyard; and suburbs
of Hobart and Launceston.
Action 1: Reduce cardiac events and deaths due
to heart attacks and strokes by providing $750K
over three years in regional locations to support
and promote the Heart Foundation’s Heart Health
Check Toolkit in GP practices.
Why is this important?
Tasmanians have the highest rates of heart disease
and mortality in Australia. A higher percentage of
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
Tasmanians are at risk of future cardiac events.
Integration and promotion of CVD absolute risk
assessments (‘Heart Health Checks’) is critical to
saving lives and reducing hospitalisations.
This approach has the potential to prevent twice
Cardiovascular disease (CVD) is
as many deaths from coronary heart disease when largely preventable, with modifiable
compared with treating individual risk factors, such CVD risk factors accounting for up
as blood pressure or cholesterol.11 to 90% of the risk of heart attacks. 10
* https://www.heartfoundation.org.au/media-releases/data-reveals-most-at-risk-of-heart-attack-stroke
6 TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE
WHAT ARE WE ASKING THE NEXT TASMANIAN Figure 2: Age-standardised obesity rates (per 100
GOVERNMENT TO DO? persons)
Action 2: Help more Tasmanians walk more often
through a formalised strategy that encourages
walking [no cost] and by expanding the Heart
Foundation Walking program [$600K over three
years]
Why is this important?
Physical inactivity is a key risk factor for CVD but
only 16% of Tasmanians meet Australia’s Physical
Activity Guidelines.12
Walking is a free and generally accessible solution.
Walking for an average of 30 minutes a day can
lower the risk of heart disease, stroke, and diabetes
by 30% to 40%.
The next Tasmanian Government should help more
Tasmanians walk more by explicitly committing to Options include updating and implementing a
the promotion of walking. revised Walking and Cycling for Active Transport
Tasmania has the highest obesity rates in Australia strategy (published in January 201013) or including
yet no current physical activity plan. A National walking as its own pillar in the next Healthy
Physical Activity Strategy seems unlikely following Tasmania Five Year Strategic Plan.
the disbanding of COAG in 2020. Government support of $600K over three years
would also help the Heart Foundation:
Figure 1: Age-standardised physical inactivity rates • Expand our successful Heart Foundation Walking
program to reach more Tasmanians
• Deliver supportive public education campaigns
to improve the Tasmanian public’s understanding
of the benefits of walking, increasing awareness
of the programs on offer as well as provide
motivation to walk for leisure, recreation and
transport.
The Heart Foundation has 1500 walkers
participating across 118 walking groups in
Tasmania. Over 90% over walkers feel the program
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
is important to their physical, social and mental
health.
Funding would support the growth of walking
groups and participants with a particular focus
on low socioeconomic regions and priority target
audiences for CVD.
Walking groups are very active on social media
and some are as well in their local media.
TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE 7
CASE STUDY “On the first walk I got 50 metres and I had to stop
and rest. It woke me up to how immobile I was.
Why I Care about this issue Now, I am doing 5km a day every day,” he said.
Arvy Pisarskis “It is a lot easier to go for walks when you have
someone to go with. We meet socially at the end
When Arvy Pisarskis stepped on the scales in 2017 and they are good walks where you can go at your
he weighed in at more than 180 kilograms. It was own pace.”
a big wake up call for the Ulverstone resident
who has since turned his life around and lost 81 At 78 Arvy continues to suffer from arthritis in his
kilograms. joints but has transformed his health. I would say,
don’t look for a diet, you have to change your
“My wife bought a set of scales and I got a fright. I lifestyle.
saw the weight and I got scared. I thought, ‘I have
got to do something.’” he said. “I was a type two diabetic and now I am in
remission, don’t have to take blood pressure tablets
“The funny thing is, when you look in the mirror you anymore and don’t take medications of any sort,”
know you are huge and have limited mobility, but he said.
you think it is ok.”
June, who has lost 12 kilograms herself said she was
A year later he was 35 kilograms lighter. proud to see Arvy transform.
The turning point came when he started counting “It is fantastic,” she said. “It has helped that he has a
calories.“I would watch the football and have a six good strong will when it comes from staying away
pack, that is about 3000 kilojoules,” he said. from things. “That is one big thing, he has been able
“The meals we have are much the same, but now to give up things.”
we have smaller portions.” Arvy said the most important ingredient in his
Arvy has changed his daily routine which now weight loss was self-motivation.
includes walking 5km with his wife June. The couple “It has got to come from yourself,” he said.
enjoy walking with the Heart Foundation’s heart of
Ulverstone walking group on a Monday and with a “I would say, don’t look for a diet, you have to
group of friends on a Wednesday. change your lifestyle.”
Article featured in the Tasmanian Advocate
Photo courtesy: Brodie Weeding
Arvy and June Pisarskis
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8 TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE
WHAT ARE WE ASKING THE NEXT TASMANIAN The Heart Foundation recommends the next
GOVERNMENT TO DO? Tasmanian Government:
• Funds an evidence-based tobacco control social
Action 3: Fund a targeted ‘quit smoking’ media marketing “Quit” campaign in the North and
campaign in the North and Northwest [$1 million Northwest via TV, print, radio and digital.
over three years]
• Focuses the campaign on supporting vulnerable
populations to quit smoking and those who have
Why is this important? survived a heart attack
Over 70,000 Tasmanians still smoke14 and tobacco • Connects the campaign with the youth tobacco
is still the single largest cause of preventable death prevention package (announced March 2021)
and disease in Australia. Over one third of CVD Possible locations where the media campaign
deaths aged < 65 can be attributed to smoking.15 could feature in major papers include Burnie,
Rates are particularly high in the North and Devonport and Launceston. For example, the
Northwest: prevalence of smoking in the West Coast LGA is
32%, over double the national average of 15%:
Figure 3: Age-standardised smoking rates
Mass media campaigns are highly effective
components of tobacco-control programs (second
only to price increases).20 They work to motivate
smokers to quit, encourage former smokers to
continue to abstain, discourage uptake of smoking,
and shape social norms around smoking.
We applaud the work of successive Tasmanian
governments to reduce daily smoking rates of
Tasmanian adults from 21.4% in 2001 to 13.5% in
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
2019.16
However:
• Over 50% of heart attack survivors who smoked
prior to their heart attack continue to smoke17
• 10% of 16 to 17-year children are current
smokers18
• Around 30% of all cases of heart disease in those
under 65 years are due to smoking19 Over one third of Cardiovascular
• Rates remain high in some vulnerable disease deaths aged
Action Area 2: Better The program also includes structured support from
the Heart Foundation Helpline team.
support people living with Tasmanian trial sites included Launceston General
cardiovascular disease (CVD) Hospital, Mersey Community Hospital, Royal Hobart
Hospital, Calvary Lenah Valley Hospital, Northwest
Regional Hospital, and Calvary St Vincent’s
On average, one person is admitted to hospital
Hospital.
every nine minutes with a heart attack.21
A Government investment of $600K (cost of
Without ongoing recovery support and
support journey is $22pp) will allow us to quickly
management, heart attack survivors are at greater
deliver support offerings and journeys for priority
risk of having a second attack and/or dying,
populations. This funding would support:
particularly within the first 12 months.
• Engagement and enrolment of all cardiology
A heart attack is a major life event with significant
interventional hospitals as well as rural/regional
physical and mental repercussions for patients and
coronary care units in the MHML program
their families. Survivors often initially underestimate
the support they need. • Refining and updating current MHML resources
and support services
This will include marketing, resource costs, hospital
WHAT ARE WE ASKING THE NEXT TASMANIAN
outreach, printing/resourcing/distribution, and
GOVERNMENT TO DO?
evaluation. FTE would be covered by the Heart
Foundation.
Action 4: Support CVD patients through
Through this partnership, we can help vulnerable
implementation of the Heart Foundation’s My
Tasmanians recover from the physical and mental
Heart, My Life support program in Tasmanian
scars of a heart attack and prevent future hospital
hospitals [$600K over three years]
visits.
Why is this important?
Feeling down after a heart attack is so common
there’s a name for it: ‘the cardiac blues’. Rates of
major depressive disorder of around 15% have
been reported in people after a heart attack or
coronary artery bypass grafts.22
Survivors typically fear having another attack,
dying, not being able to return to ‘normal’ family
life, and work and/or financial issues.
My Heart, My Life (MHML) is an evidence-based
Heart Foundation program to help people who
have been hospitalised with a heart attack or
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
angina, and their family/carers, with a free six-
month patient support journey.
A comprehensive and successful pilot in
partnership with 38 hospitals has resulted
Rates of major depressive disorder
in a recently finalised ready-to-go program.
The program has been developed together of around 15% have been reported
with patients, their family/carers and health in people after a heart attack or
professionals. coronary artery bypass grafts. 22
10 TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLECASE STUDY
Why I Care about this issue
Caleb’s story
“I was 35 and with two boys in primary school so the
last thing I expected was to find myself in hospital
with serious heart failure.
When I was discharged, I made some big lifestyle
changes that improved my heart function, but I was
anxious. I felt that heart disease was like a shadow
peeping over my shoulder.
When I rang the Heart Foundation Helpline, the
consultant explained about ‘cardiac blues’, and
suggested I consult a cardiac psychologist for
specific support, as well as an exercise physiologist.
It turned out to be great advice. Getting active
again and being able to do the long bushwalks I
love has made such difference to my state of mind.
“If you don’t look after yourself, how can you look
after anyone else?”
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE 11WHAT ARE WE ASKING THE NEXT TASMANIAN 5b) Pilot remotely-delivered cardiac rehabilita-
GOVERNMENT TO DO? tion for rural and regional Tasmanians [$500K]
Why is this important?
Action 5: Reduce hospital admissions and save
More than one-third of hospital admissions for heart
lives by:
attacks are repeat events. It is critical that action is
a) Partnering with the Heart Foundation increase taken to reduce costly readmissions and the burden
awareness of cardiac rehabilitation and its of heart attacks.
benefits amongst clinicians [$100K]
Telehealth and home-based interventions with a
b) Pilot remotely-delivered cardiac rehabilitation range of delivery modes can be offered to patients
options for rural and regional Tasmanians who cannot attend cardiac rehabilitation, or as
[$500K] an adjunct to cardiac rehabilitation for effective
secondary prevention.27
5a) Partner with the Heart Foundation to increase Our Australian Heart Maps online data show social
awareness of cardiac rehabilitation and its and economic disadvantage matter for your heart,
benefits [$100K] with poorer heart health outcomes in regional and
Why is this important? rural Tasmania compared to suburban areas.
Cardiac rehabilitation* aids recovery from cardiac We recommend that Government pilots remotely-
events and/or surgery, and minimises the risk of delivered cardiac rehabilitation options for rural
subsequent cardiac events. It is proven to keep and regional Tasmanians.
patients out of hospital and reduce deaths.23 For example, the electorates of Braddon and Lyons
However, only 30% of patients are referred to have a heart disease mortality of 84 and 83 (per
cardiac rehabilitation.24 This is often due to patients 100,000 persons) respectively compared to the
not receiving a referral from their cardiologist national average of 66, so would be an area of
(reported to be about 40%). obvious need to pilot remotely-delivered cardiac
rehabilitation. This is even more stark in local areas
Healthcare professionals play a critical role in such as the Circular Head LGA (Braddon):
patient participation in cardiac rehabilitation by
referring patients to local services.
Increasing referral rates in Tasmania from 30% to
65% would result in net Tasmanian financial savings
of $8.1 million, and net social / economic benefits of
$13.4 million.25
It would also lead to a 34% reduction in hospital
readmissions and a 26% mortality reduction.26
The pilot would also enable development of a data
We recommend Government partners with the Heart
collection strategy that identifies regional and rural
Foundation to launch an education programme for
needs and drives future improvements.
primary and acute care professionals to increase
NATI O NA L H E ART FO U N DATI O N O F AU STR ALI A
awareness and promote uptake. To maximise reach of future remotely-delivered
cardiac rehabilitation services, Government should
The Heart Foundation has an extensive cardiologist
implement PESRAC interim report recommendations
network and in-house expertise. The funding would
54 & 55 (address critical regional mobile and
cover program marketing. We will continue to work
internet black spots, and making devices and other
with other organisations to maximise its impact.
resources available to disadvantaged Tasmanians).
Cardiac rehabilitation is a recognised model of care that delivers a series of evidence based interventions
designed to modify risk factors for cardiovascular disease through health behaviour change and secondary
prevention. All patients with a step change in their cardiac status should be offered menu based cardiac
rehabilitation tailored to individual need. Patients with chronic stable disease should be sign posted to
community-based opportunities that support health behaviour change.28
Dr Paul MacIntyre, Former Director of Cardiology, Royal Hobart Hospital
* Cardiac Rehabilitation is an education program offered to patients diagnosed with heart disease, which includes components of health education,
advice on cardiovascular risk reduction and physical activity.
12 TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLEReferences
1 Australian Bureau of Statistics 2019, Causes of Death 2018, cat. no. 3303.0, September
2 Australian Institute of Health and Welfare 2020, National Hospital Morbidity Database, custom data request.
3 https://www.pc.gov.au/research/completed/chronic-care-innovations/chronic-care-innovations.pdf
4 Heart Maps; https://www.heartfoundation.org.au/health-professional-tools/australian-heart-maps; Also: https://www.
heartfoundation.org.au/media-releases/tasmania%E2%80%99s-deaths-from-coronary-heart-disease-amon
5 VicHealth 2020, https://www.vichealth.vic.gov.au/be-healthy/why-you-need-to-keep-your-medical-appointments-during-
coronavirus.
6 Heart Foundation 2020 - Centre for Heart Health Insights: HeartWatch COVID Impact Report.
7 https://www.theage.com.au/national/cancer-screening-rates-plummet-during-pandemic-20201007-p562u5.htm
8 VicHealth 2020, https://www.vichealth.vic.gov.au/-/media/ResearchandEvidence/
VicHealthResearchFellows_2011/20200914_VicHealthVictorian_Coronavirus_Wellbeing_Impact_Study_Report.
pdf?la=en&hash=27CB25E7BAAB7D673A81ED5CF46C5E75FB98B288
9 Heart Foundation, Aussies Working from Home Walking Less: https://www.heartfoundation.org.au/media-releases/new-survey-
aussies-working-from-home-walking-less
10 https://www.heartfoundation.org.au/health-professional-tools/cvd-risk-calculator
11 https://www.heartfoundation.org.au/conditions/cvd-risk-assessment-and-management
12 Australian Bureau of Statistics, National Health Survey. 2018, Australian Bureau of Statistics: Canberra.
13 https://www.stategrowth.tas.gov.au/policies_and_strategies/tasmanian_walking_and_cycling_for_active_transport_strategy
14 Heart Maps, https://www.heartfoundation.org.au/health-professional-tools/interactive-heart-map-australia
15 Banks, E., Joshy, G., Korda, R.J. et al. Tobacco smoking and risk of 36 cardiovascular disease subtypes: fatal and non-fatal
outcomes in a large prospective Australian study. BMC Med 17, 128 (2019). https://doi.org/10.1186/s12916-019-1351-4
16 Australian Institute of Health and Wellbeing 2019, National Drug Strategy Household Survey 2019: https://www.aihw.gov.au/
reports/illicit-use-of-drugs/national-drug-strategy-household-survey-2019/data
17 Heart Foundation. Heart Attack Survivor Survey 2018 (internal)
18 https://www.quit.org.au/resources/fact-sheets/smoking-rates/
19 https://www.quit.org.au/resources/fact-sheets/deaths-and-disease-smoking/
20 Wakefield MA et al. 2008. Impact of tobacco control policies and mass media campaigns on monthly adult smoking
prevalence.
21 https://www.heartfoundation.org.au/conditions/heart-attack
22 Colquhoun D, Bunker S, Clarke D, Glozier N, Hare D, Hickie I et al. Screening, referral andtreatment for depression in patients with
coronary heart disease. Med J Aust. 2013;198(9):483-48
23 https://www.heartfoundation.org.au/recovery-and-support/cardiac-rehabilitation
24 https://www.heartfoundation.org.au/programs/advocacy-cardiac-rehabilitation
25 Economic and Social Impact of Increasing Uptake of Cardiac Rehabilitation Services – A Cost Benefit Analysis, Elaine De Gruyter,
Greg Ford, Bill Stavreski
26 Driscoll A, Hinde S, Harrison A, et al. Estimating the health loss due to poor engagement with cardiac rehabilitation in Australia.
International J of Cardiol 2020 May 3; 317: 7-12. doi.org/10.1016/j.ijcard.2020.04.088.
27 Jin K, Khonsari S, Gallagher R, Gallagher P, Clark AM, Freedman B, Briffa T, Bauman A, Redfern J, Neubeck L. Telehealth
NATI O NA L H E A RT F O UN DATI O N O F AU ST RAL IA
interventions for the secondary prevention of coronary heart disease: A systematic review and meta-analysis. Eur J Cardiovasc
Nurs. 2019 Apr;18(4):260-271. DOI: 10.1177/1474515119826510. Epub 2019 Jan 22. Anderson L, Sharp GA, Norton RJ, Dalal H, Dean
SG, Jolly K, Cowie A, Zawada A, Taylor RS. Home-based versus centre-based cardiac rehabilitation. Cochrane Database of
Systematic Reviews 2017, Issue 6. Art. No.: CD007130. DOI: 10.1002/14651858.CD007130.pub4. Clark RA, Conway A, Poulsen V, Keech
W, Tirimacco R, Tideman P. Alternative models of cardiac rehabilitation: A systematic review. European Journal of Preventive
Cardiology. 2015;22(1):35-74. doi:10.1177/2047487313501093
28 https://www.acra.net.au/cardiologists-advocacy-statement-for-cardiac-rehabilitation/
TASMANIA STATE ELECTION 2021 - PRIORITISING PEOPLE 13For heart health information and support, call our Helpline on 13 11 12 or visit heartfoundation.org.au For further information contact: Andrew Mosley Advocacy Manager VIC/TAS Level 2, 850 Collins Street, Docklands VIC 3008 E: andrew.mosley@heartfoundation.org.au T: 03 8667 5151 © 2021 National Heart Foundation of Australia, ABN 98 008 419 761 (Heart Foundation) Terms of use: This material has been developed for information and educational purposes only. It does not constitute medical advice. Please consult your health care provider if you have, or suspect you have, a health problem. The information contained in this material has been independently researched and developed by the Heart Foundation and is based on the available scientific evidence at the time of writing. It is not an endorsement of any organisation, product or service. The Heart Foundation and its employees do not accept any liability, including for any loss or damage, resulting from the reliance on the content, or in regards to its accuracy, currency and completeness. Any use of Heart Foundation material by another person or organisation is done at the user’s own risk. This work, except as identified below, is licensed by the Heart Foundation under a Creative Commons Attribution – Non commercial – No Derivative Works (CC BY-NC-ND) 4.0 licence. To view a copy of this licence, visit: http:// creativecommons.org.au/. You are free to copy and communicate this publication (however in no way commercialise the material), in accordance with the rules of attribution set out at https://creativecommons.org.au/learn/howto/. Third party material that is not licenced under a Creative Commons licence may be referenced within this document. All content not licensed under a Creative Commons licence is all rights reserved. Please contact the relevant third-party copyright owner if you wish to use this material. The Heart Foundation acknowledges the Traditional Owners and custodians of Country throughout Australia and their continuing connection to land, waters and community. We pay our respect to them and their cultures, and Elders past, present and future. HH-SCPE-0015.1.0421
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