Health Care System Integration and Primary Health Care Development
Description and aims
This stream is focused on the role of primary health care in improving health and social care integration. Integration is approached at a number of levels and perspectives with the ultimate objectives of improving health and well being, service user experience and system efficiency/effectiveness.
Key current research areas
· Primary Health Care System Development
is concerned with the development of organisations, systems, capacity and frameworks needed for a strong Primary Health Care system. This includes the organisational structures including LHDs, PHNs, and emerging Australian models of Patient Centred Medical Homes and Neighbourhood
· Improving integration of services and continuity of care
is concerned with the way that different parts of health and related systems work together to provide comprehensive and well-coordinated primary health care. This includes integration within primary health care and with other sectors, including hospitals.
· Access to Primary Health Care
is concerned with patterns of access to quality Primary Health Care. This work includes studies of access to primary health care for people with diabetes, using data from population health surveys and linking records from hospital and other data sets.
Partnerships and working together at individual and organisational levels are central to improved integration. Key partners are therefore consumer and health professional representative organisations, PHNs, LHDs, community organisations and related sectors such as local government, education, employment etc.
Julie McDonald leads this stream
This project considers the use of population health surveys to provide information on management strategies used by people with asthma, and the socio-economic determinants of access to and use of asthma care.
Based on previous work, this study highlights research and development of conceptual frameworks for PHC and community based health services and identifies PHC and community health good practice service delivery models.
Developing a guide to strengthening health care in the community, for those involved in planning and managing community based health services
Addresses approaches being taken in PHC settings in Australia and other countries to organise planning and service delivery within a local area and the structural, organisational, funding and governance elements of these models, and the different “interface” issues encountered.
Routinely collected electronic health care data, aggregated into large databases, are increasingly being mined, linked and used for audit, continuous quality improvement in clinical care, health service planning, epidemiological study and evaluation research.