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.

Key partners

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.

Stream lead

Ben Harris-Roxas leads this stream

Current
Projects

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Effectiveness of an Aboriginal & Torres Strait Islander Cultural Respect Program in general practice - Improving GP ways of thinking and ways of doing (WoTWoD) Aboriginal and Cross Cultural Health

The “Ways of Thinking and Ways of Doing (WoTWoD)” program and toolkit was developed to guide and effect a whole-of-practice clinical re-design process to embed cultural respect in general practice. This multi-centre randomized control trial will test the effectiveness of the WoTWoD program and the toolkit. 

Evaluation of the Western NSW Integrated Care Strategy

The Evaluation is a partnership which brings together expert research and consultancy experience to provide a rigorous and grounded assessment of a major NSW Health initiative. 

Evaluation Plan for South Eastern Sydney Local Health District Integrated Care Strategy

This project involves developing an evaluation plan for the SESLHD Integrated Care Strategy that addresses key evaluation questions related to the strategy’s aims, describes the program logics and details the overall evaluation approach and methods.

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Completed
Projects

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A comparative case study of how different models of integrated primary health care centres optimise access and integration

This was an 18 month qualitative case study  comparing different models of integrated  primary health care centres that  examined  how they optimised access and integration, the enablers and barriers and to how far they had developed   more integrated and accessible services

A framework for strengthening the integration of primary and community health services for small rural/remote communities in Hunter New England Area Health Service

This project involved the development of a framework for strengthening the integration between the Regional Health Services Program and other primary and community health services for very small rural/remote communities in the Hunter New England Area Health Service

A framework for strengthening the integration of primary and community health services for small rural/remote communities in Hunter New England Area Health Service

This current project is built on the 2005 evaluation of the Hunter New England Health program, by specifically examining the relationship with other services and considering how the learnings and achievements could be more widely disseminated and taken up by other primary and community health services.

Access to allied psychological services programme evaluations

The Access to Alied Psychological Services programme is a national initiative to improve access to focussed psychological strategies for consumers with symptoms of anxiety and depression.

Better outcomes in mental health care - evaluation of access to allied psychological services programs - Macarthur division of General Practice

ATAPS programs have been established in Divisions across the country as part of the BOiMHC initiative. Local evaluations are contributing to a national evaluation.

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PhD
Projects

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Collaboration between health professionals across organisational boundaries: a case study of diabetes

Multiple methods qualitative study investigating factors influencing collaboration across organisational and professional boundaries.