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
New medical schools are basing their clinical training in non-hospital settings, particular private GP settings.The project seeks to identify the potential impacts on GPs and whether they will be willing to act as trainers and educators.
This pilot study is a groundbreaking attempt to address important questions about the efficiency and quality of care in NSW, and the extent to which hospitalists can be effective agents of change.
The current evaluation, for the funding period 2004-05, looked at the service in terms of the same factors as in the 1st evaluation. In addition, an economic evaluation was conducted to compare patient case mix costings between the service and Campbelltown Hospital emergency department.
The General Practice Unit, Fairfield Hospital conducted the evaluation under a contract arrangement with Macarthur Division of General Practice.
Marumali is an innovative service delivery model aiming at improving the accessibility of mainstream health care services by the Australian Indigenous community.