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Reframing Primary Health Care


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Brief presentation on reframing the role of primary health care within the public health care system.

Published in: Health & Medicine
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Reframing Primary Health Care

  1. 1. Reframing Primary Care Louise Miller Frost November 2006
  2. 2. <ul><li>4 major areas of focus </li></ul><ul><li>Change management </li></ul><ul><li>Vision </li></ul>
  3. 3. 1. Focus on core business <ul><li>Moving away from community health model </li></ul><ul><li>Focus on clinical service provision – prevention, early intervention, chronic disease management </li></ul><ul><li>Outsourcing non-core business </li></ul><ul><li>Advocacy role in Community Development </li></ul><ul><li>Identify hospital outpatient services that can be provided in primary care settings </li></ul><ul><li>Underpinning of evidence based practice </li></ul><ul><li>Targeted approaches for high needs groups </li></ul>
  4. 4. Core business - Risks <ul><li>Current Community Development Staff </li></ul><ul><li>Change fatigue </li></ul><ul><li>General workforce shortage / ageing workforce issues </li></ul><ul><li>Community expectations </li></ul>
  5. 5. 2. Primary Care as the foundation of the health system <ul><li>Early intervention, primary, secondary & tertiary prevention </li></ul><ul><li>Community education to encourage health-promoting behaviours, prevention and early help-seeking </li></ul><ul><li>Consistency of service model </li></ul><ul><li>Flexibility of model – client focussed </li></ul><ul><li>Social equity – access and outcomes </li></ul><ul><li>Care planning – coordinated care </li></ul>
  6. 6. 3. Primary Care Integration <ul><li>Commonwealth-State </li></ul><ul><li>GPs, NGOs including Divisions, state-funded primary care, Aboriginal Community Controlled sector </li></ul><ul><li>Pathways to and from acute services </li></ul><ul><li>Defined points of entry </li></ul><ul><li>Mental health </li></ul><ul><li>Clinical networks to organise service delivery across sub-regions </li></ul><ul><li>Shared goals clearly enunciated and evaluated </li></ul>
  7. 7. Integration - Barriers <ul><li>Funding and structures </li></ul><ul><li>Two horsemen </li></ul><ul><li>Cultural issues – eg: paradigms, perceptions, </li></ul><ul><li>Control issues </li></ul><ul><li>IT </li></ul>
  8. 8. 4. Person Centred Care <ul><li>Involvement of community and stakeholders in service model development, delivery, evaluation etc </li></ul><ul><li>Consumer role in their own care eg: care planning, CDSM (empowering) </li></ul><ul><li>Cultural Respect Framework implemented and reinforced </li></ul><ul><li>Recognition of the diverse needs of individuals </li></ul><ul><li>Service models respect right of the individual to choose where they seek care </li></ul>
  9. 9. In our favour….. <ul><li>Current momentum </li></ul><ul><li>Current structures supporting change </li></ul><ul><li>GP Plus branding </li></ul>
  10. 10. Progressing the agenda <ul><li>Multi-faceted change management strategy </li></ul><ul><li>Culture change strategy (including Cultural Respect Framework) </li></ul><ul><li>Stakeholder engagement </li></ul><ul><li>Communication strategy to keep stakeholders including staff informed </li></ul><ul><li>GP Plus branding, strategies and goals clearly enunciated and promoted internally and externally, focus on opportunities </li></ul>
  11. 11. Progressing the agenda <ul><li>Transfer of services to GP Plus (centres, networks and strategies) with concurrent adaptation of function </li></ul><ul><li>Workforce development </li></ul><ul><li>Strategies in place to address the non-core business areas </li></ul><ul><li>Partnerships, agreements and service models developed in consultation with stakeholders </li></ul><ul><li>NB: engaging with Divisions is not the same as engaging with GPs </li></ul>
  12. 12. Vision <ul><li>Burden of disease lessened through early intervention and prevention </li></ul><ul><li>Equity of access, service and outcomes </li></ul><ul><li>Shared and streamlined services form a coherent model with various service providers integrated into same model </li></ul><ul><li>Effective and efficient use of budget, workforce and resources </li></ul><ul><li>Evidence based and evaluated </li></ul><ul><li>Less pressure on acute sector </li></ul>