- Title
- Primary health care organizations - through a conceptual and a political lens
- Creator
- Sturmberg, Joachim P.
- Relation
- Journal of Evaluation in Clinical Practice Vol. 17, Issue 3, p. 525-529
- Publisher Link
- http://dx.doi.org/10.1111/j.1365-2753.2011.01671.x
- Publisher
- Wiley-Blackwell Publishing
- Resource Type
- journal article
- Date
- 2011
- Description
- Background: Governments around the world are looking at means to improve health care services and health outcomes for their communities within a sustainable expenditure framework. There is a general agreement that strengthening primary health care is the way for the future. Primary health care organizations (PHCOs) are seen as a means to achieving more effective and efficient health care. Results and conclusions: This paper proposes a complex adaptive framework for PHCOs, taking account of health and illness being subjective experiences, health care being ‘whole person’-focused, and PHCOs focusing on all of a community’s health determinants and community-based health care needs. Such approach would foster building healthy local communities as much as seamless integration of health services for all. However, despite the expressed intensions towards patient-centred health care reform the bureaucratic mindset of Australian health policy makers risks true reform by imposing highly structured – rather than ‘simple’ – policy and operational rules.
- Subject
- complex adaptive systems; health care policy; nonlinear dynamics; Pareto distribution; patient-centred health care; primary health care organization
- Identifier
- http://hdl.handle.net/1959.13/1036286
- Identifier
- uon:13245
- Identifier
- ISSN:1356-1294
- Language
- eng
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