"Barking up the right tree": Challenges for health care reform

Sturmberg, Joachim P., O'Halloran, Diana E., Jackson, Claire, Mitchell, Christopher D. and Martin, Carmel M. (2009) "Barking up the right tree": Challenges for health care reform. Medical Journal of Australia, 191 2: 64-66.

Author Sturmberg, Joachim P.
O'Halloran, Diana E.
Jackson, Claire
Mitchell, Christopher D.
Martin, Carmel M.
Title "Barking up the right tree": Challenges for health care reform
Formatted title
"Barking up the right tree": Challenges for health care reform
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2009-07-20
Sub-type Article (original research)
Volume 191
Issue 2
Start page 64
End page 66
Total pages 3
Place of publication Strawberry Hills, NSW, Australia
Publisher Australasian Medical Publishing Company
Language eng
Formatted abstract
• Current approaches to health care reform are largely based on the metaphor of imminent flood waves threatening to inundate the health care system. This metaphor reflects the system's preoccupation with disease and disease management in a hospital-centric environment.
• We suggest that the debate needs to be reframed around health, or more precisely the patient's health experience. Most patients are healthy most of the time, and even those with identifiable morbidities generally regard themselves as being in good health.
• The majority of people receive most of their care in the community from primary care professionals. An integrated, effective and efficient primary health care system supports continuity of care through a primary care provider and fosters clinical leadership that is supported by other primary health care professionals and medical specialists.
• Each primary care setting will have its own model that best provides flexible and responsive services to meet its patients' needs and expectations.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Created: Tue, 01 Mar 2011, 15:27:46 EST by Ms Sylvia Scully on behalf of Discipline of General Practice