Medicare Locals and the performance regime in Primary Health Care: a review of the policy context

Gable, Alison and Foster, Michele (2013) Medicare Locals and the performance regime in Primary Health Care: a review of the policy context St Lucia, QLD, Australia: The University of Queensland, School of Social Work and Human Services, Social Policy Unit

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Author Gable, Alison
Foster, Michele
Title of report Medicare Locals and the performance regime in Primary Health Care: a review of the policy context
Publication date 2013-02
ISBN 9781742720777
Open Access Status File (Publisher version)
Publisher The University of Queensland, School of Social Work and Human Services, Social Policy Unit
Series UQ Social Policy Unit Research Paper No. 4
Place of publication St Lucia, QLD, Australia
Total pages 27
Language eng
Abstract/Summary Historically, the Australian Government’s driver of performance in primary health care was dominated by the use of levers to effect change in General Practice. Accordingly, performance measurement directed at achieving population health outcomes has not received much traction and in its place, ad hoc strategies have been attempted. However, with the general trend to greater transparency and accountability and in an effort to address the challenges of chronic disease, Australia has more recently taken an alternative approach to performance management. This strategy has involved the establishment of Medicare Locals (MLs), a primary health organisation, targeted at the delivery of population health outcomes. A core responsibility of MLs is to provide data for a national system of public reporting on primary health care. The initiative marks a significant shift in thinking about performance measurement in Australia’s health system. This paper examines the policy contexts that have underpinned this move from the use of levers to the use of outcomes as a means to improve the quality of primary health care. It ends with a reflection on the possible challenges, tensions and contradictions that may be encountered with the implementation of MLs.
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Document type: Research Report
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Tue, 19 Nov 2013, 15:38:13 EST by Mrs Alison Gable on behalf of School of Social Work and Human Services