The Australian primary healthcare experiment: A national survey of Medicare Locals

Robinson, Suzanne, Varhol, Richard, Ramamurthy, Vijaya, Denehy, Melissa, Hendrie, Delia, O'Leary, Peter and Selvey, Linda (2015) The Australian primary healthcare experiment: A national survey of Medicare Locals. BMJ Open, 5 3: . doi:10.1136/bmjopen-2014-007191

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads
UQ433752_OA.pdf Full text (open access) application/pdf 787.54KB 0

Author Robinson, Suzanne
Varhol, Richard
Ramamurthy, Vijaya
Denehy, Melissa
Hendrie, Delia
O'Leary, Peter
Selvey, Linda
Title The Australian primary healthcare experiment: A national survey of Medicare Locals
Journal name BMJ Open   Check publisher's open access policy
ISSN 2044-6055
Publication date 2015-05-27
Year available 2015
Sub-type Article (original research)
DOI 10.1136/bmjopen-2014-007191
Open Access Status DOI
Volume 5
Issue 3
Total pages 8
Place of publication London, United Kingdom
Publisher BMJ Publishing Group
Language eng
Formatted abstract
Objective The objectives of this study are to evaluate the development and implementation of Medicare Locals as new primary care organisations and consider the implications of these findings for the wider challenge of strengthening primary healthcare in Australia and internationally.

Design National survey of Medicare Locals which involved the use of content analysis and a descriptive survey tool.

Setting 61 Medicare Locals in Australia.

The survey was distributed electronically to all 61 Medicare Local Chief Executive Officers (CEOs) between October and December 2013.

Main outcome measures The research was interested in exploring the following areas; the form and function of Medicare Locals; the confidence and capacity of Medicare Locals to perform against their objectives around population planning and system integration; their ability to engage relevant stakeholder groups; and the barriers and facilitators to reform.

Results A total of 43 (70%) of Medicare Locals completed the survey with representation from six of the eight Australian states and Territories. Results suggest differences in the form and function of the Medicare Local organisations and considerable diversity in the implementation of Medicare Local organisations across Australia. This diversity and lack of guidance from government impacted on the overall success of the reform. Other barriers to reform included difficulties in stakeholder relationships and limited incentives (financial and other) to drive and influence change.

Conclusions Findings from this study produce important insights for primary care reform in Australia; and internationally it adds to the growing body of knowledge around primary care reform.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Thu, 02 Feb 2017, 08:30:20 EST by Web Cron on behalf of Learning and Research Services (UQ Library)