The Australian primary healthcare experiment: a national survey of Medicare Locals.
Bottom Line: 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.
Affiliation: Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.Show MeSH
Related in: MedlinePlus
Mentions: To achieve their strategic objectives, MLs were required to engage with a number of stakeholder groups from across the health system. Respondents identified a variety of different stakeholder groups whom they had some level of formal involvement with. At the time of the survey, respondents suggested that they tended to have strongest engagement with the department of health and ageing and less engagement with consumers (figure 3). Going forward, MLs indicated that their stakeholder engagement activity would become more focused on general practitioners (73%); local hospital networks (60%); allied health professionals (43%); and consumers (30%). The main barriers to collaboration highlighted by respondents included: competing stakeholder interests (70%); perceived lack of clarity about the role of MLs (on the part of the external organisation) (65%); unrealistic timeframes for delivering objectives (60%); conflicting expectations among stakeholders (47%); and unrealistic expectations among stakeholders (40%).
Affiliation: Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.