Topical Australian health policy issues synthesised with the latest primary health care research.
Browse the collection of Policy Issue Review authored by PHCRIS staff and reviewed by an expert.
In Australia, general practice is largely private, ranging from small sole traders through to large partnerships comprising six or more practitioners. Over time, a number of corporate practices, which are registered under the Corporations Act 2001, have emerged on the Australian health care landsca… more
Providing a well-integrated, cost-effective, quality health care system that meets the needs of the population is challenging for governments worldwide. In Australia, this challenge is complicated by a geographically and culturally diverse population; and complex funding and responsibilities across… more
Primary health care-based programmes targeting potentially avoidable hospitalisations in vulnerable groups with chronic disease
Potentially avoidable hospitalisations (PAHs) refer to hospitalisations that may (potentially) have been avoided by providing timely and appropriate primary health care, including preventive care. Identifying ways to reduce PAHs is important for health care policy and may lead to improved health ca… more
Predictive risk modelling is one method that is used to identify individuals who may be at risk of a hospitalisation event. The Predictive Risk Model (PRM) is a tool for identifying at-risk patients, so that appropriate preventive care can be provided, to avoid both exacerbation and complications o… more
Mental disorders are highly prevalent in Australia. Comorbidities are common and many individuals with mental health conditions also face a range of non-medical issues. Typically, individuals requiring mental health care are supported in primary health care (PHC), though specialist care is often re… more
In Australia, diabetes represents a major burden in both human and financial terms, drawing heavily on limited health care resources including trained staff and carers. In contrast to many other health conditions, evidence suggests that many aspects of the burden imposed by diabetes could be avoide… more
Musculoskeletal (MSK) conditions, including rheumatoid arthritis, osteoarthritis, and osteoporosis, are prevalent in the Australian population, and they impose a substantial burden on the healthcare system and the community. Much of the care for MSK conditions is provided in primary health care (PH… more
This Policy Issue Review explores recent findings about financial incentives that encourage improvements in the quality and safety of care delivered in general practice. International comparisons across Australia, New Zealand, the United Kingdom, Canada and the United States are included. Oliver-Ba… more
Fly-in Fly-out/ Drive-in Drive-out practices and health service delivery in rural areas of Australia
This Policy Issue Review investigates claims that Fly-in Fly-out/ Drive-in Drive-out (FIFO/DIDO) groups are placing a burden on Australian rural health care services. Based on a rapid review of current literature, and including mining and seasonal workers, as well as grey nomads, the size and healt… more
Integrated care: What policies support and influence integration in health care in Australia?
Integrated care: What policies support and influence integration in health care across New Zealand, England, Canada and the United States?
Integrated care: What strategies and other arrangements support and influence integration at the meso/organisational level?
This Policy Issue Review, which is the fourth of a series of five on integrated primary health care (PHC), aims to present a brief background around integration and Medicare Locals (ML); describe the nature of the study; highlight results using representative quotes from the research participants; … more
Integrated care: What can be done at
the micro level to influence integration in primary health care?
This Policy Issue Review examines the evidence on telehealth models in Australia and elsewhere, specifically focusing on real-time videoconsultations involving patients, primary health care providers, and specialists. Bywood P, Raven M, Butler C. (2013). Telehealth in primary health care settings w… more
This Policy Issue Review focuses on interactive, real-time videoconsultations provided by allied health practitioners (AHPs) to non-hospitalised patients, in settings including residential aged care facilities and private homes. Allied health professions included in this report are: Audiologists, … more
Potentially avoidable hospitalisations in Australia: Causes for hospitalisations and primary health care interventions
This Policy Issue Review examined the literature related to “Potentially avoidable hospitalisations in Australia: Causes for hospitalisations and primary health care interventions”. Katterl R, Anikeeva O, Butler C, Brown L, Smith B, Bywood P. (2012). Potentially avoidable hospitalisations in Au… more
This Policy Issue Review summarises a range of different approaches to undertaking regional needs assessments in primary health care. Katterl R, Jackson-Bowers E, Hagger C, Bywood P. (2011). Regionally-based needs assessment in Australian primary health care. PHCRIS Policy Issue Review. Adelaide: P… more
Disparities in primary health care utilisation: Who are the disadvantaged groups? How are they disadvantaged? What interventions work?
This Policy Issue Review draws on recent evidence to provide a picture of who in Australia experiences poor access to primary health care services, including particular areas of need, and how such needs may be remedied through intervention approaches that focus on equitable distribution of quality … more
This Policy Issue Review examined information regarding Initiatives to integrate primary and acute health care, including ambulatory services. Bywood PT, Jackson-Bowers E, Muecke S. (2011). Initiatives to integrate primary and acute health care, including ambulatory care services. PHCRIS Policy Iss… more
This Policy Issue Review examined information regarding Models for regional primary health care organisations reporting to local communities. Muecke S. (2010). Local community reporting models for regional primary health care organisations. PHCRIS Policy Issue Review. Adelaide: Primary Health Care … more
This Policy Issue Review examined the mechanisms for measuring patient experience of primary health care; and identified how patient experience has been used in Australia and overseas to inform policy and practice. Kalucy L, Katterl R, Jackson-Bowers E. (2009). Patient Experience of health care per… more
This Policy Issue Review is an overview of enrolment models relevant to Australian primary health care. A predetermined report structure was designed, reflecting the dimensions of the study questions and searching was targeted, seeking information sources to answer specific, predetermined questions… more
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