| Titre : | Can we get there from here? Implementing health reform in Australia. |
| Titre original: | Pouvons nous y arriver d'ici là ? Mise en oeuvre de la réforme de la santé en Australie. |
| Titre de série : | Chere Working Paper, 2013/02 |
| Auteurs : | J. HALL ; P. KENNY ; P. POWER ; University of Technology. Centre for Health Economics Research and Evaluation. (C.H.E.R.E.). Sydney. AUS |
| Type de document : | Document de travail |
| Editeur : | Sydney : Centre for Health Economics Research and Evaluation, 2013 |
| Format : | 38p., fig. |
| Note générale : | Référence : réf. bibl. |
| Langues: | Anglais |
| Catégories : |
[BDSP5] Etablissement sanitaire > Structure curative > Hôpital [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Organisation > Réforme [BDSP5] Géographie politique > Monde > Océanie > Australie [BDSP5] Profession sanitaire & sociale > Profession santé [BDSP5] Protection sociale > Système santé [BDSP5] Sciences économiques > Concept économique > Financement |
| Résumé : | The Australian Health Reform Agreement has provided the basis for major change in the delivery of health care services. While the components of reform have undergone extensive negotiation between Commonwealth and State governments, and have been subject to academic and other commentary, little is known about the views of those charged with their implementation. This paper reports the opinions of key informants working in public health care during the early implementation period. It seeks to ascertain their views on the health system and the direction of the reforms, the likely effects and barriers to successful implementation. An anonymous online survey of 138 members of the Australian Healthcare and Hospitals Association (AHHA) was conducted in late 2011. The survey covered opinions about what was happening in the health system and the need for reform, access to information about the reforms, how changes were being effec ted and the perceived barriers to implementing activity based funding, and public performance reporting, and their perceptions of Medicare Locals and Super Clinics. Seventy-eight percent of respondents thought that fundamental reform of the system was needed but only 5% thought the current reforms would deliver the required improvements. Only 9% expected the new arrangements to remove the Â?blame gameÂ? between the Commonwealth and States/Territories. Potential barriers to the implementation of the reforms included agreement among the Commonwealth and States, availability of alternatives to acute hospital care, valid measures of activity and performance and establishing appropriate funding models for Medicare Locals. The survey provides evidence that, among those involved in implementing the changes, there are perceptions of barriers to be overcome in implementing the reform agenda and there is an expectation that further reform will be needed. |
| En ligne : | http://www.chere.uts.edu.au/pdf/wp2013_02.pdf |