PMID: 18429741Jun 17, 2008Paper

The implementation and impact of different funding initiatives on access to multidisciplinary primary health care and policy implications

The Medical Journal of Australia
Julie McDonaldPippa Burns

Abstract

To review the implementation and impact of different funding initiatives across the health systems of three different countries - England, New Zealand and Australia - on the achievement of multidisciplinary primary health care (PHC) and to reflect on policy implications for Australia. A systematic review of the literature involving three stages: (i) identification and description of initiatives; (ii) a systematic review of their implementation and impact from 1995 to mid 2006; and (iii) an updated review of published literature from mid 2006 to mid 2007. Few studies employed control groups, and the results should therefore be interpreted with caution. In all three countries, funding has supported general practitioner access to a broad range of providers. In Australia, financial incentives have been the main mechanism for bringing about change, whereas in both England and New Zealand, they are part of a broader range of funding reforms including the introduction of capitation and practice-based commissioning. The lack of patient data makes it difficult to assess the extent to which the Australian financial incentives have generally improved population access to a broader range of PHC providers. Individual, patient-level, financi...Continue Reading

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Citations

Jun 17, 2008·The Medical Journal of Australia·Nicholas J GlasgowFrith Rayner
Jan 7, 2017·Implementation Science : IS·Bhupendrasinh F ChauhanRyan Zarychanski
May 23, 2016·Australian Health Review : a Publication of the Australian Hospital Association·Jodie Oliver-BaxterParesh Dawda

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