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Are changes in Australian national primary healthcare policy likely to promote or impede equity of access? A narrative review

Fisher, Matthew; Baum, Frances; Kay, Adrian; Friel, Sharon

Description

Significant changes have occurred in Australia’s national primary healthcare (PHC) policy over the last decade, but little assessment has been made of implications for equity. This research aimed to identify key recent changes in national PHC policy and assess implications for equity of access to PHC. Academic literature was reviewed to identify issues affecting equity of access in national PHC policy, and grey literature was also reviewed to identify significant policy changes during 2005–16...[Show more]

dc.contributor.authorFisher, Matthew
dc.contributor.authorBaum, Frances
dc.contributor.authorKay, Adrian
dc.contributor.authorFriel, Sharon
dc.date.accessioned2021-05-10T03:38:51Z
dc.identifier.issn1448-7527
dc.identifier.urihttp://hdl.handle.net/1885/232574
dc.description.abstractSignificant changes have occurred in Australia’s national primary healthcare (PHC) policy over the last decade, but little assessment has been made of implications for equity. This research aimed to identify key recent changes in national PHC policy and assess implications for equity of access to PHC. Academic literature was reviewed to identify issues affecting equity of access in national PHC policy, and grey literature was also reviewed to identify significant policy changes during 2005–16 with implications for equitable access. Equity implications of four areas of policy change, set against the existing Medicare system, were assessed. It was found that Medicare supports equitable access to general practice, but there is a risk of reduced equity under current policy settings. Four changes in PHC policy were selected as having particular implications for equity of access and these were assessed as follows: increased involvement of private health insurance presents risks for equity; equity implications of new models of coordinated care are unclear; and regional primary health organisations and current policy on Aboriginal and Torres Strait Islander health have potential equity benefits, but these will depend on further implementation.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherCSIRO Publishing
dc.rights© La Trobe University 2017
dc.sourceAustralian Journal of Primary Health
dc.source.urihttps://www.publish.csiro.au/py/PY16152
dc.subjecthealthcare disparities
dc.subjecthealthcare reform
dc.titleAre changes in Australian national primary healthcare policy likely to promote or impede equity of access? A narrative review
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume23
dc.date.issued2017
local.identifier.absfor111799 - Public Health and Health Services not elsewhere classified
local.identifier.ariespublicationu1026210xPUB86
local.publisher.urlhttps://www.publish.csiro.au
local.type.statusPublished Version
local.contributor.affiliationFisher, Matthew, Flinders University
local.contributor.affiliationBaum, Frances, Flinders University
local.contributor.affiliationKay, Adrian, College of Asia and the Pacific, ANU
local.contributor.affiliationFriel, Sharon, College of Asia and the Pacific, ANU
local.description.embargo2099-12-31
dc.relationhttp://purl.org/au-research/grants/nhmrc/1078046
local.bibliographicCitation.issue3
local.identifier.doi10.1071/PY16152
local.identifier.absseo920499 - Public Health (excl. Specific Population Health) not elsewhere classified
dc.date.updated2020-11-23T10:12:02Z
local.identifier.scopusID2-s2.0-85021230677
local.identifier.thomsonID000404034700001
CollectionsANU Research Publications

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