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Impact evaluation of a comprehensive primary health care reorientation strategy with a focus on organisational development on a health service's capacity to deliver comprehensive primary health care
Thesis   Open access

Impact evaluation of a comprehensive primary health care reorientation strategy with a focus on organisational development on a health service's capacity to deliver comprehensive primary health care

Michelle Costello
University of the Sunshine Coast, Queensland
Master of Science, University of the Sunshine Coast
2011
DOI:
https://doi.org/10.25907/00379
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Abstract

comprehensive primary health care health promotion organisational change strategy
Issue: Since 1978, the World Health Organisation (WHO) has consistently advocated for health services to adopt a Comprehensive Primary Health Care (CPHC) approach to address complex health issues and inequities. However, there has been limited uptake of the CPHC approach by health services nationally or internationally. In 2007, the Australian Government recognised the need to increase health services‟ capacity to deliver CPHC and made CPHC reform a policy priority. The National Primary Health Care Strategy (2009) is Australia‟s first national policy statement and strategy for CPHC. One of the key reform initiatives was the development of Primary Health Care Organisations (PHCOs); named Medicare Locals by the Australian Government. The aim of PHCOs is to provide CPHC to local communities and will evolve from the current Divisions of General Practice Network. PHCOs will be implemented in 2011 and be required to reorient their services to deliver CPHC. Access to information that provides clear steps on how a health service can plan, implement and evaluate a reorientation strategy is critical. In 2008 Far North Queensland Rural Division of General Practice (FNQRDGP) sought to learn how it could reorient its services to deliver CPHC. A CPHC Organisational Development Strategy (ODS) was developed, implemented and evaluated from April 2008 to June 2009. Aim: The aim of the research was to determine the impact of the Comprehensive Primary Health Care Organisational Development Strategy (CPHC ODS) on FNQRDGPs capacity to deliver CPHC.

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