A Framework to Determine the Extent to Which Regional Primary Healthcare Organisations Are Comprehensive or Selective in Their Approach
BackgroundThere is an increasing emphasis on the importance of comprehensive primary healthcare (CPHC) in improving population health and health equity. There is, therefore, a need for a practical means to determine how comprehensive regional primary healthcare organisations (RPHCOs) are in their ap...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-04-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_3922_21b30fb36b59ac5170e5840867981135.pdf |
| _version_ | 1811158794847125504 |
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| author | Sara Javanparast Fran Baum Anna Ziersch Toby Freeman |
| author_facet | Sara Javanparast Fran Baum Anna Ziersch Toby Freeman |
| author_sort | Sara Javanparast |
| collection | DOAJ |
| description | BackgroundThere is an increasing emphasis on the importance of comprehensive primary healthcare (CPHC) in improving population health and health equity. There is, therefore, a need for a practical means to determine how comprehensive regional primary healthcare organisations (RPHCOs) are in their approach. This paper proposes a framework to provide such a means. The framework is then applied to assess the comprehensiveness of Australian RPHCOs. MethodsDrawing on a narrative review of the broader literature on CPHC versus selective primary healthcare (SPHC) and examples of international models of RPHCOs, we developed a framework consisting of the key criteria and a continuum from comprehensive to selective interventions. We applied this framework to Australian RPHCOs using data from the review of their planning documents, and survey and interviews with executive staff, managers, and board members. We used a spidergram as a means to visualise how comprehensive they are against each of these criteria, to provide a practical way of presenting the assessment and an easy way to compare progress over time. ResultsKey criteria for comprehensiveness included (1) focus on population health; (2) focus on equity of access and outcomes; (3) community participation and control; (4) integration within the broader health system; (5) inter-sectoral collaboration; and (6) local responsiveness. An examination of Australian RPHCOs using the framework suggests their approach is far from comprehensive and has become more selective over time. ConclusionThe framework and spidergram offer a practical means of gauging and presenting the comprehensiveness of RPHCOs, and to identify gaps in comprehensiveness, and changes over time. |
| first_indexed | 2024-04-10T05:29:12Z |
| format | Article |
| id | doaj.art-89328d8dd9ad4debb82f160b34200ff5 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:29:12Z |
| publishDate | 2022-04-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-89328d8dd9ad4debb82f160b34200ff52023-03-07T09:10:18ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-04-0111447948810.34172/ijhpm.2020.1823922A Framework to Determine the Extent to Which Regional Primary Healthcare Organisations Are Comprehensive or Selective in Their ApproachSara Javanparast0Fran Baum1Anna Ziersch2Toby Freeman3College of Medicine and Public Health, Flinders University, Adelaide, SA, AustraliaSouthgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA, AustraliaSouthgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA, AustraliaSouthgate Institute for Health, Society and Equity, Flinders University, Adelaide, SA, AustraliaBackgroundThere is an increasing emphasis on the importance of comprehensive primary healthcare (CPHC) in improving population health and health equity. There is, therefore, a need for a practical means to determine how comprehensive regional primary healthcare organisations (RPHCOs) are in their approach. This paper proposes a framework to provide such a means. The framework is then applied to assess the comprehensiveness of Australian RPHCOs. MethodsDrawing on a narrative review of the broader literature on CPHC versus selective primary healthcare (SPHC) and examples of international models of RPHCOs, we developed a framework consisting of the key criteria and a continuum from comprehensive to selective interventions. We applied this framework to Australian RPHCOs using data from the review of their planning documents, and survey and interviews with executive staff, managers, and board members. We used a spidergram as a means to visualise how comprehensive they are against each of these criteria, to provide a practical way of presenting the assessment and an easy way to compare progress over time. ResultsKey criteria for comprehensiveness included (1) focus on population health; (2) focus on equity of access and outcomes; (3) community participation and control; (4) integration within the broader health system; (5) inter-sectoral collaboration; and (6) local responsiveness. An examination of Australian RPHCOs using the framework suggests their approach is far from comprehensive and has become more selective over time. ConclusionThe framework and spidergram offer a practical means of gauging and presenting the comprehensiveness of RPHCOs, and to identify gaps in comprehensiveness, and changes over time.https://www.ijhpm.com/article_3922_21b30fb36b59ac5170e5840867981135.pdfcomprehensive primary healthcareassessment frameworkregional planningaustralia |
| spellingShingle | Sara Javanparast Fran Baum Anna Ziersch Toby Freeman A Framework to Determine the Extent to Which Regional Primary Healthcare Organisations Are Comprehensive or Selective in Their Approach International Journal of Health Policy and Management comprehensive primary healthcare assessment framework regional planning australia |
| title | A Framework to Determine the Extent to Which Regional Primary Healthcare Organisations Are Comprehensive or Selective in Their Approach |
| title_full | A Framework to Determine the Extent to Which Regional Primary Healthcare Organisations Are Comprehensive or Selective in Their Approach |
| title_fullStr | A Framework to Determine the Extent to Which Regional Primary Healthcare Organisations Are Comprehensive or Selective in Their Approach |
| title_full_unstemmed | A Framework to Determine the Extent to Which Regional Primary Healthcare Organisations Are Comprehensive or Selective in Their Approach |
| title_short | A Framework to Determine the Extent to Which Regional Primary Healthcare Organisations Are Comprehensive or Selective in Their Approach |
| title_sort | framework to determine the extent to which regional primary healthcare organisations are comprehensive or selective in their approach |
| topic | comprehensive primary healthcare assessment framework regional planning australia |
| url | https://www.ijhpm.com/article_3922_21b30fb36b59ac5170e5840867981135.pdf |
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