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Table of Contents
Executive summary 6
A new model of primary health care for patients with chronic and complex conditions 7
Implementation considerations 10
Summary of recommendations 11
Appropriate and effective care 11
System integration and improvement 11
Payment mechanisms to support a better primary health care system 13
Measuring the achievement of outcomes 14
The case for reform 15
Governance of the primary health care system is complex 16
Building on past primary Health care reforms 16
Effective and appropriate care for people with chronic and complex conditions 18
Strategic Directions: 18
Key Recommendation 1: Better targeting OF Services for patients with chronic and complex conditions in accordance with need 20
Key Recommendation 2: Establish Health Care Homes 23
Key Recommendation 3: Activate patients to be engaged in their care 27
Key Recommendation 4: Establish effective mechanisms to support flexible team based care 29
It is my pleasure to present this report of the Primary Health Care Advisory Group: “Better Outcomes for people with Chronic and Complex Health Conditions”.
Our current primary health care system works well for the majority of Australians. However, for the growing number of people with chronic and complex conditions, care can be fragmented and the system can be difficult to navigate.
Through consultations with patients, carers, doctors, allied health professionals and health system organisations we have identified a model of care supported by a new way of funding that can transform the way we provide primary health care for Australians with chronic and complex conditions.
Central to the reform is the establishment of Health Care Homes, which provide continuity of care, coordinated services and a team based approach according to the needs and wishes of the patient. This new approach is supported by new payment mechanisms to better target available resources to improve patient outcomes.
Our new approach offers an opportunity to improve and modernise primary health care and maximise the role of patients as partners in their care. It represents innovative, evidence-based best practice that harnesses the opportunity of digital health care. Importantly, it has strong support from consumers and health care professionals alike.
On behalf of the Advisory Group, I commend this report to you and thank you for the opportunity to contribute to building a healthier Medicare.