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“Barking up the right tree”: challenges for health care reform
Author(s) -
Sturmberg Joachim P,
O’Halloran Diana E,
Jackson Claire,
Mitchell Christopher D,
Martin Carmel M
Publication year - 2009
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2009.tb02691.x
Subject(s) - metaphor , health care , nursing , primary care , health care reform , medicine , psychology , health policy , political science , family medicine , public health , philosophy , linguistics , law
Current approaches to health care reform are largely based on the metaphor of imminent flood waves threatening to inundate the health care system. This metaphor reflects the system's preoccupation with disease and disease management in a hospital‐centric environment. We suggest that the debate needs to be reframed around health , or more precisely the patient's health experience. Most patients are healthy most of the time, and even those with identifiable morbidities generally regard themselves as being in good health. The majority of people receive most of their care in the community from primary care professionals. An integrated, effective and efficient primary health care system supports continuity of care through a primary care provider and fosters clinical leadership that is supported by other primary health care professionals and medical specialists. Each primary care setting will have its own model that best provides flexible and responsive services to meet its patients’ needs and expectations.