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(Re)form with Substance? Restructuring and governance in the Australian health system 2004/05
The Australian health system has been the subject of multiple reviews and reorganisations over the last twenty years or more. The year 2004–2005 was no different. This paper reviews the reforms, (re)structures and governance arrangements in place at both the national and state/territory levels in th...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2005
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1208850/ https://www.ncbi.nlm.nih.gov/pubmed/16120207 http://dx.doi.org/10.1186/1743-8462-2-19 |
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author | Rix, Mark Owen, Alan Eagar, Kathy |
author_facet | Rix, Mark Owen, Alan Eagar, Kathy |
author_sort | Rix, Mark |
collection | PubMed |
description | The Australian health system has been the subject of multiple reviews and reorganisations over the last twenty years or more. The year 2004–2005 was no different. This paper reviews the reforms, (re)structures and governance arrangements in place at both the national and state/territory levels in the last year. At the national level some progress has been made in 2004/05 through the Australian Health Ministers' Council and there is now a national health reform agenda, albeit not a comprehensive one, endorsed by the Council of Australian Governments (COAG) in June 2005. Quality and safety was an increasing focus in 2004–2005 at both the national and jurisdictional levels, as was the need for workforce reform. Although renewed policy attention was given to the need to better integrate and coordinate health care, there is little evidence of any real progress this last year. More progress was made on a national approach to workforce reform. At the jurisdictional level, the usual rounds of reviews and restructuring occurred in several jurisdictions and, in 2005, they are organisationally very different from each other. The structure and effectiveness of jurisdictional health authorities are now more important. All health authorities are being expected to drive an ambitious set of national and local reforms. At the same time, most have now blurred the boundary between policy and service delivery and are devoting significant resources to centrally 'crisis managing' their service systems. These same reasons led to decentralisation in previous restructuring cycles. While there were many changes in 2004–2005, and a new national report to COAG on health reform is expected at the end of 2005, based on current evidence there is little room for optimism about the prospects for real progress. |
format | Text |
id | pubmed-1208850 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-12088502005-09-15 (Re)form with Substance? Restructuring and governance in the Australian health system 2004/05 Rix, Mark Owen, Alan Eagar, Kathy Aust New Zealand Health Policy Research The Australian health system has been the subject of multiple reviews and reorganisations over the last twenty years or more. The year 2004–2005 was no different. This paper reviews the reforms, (re)structures and governance arrangements in place at both the national and state/territory levels in the last year. At the national level some progress has been made in 2004/05 through the Australian Health Ministers' Council and there is now a national health reform agenda, albeit not a comprehensive one, endorsed by the Council of Australian Governments (COAG) in June 2005. Quality and safety was an increasing focus in 2004–2005 at both the national and jurisdictional levels, as was the need for workforce reform. Although renewed policy attention was given to the need to better integrate and coordinate health care, there is little evidence of any real progress this last year. More progress was made on a national approach to workforce reform. At the jurisdictional level, the usual rounds of reviews and restructuring occurred in several jurisdictions and, in 2005, they are organisationally very different from each other. The structure and effectiveness of jurisdictional health authorities are now more important. All health authorities are being expected to drive an ambitious set of national and local reforms. At the same time, most have now blurred the boundary between policy and service delivery and are devoting significant resources to centrally 'crisis managing' their service systems. These same reasons led to decentralisation in previous restructuring cycles. While there were many changes in 2004–2005, and a new national report to COAG on health reform is expected at the end of 2005, based on current evidence there is little room for optimism about the prospects for real progress. BioMed Central 2005-08-24 /pmc/articles/PMC1208850/ /pubmed/16120207 http://dx.doi.org/10.1186/1743-8462-2-19 Text en Copyright © 2005 Rix et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Rix, Mark Owen, Alan Eagar, Kathy (Re)form with Substance? Restructuring and governance in the Australian health system 2004/05 |
title | (Re)form with Substance? Restructuring and governance in the Australian health system 2004/05 |
title_full | (Re)form with Substance? Restructuring and governance in the Australian health system 2004/05 |
title_fullStr | (Re)form with Substance? Restructuring and governance in the Australian health system 2004/05 |
title_full_unstemmed | (Re)form with Substance? Restructuring and governance in the Australian health system 2004/05 |
title_short | (Re)form with Substance? Restructuring and governance in the Australian health system 2004/05 |
title_sort | (re)form with substance? restructuring and governance in the australian health system 2004/05 |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1208850/ https://www.ncbi.nlm.nih.gov/pubmed/16120207 http://dx.doi.org/10.1186/1743-8462-2-19 |
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