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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Service planning in the Victorian community health sector

Véronique Roussy A B and Charles Livingstone A
+ Author Affiliations
- Author Affiliations

A Global Health and Society Unit, School of Public Health and Preventive Medicine, Monash University, Level 3 Burnet Tower (Alfred Hospital), 89 Commercial Road, Melbourne, Vic. 3004, Australia.

B Corresponding author. Email: veronique.roussy@monash.edu

Australian Journal of Primary Health 21(3) 268-272 https://doi.org/10.1071/PY14076
Submitted: 8 May 2014  Accepted: 7 August 2014   Published: 4 September 2014

Abstract

Until now, comprehensive service planning has been uncommon in the Victorian community health sector. Where it has occurred, it has primarily been undertaken by community health services embedded within larger, hospital-based health services. Reflections on the utility and efficacy of community health service planning are largely absent from the Australian peer-reviewed literature. Using a case study focussed on a specific centre in Melbourne’s outer suburbs, this paper explores how community health service planning is shaped by the current policy context, the legal status of registered community health services, and the data and methodologies available to inform planning. It argues that regular and systematic service planning could support registered community health centres to better understand their unique position within the primary health-care landscape, having regard to their inherent opportunities and vulnerabilities. Furthermore, consistent and effective service planning is proposed to benefit agencies in establishing themselves as critical players in promoting local population health initiatives and driving improved health outcomes.


References

Australian Government (2013) What is a Medicare Local? Available at http://www.medicarelocals.gov.au/internet/medicarelocals/publishing.nsf/Content/what-is#.Ujp9uMZi2Vc [Verified 19 September 2013]

Barraclough S, Gardner H (2008) ‘Analysing health policy: a problem-oriented approach.’ (Churchill Livingstone – Elsevier Australia: Marrickville, NSW)

Brown LD (2010) The political face of public health. Public Health Reviews 32, 155–173.

Commonwealth of Australia (2010) A national health and hospitals network for Australia’s future. Commonwealth of Australia, Canberra.

Commonwealth of Australia (2013) National primary health care strategic framework. Commonwealth of Australia, Canberra.

Department of Health (2011a) Capital projects and service planning. Available at http://www.health.vic.gov.au/divisions/hhsp/capital.htm [Verified 2 October 2012]

Department of Health (2011b) Victorian Public Health and Wellbeing Plan 2011–2015. State Government of Victoria, Melbourne.

Department of Health (2011c) Capital development guidelines. Available at http://www.capital.health.vic.gov.au/ [Verified 2 October 2012]

Department of Health (2012a) National health reform – Victoria’s approach. Available at http://www.health.vic.gov.au/healthreform/ [Verified 23 September 2012]

Department of Health (2012b) Victorian community health indicators project – background paper. Available at http://docs.health.vic.gov.au/docs/doc/Victorian-Community-Health-Indicators-Project [Verified 18 June 2014]

Department of Health (2012c) Victorian health services performance. Available at http://performance.health.vic.gov.au/Home.aspx [Verified 3 October 2012]

Department of Health (2014a) Community health. Available at http://www.health.vic.gov.au/pch/commhealth/ [Verified 26 March 2014]

Department of Health (2014b) Primary and community health – governance. Available at http://www.health.vic.gov.au/pch/service_providers/governance.htm [Verified 26 March 2014]

Department of Health (2014c) Service improvement projects. Available at http://www.health.vic.gov.au/pch/commhealth/improvement.htm [Verified 26 March 2014]

Department of Health and Ageing (2010) Building a 21st century primary health care system: Australia’s first national primary health care strategy. Commonwealth of Australia, Canberra.

Department of Health and Ageing (2012a) Delivering national health reform. Available at http://www.yourhealth.gov.au/internet/yourhealth/publishing.nsf/Content/nhra-agreement-fs#what [Verified 23 September 2012]

Department of Health and Ageing (2012b) Dental health – dental reform. Available at http://health.gov.au/internet/main/publishing.nsf/Content/dentalreform [Verified 22 September 2012]

Drummond C, Gual A, Goos C, Godfrey C, Deluca P, Von Der Goltz C, Gmel G, Scafato E, Wolstenholme A, Mann K, Coulton S, Kaner E (2011) Identifying the gap between need and intervention for alcohol use disorders in Europe. Addiction 106, 31–36.
Identifying the gap between need and intervention for alcohol use disorders in Europe.Crossref | GoogleScholarGoogle Scholar | 21324019PubMed |

Duckett SJ (2008) The Australian health care system: reform, repair or replace? Australian Health Review 32, 322–329.
The Australian health care system: reform, repair or replace?Crossref | GoogleScholarGoogle Scholar | 18447823PubMed |

Duckett S, Willcox S (2011) ‘The Australian health care system.’ (Oxford University Press: Melbourne)

Elshaug AG, Moss JR, Littlejohns P, Karnon J, Merlin TL, Hiller JE (2009) Identifying existing health care services that do not provide value for money. The Medical Journal of Australia 190, 269–273.

Jolley GM (2003) Performance measurement for community health services: opportunities and challenges. Australian Health Review 26, 133–138.
Performance measurement for community health services: opportunities and challenges.Crossref | GoogleScholarGoogle Scholar | 15368828PubMed |

Keleher H (2001) Why primary health care offers a more comprehensive approach to tackling health inequities than primary care. Australian Journal of Primary Health 7, 57–61.
Why primary health care offers a more comprehensive approach to tackling health inequities than primary care.Crossref | GoogleScholarGoogle Scholar |

Liamputtong P (2013) Qualitative case study research. In ‘Qualitative research methods’. (Ed P Liamputtong). pp. 199–217. (Oxford University Press: Melbourne)

Macinko J, Starfield B, Shi L (2003) The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970–1998. Health Services Research 38, 831–865.
The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970–1998.Crossref | GoogleScholarGoogle Scholar | 12822915PubMed |

Mainz J (2003) Defining and classifying clinical indicators for quality improvement. International Journal for Quality in Health Care 15, 523–530.
Defining and classifying clinical indicators for quality improvement.Crossref | GoogleScholarGoogle Scholar | 14660535PubMed |

Mant J (2001) Process versus outcome indicators in the assessment of quality of health care. International Journal for Quality in Health Care 13, 475–480.
Process versus outcome indicators in the assessment of quality of health care.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD38%2FktlWhtw%3D%3D&md5=92cb79b1723191382b28872444071421CAS | 11769750PubMed |

National Health and Hospitals Reform Commission (2008) Beyond the blame game: accountability and performance benchmarks for the next Australian health care agreements. Commonwealth of Australia, Canberra.

Pool J, Koopman PL (1992) Strategic decision making on organizations: a research model and some initial findings. In ‘Organizational change and innovation: psychological perspectives and practices in Europe’. (Eds DM Hosking, N Anderson) pp. 71–98. (Routledge: London)

Rosen A, Gurr R, Fanning P (2010) The future of community-centred health services in Australia: lessons from the mental health sector. Australian Health Review 34, 106–115.
The future of community-centred health services in Australia: lessons from the mental health sector.Crossref | GoogleScholarGoogle Scholar | 20334766PubMed |

Stake RE (2008) Qualitative case studies. In ‘Strategies of qualitative inquiry’. (Eds NK Denzin, YS Lincoln) pp. 119–150. (Sage: Thousand Oaks, CA)

Steering Committee for the Review of Government Service Provision (2014) Report on government services 2014. Vol. E: health. Productivity Commission, Canberra.

Tham R, Humphreys JS, Kinsman L, Buykx P, Asaid A, Tuohey K (2011) Study protocol: evaluating the impact of a rural Australian primary health care service on rural health. BMC Health Services Research 11, 52
Study protocol: evaluating the impact of a rural Australian primary health care service on rural health.Crossref | GoogleScholarGoogle Scholar | 21356123PubMed |

van Raak A, Meijer E, Meijer A, Paulus A (2005) Sustainable partnerships for integrated care: the role of decision making and its environment. The International Journal of Health Planning and Management 20, 159–180.
Sustainable partnerships for integrated care: the role of decision making and its environment.Crossref | GoogleScholarGoogle Scholar | 15991460PubMed |

Victorian Healthcare Association (2008) Victoria’s community health sector – a model for success. Victorian Healthcare Association, Melbourne.

Victorian Healthcare Association (2012a) Annual report 2011–2012. Victorian Healthcare Association, Melbourne.

Victorian Healthcare Association (2012b) Submission – national primary healthcare strategic framework. Available at http://www.vha.org.au/uploads/VHA%20Submission%20-%20National%20Primary%20Health care%20Strategic%20Framework.pdf [Verified 14 October 2012]

Willemsen MC, Meijer A, Jannink M (1999) Applying a contingency model of strategic decision making to the implementation of smoking bans: a case study. Health Education Research 14, 519–531.
Applying a contingency model of strategic decision making to the implementation of smoking bans: a case study.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1Mvhs1Klsw%3D%3D&md5=bd857854b35d62aa4122fd0f681e7c6dCAS | 10557522PubMed |

World Health Organization (2008) The World Health report 2008: primary health care – now more than ever. World Health Organization, Geneva.