Commissioning for healthcare: a case study of the general practitioners After Hours Program

Carlisle, Karen, Fleming, Rhonda, and Berrigan, Alison (2016) Commissioning for healthcare: a case study of the general practitioners After Hours Program. Australian Journal of Primary Health, 22 (1). pp. 22-25.

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A strong primary healthcare system that is effective and efficient is a priority for health reform in Australia. Commissioning to support primary healthcare delivery has received increasing attention as part of healthcare reform in Australia and beyond. The aim of this paper is to present a case study of transitioning to an activity-based model for the provision of GP after-hours services in Australia. The GP After-Hours Program utilised a commissioning model that comprised of needs assessment, service development, provider engagement and evaluation. Evaluation of the new model showed a 17% increase in after-hours services, with service providers indicating that they were satisfied with the new process. Examination of the experience of implementation suggests that the commissioning model provided a useful framework for guiding activity-based funding for after-hours services. However, relational factors, such as engagement with the community, knowledge of the wider context and legitimacy of the commissioning body, can affect the implementation process.

Item ID: 44028
Item Type: Article (Research - C1)
ISSN: 1836-7399
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Funders: Australian Department of Health (DoH)
Date Deposited: 30 Mar 2016 07:32
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420319 Primary health care @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 100%
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