A new funding model for a chronic-care focused healthcare system in Australia

García-Goñi, Manuel; Fouda, Ayman; Calder, Rosemary; Paolucci, Francesco

doi:10.1016/j.hlpt.2018.07.007

Cited by 8 publications

(13 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Using thematic synthesis, six themes were identified as key pillars describing the private sector’s role in NCD control and management (online supplemental appendix E). These included public–private partnerships (PPPs),8 12–21 knowledge educator,19 22–30 direct investment and finance,12 19 22 27 29–36 healthcare provision,15 26 27 31 32 35 37 innovation,6 14 18 23 31 36 37 and governance and policy 12 16 21 23 38 39…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The private sector is involved in the financing of NCD control and management in several ways, including treatment prices, supply chain costs, health insurance and direct investments 19 22 31–33. Investment and financing from the private sector have provided necessary funds to support the provision of financially accessible NCD care, especially in resource-poor communities 32. Limited public sector funds and capacity create barriers to achieving NCD-related and Sustainable Development Goals (SDG)-related goals, emphasising the need for the private sector to address the barriers 12…”

Section: Resultsmentioning

confidence: 99%

“…One way the private sector increases accessibility is by providing more affordable generic branded medicines 22. Private sector also impacts NCD care financing through private health insurance which improves affordability and accessibility 27 32. Overall, the balance between the private sector providing high quality care and affordability/accessibility of said care may be called into question despite the listed mitigation efforts.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of frameworks demonstrating the role of private sector in non-communicable disease management and control: a systematic review and thematic synthesis

et al. 2023

View full text Add to dashboard Cite

ObjectivesConduct a systematic review of existing frameworks to understand the for-profit private sector’s roles in non-communicable disease (NCD) control and management. Control includes population-level control measures that prevent NCDs and mitigate the magnitude of the NCD pandemic, and management includes treatment and management of NCDs. The for-profit private sector was defined as any private entities that make profit from their activities (ie, pharmaceutical companies, unhealthy commodity industries, distinct from not-for-profit trusts or charitable organisations).DesignA systematic review and inductive thematic synthesis was performed. Comprehensive searches of PubMed, EMBASE, Cochrane Library, Web of Science, Business Source Premier and Proquest/ABI Inform were conducted on 15 January 2021. Grey literature searches were conducted on 2 February 2021 using the websites of 24 relevant organisations. Searches were filtered to only include articles published from the year 2000 onwards, in English. Articles that included frameworks, models or theories and the for-profit private sector’s role in NCD control and management were included. Two reviewers performed the screening, data extraction and quality assessment. Quality was assessed using the tool developed by Hawkeret alfor qualitative studies.SettingThe for-profit private sector.ResultsThere were 2148 articles initially identified. Following removal of duplicates, 1383 articles remained, and 174 articles underwent full-text screening. Thirty-one articles were included and used to develop a framework including six themes that outlined the roles that the for-profit private sector plays in NCD management and control. The themes that emerged included healthcare provision, innovation, knowledge educator, investment and financing, public–private partnerships, and governance and policy.ConclusionThis study provides an updated insight on literature that explores the role of the private sector in controlling and monitoring NCDs. The findings suggest that the private sector could contribute, through various functions, to effectively manage and control NCDs globally.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of frameworks demonstrating the role of private sector in non-communicable disease management and control: a systematic review and thematic synthesis

et al. 2023

View full text Add to dashboard Cite

show abstract

“…The second major barrier is the funding model of primary and hospital care alluded to by Blecher et al 4 Health expenditures have increased in Australia in parallel with the prevalence of chronic diseases, ageing population and expensive healthcare technologies. 19 Funding of the healthcare system in Australia is fragmented across state and federal governments, supplemented by private health insurance and patient co-payments. García-Goñi et al 19 have proposed a 22-policy action model to reform Australian health funding to establish a chronic-care-focussed healthcare system called Mandatory Integrated (Public and Private) Health Insurance.…”

mentioning

confidence: 99%

Re‐imagining healthcare delivery in the era of COVID‐19

Dwyer

Axtens

Egger

et al. 2022

Internal Medicine Journal

View full text Add to dashboard Cite

The COVID‐19 pandemic has exposed the deficiencies of the current healthcare system of the disconnect between primary and tertiary care and increasing subspecialisation, the focus on acute episodic care rather than on prevention in a time where chronic disease prevails and an inefficient use of healthcare resources. Herein, we present the case for an alternative model of healthcare delivery – Shared Medical Appointments – which are efficient, effective, empowering and can be transitioned to the virtual environment successfully. We highlight the barriers to implementation and how these can be overcome. This article is protected by copyright. All rights reserved.

show abstract