Governance & evaluation of service networks as integrative structures in Australian primary health care

Abstract

Objective:Service networks can work as integrative structures in primary health care [1]. The objective of these three studies was to elucidate network governance and evaluation processes that are not well developed in Australia. Methodology:(1) Narrative review on the enablers of effective service linkages in primary mental health care [2,3]. Results:Effective service linkages were found across direct collaborative activities, agreed guidelines and communication systems. These were enabled through regular clinical meetings focused on goals, roles and treatments. Leadership legitimized and resourced collaboration. Feedback from the PSNA informed the networks about their main activity, coordination, roles and member commitment. Network instabilities were revealed, showing that the PSNA needs to be sensitive and use ongoing problem solving as well as champions who span boundaries between services. Conclusion:TheModel consists of components (linkages and enablers) and the processes (PSNA) that are designed to optimize problem solving. Structure, process and impact indicators have been identified to evaluate network commitment, coordination and agreed protocols.