Harnessing fast and slow thinking to ensure sustainability of general practice and functional universal health coverage in Australia

Douglas, Kirsty; Dykgraaf, Sally Hall; Butler, Danielle

doi:10.5694/mja2.51883

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Those at EOL with diverse needs often traverse care settings including hospital and community, private and public sectors with an urgent need for integrated healthcare systems 11 and EOL care pathways 12 (e.g. for people living with chronic obstructive pulmonary disease or dementia).…”

Section: Introductionmentioning

confidence: 99%

Emerging health and social policy considerations for safe and quality end-of-life care in Australia – the evidence, gaps and challenges

Rawlings,

Damarell,

Tait

et al. 2023

Aust. Health Rev.

View full text Add to dashboard Cite

Recognition of the importance of end-of-life care will enable improvements in the quality of care delivered to patients and their families. Australia is experiencing an increasing number of deaths, (many expected), with an aging population who are living longer, often with multimorbidity. This makes end of life care a priority. The last year of someone’s life takes place in a complex healthcare system, with increasing pressures on care delivery, placing the spotlight on health service providers to ensure that teams and individuals are supported and enabled to provide such care. Two rapid literature reviews identified best practice principles and processes for delivering safe and high-quality end-of-life care in acute care, aged care and community settings. The reviews identified that end-of-life care is experienced within the whole health and social care system, including hospital admissions interspersed with care in the community, outpatient and emergency department visits and potentially admission to a hospice. Much of this last year of life is spent at home, which may be a personal residence, an aged care facility, prison, supported accommodation or even on the streets. Transitions across settings requires seamless care, as well as organisational readiness to deliver safe and culturally appropriate care. This is more important now with end-of-life care subject to quality assurance mechanisms within the National Safety and Quality Health Service Standards (2nd edn): Comprehensive care. This requires all sectors to work collaboratively when caring for someone at the end of their life in order to see positive changes in care outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Emerging health and social policy considerations for safe and quality end-of-life care in Australia – the evidence, gaps and challenges

Rawlings,

Damarell,

Tait

et al. 2023

Aust. Health Rev.

View full text Add to dashboard Cite

show abstract

Public Perceptions of the Australian Health System During COVID‐19: Findings From a 2021 Survey Compared to Four Previous Surveys

Ellis,

Dammery,

Gillespie

et al. 2024

Health Expectations

View full text Add to dashboard Cite

BackgroundThis study examines the perceptions of the Australian public canvassed in 2021 during the COVID‐19 pandemic about their health system compared to four previous surveys (2008, 2010, 2012 and 2018).MethodsIn 2021, a nationwide online survey was conducted with a representative sample of Australians (N = 5100) recruited via market research panels. The results were compared to previous nationwide Australian survey samples from 2018 (N = 1024), 2012 (N = 1200), 2010 (N = 1201) and 2008 (N = 1146). The survey included questions consistent with previous polls regarding self‐reported health status and overall opinions of, and confidence in, the Australian health system.ResultsThere was an increase in the proportion of respondents reporting positive perceptions at each survey between 2008 and 2021, with a significantly higher proportion of respondents expressing a more positive view of the Australian healthcare system in 2021 compared to previous years (χ2(8, N = 9645) = 487.63, p < 0.001). In 2021, over two‐thirds of respondents (n = 3949/5100, 77.4%) reported that following the COVID‐19 pandemic, their confidence in the Australian healthcare system had either remained the same (n = 2433/5100, 47.7%) or increased (n = 1516/5100, 29.7%). Overall, respondents living in regional or remote regions, younger Australians (< 45 years) and women held less positive views in relation to the system. In 2021, the most frequently identified area for urgent improvement was the need for more healthcare workers (n = 1350/3576, 37.8%), an area of concern particularly for Australians residing in regional or remote areas (n = 590/1385, 42.6%).ConclusionsIrrespective of disruptions to the Australian healthcare system caused by the COVID‐19 pandemic, Australians' perceptions of their healthcare system were positive in 2021. However, concerns were raised about inadequate workforce capacity and the cost of healthcare, with differences identified by age groups and geographical location.Patient or Public ContributionHealth consumer representatives from the Consumers Health Forum of Australia contributed to the co‐design, deployment, analysis and interpretation of the results of this survey. J.A. and L.W. from the Consumers Health Forum of Australia contributed to the development of the paper.

show abstract

What is the future of universal health coverage in Australia?

Zuccala¹

2023

Medical Journal of Australia

View full text Add to dashboard Cite

Harnessing fast and slow thinking to ensure sustainability of general practice and functional universal health coverage in Australia

Cited by 3 publications

References 9 publications

Emerging health and social policy considerations for safe and quality end-of-life care in Australia – the evidence, gaps and challenges

Emerging health and social policy considerations for safe and quality end-of-life care in Australia – the evidence, gaps and challenges

Public Perceptions of the Australian Health System During COVID‐19: Findings From a 2021 Survey Compared to Four Previous Surveys

What is the future of universal health coverage in Australia?

Contact Info

Product

Resources

About