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Table 3 Aspects of the primary health care system best and least well served by recent initiatives

From: Developments in Australian general practice 2000–2002: what did these contribute to a well functioning and comprehensive Primary Health Care System?

PHC Model aspect

Components best supported

Components supported to some extent

Components least supported

Functions

Ongoing care for chronic and complex conditions Facilitating and coordinating care

Prevention, early detection and risk factor management Episodic care (eg After Hours care) Strengthening community capacity (largely through indigenous programs and the Regional Health Strategy)

Healthy public policy (although this is addressed to some extent through the Divisions' movement) Safe and healthy environments Promoting normal development

Approaches

Multidisciplinary care

Multiple and systematic strategies Evidence based Building consumer capacity Working across sectors

Working within a socio-ecological framework

Capacity

GP workforce Leadership Planning and collaboration processes

Local and State organisational structures and partnerships IT/IM systems Service planning GP patient access to allied health and consulting pharmacy services

Coherent P HC Policy across Commonwealth and State Training in team work, especially across organisations Monitoring, QI & evaluation

Indicators

Workforce distribution Utilisation of PHC services

Accredited practices GP chronic disease indicators

Access Sustainability