PHC 2020: the international view

1
PHC 2020 the international view
2
Canada

• Responsibility devolved to provinces
• Substantial investment since 2000
• Alternative funding models (capitation)
• Contractual accountability
• Future
• Integrated information systems
• QI processes
• ID teams group practices
• Clear policy directions (Hutchison B 2008)
• Strengthening roles of nurses, including NPs

3
New Zealand

• Quasi-markets, now collaboration
• Responsibility devolved to District Health Boards
• PHC strategy
• Substantial investment (capitation funding)
• PHOs
• Future
• Models of integrated care
• Levers/incentives to enable change
• Improved relationships

4
UK

• Devolution difference
• Competition/collaboration
• Practice based commissioning
• Networks/clusters of practices
• Greater engagement of professions
• Future
• Models of integrated care
• Limits of market-based reforms
• New marriage vows
• Role of PCTs
• (Kings Fund 2008)

5
Implications for Australia

• Clear directions
• Integration coordination
• Interprofessional collaboration
• Workforce development
• Accountability for access based on need for
  population health