Something old, something new, something borrowed, something blue? Reviewing the evidence on commissioning and health services
| Autor: | Suzanne Robinson, Learne Durrington, Helen Dickinson |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Value (ethics)
Economic growth medicine.medical_specialty Project commissioning Health Care Sector Population health 03 medical and health sciences 0302 clinical medicine Health care Humans Medicine 030212 general & internal medicine Decision Making Organizational Government Health economics Primary Health Care business.industry 030503 health policy & services Health Policy Public health Australia Public Health Environmental and Occupational Health Contract Services Public relations Organizational Culture Health Care Reform Models Organizational Community health Health Services Research 0305 other medical science business |
| Zdroj: | Australian Journal of Primary Health. 22:9 |
| ISSN: | 1448-7527 |
| DOI: | 10.1071/py15037 |
| Popis: | The concept of commissioning is starting to gain traction in the Australian health system. Primary Care Networks began operations in July 2015 with a remit around commissioning health services. Despite the centrality of this concept, we know relatively little about commissioning in Australia. Other systems have experimented with it for some time, and this paper reviews the evidence and lessons inherent within the international literature. The study defines commissioning, and explores experiences of others who have adopted commissioning approaches and the evidence concerning the outcomes of these experiments. Commissioning is a difficult topic in many senses and its application to a complex area such as health reform can make it even more challenging. Ultimately, this evidence suggests that commissioning is more than simply a technical or operational process, but one that is value-based and relational. This is not to downplay the technical aspects, which in many jurisdictions have resulted in explicit and evidenced-based approaches to planning and priority setting. However, if new commissioning organisations, such as Primary Health Networks, are to have an impact, they need to balance the operational and relational elements of commissioning. |
| Databáze: | OpenAIRE |
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