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Integrating patient complexity in health policy: A conceptual framework

Maree, P, Hughes, R, Radford, J ORCID: 0000-0002-5751-0488, Stankovich, J ORCID: 0000-0001-9344-7749 and Van Dam, P ORCID: 0000-0003-3341-6793 2020 , 'Integrating patient complexity in health policy: A conceptual framework' , Australian Health Review .

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Abstract

Introduction: Clinicians across all health professions increasingly strive to add value to the care they deliver through the application of the central tenets of People Centred Care (PCC). These are the ‘right care’, in the ‘right place’, at the ‘right time’, ‘tailored to the needs of communities’. This ideal is being hampered by a lack of a structured, evidence-based means to formulate policy and value the commissioning of services in an environment of increasing appreciation for the complex health needs of communities. This creates significant challenges for policy makers, commissioners and providers of health services. Communities face a complex intersection of challenges when engaging with healthcare. Increasingly, complexity is gaining prominence as a significant factor in the delivery of People Centred Care. Based on the World Health Organisation (WHO) components of health policy, a policy framework is proposed that enables policymakers, commissioners and providers of healthcare to integrate a model of complexity into policy, subsequent service planning and development of models of care. Method: The World Health Organisation (WHO) components of health policy were used as the basis for the framework. Literature is drawn on to develop a policy framework that integrates complexity into health policy. Results: Within the framework, complexity is juxtaposed between the WHO components of ‘vision’, ‘priorities’ and ‘roles’. Conclusion: This framework, supported by the literature, provides a framework for policy makers and health planners for the analysis of and analysis for policy. Further work is required to better model complexity in a manner that integrates consumer needs and provider capabilities.

Item Type: Article
Authors/Creators:Maree, P and Hughes, R and Radford, J and Stankovich, J and Van Dam, P
Keywords: health policy, chronic disease management, health systems, models of care
Journal or Publication Title: Australian Health Review
Publisher: C S I R O Publishing
ISSN: 0156-5788
Copyright Information:

Copyright 2020 CSIRO

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