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| Title |
How do small rural primary health care services
sustain themselves in a constantly changing
health system environment? |
| Author(s) |
Penny Buykx, John S Humphreys, Rachel Tham, et al - Personal Name
|
Subject |
Rural Health |
| Publisher |
Bio Med Central Ltd |
| Publishing Year |
2012 |
| Specific Detail Info |
Background: The ability to sustain comprehensive primary health care (PHC) services in the face of change is
crucial to the health of rural communities. This paper illustrates how one service has proactively managed change
to remain sustainable.
Methods: A 6-year longitudinal evaluation of the Elmore Primary Health Service (EPHS) located in rural Victoria,
Australia, is currently underway, examining the performance, quality and sustainability of the service. Threats to,
and enablers of, sustainability have been identified from evaluation data (audit of service indicators, community
surveys, key stakeholder interviews and focus groups) and our own observations. These are mapped against an
overarching framework of service sustainability requirements: workforce organisation and supply; funding;
governance, management and leadership; service linkages; and infrastructure.
Results: Four years into the evaluation, the evidence indicates EPHS has responded effectively to external and
internal changes to ensure viability. The specific steps taken by the service to address risks and capitalise on
opportunities are identified.
Conclusions: This evaluation highlights lessons for health service providers, policymakers, consumers and
researchers about the importance of ongoing monitoring of sentinel service indicators; being attentive to changes
that have an impact on sustainability; maintaining community involvement; and succession planning. |
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