HealthPathways: creating a pathway for health systems reform
Suzanne Robinson A E , Richard Varhol A , Colin Bell B , Frances Quirk C and Learne Durrington DA School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia. Email: rvarhol@curtin.edu.au
B Deakin University, School of Medicine, Faculty of Health, Geelong Warun Ponds Campus, Vic. 3220, Australia. Email: colin.bell@deakin.edu.au
C University Hospital, Geelong, Barwon Health, Vic. 3220, Australia. Email: frances.quirk@barwonhealth.org.au
D Perth Central and East Metro Medicare Local, Perth, WA 6055, Australia. Email: learne.durrington@pcemml.org.au
E Corresponding author. Email: Suzanne.robinson@curtin.edu.au
Australian Health Review 39(1) 9-11 https://doi.org/10.1071/AH14155
Submitted: 4 September 2014 Accepted: 21 September 2014 Published: 1 December 2014
Abstract
Inefficiencies in the co-ordination and integration of primary and secondary care services in Australia, have led to increases in waiting times, unnecessary presentations to emergency departments and issues around poor discharge of patients. HealthPathways is a program developed in Canterbury, New Zealand, that builds relationships between General Practitioners and Specialists and uses information technology so that efficiency is maximised and the right patient is given the right care at the right time. Healthpathways is being implemented by a number of Medicare Locals across Australia however, little is known about the impact HealthPathways may have in Australia. This article provides a short description of HealthPathways and considers what it may offer in the Australian context and some of the barriers and facilitators to implementation.
What is known about the topic? Early evidence on HealthPathways suggests that the program does seem to be strengthening relationships between GPs and secondary care specialists. In New Zealand advances in efficiency and system integration have been noted. However, there is limited evidence on the effectiveness of HealthPathways in Australia.
What does this paper add? It is one of the first published papers to provide a perspective around HealthPathways and draws existing evidence and research to explore some of the barriers and facilitators to the development and implementation of HealthPathways in Australia.
What are the implications for practitioners’? Early evidence suggests HealthPathways could help GPs and other practitioners’ in the delivery of health services, it could also help to strengthen practitioner relationships.
References
[1] The National Health and Hospitals Reform Commission. A healthier future for all Australians: final report of the National Health and Hospitals Reform Commission. Report No. 1-74186-940-4. Commonwealth of Australia: Barton; 2009.[2] Enthoven AC. Integrated delivery systems: the cure for fragmentation. Am J Manag Care 2009; 15 S284–90.
| 20088632PubMed |
[3] Robinson S, Varhol R, Hendrie D, Durrington L. Evaluation of healthpathways: a catalyst for system reform. Proceedings of the Primary Health Care Research Conference, 23–24 July Canberra 2014.
[4] Marmor T, Freeman R, Okma K. Comparative perspectives and policy learning in the world of health care J Comp Policy Anal 2005; 7 331–48.
| Comparative perspectives and policy learning in the world of health careCrossref | GoogleScholarGoogle Scholar |
[5] Petrich M, Ramamurthy VL, Hendrie D, Robinson S. Challenges and opportunities for integration in health systems: an Australian perspective. J Integrated Care 2013; 21 347–59.
| Challenges and opportunities for integration in health systems: an Australian perspective.Crossref | GoogleScholarGoogle Scholar |
[6] Horvath J. Review of Medicare Locals. Report to the Minister for Health and Minister for Sport, Australia. Commonwealth of Australia: Barton; 2014.
[7] Timmins N, Ham C. The quest for integrated health and social care. A case study in Canterbury, New Zealand. London: The King’s Fund; 2013.
[8] Boughey A. HealthPathways: an evaluation of its implementation in five Australian Medicare Locals. Barton: Australian Medicare Local Alliance; 2014.
[9] Brennan N, Mattick K, Ellis T. The Map of Medicine: a review of evidence for its impact on healthcare. Health Info Libr J 2011; 28 93–100.
| 21564492PubMed |
[10] McDonald B. Process evaluation of the Hunter and New England HealthPathways. Newcastle: BMcD Consulting; 2013.
[11] Mansfield S, Quirk F, Von Treuer K, Gill G. A GPS for GPs? Identifying factors that may influence GP use of HealthPathways in the Barwon region. Proceedings of the Primary Health Care Research Conference, 23–24 July Canberra, Australia; 2014.
[12] Jacobs RMR, Davies HTO, Harrison S, Konteh F, Walshe K. The relationship between organizational culture and performance in acute hospitals. Soc Sci Med 2013; 76 115–25.
| The relationship between organizational culture and performance in acute hospitals.Crossref | GoogleScholarGoogle Scholar |
[13] Mannion R, Marshall DH. Cultures for performance in health care. Maidenhead: OPU Press; 2005.
