Scoping of models to support population-based regional health planning and management: comparison with the regional operating model in Victoria, Australia
Jean-Frederic Levesque A F , John J. M. O’Dowd B , Éidín M. Ní Shé C , Jan-Willem Weenink D and Jane Gunn EA Centre for Primary Health Care and Equity, Level 3, AGSM Building, University of New South Wales Australia, Sydney, NSW 2052, Australia and Bureau of Health Information, Chatswood, 2067, NSW, Australia.
B University of Glasgow, Greater Glasgow and Clyde NHS Board, Public Health, West House, Gartnavel Royal Campus, 1055 Great Wester Road, Glasgow, Scotland, UK, G12 0XH. Email: johnjackodowd@hotmail.com
C UCD School of Nursing, Midwifery & Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. Email: eidin.nishe@ucd.ie
D Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands. Email: Jan-Willem.Weenink@radboudumc.nl
E Department of General Practice, University of Melbourne, 200 Berkeley Street, Carlton, Vic. 3053, Australia. Email: j.gunn@unimelb.edu.au
F Corresponding author. Email: JeanFrederic.Levesque@health.nsw.gov.au
Australian Health Review 41(2) 162-169 https://doi.org/10.1071/AH15198
Submitted: 20 October 2015 Accepted: 26 April 2016 Published: 2 June 2016
Journal Compilation © AHHA 2017 Open Access CC BY-NC-ND
Abstract
Objective The aim of the present study was to try to understand the breadth and comprehensiveness of a regional operating model (ROM) developed within the Victorian Department of Health’s North West Metropolitan Region office in Melbourne, Australia.
Methods A published literature search was conducted, with additional website scanning, snowballing technique and expert consultation, to identify existing operating models. An analytical grid was developed covering 16 components to evaluate the models and assess the exhaustiveness of the ROM.
Results From the 34 documents scoped, 10 models were identified to act as a direct comparator to the ROM. These concerned models from Australia (n = 5) and other comparable countries (Canada, UK). The ROM was among the most exhaustive models, covering 13 of 16 components. It was one of the few models that included intersectoral actions and levers of influence. However, some models identified more precisely the planning tools, prioritisation criteria and steps, and the allocation mechanisms.
Conclusions The review finds that the ROM appears to provide a wide coverage of aspects of planning and integrates into a single model some of the distinctive elements of the other models scoped.
What is known about the topic? Various jurisdictions are moving towards a population-based approach to manage public services with regard to the provision of individual medical and social care. Various models have been proposed to guide the planning of services from a population health perspective.
What does this paper add? This paper assesses the coverage of attributes of operating models supporting a population health planning approach to the management of services at the regional or local level. It provides a scoping of current models proposed to organise activities to ensure an integrated approach to the provision of services and compares the scoped models to a model recently implemented in Victoria, Australia.
What are the implications for practitioners? This paper highlights the relative paucity of operating models describing in concrete terms how to manage medical and social services from a population perspective and encourages organisations that are accountable for securing population health to clearly articulate their own operating model. It outlines strengths and potential gaps in current models.
Additional keywords: population health approach.
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