Amalgamation of health services in South-West Victoria: reinvention or survival?

O'Toole, Kevin, Nesbitt, Pat and Macgarvey, Anna 2002, Amalgamation of health services in South-West Victoria: reinvention or survival?, Australian journal of rural health, vol. 10, no. 1, pp. 51-56, doi: 10.1046/j.1440-1584.2002.00419.x.

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Title Amalgamation of health services in South-West Victoria: reinvention or survival?
Author(s) O'Toole, KevinORCID iD for O'Toole, Kevin
Nesbitt, Pat
Macgarvey, Anna
Journal name Australian journal of rural health
Volume number 10
Issue number 1
Start page 51
End page 56
Publisher Blackwell Publishing Asia
Place of publication Carlton, Vic.
Publication date 2002
ISSN 1038-5282
Keyword(s) healthcare
restructuring health services
rural Australia
rural health
Summary In Australia 'the hospital' has long been considered the cornerstone of small, rural health services. However, this premise has been altered significantly by the introduction of casemix loading and diagnostic-related groups that promote a rationalised output-based model of management. In the light of these changes, many rural health services have struggled to reinvent themselves by establishing a range of service models such as Multi-purpose Service (MPS) and Health Streams, while maintaining traditional models (i.e. bush nursing centres, nursing homes and aged-care facilities). These changes are about survival. This paper analyses one such case in south-west Victoria, the Macarthur and District Community Outreach Service, and compares the outcomes with other similar Victorian rural health research projects. Particular attention is paid to the nature of the health services, the management of change and the proposed health outcomes for the local rural communities. In conclusion, it is argued that this study adds to the body of knowledge surrounding the construction of models of community health and development programming, These models impact upon future rural and remote area initiatives throughout Australia.
Language eng
DOI 10.1046/j.1440-1584.2002.00419.x
Field of Research 111708 Health and Community Services
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2002, Blackwell Publishing Asia
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