Essay: Moving from an Illness focused health system to an integrated system with a primary health care focus.


3000 words


“For much of the 20th century, hospitals, with their technology and sub-specialists, have gained a pivotal role in most health systems throughout the world. Today, the disproportionate focus on hospitals and subspecialization has become a major source of inefficiency and inequality, and one that has proved remarkably resilient.” (World Health Organization, 2009, 11).


Discuss, with reference to the contemporary literature, the barriers and enablers to bringing a primary health care focus rather than an illness focus to the Australian health care system.


Please include in your discussion reference to payment/ funding systems (MBS and PBS); the effects of local policies; health professional education, status and preparation; public perceptions; communication  and the State/ Federal divide.




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