Co-ordinated care is being trialled in Australia. People with long-term complex and chronic conditions are participating in satellite trials to see if different management and care co-ordination leads to better quality of care, more efficiently delivered. While the trials are under way, significant public statements have been made about co-ordinated care by the government, the professions, notably the medical and pharmaceutical professions, and the community. This paper examines some of those statements, and comments on the input into an ongoing ethics debate of resource allocation in healthcare. Efficiency and quality are recurring themes in this public debate. The process of change is compared to initiatives in the US and UK.
Anon . (1997) ‘Policy Perspectives For Our Patients, Not for Profits: A Call for Action’, The Journal of the American Medical Association Dec. 278(21): 1733–1733.
2.
Asten, G. (1998) ‘AMA Must Work Co-operatively’, Australian Medicine10(7) April 20: 6–6.
3.
Australian Medical Association (1997) ‘Co-ordinated Care Trials Falter’, Australian Medicine9(16) September 1: 3–3.
4.
Bailie, R. S. , B. M. Sibthorpe and R. M. Douglas (1997) ‘General Practitioners’ Perceptions Regarding Co-ordinated Care’, Australian Family Physician26(Suppl. 2): S61–s65.
5.
Berglund, C. A. , E. A. O'Brien and A. G. Magney (1997) ‘Communication and Discussion of Health Research in the Press’, Platform paper, pp. 25–33 in Australasian and New Zealand Association for Medical Education Silver Anniversary Conference, ‘Communication: Art and Science; Past and Future; Near and Far’, Melbourne6–9 July.
6.
Brand, D. (1997) ‘Protecting the Quality of Health Care’, Australian Medicine9(17) September 15: 5–5.
7.
Brand, D. (1998) ‘The Next Offensive against Managed Care’, Australian Medicine10(7) April 20: 5–5.
8.
Chantler, C. (1999) ‘The Role and Education of Doctors in the Delivery of Health Care’, The Lancet353 (9159) Apr. 3: 1178–1181.
9.
Commonwealth Department of Health and Aged Care (1999) The Australian Co-ordinated Care Trials: Interim National Evaluation Summary. Commonwealth Department of Health and Aged Care: Canberra.
10.
Commonwealth Department of Health and Human Services (1995) Call for Expressions of Interest in Conducting Trials in Co-ordinated Care. Canberra: Commonwealth Department of Health and Human Services.
11.
Commonwealth Department of Health and Human Services: GP Branch, Co-ordinated Care (1997) Health Benefits Division. Mainstream Co-ordinated Care Trials (i.e. Non-Indigenous) Trial Summaries. Canberra: Commonwealth Department of Health and Human Services.
12.
Consumers' Health Forum (1995) Co-Ordinated Care – Consumers' Perspectives. CHF Docs/Cord Care/ConAffBrief. Consumers' Health Forum: Canberra.
13.
Deeble, J. (1999) ‘Medicare: Where Have We Been? Where Are We Going?’, Australian and New Zealand Journal of Public Health23(6): 557–563.
14.
Dixon, J. and A. Preker (1999) ‘Learning from the NHS: NHS Continues to be an Important Test Bed for Reform in Healthcare’, British Medical Journal319(7223) Dec. 4: 1449–1450.
15.
Duckett, S. (1996) ‘The New Market in Health Care: Prospects for Managed Care in Australia’, Australian Health Review19(20): 7–22.
16.
Emerson, L. (1998) ‘Co-ordinated Care Trials – Pharmacy Services’, Pharmacy Review April.
17.
Ginzberg, E. (1997) ‘Managed Care and the Competitive Market in Health Care: What They Can and Cannot Do’, The Journal of the American Medical Association277(22) June 11: 1812–1814.
18.
Ginzberg, E. (1998) ‘The Changing US Healthcare Agenda’, The Journal of the American Medical Association279(7) Feb. 18: 501–504.
19.
Greenberg, H. (1998) ‘American Medicine is on the Right Track’, The Journal of the American Medical Association279(6) Feb. 11: 426–429.
20.
Hall, J. (1999) ‘Incremental Change in the Australian Health Care System’, Health Affairs May/June: 95–110.
21.
Harrison, A. , J. Dixon, B. New and K. Judge (1997) ‘Funding the NHS: Can the NHS Cope in the Future?’, British Medical Journal314(7074) Jan. 11: 139–139.
22.
Holl-Allen, R. T. (1998) ‘Healthcare Delivery in the United Kingdom and the United States: Comparing Notes and Lessons’, Archives Surgery133(10): 1124–1125.
23.
Holleman, W. L. , M. C. Holleman and J. G. Moy (1997) ‘Are Ethics and Managed Care Strange Bedfellows or a Marriage made in Heaven?’, The Lancet349(9048) Feb. 1: 350–352.
24.
Lawrence, C. (1995a) Co-ordinated Care Trials Embraced, Ministerial Document Service, pp. 2500–2501. CL 388/95, 26 October.
25.
Lawrence, C. (1995b) 58 Answers for ‘Col and Keith’ on Co-ordinated Care, Ministerial Document Service, pp. 2828–2828. CL 400/95, 9 November.
26.
Lundberg, G. D. (1994) ‘An Overview of Health System Reform’, The Journal of the American Medical Association271(17) May 4: 1368–1368, 1374–1374.
27.
Montalto, M. (1997) ‘Co-ordinated Care: Are We Putting the Cart Before the Horse?’, Australian Family Physician26(Suppl. 2): S60–s60.
28.
National Health and Medical Research Council (1999) NHMRC Statement on Ethical Conduct in Research Involving Humans Experimentation and Supplementary Notes. Canberra: AGPS.
29.
Quill, T. E. and H. Brody (1996) ‘Physician Recommendations and Patient Autonomy: Finding a Balance Between Physician Power and Patient Choice’, Annals of Internal Medicine125(9): 763–769.
30.
Sheldon, T. A. (1997) ‘Formula Fever: Allocating Resources in the NHS’, British Medical Journal315(7114) Oct. 18: 964–964.
31.
Uren, J. (1997) ‘Nurses and the Corporatization of Health Care’, Australian Nursing Journal4(9): 3–3.
32.
Wooldridge, M. (1996a) Co-ordinated Care Trials will Proceed, Ministerial Document Service, pp. 6708–6708. Ministry for Health and Family Services. MW 11/96, 1 May.
33.
Wooldridge, M. (1996b) ‘Address at the Opening of the Annual General Meeting of the Royal Australasian College of Physicians Scientific Meeting’, Canberra, May 8, Ministerial Document Service, pp. 6816–6829. Ministry for Health and Family Services.
34.
Wooldridge, M. (1996c) Co-ordinated Care Trials get the Green Light, Ministerial Document Service, pp. 1194–1195. Minister for Health and Family Services. MW 73/96, 20 September 1996.
