What is the impact on the role of Practice Nurse of the trial of Health Care Homes and the shift to bundle payments?

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Verrall, Claire
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Flinders University
Copyright © 2018 the author. All rights reserved.
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Using a case study approach, my PhD will examine the impact of the Australian Federal Government's trial of Health Care Homes (HCH) (2018-2019) on the role of practice nurses using Alford's (1975) structural interest theory as the analytical lens. HCH is the most recent in a raft of reforms instigated by the Federal government over the last two decades in an attempt streamline care coordination and re-orientate general practice towards population focused multidisciplinary care of the chronically ill. Underlying the study are three assumptions. Firstly, the Federal government has attempted to reform general practice through a series of policy initiatives, none of which have fully achieved policy objectives. One example has been the funding of primary care organisations such as Divisions of General Practice, Medical Locals and Primary Health Care Networks. This has been coupled with the introduction of specific Medical Benefit Schedule items to encourage GPs to enhance and care of patients with chronic conditions; e.g. enhanced primary care packages which later became chronic disease management. The second assumption argues that these two policy directions have impacted on the professional status and position of practice nurses, mostly contributing to an expanded and enhanced role. The third assumption aligns with Alford's theory that various structural interests obstruct health reform. While Alfords theory has been aligned to a number of reforms, few have examined the impact on the role of the practice nurse as the three structural interest groups work to ensure the reforms meet their interests.
This abstract was prepared for the inaugural 'HDR Student Conference', Flinders University, November 2018. Copyright © the author
General practice, Practice nurse, Health care reform, Structural interest theory
Verrall, Claire (2018, November) What is the impact on the role of Practice Nurse of the trial of Health Care Homes and the shift to bundle payments? Paper presented at 'HDR Student conference', Flinders University, Bedford Park.