Factors shaping intersectoral action in primary health care services
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Date
2014-11-06
Authors
Anaf, Julia Margaret
Baum, Fran
Freeman, Toby
Labonte, Ronald
Javanparast, Sara
Jolley, Gwyneth Margaret
Lawless, Angela Patricia
Bentley, Michael William
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley
Rights
© 2014 Public Health Association of Australia
Rights Holder
Public Health Association of Australia
Abstract
Objective: To examine case studies of good practice in intersectoral action for health as one part of evaluating comprehensive primary health care in six sites in South Australia and the Northern Territory. Methods: Interviews with primary health care workers, collaborating agency staff, and service users (Total N=33); augmented by relevant documents from the services and collaborating partners. Results: The value of intersectoral action for health and the importance of partner relationships to primary health care services were both strongly endorsed. Factors facilitating intersectoral action included sufficient human and financial resources, diverse backgrounds and skills, and the personal rewards that sustain commitment. Key constraining factors were financial and time limitations and a political and policy context which has become less supportive of intersectoral action; including changes to primary health care. Conclusions: While intersectoral action is an effective way for primary health care services to address social determinants of health, commitment to social justice and to adopting a social view of health are constrained by a broader health service now largely reinforcing a biomedical model. Implications: Effective organisational practices and policies are needed to address social determinants of health in primary health care and to provide a supportive context for workers engaging in intersectoral action.
Description
This is the peer reviewed version of the following article: [Anaf, J., Baum, F., Freeman, T., Labonte, R., Javanparast, S., Jolley, G., Lawless, A., & Bentley, M. (2014). Factors shaping intersectoral action in primary health care services. Australian and New Zealand Journal of Public Health, 38, 553-559.], which has been published in final form at DOI:10.1111/1753-6405.12284 . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
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Citation
Anaf, J., Baum, F., Freeman, T., Labonte, R., Javanparast, S., Jolley, G., Lawless, A., & Bentley, M. (2014). Factors shaping intersectoral action in primary health care services. Australian and New Zealand Journal of Public Health, 38, 553-559.