National health and hospital network for Australia's future : Implications for emergency medicine

FitzGerald, Gerry & Ashby, Richard (2010) National health and hospital network for Australia's future : Implications for emergency medicine. Emergency Medicine Australasia, 22(5), pp. 384-390.

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The proposals arising from the agreement reached between the Rudd government and the States and Territories (except Western Australia) in April 2010 represent the most fundamental realignment of health responsibilities since the creation of Medicare in 1984. They will change the health system, and the structures that will craft its future direction and design. These proposals will have a significant impact on Emergency Medicine; an impact from not only the system-wide effects of the proposals but also those that derive from the specific recommendations to create an activity-based funding mechanism for EDs, to implement the four hour rule and to develop a performance indicator framework for EDs. The present paper will examine the potential impact of the proposals on Emergency Medicine to inform those who work within the system and to help guide further developments. More work is required to better evaluate the proposals and to guide the design and development of specific reform instruments. Any such efforts should be based upon a proper analysis of the available evidence, and a structured approach to research and development so as to deliver on improved services to the community, and on improved quality and safety of emergency medical care.

Impact and interest:

8 citations in Scopus
6 citations in Web of Science®
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ID Code: 37993
Item Type: Journal Article
Refereed: Yes
Keywords: health reform, emergency medicine, National Health and Hospital Network, Australian Health System, four hour rule
DOI: 10.1111/j.1742-6723.2010.01329.x
ISSN: 1742-6731
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2010 The Authors and Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Deposited On: 18 Oct 2010 21:25
Last Modified: 12 Jul 2017 00:01

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