Pertinent Extracts from A NEW APPROACH TO PRIMARY CARE FOR AUSTRALIA which apply to YELP

Community-level prevention and primary care is essential to restoring universalism and efficiency in Australian health care.

  • a lack of consumer input into primary care policy, planning, resource allocation and service delivery
     
  • Population health focus: centres would be responsible for managing the overall health of a population, rather than just that of individuals, and would be funded to achieve population health outcomes.

  • An insufficient focus on prevention: our current primary care system has only a minimal focus on prevention. Given that funding invested in preventive health saves more resources than health funding spent elsewhere, this approach does not make economic sense. Re-orienting primary care to focus on prevention requires funding to be directed to preventive health activities, such as immunisation, screening, early diagnosis services and health promotion.......... There are few resources available for GPs and other primary care providers to work proactively to prevent the development of obesity in their community in the first place.

A better system would be one which provided more support and incentives for primary care providers to work with consumers to prevent the development of chronic conditions. In order to re-focus primary care on preventive health, funding needs to be provided for preventive health activities and for the measurement and monitoring of communities’ health status. This could be achieved by providing financial incentives for the management of health outcomes in the catchment population of the centre and for evidenced-based outreach and health promotion activities that will promote population health outcomes within that community. "