Pathways to care and psychological problems of general practice patients in a ?gate keeper? and an ?open access? health care system

2003 ◽  
Vol 38 (12) ◽  
pp. 690-697 ◽  
Author(s):  
M. Linden ◽  
H. Gothe ◽  
J. Ormel
2012 ◽  
Vol 72 (6) ◽  
pp. 413-418 ◽  
Author(s):  
Joanna Norton ◽  
Michel David ◽  
Guilhem de Roquefeuil ◽  
Jean-Philippe Boulenger ◽  
Josip Car ◽  
...  

2006 ◽  
Vol 40 (1) ◽  
pp. 74-86 ◽  
Author(s):  
Cathy Issakidis ◽  
Gavin Andrews

Objective: The present paper applies Goldberg and Huxley's Pathways to Care (PTC) model to the Australian health-care system to ask: who is treated in each sector and what does this tell us about the performance of the health-care system? It examines the factors associated with reaching primary care, outpatient and inpatient sectors, as well as private and public mental health services. Method: Data from the Australian National Survey of Mental Health and Wellbeing were used to determine the proportion of the population treated in each sector. Sociodemographic and clinical characteristics were examined and logistic regression was used to determine which factors were associated with use of different sectors of care. Results: Of the total population, 80.5% reached primary care, 8.2% primary care for mental health problems, 6.5% outpatient care and 0.4% reached the mental health inpatient sector. Clinical severity increased across these sectors and was an important determinant of access to care. Those consulting private practitioners were clinically similar to those consulting in the public sector. Sociodemographic characteristics were important determinants of access to primary, specialist and private mental health care. Being aged over 55 years or living in a rural area was associated with lower access to several sectors. Conclusions: Although at a broad level the health-care system is performing as expected, limited access among some groups is cause for concern. Applying the PTC model to a population sample offered useful insights into the performance of the Australian healthcare system.


2008 ◽  
Vol 14 (3) ◽  
pp. 7
Author(s):  
Rae Walker

This issue of the Australian Journal of Primary Health features a selection of papers about general practice in Australia. These papers reflect a range of perspectives important in general practice, including disease management in the general practice context, innovative approaches to prevention, consumer perspectives on conditions and services, future development of general practice in the primary health care system, and more. Publication of these papers occurs at a time when development of the National Primary Health Care Strategy is well under way. The focus of the National Primary Health Care Strategy is on related themes of prevention, chronic disease, evidence-based practice and better integration of general practice into the primary health care system.


2018 ◽  
Vol 183 (9-10) ◽  
pp. e570-e575 ◽  
Author(s):  
Krystin A Engelhardt ◽  
Elizabeth Hisle-Gorman ◽  
Gregory H Gorman ◽  
Nicole R Dobson

2005 ◽  
Vol 13 (5) ◽  
pp. 265-269 ◽  
Author(s):  
François G. Schellevis ◽  
Gert P. Westert ◽  
Dinny H. De Bakker

Allergy ◽  
1995 ◽  
Vol 50 (12) ◽  
pp. 959-963 ◽  
Author(s):  
C. Francillon ◽  
B. Burnand ◽  
Ph. Frei ◽  
J. Duc ◽  
J. P. Lantin ◽  
...  

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