TY - JOUR
KW - Australia
KW - Health Care Reform
KW - Humans
KW - Mental Health Services/organization & administration
KW - Primary Health Care/organization & administration
AU - Carla Meurk
AU - Meredith Harris
AU - Eryn Wright
AU - Nicola Reavley
AU - Roman Scheurer
AU - Bridget Bassilios
AU - Caroline Salom
AU - Jane Pirkis
A1 - 
AB - Primary Health Networks (PHNs) are a new institution for health systems management in the Australian healthcare system. PHNs will play a key role in mental health reform through planning and commissioning primary mental health services at a regional level, specifically adopting a stepped care approach. Selected PHNs are also trialling a healthcare homes approach. Little is known about the systems levers that could be applied by PHNs to achieve these aims. A rapid review of academic and grey literature published between 2006 and 2016 was undertaken to describe the use of systems levers in commissioning primary care services. Fifty-six documents met the inclusion criteria, including twelve specific to primary mental healthcare. Twenty-six levers were identified. Referral management, contracts and tendering processes, and health information systems were identified as useful levers for implementing stepped care approaches. Location, enrolment, capitation and health information systems were identified as useful in implementing a healthcare homes approach. Other levers were relevant to overall health system functioning. Further work is needed to develop a robust evidence-base for systems levers. PHNs can facilitate this by documenting and evaluating the levers that they deploy, and making their findings available to researchers and other commissioning bodies.
AD - The University of Queensland, School of Public Health, Corner Herston Road and Wyndham Street, Herston, Qld 4006, Australia.; The University of Queensland, School of Public Health, Corner Herston Road and Wyndham Street, Herston, Qld 4006, Australia.; The University of Queensland, School of Public Health, Corner Herston Road and Wyndham Street, Herston, Qld 4006, Australia.; The University of Melbourne, Melbourne School of Population and Global Health, Vic. 3010, Australia.; The University of Queensland, School of Public Health, Corner Herston Road and Wyndham Street, Herston, Qld 4006, Australia.; The University of Melbourne, Melbourne School of Population and Global Health, Vic. 3010, Australia.; Policy and Epidemiology Group, Queensland Centre for Mental Health Research, Locked Bag 500, Archerfield, Qld 4108, Australia.; The University of Melbourne, Melbourne School of Population and Global Health, Vic. 3010, Australia.
BT - Australian journal of primary health
CP - 1
CY - Australia
DO - 10.1071/PY17030
IS - 1
JF - Australian journal of primary health
LA - eng
M1 - Journal Article
N2 - Primary Health Networks (PHNs) are a new institution for health systems management in the Australian healthcare system. PHNs will play a key role in mental health reform through planning and commissioning primary mental health services at a regional level, specifically adopting a stepped care approach. Selected PHNs are also trialling a healthcare homes approach. Little is known about the systems levers that could be applied by PHNs to achieve these aims. A rapid review of academic and grey literature published between 2006 and 2016 was undertaken to describe the use of systems levers in commissioning primary care services. Fifty-six documents met the inclusion criteria, including twelve specific to primary mental healthcare. Twenty-six levers were identified. Referral management, contracts and tendering processes, and health information systems were identified as useful levers for implementing stepped care approaches. Location, enrolment, capitation and health information systems were identified as useful in implementing a healthcare homes approach. Other levers were relevant to overall health system functioning. Further work is needed to develop a robust evidence-base for systems levers. PHNs can facilitate this by documenting and evaluating the levers that they deploy, and making their findings available to researchers and other commissioning bodies.
PP - Australia
PY - 2018
SN - 1448-7527; 1448-7527
SP - 29
EP - 53
EP - 
T1 - Systems levers for commissioning primary mental healthcare: a rapid review
T2 - Australian journal of primary health
TI - Systems levers for commissioning primary mental healthcare: a rapid review
U2 - 29338836
U3 - 10.1071/PY17030
VL - 24
VO - 1448-7527; 1448-7527
Y1 - 2018
Y2 - Mar
ER -