Structural interests and Australian health policy

Duckett, Stephen

doi:10.1016/0277-9536(84)90266-1

Cited by 29 publications

(10 citation statements)

References 6 publications

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“…Both the Commonwealth and the State government of Western Australia have adopted a wide range of policies that are firmly rooted in the principles of economic rationalism (Duckett 1984;Rees 1994;Melleuish 1997;Tonts and Jones 1997;Beeson and Firth 1998;Van Eyk et al 2001). These policies have a large impact on rural and remote regions in general while simultaneously acting as a dominant structural force within the health care sector.…”

Section: Research Background and Methodologymentioning

confidence: 99%

Experiencing "change" from within: situating the transition to primary health care in a remote Australian context

Lockhart¹

2002

Aust. Health Review

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The transition to primary health care (PHC) is often described in an idealised manner, which either ignores or obscures the experiences associated with its implementation at the local level. By adopting an anthropological perspective, this article highlights some of these experiences and the context within which they occur for one health care organisation in remote Western Australia. It specifically focuses on problems associated with economic rationalism, managerialism, and the inherently fragmented character of health service organisations. Such issues must be allowed to inform idealised PHC models in order to make them more applicable and attuned to local needs and realities.

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Section: Research Background and Methodologymentioning

confidence: 99%

Experiencing "change" from within: situating the transition to primary health care in a remote Australian context

Lockhart¹

2002

Aust. Health Review

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“…Most work attempting to explain health policy development in Australia continues to rely on variants of Sidney Sax's influential () book, A Strife of Interests: Politics and Policies in Australian Health Services (e.g. Duckett ; Gardner ; Hunter ; Najman and Western ), which adopts a pluralist interest group approach to political analysis. This general approach has struggled to sustain explanations of the timing and nature of substantial health policy reform in different OECD health‐care systems (Hacker ).…”

Section: Australian Health Policy Sequences: Failure Success Succesmentioning

confidence: 99%

Success and Failure in Public Policy: Twin Imposters or Avenues for Reform? Selected Evidence from 40 Years of Health‐care Reform in Australia*

Kay

Boxall²

2015

Aust J Public Adm

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In explaining policy reform, there is a tendency to assume that causes and outcomes are temporally contiguous and that the consequences of reform efforts unfold quickly. There is no obvious reason, theoretical or empirical, why this should be the case when considering the relationships between policy failure and policy success. This paper considers why and how policy failures may be causally linked to future policy events in sequences over extended periods of time. In particular, this paper focuses on the different mechanisms that might connect assessments of policy failure and subsequent reform success. Empirically, it draws on selected evidence from patterns of policy failures and successes in Australian health policy over a 40-year time period.

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“…Although people from non-English speaking backgrounds, for example, generally have better health than their Australian-born counterparts, 30,31 they face problems of communication through language and a lack of cultural sensitivity in the health care system. 32 Aboriginal and Torres Strait Islander peoples also encounter lack of cultural sensitivity in interacting with the health care system.…”

Section: Acceptabilitymentioning

confidence: 99%

The Australian health care system: reform, repair or replace?

Duckett¹

2008

Aust. Health Review

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A Festshrift gives us the opportunity to look both backwards and forwards. Ken Donald's career stretches back to his intern days in 1963 and has encompassed clinical and population health, academe, clinical settings and the bureaucracy, and playing sport at state and national levels. There has been considerable change in the health care system over the period of Ken's involvement in the sector with more change to come -where have those changes left us? This paper discusses these changes in relation to performance criteria.

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Structural interests and Australian health policy

Cited by 29 publications

References 6 publications

Experiencing "change" from within: situating the transition to primary health care in a remote Australian context

Experiencing "change" from within: situating the transition to primary health care in a remote Australian context

Success and Failure in Public Policy: Twin Imposters or Avenues for Reform? Selected Evidence from 40 Years of Health‐care Reform in Australia*

The Australian health care system: reform, repair or replace?

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