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为全体澳大利亚人打造更健康的未来:国家卫生与医院改革委员会最终报告概述

A healthier future for all Australians: an overview of the final report of the National Health and Hospitals Reform Commission.

作者信息

Bennett Christine C

机构信息

National Health and Hospitals Reform Commission, Canberra, ACT, Australia.

出版信息

Med J Aust. 2009 Oct 5;191(7):383-7. doi: 10.5694/j.1326-5377.2009.tb02845.x.

Abstract

After extensive community and health industry consultation, the final report of the National Health and Hospitals Reform Commission, A healthier future for all Australians, was presented to the Australian Government on 30 June 2009. The reform agenda aims to tackle major access and equity issues that affect health outcomes for people now; redesign our health system so that it is better positioned to respond to emerging challenges; and create an agile, responsive and self-improving health system for long-term sustainability. The 123 recommendations are grouped in four themes: Taking responsibility: supporting greater individual and collective action to build good health and wellbeing. Connecting care: delivering comprehensive care for people over their lifetime, by strengthening primary health care, reshaping hospitals, improving subacute care, and opening up greater consumer choice and competition in aged care services. Facing inequities: taking action to tackle the causes and impact of health inequities, focusing on Aboriginal and Torres Strait Islander people, people in rural and remote areas, and access to mental health and dental services. Driving quality performance: having leadership and systems to achieve the best use of people, resources and knowledge, including "one health system" with national leadership and local delivery, revised funding arrangements, and changes to health workforce education, training and practice.

摘要

在广泛征求社区和卫生行业意见后,国家卫生与医院改革委员会的最终报告《为全体澳大利亚人创造更健康的未来》于2009年6月30日提交给澳大利亚政府。改革议程旨在解决当前影响人们健康结果的主要就医机会和公平性问题;重新设计我们的卫生系统,使其更有能力应对新出现的挑战;并创建一个灵活、响应迅速且能自我完善的卫生系统,以实现长期可持续性。123项建议分为四个主题:承担责任:支持个人和集体采取更多行动来促进健康和福祉。连接医疗服务:通过加强初级卫生保健、重塑医院、改善亚急性护理以及在老年护理服务中为消费者提供更多选择和竞争,为人们提供贯穿一生的全面护理。直面不平等:采取行动解决健康不平等的成因和影响,重点关注原住民和托雷斯海峡岛民、农村和偏远地区的人们以及获得心理健康和牙科服务的机会。推动高质量绩效:具备领导能力和系统,以实现对人员、资源和知识的最佳利用,包括具有国家领导和地方实施的“单一卫生系统”、修订后的资金安排以及对卫生人力教育、培训和实践的改革。

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