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dc.contributor.authorFreeman, Toby
dc.contributor.authorBaum, Fran
dc.contributor.authorLawless, Angela Patricia
dc.contributor.authorJavanparast, Sara
dc.contributor.authorJolley, Gwyneth Margaret
dc.contributor.authorLabonte, Ronald
dc.contributor.authorBentley, Michael William
dc.contributor.authorBoffa, John
dc.contributor.authorSanders, David
dc.date.accessioned2015-09-15T02:56:58Z
dc.date.available2015-09-15T02:56:58Z
dc.date.issued2015-08-26
dc.identifier.citationFreeman, T., Baum, F., Lawless, A., Javanparast, S., Jolley, G., Labonte, R., Bentley, M., Boffa, J., & Sanders, D. (in press). Revisiting the ability of Australian primary health care services to respond to health inequity. Australian Journal of Primary Health. Published online 26 August 2015.en
dc.identifier.issn1448-7527
dc.identifier.urihttp://hdl.handle.net/2328/35539
dc.descriptionAuthor version made available in accordance with the publisher's policy.en
dc.description.abstractEquity of access and reducing health inequities are key objectives of comprehensive primary health care. However, the supports required to target equity are fragile and vulnerable to changes in the fiscal and political environment. We followed six Australian primary health care services, five in South Australia, and one in the Northern Territory, over five years (2009-2013) of considerable change. We conducted 55 interviews with service managers, staff, regional health executives, and health department representatives in 2013 to examine how the changes had affected their practice regarding equity of access and responding to health inequity. At the four state government services, seven of ten previously identified strategies for equity of access, and services’ scope to facilitate access to other health services, and to act on the social determinants of health inequity were now compromised or reduced in some way as a result of the changing policy environment. There was less change with a mix of positive and negative at the non-government organisation. The community controlled service increased their breadth of strategies employed to address health equity. These different trajectories suggest the value of community governance, and highlight the need to monitor equity performance and advocate for the importance of health equity.en
dc.language.isoen
dc.publisherCSIRO Publishingen
dc.rightsJournal compilation © La Trobe University 2015en
dc.titleRevisiting the ability of Australian primary healthcare services to respond to health inequityen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.1071/PY14180en
dc.rights.holderJournal compilation La Trobe Universityen
dc.rights.licenseIn Copyright
local.contributor.authorOrcidLookupBentley, Michael William: https://orcid.org/0000-0003-3016-6194en_US
local.contributor.authorOrcidLookupFreeman, Toby: https://orcid.org/0000-0002-2787-8580en_US
local.contributor.authorOrcidLookupLawless, Angela Patricia: https://orcid.org/0000-0003-0718-8088en_US
local.contributor.authorOrcidLookupJavanparast, Sara: https://orcid.org/0000-0002-0388-5524en_US
local.contributor.authorOrcidLookupBaum, Fran: https://orcid.org/0000-0002-2294-1368en_US


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